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Chapter-21 Skin Diseases in Children

BOOK TITLE: Partha’s Fundamentals of Pediatrics

Author
1. Thomas Jayakar
ISBN
9788184480214
DOI
10.5005/jp/books/10588_21
Edition
1/e
Publishing Year
2007
Pages
36
Author Affiliations
1. Sree Balaji Medical College and Hospital, Chromepet, Chennai, Tamil Nadu, India, Childs Trust Hospitals, Chennai and Apollo Hospitals, Chennai, Sree Balaji Medical College, Chennai, Tamil Nadu, India; Indian Society of Teledermatology; International Society of Teledermatology, Sree Balaji Medical College and Hospital, Bharath University, Chennai, Tamil Nadu, India, Madras Medical College, Chennai, Kanchi Kamakoti CHILDS Trust Hospital, Chennai 2, West Mada Church Road, Royapuram, Chennai 600013, Sree Balaji Medical College and Bharath University, Chennai, Tamil Nadu, India, Sree Balaji Medical College and Hospital, Chennai, Tamil Nadu, Chettinad Hospital and Research Institute, Chennai, Tamil Nadu, India
Chapter keywords
intralesional steroids¸ local irritant¸ iodine, blood vessels, telogen, lymphocytes, dermographism, lichenified plaques, allergen, ketoconazole, cushing’s syndrome, scaly macules, lymphadenopathy, scalp, anagen, trichophyton tonsurans, scaling patches, pruritus, systemic antibiotics, eczema, scabies

Abstract

This chapter discusses various aspects of skin diseases in children in detail. Parasitic infestations in children include scabies, and pediculosis capitis, and bacterial infections include impetigo contagiosa, bullous impetigo, and cellulitis. Immunosuppressed herpes zoster in children should be treated with IV acyclovir or recombinant interferon alpha-2a. Pityriasis Rosea may be controlled by UVB treatment if this is begun in the first week of the eruption. The protocol is 5 consecutive exposures starting with 80 percent of the minimum erythema dose and increasing 20 percent each exposure. The most important aspect of the management of a child with atopic eczema is sympathetic explanation of the nature of the condition to its parents and use of topical antipruritic lotions. Alopecia areata can be treated with topical and intralesional steroids, avoiding systemic corticosteroids, and topical immunotherapy.

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