Pediatric Cutaneous Fungal Infections - Dermatology

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Take Home Points: Pediatric Cutaneous Fungal Infections Diaper candidiasis involves the skin folds, while irritant diaper dermatitis does not. In non-resolving diaper dermatitis, consider combination therapy to treat both inflammation and Candida, as they frequently coexist. Seborrheic dermatitis is thought to be due to an inflammatory reaction to a normal skin yeast. In infants with cradle cap, look behind the ears, in neck creases, axillae and diaper area, which are other commonly involved areas. Seborrheic dermatitis in infants usually resolves on its own with the use of mild baby shampoos; topical ketoconazole may be considered in persistent cases.
End of the Module Alvarez MS, Silverberg NB. Tinea capitis. Cutis. 2006 Sep;78(3):189-96. Andrews MD, Burns M. Common tinea infections in children. Am Fam Physician. 2008 May 15;77(10):1415-20. Gupta AK, Bluhm R. Seborrheic dermatitis. J Eur Acad Dermatol Venereol. 2004 Jan;18(1):13-26. Naldi L, Rebora A. Clinical practice. Seborrheic dermatitis. N Engl J Med. 2009 Jan 22;360(4):387- 96. Scheinfeld N. Diaper dermatitis: a review and brief survey of eruptions of the diaper area. Am J Clin Dermatol. 2005;6(5):273-81. Plewig Gerd, Jansen Thomas, "Chapter 22. Seborrheic Dermatitis" (Chapter). Wolff K, Goldsmith LA, Katz SI, Gilchrest B, Paller AS, Leffell DJ: Fitzpatrick's Dermatology in General Medicine, 7e: http://www.accessmedicine.com/content.aspx?aID=2951940. Sethi A, Antaya R. Systemic antifungal therapy for cutaneous infections in children. Pediatr Infect Dis J. 2006 Jul;25(7):643-4. Suh DC, Friedlander SF, Raut M, Chang J, Vo L, Shin HC, Tavakkol A. Tinea capitis in the United States: Diagnosis, treatment, and costs. J Am Acad Dermatol. 2006 Dec;55(6):1111-2. Verma Shannon, Heffernan Michael P, "Chapter 188. Superficial Fungal Infection: Dermatophytosis, Onychomycosis, Tinea Nigra, Piedra" (Chapter). Wolff K, Goldsmith LA, Katz SI, Gilchrest B, Paller AS, Leffell DJ: Fitzpatrick's Dermatology in General Medicine, 7e: http://www.accessmedicine.com/content.aspx?aID=2996559. Ward DB, Fleischer AB Jr, Feldman SR, Krowchuk DP. Characterization of diaper dermatitis in the United States. Arch Pediatr Adolesc Med. 2000 Sep;154(9):943-6. 49
Page 1 and 2: Last Updated 8.27.2010 Pediatric Cu
Page 3 and 4: Goals and Objectives The purpose of
Page 5 and 6: Case One Billy Smith 5
Page 7 and 8: How would you describe these exam f
Page 9 and 10: Case One, Question 1 Which of the f
Page 11 and 12: What are the diagnostic features in
Page 13 and 14: Diagnosis: Tinea Capitis Tinea capi
Page 15 and 16: Noninflammatory Tinea Capitis Sebor
Page 17 and 18: Case One, Question 2 Tinea capitis
Page 19 and 20: Tinea Capitis: Treatment Topical ag
Page 21 and 22: Case Two: History HPI: Karla is a 4
Page 23 and 24: Answer: f Case Two, Question 1 Whi
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Page 27 and 28: Answer: d Case Two, Question 2 Whi
Page 29 and 30: Diaper Candiasis: Pathogenesis Urea
Page 31 and 32: Diaper Candidiasis: Topical Treatme
Page 33 and 34: What Is This Rash? What’s your di
Page 35 and 36: Irritant Diaper Dermatitis: Basic F
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Page 39 and 40: How would you describe these exam f
Page 41 and 42: Case Three, Question 1 Which of the
Page 43 and 44: Seborrheic Dermatitis: Basic Facts
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Pediatric Cutaneous Fungal Infections - Dermatology

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