Clinical Pediatric Dermatology Jayakar Thomas, Parimalam Kumar
INDEX
Page numbers followed by b refer to box, f refer to figure, fc refer to flowchart, and t refer to table.
A
Aberrant mongolian spot 115f
Abrasions 4
Abscess 36f
Acantholytic cell 126, 128
Acanthosis nigricans 118, 118f, 119b
Acne 13t, 72, 72f
pustules of 73f
vulgaris 13, 72, 73b
Acneiform eruption 13t
Acquired immunodeficiency syndrome 39
Acrodermatitis enteropathica 121, 122, 122b
Acrofacial vitiligo 110f
Acute inflammatory pruritic eruption 74
Addison's disease 20, 112, 119
Adrenal insufficiency 111
Adrenocorticotropic hormone 3
Albendazole 29
Albinism 112
type of 113
Allergic reaction 30
Alopecia 71, 121
areata 70, 70f, 71b, 71f, 112
multiple patches of 70f
nonscarring hair loss classical of 70f
extension of 71
totalis 71, 71f
universalis 18, 71
Ancylostoma 29
braziliense 29
Anemia, pernicious 111
Anesthesia, local 6
Angioedema 77, 78b, 79
Angiotensin-converting enzyme 127
Anhidrotic ectodermal dysplasia 101f
Annular lesions 16fc, 95
Anogenitalia 119
Anomalous dentition 103
Antecubital fossae 119
Antibacterial ointments 37
Antibiotics, systemic 32
Antihistamines 95
Apocrine glands 2, 4
Arthritis 93
Asboe–Hansen sign 19
Aspirin 79
Atopic dermatitis 58f, 62, 62f, 63b, 63f
Dennie–Morgan fold of 63f
Atopic eczema 103
Atrophic cicatricial alopecia 95
Auspitz's phenomenon 92
Auspitz sign 19
Autoimmune blistering
diseases 125
disorder 127
Autoimmune progesterone dermatitis 8
Autosomal dominant ichthyosis 98
Azathioprine 89, 127
B
Bacillus Calmette–Guérin immunization 39
Bacteria 69
Bacterial infection, secondary 28, 75f
Benzoyl peroxide gels 74
Beta-carotene, systemic 114
Black dot ringworm 57, 58
Blood
chemistry 112
laboratory examination of 112, 114
urea nitrogen 88
Borrelia burgdorferi 52
Bullous disorders 104
Bullous erythema multiforme 126
Bullous fixed-drug eruption 83f
Bullous impetigo 32, 33, 107, 126
Bullous lesions 80f
Bullous pemphigoid 127, 127f, 128b
Bunostomum 29
phlebotomum 29
Burns 4
Buttonhole sign 19
C
Café-au-lait spot 9
Candida albicans 122
Candidiasis 18
Carbaryl 28
Carbuncles 36
Castellani's paint 68
Cellulitis 34, 34t
diffuse warm erythematous swelling of 34f
Central nervous system 45
Cephalosporin 36, 37
Ceramides 2
Cetirizine 79
Chediak–Higashi syndrome 113
Chemotaxis 37
Cholesterol 2
Christ–Siemens–Touraine syndrome 102
Clitoris 5
Clouston syndrome 103
Cloxacillin 28, 34, 37, 105
Collagen fibers 3
Comedones 73f
Conical teeth 101f
Conjunctival ingestion 86f
Conjunctivitis 53
Corona seborrheica 67
Corticosteroids 73
lotions 76
systemic 92
Cotrimoxazole 28, 83f
Coudability sign 19
Coup d'Ongle sign 19
Coxsackievirus 52, 53
Crotamiton 26, 31
Crusts, removal of 32
Cushing's disease 119
Cutaneous larva migrans 18, 28, 29b
migrating eruption of 28f
Cutaneous lesions 55
Cutaneous tuberculosis 38
clinical features of 39t
treatment of 42
Cyclophosphamide 89, 127
Cyclosporine 89, 127
Cysts 74
Cytomegalovirus 53
D
Dandruff 65
Dapsone 127, 128
Darier sign 19
Deep tendon reflexes 21
Dengue 52
Dennie–Morgan sign 64
Dental hygiene 103
Depigmented asymptomatic patches 110f
Depigmented hairs 110f, 111f
Dermal chronic inflammatory infiltrate 97
Dermal papillae 5
Dermatitis 62
herpetiformis 8
