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Pediatric Dermatology

Jing Yi Vanessa Cheong, Szu Liang Hie, En Wei Koh, Nurun Nisa Amatullah de Souza, Mark Jean-Aan Koh
BACKGROUND: Atopic dermatitis (AD) is a common skin condition in childhood. AD management can be complex, and caregivers may have inadequate information on the disease, aggravating factors, and management. Comprehensive therapeutic education has been closely associated with increased compliance and is recommended for all patients. There are, as yet, no studies on the impact of a pharmacist-led eczema counseling service. OBJECTIVES: The primary objective was to assess the impact of a pharmacist-led eczema counseling service on improving caregivers' knowledge...
November 8, 2018: Pediatric Dermatology
Leire Sánchez-Los Arcos, Marta Feito-Rodríguez, Ana Isabel Rodríguez Bandera, Guillermo González-López, Raúl de Lucas-Laguna
Permanent epicardial pacing wires are sometimes left in place and can lead to long-term complications. We report on a case of a granulomatous reaction with a cutaneous fistula secondary to the retained epicardial pacing wires in a child and highlight the relevance of sonography as an additional tool in the diagnosis and management of dermatologic conditions.
October 23, 2018: Pediatric Dermatology
Abdullah Aleisa, Yeun Lim, Samantha Gordon, Min Ji Her, Pedro Zancanaro, Minawaer Abudu, Sandhya Chowdary Deverapalli, Abdulaziz Madani, David Rosmarin
Alopecia areata (AA) is relatively common and can have a significant impact on quality of life, especially in a pediatric population. Currently available treatments are often ineffective or have poor safety profiles. Recent studies have highlighted the importance of the Th1 pathway in the pathogenesis of AA, suggesting ustekinumab as a treatment modality for this disease. We present three pediatric AA patients who demonstrated hair regrowth after initiating ustekinumab.
October 18, 2018: Pediatric Dermatology
Anna K Dewan, Jonathan Braue, Brandon Danford, Lawrence B Stack, Alan S Boyd, Jo-David Fine, Sharon E Albers
We report the case of an infant born with perioral vesicles that rapidly spread to involve his mouth and the majority of his body. Histopathology, immunofluorescence, and enzyme-linked immunohistochemistry assays confirmed a diagnosis of epidermolysis bullosa acquisita (EBA). His mother had no history of EBA, and serum indirect immunofluorescence was negative. The patient improved rapidly with local wound care and oral dapsone.
October 18, 2018: Pediatric Dermatology
Nicole Weiler, Erick F Mayer, Viktoryia Kazlouskaya, Oluwatoyin F Bamgbola, Natalie Banniettis, Edward Heilman, Sharon A Glick
Infective dermatitis (ID) associated with Human T-cell leukemia virus type-1 (HTLV-1) is a rare form of severe superinfected eczema seen mostly in the Caribbean islands and Latin America. Although rapid response to antibiotic treatment is observed, patients should be monitored for development of complications associated with this retroviral infection, including T-cell leukemia/lymphoma (ATLL) and HTLV-1 associated myelopathy/tropical spastic paraparesis (HAM/TSP). Infective dermatitis is rarely seen in the United States and therefore may be under-recognized by physicians unfamiliar with this condition...
October 18, 2018: Pediatric Dermatology
Alison D Treister, Peter A Lio
BACKGROUND/OBJECTIVES: Clinical trials of dupilumab have shown efficacy in treating moderate-to-severe atopic dermatitis (AD) in adult patients. While a phase 2 trial of dupilumab has shown efficacy and safety in children, the medication awaits Food and Drug Administration (FDA) approval, and off-label use is limited by dosing currently available to adults. We present this case series to describe the efficacy and safety profile of off-label dupilumab use in six pediatric patients treated by one provider in a private practice...
