By K. Strom (auth.), Univ. Prof. Dr. med. Dietrich Abeck, Walter Burgdorf MD, Prof. Dr. med. Hansjoerg Cremer (eds.)
This booklet offers the most typical pores and skin ailments of youngsters, which account for greater than ninety% of the proposing instances. In each one bankruptcy, the differential diagnostic probabilities are proven in a desk the place an important distinguishing good points are summarized. remedy is gifted in enormous aspect, reflecting the present literature in addition to the scientific event in huge German pediatric dermatology clinics. The medical names of all advised drugs are given in order that the ebook can be utilized through readers around the world, instead of simply people with entry to ecu medicinal drugs. assistance are incorporated for the treating general practitioner on the way to most sensible tailor a number of the treatment regimens and expect the process the ailment. contemporary advances in dermatologic treatment together with tacrolimus, pimecrolimus, and imiquimod are integrated. The appendix includes specified useful info at the collection of a suitable car, in addition to on antibiotics, antihistamines, and topical corticosteroids.
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Extra info for Common Skin Diseases in Children: Diagnosis and Management
Diagnostic considerations Diagnosis Granuloma annulare can usually be diagnosed clinically. Histological confirmation is often needed for subcutaneous granuloma annulare. Such cases can also be studied with magnetic resonance imaging, as the imaging picture can be easily recognized and more serious subcutaneous masses excluded. Differential Diagnosis The differential diagnostic considerations are shown in Table 20. astic vasculitis Urticarial annular lesions; no papules; more rapidly peripheral spread; usually on trunk • Erythema annulare centrifugum Perforating granuloma annulare • Elastosis perforans serpiginosa Usually on nape; often assoeiated with Down syndrome Subcutaneous granuloma annulare • Pilomatricoma Therapy The tendency of granuloma annulare to resolve spontaneously should be considered when planning therapy.
In most cases, only the epidermis peels and regeneration has already occurred, so the new skin is dry. With fair-skinned children (Type I and II in Table 17) and with high exposure, there may be sufficient irradiation to produce deeper dermal damage leading to scarring. Such wounds do not peel in a dry fashion. Instead, when the blister roof is removed, the wound bed weeps for a number of days, requiring burn care. Sunburn may also lead to systemic signs and symptoms, including fever, chills, nausea, vomiting, headache and nuchal rigidity.
Usually a 3 month period of treatment is required. II Sunburn Epidemiology Sunburn is the most common type of acute sunlight-induced skin damage. It is seen in all age groups and at all latitudes. Individuals living where the sun seldom shines have less of a tan and more interest in sun exposure, so they paradoxically have a greater risk of sunburns. The same paradox ex- Burns and Sunburn plains why tourists going to sunny tropical climates or to the mountains to the winter are so likely to be burned, as they try to maximize sun exposure.