Dermis
layers of 1
primary function of 3
Dermoepidermal junction 2
Dermoscopy 23, 72
Diabetes mellitus 34
Diarrhea 121
Dinitrochlorobenzene 72
Dipyridamole 89
Doxepin 79
Drug reaction 81f
Dry scaly patch over cheeks 62f
Dyshidrosis 102
E
Eccrine glands 4
Echovirus 52
Ecthyma 33f
Ecthymatous deep lesions 44f
Ectodermal dysplasia syndrome 101, 101f, 102b, 102f
Eczema 62
infantile 63
Eczematization 27f
Eczematized scabies over palm 25f
Edema
intercellular 55, 67
intracellular 55
Elastic fibers 1
Elbow, erythematous dry scaly patch over flexural aspect of 62f
Emollients 99
Endocrine disorders 118
Endothelial cell 93
Eosinophilia, high levels of 79
Eosinophils 64
Epidermal acrosyringium 76
Epidermal appendages 2, 4b
Epidermal lipids 2
Epidermis, layers of 1
Epidermolysis bullosa 104, 104f, 105, 105b
dystrophic type of 104f, 105f
Epidermophyton 56, 59
Epstein–Barr virus 52, 53
Erosive cheilitis 109
Eruptive syringoma 41
Erysipelas 34t, 35, 35f
episodes of 36
Erythema 13, 20, 31f, 68, 68f
induratum 41
infectiosum 52
multiforme 13, 17, 80, 80f, 81b, 81f, 82, 83f, 84f
target lesions of 80f
treatment of 82
nodosum 38f
Erythematosquamous eruption 67
Erythematous dry patches 62f
Erythematous macular rash 51f, 52f
Erythematous maculopapular rash 80f
Erythematous oval patches 96f
Erythematous papules 80f
sparing 68f
Erythroderma 9, 92
drug-induced 8
Erythromycin 28, 36, 128
Exanthem 97
Exocytosis 97
Eye
lashes 71f
manifestations 112
Eyebrow, alopecia areata of 71f
Eyelid, fixed-drug eruption of 83f
F
Fibroblasts cell 93
Fish-scale pattern 98f, 99f
Fixed-drug eruption 82, 82f84f, 85b
multiple lesions of 84f
Flaccid bulla, irregular erosions of 125f
Flavivirus 52
Follicular hyperkeratosis 124
Follicular lesions 17fc
Fountain sign 19
Free fatty acid 2
Fungal
infections 56
lesions, diagnosis of 22
Furuncles 36, 36t
G
Gamma benzene hexachloride 26, 28
Genetic disorders 98
Giant lesions 48
Gingiva 21
Gingivitis, desquamative 109
Glans penis 5
Gluteal area 59f
Glycolic acid 101, 120
Gougerot–Carteaud syndrome 119
Gram's stain 3, 107
Granular cell layer 99
Granuloma pyogenicum 50f
Gray patch scaly ringworm 56, 58
Guttate psoriasis 16, 92, 93, 97
H
Haemophilus influenzae 34
Hair
and nails affection 95
bulb 5
diseases of 70
follicles 4, 5
loss, pattern of 20, 20fc
Hairy nevus, congenital 117
Hand, foot, and mouth disease 53, 55b
Hansen's disease 9, 10, 18, 21, 42, 43b
hypopigmented
anesthetic patch of 42f
plaque of 42f
spectrum of 44t
Hematologic tests 79
Hemorrhagic bullae 104f, 105f
Henoch–Schönlein purpura 87, 88b, 88f
diagnosis of 88
Hepatitis 79
B virus 52
Herald patch 96
Hermansky–Pudlak syndrome 113
Herpes simplex 47, 48b, 80
erythematous base classical of 47f
virus 47
Herpes zoster 16, 46, 46b, 46f
treatment 47b
Herpetiform clusters 46
Hidrotic ectodermal dysplasia 102f
Hookworm 29
Horny keratotic papules 123f
Human immunodeficiency virus 23, 39, 92
Human papillomavirus 50b
Hurler's syndrome 116
Hutchinson's sign 46, 47
Hyaluronic acid 3
Hydrated petrolatum 64
Hydrocortisone lotion 68
Hydroxyzine 79
Hyper-immunoglobulin E syndrome 37
Hyperinsulinemia 120
Hypogonadal syndromes 119
Hypohidrosis 103
Hypopigmented macules 60f
Hypopigmented patch 10fc
Hypopigmented skin diseases 10t
