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Chapter-23 Skin Diseases in Children

BOOK TITLE: Partha’s Fundamentals of Pediatrics

Author
1. Thomas Jayakar
2. Kumar Parimalam
ISBN
9789350903612
DOI
10.5005/jp/books/11899_68
Edition
2/e
Publishing Year
2013
Pages
17
Author Affiliations
1. Childs Trust Hospitals, Chennai and Apollo Hospitals, Chennai, Chettinad Hospital and Research Institute, Chennai, Tamil Nadu, India, Sree Balaji Medical College and Hospital, Chennai, Tamil Nadu, Sree Balaji Medical College and Bharath University, Chennai, Tamil Nadu, India, Kanchi Kamakoti CHILDS Trust Hospital, Chennai 2, West Mada Church Road, Royapuram, Chennai 600013, Madras Medical College, Chennai, Sree Balaji Medical College and Hospital, Bharath University, Chennai, Tamil Nadu, India, Sree Balaji Medical College, Chennai, Tamil Nadu, India; Indian Society of Teledermatology; International Society of Teledermatology, Sree Balaji Medical College and Hospital, Chromepet, Chennai, Tamil Nadu, India
2. Thanjavur Medical College, Thanjavur, Tamil Nadu, India, Villupuram Medical College, Villupuram, Tamil Nadu, India, Government Villupuram Medical College, Villupuram, Tamil Nadu, Government Royapettah Hospital, Chennai, Tamil Nadu, India, Government Stanley Medical College and Hospital, Chennai, Tamil Nadu, India, Stanley Medical College, Chennai, Tamil Nadu, India, Stanley Medical College, Government Stanley Hospital, Chennai, Tamil Nadu, Madras Medical College and RGGGH, Chennai, Tamil Nadu, India
Chapter keywords
skin diseases, ectropion, epidermolysis bullosa, mechanobullous disorders, liquid paraffin

Abstract

This chapter discusses skin diseases in children. At birth, the collodion baby is encased in a tight, shiny, moist membrane. As the membrane loses water by evaporation, fissures soon appear; the membrane contracts and peeling of the membrane occurs, exposing the red skin beneath. There is accompanying ectropion and eclabium. The mainstay is hydration of the skin, correction of fluid and electrolyte balance, and prevention of secondary bacterial and candidal infection. Special intensive care is to be administered in rooms of optimum temperature. Liberal application of emollients, such as liquid paraffin, but with minimum handling of the skin is essential. Epidermolysis bullosa (EB) are a group of dermatoses characterized by easy bulla formation on mild mechanical pressure and hence the name mechanobullous disorders. The dreaded complications are bleeding, infection and scarring.

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