October 18, 2018: Pediatric Dermatology
Bernies Bos, Ioana Antonescu, Hilda Osinga, Sietske Veenje, Kim de Jong, Tjalling W de Vries
BACKGROUND: Adherence to topical corticosteroids is low among atopic dermatitis patients and their parents. This can lead to treatment failure and decreased quality of life. OBJECTIVE: To assess and compare the worries and beliefs concerning topical corticosteroids among parents of children with atopic dermatitis, involved health care professionals, and between different professionals. Also, we identify factors associated with corticosteroid phobia (corticophobia) in professionals...
October 18, 2018: Pediatric Dermatology
Markus D Boos, Brian A Ginsberg, Jon Klint Peebles
As the transgender community has become increasingly visible in public life, a greater awareness of this group's unique health needs and obstacles to optimal medical care has developed. Unfortunately, transgender youth face multiple barriers within the health care system, including access to equitable and gender-affirming care. As dermatologists who care for children and adolescents, we must be aware of the challenges facing transgender youth and work to correct the disparities that exist for this vulnerable group...
October 15, 2018: Pediatric Dermatology
Jose M Martin, Sara Sanchez, Víctor González, Pilar Cordero, Dolores Ramon
BACKGROUND/OBJECTIVES: Infantile hemangiomas (IH) with minimal or arrested growth (MAG) constitute a distinctive subset of IH based on their clinical characteristics and natural history. They are often confused with capillary malformations. METHODS: A retrospective observational study has been carried out in which clinical and perinatal characteristics have been evaluated in all IH-MAG evaluated in our Dermatology Department in a 5-year period (January 2013-December 2017)...
October 15, 2018: Pediatric Dermatology
Amy J Zhang, Anne H Boyd, Sarah Asch, Erin M Warshaw
The slime craze is all the rage among tweens. Slime is a homemade stretchy play material created by mixing together household items such as school glue, borax, shaving cream, and contact lens solution. We present a case of allergic contact dermatitis secondary to methylchloroisothiazolinone/methylisothiazolinone (MCI/MI) in school glue used to make slime; mass spectroscopy confirmed MCI/MI in the patient's glue. Clinicians should be aware of slime as an emerging source of MCI/MI contact allergy.
October 15, 2018: Pediatric Dermatology
Mana Alharbi, Ariel E Eber, Marina Perper, Maisa ALFalah, Sultan Al-Khenaizan, Ibrahim A Alomair, Abdulkareem Alfuraih, Keyvan Nouri, Jeong Hee Cho-Vega
Disseminated congenital pyogenic granuloma (DCPG) is an uncommon condition. Individual lesions of DCPG share clinical and histologic similarities with infantile hemangioma (IH); endothelial glucose transporter 1 (GLUT-1), which is highly expressed in IH but generally not in pyogenic granulomas (PG), is an important diagnostic tool. Treatment for DCPG remains difficult. We describe a case of DCPG effectively treated with propranolol.
October 15, 2018: Pediatric Dermatology
Megan S Evans, Craig N Burkhart, Edith V Bowers, Keliegh S Culpepper, Paul B Googe, Cynthia M Magro
Acral pseudolymphomatous angiokeratoma of children (APACHE) and unilesional mycosis fungoides (MF) are two rare dermatoses in the pediatric population which may have overlapping clinical and histopathologic features, making differentiation between these two diagnoses difficult. We present two similar cases of a solitary plaque on the thigh of a child, one representing APACHE and the other representing unilesional MF with granulomatous features, and we provide a brief overview of the clinical and histopathologic features of APACHE and unilesional MF...
October 15, 2018: Pediatric Dermatology
Brea Prindaville, Kimberly A Horii, Elaine C Siegfried, Heather Brandling-Bennett
Studies have suggested there is a shortage of pediatric dermatologists in the United States, but the workforce has not been well defined. The Society for Pediatric Dermatology (SPD) Workforce Committee sought to characterize the US pediatric dermatology workforce with a nine-question survey, sent to all 484 US SPD members in December 2016. The response rate was 30%. Most pediatric dermatologists were practicing in major metropolitan markets, seeing an average of 80 patients a week with an average 6-week wait time...