I
Ibuprofen 84f
Ichthyosis 98f, 101f
vulgaris 98, 98f, 99b
Immunity, cell-mediated 49
Immunoglobulin
E 78
M 109
Impetigo 24f, 32b
contagiosa 31, 31f, 32
Infections 24, 69
bacterial 31
Infectious exanthem 51, 52b
Intestinal mucosa 29
Intralesional steroids 72
Irritant contact dermatitis 69
Itchy erythematous plaques 80f
Itchy papules 24f
Itchy pigmented round patch 83f
Itraconazole 58
Ivermectol 28
J
Janus kinase inhibitor 64
K
Kaposi's varicelliform eruption 52f, 53
Keratin tonofilaments 99
Keratinocytes 2, 3, 93
Keratosis pilaris 99
Kerion 57, 58
Ketoconazole 60, 61
Koebner's phenomenon 19, 95, 112
Koplik's spots 53
L
Labia minora 5
Lamina densa 4
Langerhans cells 1
Larva currens 29
Larva migrans, multiple tracks of 29f
Leiner's disease 67
Leishman bodies 22
Leopard syndrome 9
Lepra reaction 42f
Lesions 9, 26
primary 9
resolution of 115f
secondary 9
urticarial 128
Levocetirizine 79
Lichen
planopilaris 16
planus 93, 94, 94b, 94f
treatment of 82f
scrofulosorum 41
striatus 63f
Linear immunoglobulin A 107
dermatosis 107, 108b
Linear lesions 17
Lip, hemorrhagic crusting of 81f, 86f
Lupus vulgaris 39, 40, 42
atrophy of 38f
plaque of 40
Lyell's syndrome 86
Lymph node 5
tuberculosis of 41
Lymphadenopathy 27f, 66f
Lymphangitis 35
Lymphocytes 64
Lymphoproliferative disorders 46
M
Malassezia furfur 60
Malathion 28
Mastocytosis 78f
Mechanobullous disorders 104
Meissner corpuscles 5
Melanin accumulates 3
Melanocyte 3
stimulating hormone 3
Melanophages 116
Merkel cells 1, 3
Metastatic tuberculous abscess 40
Methotrexate 127
Meyerson's eczema 48f
Miconazole cream 61
Microsporum 56, 59
audouinii 57
canis 57
Miliaria 74
profunda manifests 76
rubra 74, 75b, 75f, 76
over interscapular region 75f
Milky-white papules 95
Molluscum
bodies 49
contagiosum 48, 48f, 49b
Mongolian spots 115, 116, 116b
patches of 115f
Mouth disease 53f, 54f
Mucocutaneous junction 5
Mucous membrane 53, 82, 107, 112, 122, 128
Multiforme 17
Multinucleated giant cell 22, 47
Multiple bullae 106f
Multiple furunculosis 36f
Mupirocin 37, 105
Musculocutaneous perforators 5
Mycetoma 22
Mycobacteria 41
Mycobacterium
bovis 39
leprae 42, 43
tuberculosis 39
Mycophenolate mofetil 127
Mycoplasma 81
N
Nail
apparatus, examination of 21
dystrophy 70f
Napkin dermatitis 68, 68f, 69b
Nasal furuncles 37
Necator americanus 29
Necrotizing vasculitis 79
Nephrotic syndrome 122
Neural crest
cells 3
origin 1
Neutrophil chemotaxis 108
Nevomelanocytic nevus, congenital 116, 117, 117b, 117f
Nikolsky sign 19, 87, 107, 126
positive 86f, 125f
Nodular scabies, persistent itchy nodule of 25f
Nodules 74
Nonsteroidal anti-inflammatory drugs 88
Numerous acantholytic cells 22
Nutritional disorders 121
O
Oculocutaneous albinism 113f
classification of 113
Onychodysplasia 102, 103
Opaque cosmetics 116
Ophthalmic zoster 47
Oral acitretin 100f
Oral antihistamines 31
Oral cavity 21
Oral griseofulvin 58
Oral ketoconazole 66, 68
Oral lesions 95
Oral mucosa 121f
Oral mucosal lesions 51
Oral penicillin 36
Oral photochemotherapy 95
Oral retinoids 95
Oral steroids 109
Oral tetracyclines 74
Oral zinc 122
Otitis externa 67
P
Pacini corpuscles 5
Pain, abdominal 88f
Palmoplantar keratoderma 20
Palms 5
examination of 20
Palpable purpura 88f
