Peds Derm

The flashcards below were created by user mycards2014 on FreezingBlue Flashcards.

  1. What is this:
    Erythematous macules surrounding small pustules (containing eosinophils). “Flea bites.”
    Erythema Toxicum Neonatorum
  2. Erythema Toxicum Neonatorum
    Who?
    Where?
    Other signs?
    Tx?
    • New borns (1-4 after birth)
    • Anywhere
    • No systemic signs
    • This is self-limiting, just reassure parents.
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    Erythema Toxicum Neonatorum
  4. What is this:
    Pustular lesions; rupture easily
    After rupture evolve into hyperpigmented macules
    Transient Neonatal Pustular Melanosis
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    Transient Neonatal Pustular Melanosis
  6. Transient Neonatal Pustular Melanosis
    Who?
    Where?
    Other signs?
    Tx?
    • Newborns (usually in the first 24hrs), AA > whts
    • Anywhere
    • None
    • Reassurance
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    Cutis Marmorata
  8. What is:
    Blanching mottled or lacy erythema
    Cutis Marmorata
  9. Cutis Marmorata
    Who?
    Where?
    Why?
    Other signs?
    Tx?
    • Babies
    • Everywhere
    • Due to decreased core temp
    • None
    • Reassurance
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    Milia -
  11. What is this:
    Nonconfluent pearly papules with minimal surrounding erythema
    Milia
  12. Milia
    Who?
    Where?
    Why?
    Other signs?
    Tx?
    • Up to 50% of newborns
    • Usually face, eyes, nose (occasionally trunk)
    • Superficial keratin cyst - over growth
    • None
    • Reassurance
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    Milia --> Epstein Pearl
  14. What is this:
    Pruritic erythematous macules and vesicles on warm skin
    Miliaria rubra
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    Miliaria Rubra
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    Miliaria crystallina - Small non-inflammatory vesicles
  17. Miliaria
    Who?
    Where?
    Why?
    Other signs?
    Tx?
    • Babes
    • Typically in intertriginous or occluded areas
    • Sweat retention when eccrine glands partially close
    • Warm skin
    • Reassurance
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    Acne Infantum
  19. What is:
    Pearly papules with surrounding erythema
    Acne Infantum
  20. Acne Infantum
    Who?
    Where?
    Other signs?
    Tx?
    • Newborns and infants (peaks at 2 mo)
    • Forehead, cheeks and nose
    • None
    • Reassurance
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    Mongolian Spot
  22. What is this:
    Large benign bluish-gray/black pigmented nevus
    Mongolian Spot
  23. Mongolian Spot
    Who?
    Where?
    Other signs?
    Tx?
    • Babes
    • Lower back, butt, thighs
    • None
    • Reassurance, usually fades!
    • ** make sure to document b/c can look like child abuse
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    • Capillary Malformation
    • AKA nevus flammeus, port wine stain, stork bite/angel’s kiss, macular stain
  25. Capillary Malformation
    Who?
    Where?
    Why?
    Other signs?
    Tx?
    • Babes, children (present at birth, persists through life)
    • Face, head (anywhere)
    • Collection of mature capillaries
    • Assocation with Sturge-Weber syndrome (port wine stain)
    • Observation
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    Hemangiomas
  27. What is:
    Reddish-purple raised nodule on skin
    Hemangioma
  28. Hemangioma
    Who?
    Where?
    Why?
    Other signs?
    Tx?
    • Babes, not present at birth. Expand 1-2 yo and then involute
    • Can be anywhere (including internal; suspect this if there are hemangiomas in beard-growth distribution or there are more than two lesions on the body)
    • Proliferation of immature capillaries
    • None (unless there are internal hemangiomas causing trouble)
    • Observation (steroids if airway is in danger, surgery)
  29. Where is the distribution of atopic dermatitis in babes?
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  30. What is the distribution of atopic dermatitis in children?
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    Candida Dermatitis - beefy erythema with satellite lesions
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    Diaper dermatits - folds are spared
  33. Treatment for diaper dermatitis
    Barrier cream (zinc oxide) and frequent diaper changes
  34. Treatment for candida dermatitis
    Nystatin cream, barrier cream, and frequent diaper changes
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    Ichthyosis
  36. Ichthyosis
    Who?
    Where?
    Why?
    Other signs?
    Tx?
    • Onset in early childhood (normal at birth)
    • Anywhere
    • Congenital disorders of keratinization leading to dry scaly skin --> Ichthyosis vulgaris is most common
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    Seborrheic Dermatitis
  38. What is this:
    Cradle Cap dermatitis
    Seborrheic Dermatitis
  39. Seborrheic dermatitis
    Who?
    Where?
    Other signs?
    Tx?
    • Babes (resolves by 1yo)
    • Dense concentrations of sebaceous glands (scalp, eyebrows, body folds
    • Can be fine flaky to thick greasy yellow scales with or without an underlying erythematous patch or plaque base
    • Medicated shampoos (zinc, selenium, ketoconazole), topical
    • corticosteroids, manual removal of scales
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    Perianal Strep Dermatitis (notice sharp margins)
  41. What is this?
    Bright red, sharply demarcated perianal patches.
    Perianal dermatitis
  42. Perianal dermatitis
    Who?
    Where?
    Other signs?
    Tx?
    • Children 6 mo to 8 yrs.
    • Perianal (duh)
    • Painful defecation, yellow crust
    • Oral (penicillin or amoxicillin) and topical antibiotic (mupirocin) for 10 days.
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    Staph Scalded Skin Syndrome
  44. Staph scalded skin syndrome
    Who?
    Where?
    Why?
    Other signs?
    Tx?
    • Usually in children <5 years age
    • Perioral and periorbital crusting or generalized erythema with Staph scarlatina
    • Epidermolytic toxin produced by Staph aureus
    • Nikolsky sign - Fragile bullae with superficial desquamation upon traction
    • IV antibiotics (vancomycin AND clindamycin)
  45. What is this?

    Flesh colored to pink dome-shaped umbilicated papules
    Molluscum Contagiosum
  46. What is this:
    Vesicles and pustules with “honey-colored crusting”
    Impetigo
  47. What is this:

    Erythematous, pruritic, and scaly lesions usually with an annular shape that grows outward leaving a central clearing
    Tinea corporis
  48. What is this?
    Fixed, typically non-pruritic annular red macules, papules, and plaques
    Erythema multiforme
  49. How is Erythema multiforme and Steven Johnsons syndrome different?
    • SJS involves two or more mucus membranes
    • Erythema m. is cause by infection (HSV, EBV, mycoplasma)
    • SJS is caused by drug
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    Leishmaniasis
  51. How is Leishmaniasis spread?
    What happens?
    Tx?
    • Sandfly bites
    • Ulcer formation at the site of the bite which may take up to a year to heal, scarring
    • Antimony containing compounds (meglumine, sodium stibogluconate)
Author:
mycards2014
ID:
148473
Card Set:
Peds Derm
Updated:
2012-04-19 04:40:26
Tags:
Peds Derm
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Description:
Derm on kids
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