October 15, 2018: Pediatric Dermatology
Lindsey M LePoidevin, Dylan E Lee, Vivian Y Shi
BACKGROUND/OBJECTIVES: Atopic dermatitis (AD) is a chronic condition that is predominantly found in pediatric patients and commonly presents therapeutic challenges. The management of AD encompasses a variety of factors, and the pillars of optimal management revolve around skin barrier repair and antiinflammatory, antimicrobial, and antipruritic treatment. AD management guidelines exist in various geographic regions globally. The purpose of this review was to compare international guidelines to highlight the similarities and variances among populations and skin types...
October 10, 2018: Pediatric Dermatology
Sarah Asch, Diana L Vork, Josiane Joseph, Brittny Major-Elechi, Megha M Tollefson
BACKGROUND/OBJECTIVES: Skin infection is common in atopic dermatitis (AD), often necessitating treatment with systemic antibiotics. Topical adjunctive therapies such as dilute bleach baths are increasingly recommended, and topical dilute acetic acid (AA) has not been widely studied. The objective of this study was to evaluate whether various topical anti-infective bathing recommendations were associated with decreased systemic antibiotic exposure in pediatric AD, as well as evaluate topical anti-infective recommendations over time within our institution...
October 10, 2018: Pediatric Dermatology
Nicole S Stefanko, Beth A Drolet
Subcutaneous fat necrosis of the newborn is an uncommon disorder, and although usually benign, associated hypercalcemia can lead to complications such as failure to thrive and renal failure. Many sources suggest screening for hypercalcemia for 6 months following resolution of skin lesions, but little data are available to support this recommendation. This study examines existing published literature to better guide practitioners regarding screening evaluations of asymptomatic patients with subcutaneous fat necrosis...
September 6, 2018: Pediatric Dermatology
Maya Deeb, Rebecca Levy, Elena Pope, Irene Lara-Corrales
BACKGROUND: Sinecatechins ointment, a green tea derivative, is a novel agent approved for the treatment of anogenital warts in immunocompetent adults and has been reported to be effective in treating extragenital warts as well. Data are lacking in children. We sought to determine the efficacy and tolerability of sinecatechins ointment for treating warts in children. METHODS: A retrospective cohort study was conducted of children with anogenital and/or extragenital warts treated with sinecatechins ointment for at least 1 month...
August 31, 2018: Pediatric Dermatology
Elizabeth Heller, Aditi S Murthy, Melinda V Jen
We describe two cases of acute-onset erythema, peeling, and pruritus or tenderness isolated to the palmar surface of the hands. A detailed exposure history revealed significant periods of contact with homemade slime; given the clinical findings and timing of exposure, acute contact dermatitis of the hands was suspected. Symptoms and clinical findings resolved after avoidance of the suspected causative contactants. There are few if any reported cases of contact dermatitis to homemade slime in the literature; this serves to highlight the importance of a thorough exposure history in the evaluation of hand dermatitis...
August 28, 2018: Pediatric Dermatology
Theodora K Karagounis, Julia K Gittler, Veronica Rotemberg, Kimberly D Morel
Despite the availability of effective medications for the management of atopic dermatitis and xerosis, patients may use nonconventional therapies such as topical oils. Patients choose these treatments because of the perceived lower risk of natural products and the fear of potential adverse effects of topical steroids. We review the use of topical olive, coconut, and sunflower seed oil in the treatment of atopic dermatitis and xerosis with a focus on children Currently available evidence suggests that olive oil may exacerbate xerosis and atopic dermatitis...
August 28, 2018: Pediatric Dermatology
Yu-Mei Li, Hui Xu, Hong Ma, Zhi-Qiang Chen
No abstract text is available yet for this article.
August 21, 2018: Pediatric Dermatology
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