Papular urticaria 30, 30b, 30f
Papules 73f, 74
Papulonecrotic tuberculid 41
Papulosquamous disorders 90
Parakeratosis 93
Parasitic infections 80
Patch tests 22
Pediculosis capitis 26, 27b, 27f
Pediculus humanus 27
Pemphigus 8, 126
erythematosus 125
foliaceus 125
prevalence of 125
vegetans 125
vulgaris 19, 125, 125f, 126b
Perianal wart 50f
Perifollicular scaly macules 65f
Perioral dermatitis 68
Periporitis 75f
Periungual wart 50f
Permethrin 26, 28
Phenolphthalein 84
Phenylbutazone 84, 86
Photosensitive eczema 66f
Phrynoderma 123, 123b, 123f
horny follicular papules of 123f
Pigmentary disorders 110
Pigmentation 82f
Pigmented lesion 117
Pigmented macule 10fc
Pigmented papule 11fc
Piperonyl butoxide 28
Pityriasis 60
alba 114, 114b, 114f, 115
rosea 96, 96f, 97b
rubra pilaris 11
versicolor 60, 60b, 60f
Platelet disorder 113
Plucked hair bulb 113
Plummer sign 19
Poikiloderma 13
Polycyclic lesions 108f
Popliteal fossae 99
Postherpetic neuralgia 47
Potassium hydroxide 59
Prednisolone 95, 128
Prednisone 128
Pressure urticaria 78f, 78f
Pruritus 97
Pseudoacanthosis nigricans 119f
Pseudo-Darier sign 19
Psoriasis 90, 91f, 92b, 93
congenital erythrodermic 90f, 91f
papules of 91f
pustular 91f
Psoriatic erythroderma 7
Psoriatic plaque 8
Pterygium unguis 95
Purulent discharge 56f
Pustular eruption, primary 13fc
Pustules 73f, 75f
Pyogenic infection
acute 31
secondary 26
Pyrethroids 28
R
Radioallergosorbent test 79
Ramsay hunt syndrome 47
Regional lymph nodes 45, 47
Retroauricular erythema 65f
S
Salt-split skin 109
Sarcoptes scabiei 24, 25
Sarecycline 74
Satellite lesion 18
Scabies 13, 24, 24f, 25b
classical 24f
lesions of 26
pustules of 24f
Scalp
examination of 20, 57
hair 103
seborrheic dermatitis of 66f
vitiligo of 110f
Scaly plaque 14fc
Scarlatiniform 18
syndrome 107
Scarring alopecia 56
Scrofuloderma 40
Sebaceous glands 4
Sebaceous lipids 2
Seborrhea 72f, 73f
Seborrheic dermatitis 65, 65f, 66, 66b, 66f
Seborrheic eruptions 66
Secondary bacterial infection 28, 75f
management of 45
Serologic tests 79, 112
Serology 23
Serum vitamin A 124
Sexual abuse 50f
Simple emollient cream 115
Skin
abnormal 99
appendages of 1
biopsy 23, 116
cancers, development of 114
care 114
consists 1
diseases 22
signs of 9
disorders 69
erosion of 104f
functions of 1, 2b
lesions 19fc, 53, 59, 61, 63, 74, 79, 82, 94, 96
auscultation of 20
palpation of 19
lines 55
scrapings, examination of 22
structure of 1, 1b
surface lipids 2b
testing 42
urticarial 109
Slit-skin smear 22
Small peptide fragments 3
Sodium thiosulfate 61
Soft tumorous nodules 40
Soles, examination of 20
Spongiosis 64, 97
Staphylococcal scalded skin syndrome 33f, 106, 106b, 106f
Staphylococcus aureus 107, 122
Stenosis, pulmonary 9
Steroid, systemic 30f
Stevens-Johnson syndrome 9, 81, 126
Streptococcal pharyngitis 93
Streptococcus pyogenes 34
Strongyloides 29
stercoralis 29
Subcorneal pustule 32
Sublamina densa 108
Sulfapyridine 127, 128
Sulfonamides 84, 86
Sulfones 86
Superficial dermis 6
Superficial erythematous vesicles 75f
Superficial papillary dermis 3
Superficial pustules 91f
Sweat glands 4, 70
Sweating, loss of 102f
Synthetic pyrethroid 28
Systemic lupus erythematosus 8, 80
T
Teeth, loss of 102f
Telangiectasia 68
Tetracyclines 84
Tetramethrin 28
