Download Illustrated Manual of Pediatric Dermatology: Diagnosis and by Susan Mallory, Alanna F. Bree, Peggy Chern PDF

By Susan Mallory, Alanna F. Bree, Peggy Chern

Written via revered clinician-teachers in pediatric dermatology with a complete of thirty-five years event, guide of Pediatric Dermatology provides easy, easy ways to difficulties that pediatricians and dermatologists see of their perform frequently. With nearly three hundred colour images, it presents a diagnostic advisor to a large diversity of pediatric and adolescent pores and skin illnesses and problems. the mix of pictures and functional, concise textual content offers pediatric and kin medical professionals a visible reference and places the data they wish correct at their fingertips.

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Treatment • Systemic antiviral therapy: • 1. Acyclovir 30 mg/kg per day intravenously every 8 h for cutaneous-only disease; adjust for renal disease 2. Acyclovir 60 mg/kg per day intravenously every 8 h for congenital disease, CNS or disseminated disease; adjust for renal disease 3. Vidarabine 30 mg/kg per day intravenously every 12 h or foscarnet 40 mg/kg per day intravenously every 12 h Prevent secondary bacterial infection of the eroded lesions with topical mupirocin or antibiotic ointments Prognosis • Intrauterine infection can result in fetal demise; nearly 100% of congenital HSV survivors have significant neurologic delay • Cutaneous-only disease has nearly 100% survival; 40% will have ocular sequelae • CNS infection is more severe with HSV-2 infection; 50% mortality rate if untreated, 15% mortality rate if treated; approximately 75% have permanent neurologic disease and 20% have persistent ocular disease 23 • • • mother had varicella during pregnancy) are normal with no sequelae (Chapter 8) Disease manifestations depend on the time of exposure and maternal immune response Congenital varicella syndrome (fetal varicella syndrome or varicella embryopathy): 1.

Increased number of mitoses c. Epidermotropism and Pautrier microabscesses are rare T-cell receptor rearrangements by polymerase chain reaction (PCR) Staging work-up should include complete blood count, serum chemistries including renal and liver functions, chest X-ray, lymph node biopsy if palpable lymphadenopathy Differential diagnosis • • • • • Eczema Psoriasis Tinea corporis Pityriasis lichenoides Lymphomatoid papulosis Mallory Chapter 03 27/1/05 1:22 pm Page 43 Papular and papulosquamous disorders Treatment • Depends on symptoms, degree of cutaneous • • involvement, and presence of systemic involvement Main treatment goals are symptomatic relief and control of the disease Treatment has not been shown to prevent the progression of disease 1.

Int J Paediatr Dent 2001; 11: 209–14 Eisen D. The clinical manifestations and treatment of oral lichen planus. Dermatol Clin 2003; 21: 79–89 Kabbash C, Laude TA, Weinberg JM, Silverberg NB. Lichen planus in the lines of Blaschko. Pediatr Dermatol 2002; 19: 541–5 Nocente R, Ceccanti M, Bertazzoni G, et al. HCV infection and extrahepatic manifestations. Hepato-Gastroenterology 2003; 50: 1149–54 Peluso AM, Tosti A, Piraccini BM, Cameli N. Lichen planus limited to the nails in childhood: case report and literature review.

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