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Common Pediatric Skin Rashes

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1. Common Pediatric Skin Rashes

Common Pediatric Skin Rashes Common Pediatric Skin Rashes Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Common Pediatric Skin Rashes (...) Common Pediatric Skin Rashes Aka: Common Pediatric Skin Rashes II. Causes: Common Systemic Conditions ( ) Presents with high fever without significant focal findings, in a child who appears well Develops maculopapular central rash on trunk as the fever abates around day 4-5 Onset with a herald patch (2-10 cm rose red border with fine scale and central clearing) Evolves with numerous small similar lesions, bilaterally symmetric in a christmas tree pattern associated rash with fine sandpaper-like s

2018 FP Notebook

2. Assessment of maculopapular rash

, and the term may be misused to indicate any rash. The term 'rash' is also non-specific and is sometimes incorrectly applied to any skin finding; eruption may be preferred for a cutaneous reaction of acute onset. However, the term 'maculopapular rash' is in common clinical use and will be retained here for simplicity. Synonyms for maculopapular rash include exanthematous eruption (exanthem) and morbilliform eruption. Definitions The term maculopapular rash typically implies an acute and generalised eruption (...) serous fluid Bulla: a larger vesicle >1 cm Urticaria: a wheal or hive. The term maculopapular rash, therefore, implies a skin eruption of flat and raised lesions. Differentials Allergy to food or drug Insect bites or stings Adverse drug reaction to, e.g., antibiotic, anticonvulsant, or allopurinol Chemotherapy Enterovirus and echovirus infection Fifth disease (erythema infectiosum) Roseola infantum (sixth disease) Epstein Barr virus (EBV) infection (infectious mononucleosis) Cytomegalovirus (CMV

2019 BMJ Best Practice

3. Nappy rash

Nappy rash Nappy rash - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Nappy rash Last reviewed: February 2019 Last updated: September 2018 Summary Nappy rash is primarily an irritant contact dermatitis. It is most common in the first 2 years of life, but can occur in a person of any age who routinely wears nappies. Diagnosis is made by characteristic skin findings in the area of the body covered by a nappy; erythema (...) of the convex surfaces of the buttocks is the classic finding. Initial treatment involves reinforcing good nappy change practices, such as frequent nappy changes, use of super-absorbent disposable nappies, periods of nappy-free time, and application of barrier cream, ointment, or paste. Recalcitrant nappy rash may signal secondary infection or underlying systemic or dermatological disorders and requires further evaluation. Definition Nappy rash is inflammation of the skin in the area of the body covered

2018 BMJ Best Practice

4. Assessment of maculopapular rash

, and the term may be misused to indicate any rash. The term 'rash' is also non-specific and is sometimes incorrectly applied to any skin finding; eruption may be preferred for a cutaneous reaction of acute onset. However, the term 'maculopapular rash' is in common clinical use and will be retained here for simplicity. Synonyms for maculopapular rash include exanthematous eruption (exanthem) and morbilliform eruption. Definitions The term maculopapular rash typically implies an acute and generalised eruption (...) serous fluid Bulla: a larger vesicle >1 cm Urticaria: a wheal or hive. The term maculopapular rash, therefore, implies a skin eruption of flat and raised lesions. Differentials Allergy to food or drug Insect bites or stings Adverse drug reaction to, e.g., antibiotic, anticonvulsant, or allopurinol Chemotherapy Enterovirus and echovirus infection Fifth disease (erythema infectiosum) Roseola infantum (sixth disease) Epstein Barr virus (EBV) infection (infectious mononucleosis) Cytomegalovirus (CMV

2018 BMJ Best Practice

5. Nappy rash

Nappy rash Nappy rash - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Nappy rash Last reviewed: February 2019 Last updated: September 2018 Summary Nappy rash is primarily an irritant contact dermatitis. It is most common in the first 2 years of life, but can occur in a person of any age who routinely wears nappies. Diagnosis is made by characteristic skin findings in the area of the body covered by a nappy; erythema (...) of the convex surfaces of the buttocks is the classic finding. Initial treatment involves reinforcing good nappy change practices, such as frequent nappy changes, use of super-absorbent disposable nappies, periods of nappy-free time, and application of barrier cream, ointment, or paste. Recalcitrant nappy rash may signal secondary infection or underlying systemic or dermatological disorders and requires further evaluation. Definition Nappy rash is inflammation of the skin in the area of the body covered

2017 BMJ Best Practice

6. Childhood Arthritis and Rheumatology Research Alliance Consensus Clinical Treatment Plans for Juvenile Dermatomyositis with Persistent Skin Rash. (PubMed)

