PAEDIATRIC

DERMATOLOGY
DR SANA

IMPETIGO
Scattered and
discrete thin walled
vesicles with golden
yellow crusts
Saline soaks,
mupirocin, fusidic
acid, cloxacillin

INSECT BITE ALLERGY

Itchy wheals
Fully covered clothing
Reassurance
Topical antipruritics,
mild steroids, oral
antihistamines

MOLLUSCUM
CONTAGIOSUM
Dome shaped, pearly
white, umbilicated
papules
Manual removal
Topical retinoic acid,
KOH, salicylic acid

PITYRIASIS ALBA
The ill defined,
hypopigmented
patch
Self resolving
Simple emollient

SCABIES
Nocturnal pruritis
Papules, vesicles over
interdigital space
Treat all contacts
Permethrin, oral
antihistamines

CAF AU LAIT MACULE

Coffee brown
asymptomatic patch
No treatment is
required
Laser can be used in
selected cases

CANDIDIASIS
Painless curdy white
precipitate
Not removable

FIXED DRUG ERUPTION

Itchy, sharply
demarcated round
erythema
After ingestion of
septran
Hold the offending
drug

HEMANGIOMA
Rapid growth but
involutes completely
Cortisone
Pulsed dye laser
therapy
Oral propanolol

LICHEN PLANUS
Itchy polygonal/oval
flat topped shiny
papules
Oral mucosa showed
white lacy plaque

NEVUS ANEMICUS
Hypopigmented
patch
Serrated margin
No treatment
required
Benign birth mark

PITYRIASIS ROSEA
Erythematous oval
scaly patch in
Christmas tree
pattern
Self limiting
Avoid irritant woolen
cloths, hot baths

VITILIGO
Non scarring
depigmented patch
Search for other
autoimmune disease

XERODERMA
PIGMENTOSUM
Xerotic skin,
pigmented and
hypopigmented
Protection from sun,
topical sunscreen,
oral synthetic retinoids
surgery

STURGE-WEBER
SYNDROME

Red, blanching
plaque
History of seizures
Look for glaucoma,
mental retardation
and ipsilateral
leptomeningeal
angioma

TOXIC EPIDEMAL
NECROLYSIS
Hemorrhagic bullae
Positive nikolsky sign
Following intake of
septran
Burn treatment

EPIDERMOLYSIS BULLOSA
Bullae are present
since birth on sites of
friction
Supportive treatment
Sterile dressing,
topical antibiotics

ERYTHEMA NODOSUM
Deep seated tender
nodules
Cause TB,
streptococcal
infections and
sulphonamides
Treat cause,
painkillers

COLLODION BABY
Tight, shiny moist
membrane encasing
the baby
Hydration of the skin
Electrolyte balance
moisturisers

VERRUCA VULGARIS
Sharply demarcated,
rough surfaced
Verrucous firm skin
colored papules

URTICARIA
Erythematous
transient wheals
Eliminate etiologic
factor
antihistamines

HERPES ZOSTER
Unilateral papules
Topical antiseptic,
antibiotics
Oral and IV acyclovir

ERYSIPELAS
Bacterial infection of
dermis and
subcutaneous tissue
Edges well defined
Systemic antibiotics

CELLULITIS
Inflammation of loose
connective tissue
Erythema, warmth,
swelling, pain,
tenderness
Surgical incision

CUTANEOUS LARVA
MIGRANS
Local pruritis begins
within hours after
larval penetration
Serpiginous, thin ,
linear raised tunnel
like
thiabendazole

ECHTHYMA
Deep seated
impetigo
Adherent crust
beneath which
ulceration occurs
Improve hygiene and
antibiotics

INFECTIVE ECZEMA
Erythematous scaly
papule
With acute otitis
media
Correct underlying
cause

TUBEROUS SCLEROSIS
Hypopigmented
macule
History of seizures
Electrocautery or
laser

MILIRIA RUBRA
Very itchy
Secondary infection
May heal with scaling
Self resolving
Calamine lotion and
oral antihistamines

THANKYOU