Thiabendazole 29
Thyroiditis 111
Tidemark dermatitis 69
Tinea capitis 56, 57b
noninflammatory type of 56f
Tinea corporis 58, 59b, 59f
Tinea faciei 58f
Tongue
fixed-drug eruption of 84f
wart over dorsum of 50f
Topical immunotherapy 72
Topical steroids 72
Toxic epidermal necrolysis 9, 83f, 85, 86b, 86f, 86f
development of 84f
Toxic shock syndrome 52
Toxocariasis 29
Tranquilizers 95
Treponema pallidum 53
Tretinoin 120
Triamcinolone 95
Trichodysplasia 102
Trichophyton 56, 59
rubrum 59
schoenleinii 57
tonsurans 57
violaceum 57
Triglycerides 2
Tuberculids 41
Tuberculosis
acute miliary 3941
eruptive 38
genitourinary 41
hematogenous 38
inoculation 38
intestinal 41
primary inoculation 41
pulmonary 38f, 41
secondary 38
verrucosa cutis 38, 40, 42
Tuberculous gumma 40
Tumor necrosis factor-alpha 42
Tyrosine hair bulb test 114
Tzanck smear 44f
Tzanck test 22
U
Ulcerative oral lesions 95
Ultrapotent topical steroids 128
Uncinaria 29
stenocephala 29
Urticaria 8, 13, 77, 77f, 78f
acute 77f, 78
drug-induced 77f
idiopathic 78f
V
Varicella 16, 44, 45b
pneumonia 45
symptoms of 45
virus infection 44f
zoster immune globulin 45
Vascular reactions 77
Vaseline gauze 37
Verruca vulgaris 50f, 51
Verrucosa cutis 38f
Verrucous plaque 12fc
Vesicles 68f
over
elbows 53f
gluteal region 54f
Viral exanthem 51f, 52f
Viral infections 40, 44
Viral warts 49, 50b
Visceral larva migrans 29
Vitamin A 123, 124
deficiency 123
supplements 124
Vitiligo 110, 110f, 111b, 111f
areata, isolated 110f
macules 111
mimics leprosy 110
periorificial 111f
treatment of 112
vulgaris, asymptomatic patches of 111f
W
Warty tuberculosis 38
Wickham's striae 94, 95
Wood's lamp 57, 111
examination 61, 112
Wooly hair 118f
Z
Zinc
absorption, disorder of 121
deficiency 121, 122b
Zosteriform 16, 46
×
Chapter Notes

Save Clear


Clinical Pediatric Dermatology
Clinical Pediatric Dermatology
Second Edition Editor Jayakar Thomas MD DD MNAMS FRCP FRCPCH PhD DSc Professor and Head Department of Dermatology Chettinad Hospital and Research Institute Chennai, Tamil Nadu, India Co-Editor Parimalam Kumar MD DD MNAMS FRCP IFAAD Professor and Head Department of Dermatology Madras Medical College and RGGGH Chennai, Tamil Nadu, India Foreword UR Dhanalakshmi
Jaypee Brothers Medical Publishers (P) Ltd.
Headquarters
EMCA House
23/23-B, Ansari Road, Daryaganj
New Delhi 110 002, India
Landline: +91-11-23272143, +91-11-23272703
+91-11-23282021, +91-11-23245672
Corporate Office
Jaypee Brothers Medical Publishers (P) Ltd.
4838/24, Ansari Road, Daryaganj
New Delhi 110 002, India
Phone: +91-11-43574357
Fax: +91-11-43574314
Overseas Office
JP Medical Ltd.
83, Victoria Street, London
SW1H 0HW (UK)
Phone: +44-20 3170 8910
Fax: +44(0)20 3008 6180
© 2023, Jaypee Brothers Medical Publishers
The views and opinions expressed in this book are solely those of the original contributor(s)/author(s) and do not necessarily represent those of editor(s) or publisher of the book.
All rights reserved No part of this publication may be reproduced, stored or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior permission in writing of the publishers.
All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated with any product or vendor mentioned in this book.