Childhood Arthritis and Rheumatology Research Alliance Consensus Clinical Treatment Plans for Juvenile Dermatomyositis with Persistent Skin Rash. Juvenile dermatomyositis (JDM) is the most common form of idiopathic inflammatory myopathy in children. While outcomes are generally thought to be good, persistence of skin rash is a common problem. The goal of this study was to describe the development of clinical treatment plans (CTP) for children with JDM characterized by persistent skin rash (...) despite complete resolution of muscle involvement.The Childhood Arthritis and Rheumatology Research Alliance, a North American consortium of pediatric rheumatologists and other healthcare providers, used a combination of Delphi surveys and nominal group consensus meetings to develop CTP that reflected consensus on typical treatments for patients with JDM with persistent skin rash.Consensus was reached on patient characteristics and outcome assessment. Patients should have previously received

2016 Journal of Rheumatology

7. Common Pediatric Skin Rashes

Common Pediatric Skin Rashes Common Pediatric Skin Rashes Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Common Pediatric Skin Rashes (...) Common Pediatric Skin Rashes Aka: Common Pediatric Skin Rashes II. Causes: Common Systemic Conditions ( ) Presents with high fever without significant focal findings, in a child who appears well Develops maculopapular central rash on trunk as the fever abates around day 4-5 Onset with a herald patch (2-10 cm rose red border with fine scale and central clearing) Evolves with numerous small similar lesions, bilaterally symmetric in a christmas tree pattern associated rash with fine sandpaper-like s

2015 FP Notebook

8. Common hereditary lysosomal storage diseases

index of suspicion, and is easily made by biochemical test or mutational analysis. Tissue biopsy is rarely required to make the diagnosis. Many present in early childhood with hepatosplenomegaly, neurodevelopmental delay, cardiorespiratory disease, joint contractures, and failure to thrive. Others present later in childhood with pain, organ enlargement, skin rash, sensory organ damage, musculoskeletal abnormalities, muscle weakness, and neurodevelopmental delay. Early referral to a specialist centre (...) , Fabry's, Niemann-Pick type A) onset in adolescence (Fabry's, Pompe's, Gaucher's types 1, 3, MPS, Niemann-Pick types B, C) onset in adulthood (Fabry's, Gaucher's type 1, Pompe's) hepatomegaly and/or splenomegaly hyperacusis history of renal failure skin rash/cutaneous lesions large head circumference macular 'cherry red spot' on ophthalmoscopy optic atrophy or retinitis pigmentosa on ophthalmoscopy corneal clouding on ophthalmoscopy fatigue neurodevelopmental delay hearing impairment/sudden deafness

2019 BMJ Best Practice

9. Common hereditary lysosomal storage diseases

index of suspicion, and is easily made by biochemical test or mutational analysis. Tissue biopsy is rarely required to make the diagnosis. Many present in early childhood with hepatosplenomegaly, neurodevelopmental delay, cardiorespiratory disease, joint contractures, and failure to thrive. Others present later in childhood with pain, organ enlargement, skin rash, sensory organ damage, musculoskeletal abnormalities, muscle weakness, and neurodevelopmental delay. Early referral to a specialist centre (...) , Fabry's, Niemann-Pick type A) onset in adolescence (Fabry's, Pompe's, Gaucher's types 1, 3, MPS, Niemann-Pick types B, C) onset in adulthood (Fabry's, Gaucher's type 1, Pompe's) hepatomegaly and/or splenomegaly hyperacusis history of renal failure skin rash/cutaneous lesions large head circumference macular 'cherry red spot' on ophthalmoscopy optic atrophy or retinitis pigmentosa on ophthalmoscopy corneal clouding on ophthalmoscopy fatigue neurodevelopmental delay hearing impairment/sudden deafness

2018 BMJ Best Practice

10. Rash Week! Briefs: Neonatal Mastitis

to be exposed to anaerobes. Males and females are equally affected under 2 weeks of age, but more females will be diagnosed after that. Most often the infection spreads from the skin, and as you’d expect the predominant pathogen is Staphylococcus aureus . You may also see gram negatives, which can spread systemically. These less common bugs include Escherichia coli , Salmonella , anaerobes and group B Streptococcus. 50% of infants with mastitis develop abscesses The key feature on physical exam (...) Rash Week! Briefs: Neonatal Mastitis Rash Week! Briefs: Neonatal Mastitis – PEMBlog Search for: Search for: Rash Week! Briefs: Neonatal Mastitis What is it? Neonatal mastitis is a localized cellulitis of the breast tissue. It may be accompanied by an abscess. Most cases are seen in infants <2 months of age. With the peak approximately 2 weeks of life (the peak age for abscess is a little older at 4 weeks). They are actually rarer in preemies, probably because the breast tissue has had less time

