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Paediatric Dermatology Dr Olivia O’Gorman Lalor

Paediatric Dermatology Dr Olivia O’Gorman Lalor. Atopic eczema. Typical distribution (face, scalp, neck, flexures, limbs, trunk) Complication eg infection Allergen? Emollients Topical steroids intermittently Topical tacrolimus. Chronic lichenified eczema. Atopic eczema

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Paediatric Dermatology Dr Olivia O’Gorman Lalor

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  1. Paediatric DermatologyDr Olivia O’Gorman Lalor

  2. Atopic eczema Typical distribution (face, scalp, neck, flexures, limbs, trunk) Complication eg infection Allergen? Emollients Topical steroids intermittently Topical tacrolimus

  3. Chronic lichenified eczema Atopic eczema Chronic scratching causing lichenification Identify any allergens Emollients Topical steroids Wet wraps Topical tacrolimus

  4. Infected eczema • Secondary bacterial infection eg staph/strep • Swab for MC & S • Oral antibiotics • Potent topical steroid • Emollient

  5. Infected eczema • Eczema herpeticum • Herpes simplex • Swab: MC & S, viral • Oral aciclovir • Emollients • +/- cover for co-existing bacterial infection • Topical steroid subsequently

  6. Discoid (nummular) eczema Tinea corporis

  7. Seborrheic dermatitis Cradle cap Generally less itchy than eczema, often at flexures Emollients Topical antifungal + mild steroid

  8. Confluent erythema some scaling clear demarcation extends into skin creases Psoriasis

  9. Candidiasis Irritant dermatitis vs candidiasis Irritant nappy dermatitis sparing of creases No sparing of creases Satellite lesions

  10. Usually staphylococcus Swab to confirm/for sensitivities Oral antiobiotic +/- topical antibiotic with topical steroid Repeat antiobiotic course often needed Antiseptic emollient wash Nasal swab/screen family for recurrent infections Impetigo

  11. Scabies • Itchy papulopustular and vesicular eruption • Acral/genital involvement common

  12. Molluscum contagiosum Eczematous reaction association with Molluscum lesions Very common skin infection by pox virus Lesions spontaneous resolve after months, often following inflammatory phase

  13. Inflammatory linear verrucous epidermal naevus (ILVEN) Lichen striatus

  14. Variable size, can be multiple Spontaneous resolution usual Treatment for large lesions/if at critical sites Systemic steroids/ intralesional steroids/laser Capillary haemangioma

  15. Sebaceous naevus Usually present from birth, more warty with time. Basal cell carcinoma risk in one third

  16. Port wine stain

  17. Cutanous mastocytosis/urticaria pigmentosa

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