Medical knowledge and practice change constantly. This book is designed to provide accurate, authoritative information about the subject matter in question. However, readers are advised to check the most current information available on procedures included and check information from the manufacturer of each product to be administered, to verify the recommended dose, formula, method and duration of administration, adverse effects and contraindications. It is the responsibility of the practitioner to take all appropriate safety precautions. Neither the publisher nor the author(s)/editor(s) assume any liability for any injury and/or damage to persons or property arising from or related to use of material in this book.
This book is sold on the understanding that the publisher is not engaged in providing professional medical services. If such advice or services are required, the services of a competent medical professional should be sought.
Every effort has been made where necessary to contact holders of copyright to obtain permission to reproduce copyright material. If any have been inadvertently overlooked, the publisher will be pleased to make the necessary arrangements at the first opportunity.
Inquiries for bulk sales may be solicited at: jaypee@jaypeebrothers.com
Clinical Pediatric Dermatology / Jayakar Thomas, Parimalam Kumar
First Edition: 2013
Second Edition: 2023
9789390281374
Printed at:
The many dermatologists who provide care to the children with dermatologic problems;
Our committed teachers of Dermatology.
The patients who were willing to permit us to take their photographs; and
Most of all to our beloved family for their care, love, and affection without which this
humble piece of work would not have been a reality.
Jayakar Thomas
Parimalam Kumar
Foreword
UR Dhanalakshmi MD DD Dip NB
Former Professor and Head
Department of Dermatology
Madras Medical College
Chennai, Tamil Nadu, India
It is a privilege to write the foreword for the book edited by Professor Jayakar Thomas. I have listened to numerous orations and talks delivered by him as well as gone through a lot of his books, chapters in books and articles.
In medicine, it is important to diagnose and treat common conditions more effectively rather than concentrating on rare disorders since the bulk of our patients fall into the former category.
Dermatoses in children are the most common conditions encountered in clinical practice and it is also one of the most psychologically crippling disorders. The social and psychological aspects are very important notably because they continue during adolescence when personality development takes place.
Clinical Pediatric Dermatology (Second Edition) covers every aspect of this group of diseases and should be read by every dermatologist since the bulk of patients coming to a dermatologist have these problems. The images and legends are especially informative and help in easy understanding. This second edition includes newer topic on Autoimmune Blistering Diseases.
I congratulate the co-editor Dr Parimalam Kumar for working alongside Dr Jayakar Thomas in compiling this book. I also convey my best wishes to them in coming up with similar work in the future.
Preface to the Second Edition
“Knowledge, if not shared is of no use at all
The engine of change driving innovation in diseases in children is nowhere near slowing down. Physicians and dermatologists should look forward to near-term breakthroughs that could change the way they diagnose and manage these challenging situations in children, hence the need for this second edition.
Dermatoses in children are amongst one of the most common skin conditions worldwide. Despite this fact, accurate information about these conditions is scarce.
This book, Clinical Pediatric Dermatology (Second Edition), is designed as an academic project with the target readers as both postgraduate students and practicing dermatologist. All chapters encompass glimpses of existing knowledge in the light of recent advances in the segment of fungal diseases and the comorbidities. In this second edition, we have included chapter on “Autoimmune Blistering Diseases.” We hope this book is a helpful tool—not only for the student who needs an expert source of basic knowledge in the different forms of pediatric skin problems, but also for the pressured practitioner who needs a clear, concise, and balanced distillation of the best information on which to base daily clinical decisions.
At times, the science presented might seem overwhelming. But one can start reading from any chapter, based on one's interests, tastes, and preferences.
Jayakar Thomas
Parimalam Kumar
Preface to the First Edition
Knowledge, if not shared is of no use at all”.
Over the years, pediatric dermatology has emerged as a vital field of medical practice, yet with paucity of sufficient printed teaching material.
This book Clinical Pediatric Dermatology (CPD) is intended to serve three sections of physicians—pediatricians, dermatologists, and general practitioners.
An introductory chapter on examination of a child with a dermatologic problem is included to highlight the need for an astute clinical examination which brings the physician closer to the correct diagnosis. We have reiterated this by using flow charts.
Although basic in its early chapters, the CPD is definitely not elementary in the sense of ‘putting’ it to practice.
To write an introductory text alone would leave many readers with only a taste of the conceptual elements but no guidance for venturing into genuine practical applications.
Indeed, given the conceptual simplicity of this CPD's approach, it is only hoped that the publication of this book will enhance the spread of ideas that are currently trickling through the scientific literature.
We wish you happy and fruitful reading!
Jayakar Thomas
Parimalam Kumar