2018 PEM Blog

11. Systemic Antibiotics for the Treatment of Skin and Soft Tissue Abscesses: A Systematic Review and Meta-Analysis

-associated methicillin-resistant Staphylococcus aureus infection. Ann Emerg Med. 2010;56:283-287. 11. Duong M, Markwell S, Peter J, et al. Randomized, controlled trial of antibiotics in the management of community-acquired skin abscesses in the pediatric patient. Ann Emerg Med. 2010;55:401-407. 12. Talan DA, Mower WR, Krishnadasan A, et al. Trimethoprim- sulfamethoxazole versus placebo for uncomplicated skin abscess. N Engl J Med. 2016;374:823-832. 13. Daum RS, Miller LG, Immergluck L, et al; DMID 07 (...) Systemic Antibiotics for the Treatment of Skin and Soft Tissue Abscesses: A Systematic Review and Meta-Analysis Systemic Antibiotics for the Treatment of Skin and Soft Tissue Abscesses: A Systematic Review and Meta-Analysis Michael Gottlieb, MD*; Joshua M. DeMott, PharmD, MSc; Marilyn Hallock, MD, MS; Gary D. Peksa, PharmD *Corresponding Author. E-mail: michaelgottliebmd@gmail.com, Twitter: @MGottliebMD. Study objective: The addition of antibiotics to standard incision and drainage

2018 Annals of Emergency Medicine Systematic Review Snapshots

12. Canadian Association of Gastroenterology Clinical Practice Guideline for the Medical Management of Pediatric Luminal Crohn’s Disease

= 206) found that antibiotics significantly reduced the risk of relapse compared to placebo in patients with quiescent CD (RR, 0.58; 95% CI, 0.45–0.75). 37 The anti-mycobacterial therapies were associated with a greater risk of adverse events compared to placebo (RR, 2.57; 95% CI, 1.45–4.55). 37 The most common adverse events included increased skin pigmentation and rashes. One addi- tional RCT , which did not include an anti-mycobacterial agent, reported a statistically greater rate of maintenance (...) Canadian Association of Gastroenterology Clinical Practice Guideline for the Medical Management of Pediatric Luminal Crohn’s Disease e35 © The Author(s) 2019. This article is being published jointly in the Journal of the Canadian Association of Gastroenterology and Clinical Gastroenterology and Hepatology by the Canadian Association of Gastroenterology and the AGA Institute This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License

2019 Canadian Association of Gastroenterology

13. Severe Infant Rash Resistant to Therapy Due to Zinc Deficiency: A Case Report. (PubMed)

Severe Infant Rash Resistant to Therapy Due to Zinc Deficiency: A Case Report. Pediatric skin diseases are a common presenting complaint to emergency medicine physicians but often pose a significant diagnostic challenge. Skin eruptions that are unusually severe for the diagnosis in question, lasting beyond the typical time of resolution, or not responding to conventional therapy should raise concern of a misdiagnosis. We present the case of a severe rash not responding to conventional atopic

2017 Pediatric Emergency Care

14. Pediatrics, Diaper Rash (Diagnosis)

, irritate the skin directly and increase its permeability to other low molecular weight irritants. Candidal diaper dermatitis Once the skin is compromised, secondary infection by Candida albicans is common. Between 40% and 75% of diaper rashes that last for more than 3 days are colonized with C albicans . Candida has a fecal origin and is not an organism normally found on perineal skin. Amoxicillin was found to increase the colonization by Candida and worsens the diaper dermatitis. A study by Ersoy (...) , it may cause significant distress for parents. Morbidity for the child mostly is in the form of pain and itching in the affected areas. In one report, diaper rash accounted for nearly 20% of pediatric office visits. Race Atopic dermatitis and related diaper dermatitis are more common among African American patients. Sex No sexual predilection exists. Age See the list below: Diaper rashes can start in the neonatal period as soon as the child begins to wear diapers. The incidence peaks in those aged 7

2014 eMedicine Emergency Medicine

15. Pediatrics, Diaper Rash (Overview)

, irritate the skin directly and increase its permeability to other low molecular weight irritants. Candidal diaper dermatitis Once the skin is compromised, secondary infection by Candida albicans is common. Between 40% and 75% of diaper rashes that last for more than 3 days are colonized with C albicans . Candida has a fecal origin and is not an organism normally found on perineal skin. Amoxicillin was found to increase the colonization by Candida and worsens the diaper dermatitis. A study by Ersoy (...) , it may cause significant distress for parents. Morbidity for the child mostly is in the form of pain and itching in the affected areas. In one report, diaper rash accounted for nearly 20% of pediatric office visits. Race Atopic dermatitis and related diaper dermatitis are more common among African American patients. Sex No sexual predilection exists. Age See the list below: Diaper rashes can start in the neonatal period as soon as the child begins to wear diapers. The incidence peaks in those aged 7

2014 eMedicine Emergency Medicine

16. Pediatrics, Diaper Rash (Follow-up)

of immunodeficiency Previous Next: Deterrence/Prevention See the list below: Expose the buttocks to air as much as possible. Do not use waterproof pants during treatment, as they keep skin wet and subject to rash or infection. Change diapers frequently. Superabsorbent diapers are beneficial. [ ] Previous Next: Complications See the list below: Because of maceration and abrasion of the skin under the diaper, skin ulceration and secondary infection by C albicans or bacteria are common. Prevalence of a secondary (...) Pediatrics, Diaper Rash (Follow-up) Diaper Rash Follow-up: Further Outpatient Care, Further Inpatient Care, Deterrence/Prevention Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODAxMjIyLWZvbGxvd3Vw processing

2014 eMedicine Emergency Medicine

17. CRACKCast E171 – Pediatric Cardiac Disorders

! Abnormal ECG + murmur Abnormal CXR + murmur All innocent murmurs are associated with normal ECGs and normal chest radiographs. Two of the most common innocent murmurs encountered in the pediatric population are the neonatal pulmonic flow murmur (peripheral pulmonic stenosis murmur) and Still’s murmur The pulmonic flow murmur of the neonate is due to the relatively thin walls and angulation of the right and left pulmonary arteries at birth. This systolic murmur is best heard at the left upper sternal (...) CRACKCast E171 – Pediatric Cardiac Disorders CRACKCast E171 - Pediatric Cardiac Disorders - CanadiEM CRACKCast E171 – Pediatric Cardiac Disorders In by Chris Lipp April 23, 2018 This episode of CRACKCast covers Rosen’s Chapter 171, Pediatric Cardiac Disorders. This chapter covers specific diseases of the pediatric heart and blood vessels, including congenital heart disease, Kawasaki Disease, murmurs, Acute Rheumatic Fever, and dysrhythmias. Shownotes – KEY CONCEPTS The possibility

2018 CandiEM

18. 2017 AHA/ACC Key Data Elements and Definitions for Ambulatory Electronic Health Records in Pediatric and Congenital Cardiology: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Data Standards

Illness 6 3.2. Risk Factors 6 3.3. Past Medical History 6 3.4. Physical Examination 6 3.5. Common Cardiac Diagnoses 6 References 6 Appendix 1. Author Relationships With Industry and Other Entities (Relevant)—2017 AHA/ACC Key Data Elements and Definitions for Ambulatory Electronic Health Records in Pediatric and Congenital Cardiology 8 Appendix 2. Reviewer Relationships With Industry and Other Entities—2017 AHA/ACC Key Data Elements and Definitions for Ambulatory Electronic Health Records in Pediatric (...) cardiac medicine has successfully built clinical decision support tools, established data registries, and achieved data pooling because of the large distribution of patients across these disease processes, and because there are common data standards. There are limited large-scale observational data that can be used for evidence-based decisions and for cardiac research in outpatients with pediatric and congenital heart disease. Getting to outcome measures in pediatric cardiology and cardiac surgery

2017 American Heart Association

19. Life-Threatening Drug-Induced Rashes

Life-Threatening Drug-Induced Rashes Life-Threatening Drug-Induced Rashes Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Life (...) -Threatening Drug-Induced Rashes Life-Threatening Drug-Induced Rashes Aka: Life-Threatening Drug-Induced Rashes , Acute Life-threatening Hypersensitivity Skin Reaction From Related Chapters II. Causes: ABCDS Mnemonic See ( ) Non-follicular s at the flexor surfaces Within 4 days of beta lactam, or exposure Associated fever, and e insidious onset with s, beta-lactam antibiotics, s, , or ACE-Inhibitor induced ( ) Presentation similar to ( form rash) presentation, but >2 weeks after exposure Anticonvulsants

2018 FP Notebook

20. Generalized Rash

Generalized Rash Generalized Rash Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Generalized Rash Generalized Rash Aka: Generalized (...) Rash , Diffuse Dermatitis II. Causes: Common tous Conditions Nummular Exczema s and patches or Local, systemic, or environmental reactions Drug Eruption s ( ) s s ( ) Varicella ( ) III. Causes: Uncommon (but serious) Vesicular or Bullous Stephens-Johnson Syndrome ( ) Infectious Causes or withn rash Miscellaneous Causes ( ) IV. Causes: Rare Pityriasis lichenoides Pityriasis rubra pilaris lpox V. History: Distinctive Findings Nummular s Varicella Palm and Sole Involvement (See or ) Secondary

2018 FP Notebook

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