An update on diaper dermatitis Klunk, Christopher, BS; Domingues, Erik, MD; Wiss, Karen, MD
Clinics in dermatology,
07/2014, Letnik:
32, Številka:
4
Journal Article
Recenzirano
Abstract Diaper dermatitis leads to approximately 20% of all childhood dermatology visits. There have been several technologic advances in diaper design the last several years; however, due to the ...unique environment of the diaper area, many children continue to suffer from a variety of dermatologic conditions of this region. Common causes include allergic contact dermatitis, irritant contact dermatitis, infection, and psoriasis. Treatments include allergen avoidance, barrier protection, parent education, and topical therapies.
An infant with persistent bullous urticaria Mailhot, Jeffrey, MD; Pugliese, Silvina, MD; Han, Rujing, MD ...
Journal of the American Academy of Dermatology,
2012, Letnik:
66, Številka:
2
Journal Article
High-risk congenital melanocytic nevi (CMN) are associated with abnormalities of the central nervous system (CNS), prompting magnetic resonance imaging (MRI) screening guidelines.
Describe MRI brain ...and spine abnormalities in children with CMN and report trends between nevus features, MRI findings, and neurologic outcomes.
Retrospective review of individuals aged ≤18 years with an MRI of the brain and/or spine and at least 1 dermatologist-diagnosed CMN.
Three hundred fifty-two patients were identified. Forty-six children had CMN that prompted an MRI of the brain and/or spine (50% male, average age at first image, 354.8 days). In these children, 8 (17%) had melanin detected in the CNS, of whom all had >4 CMN. One developed brain melanoma (fatal). In patients without CNS melanin, 4 had concerning imaging. Concerning MRI patients had more neurodevelopmental problems, seizures, neurosurgery, and death than individuals with unremarkable imaging. Three hundred six patients received MRIs for other reasons; none detected melanin. No children with only multiple small CMN (n = 15) had concerning imaging.
Lack of a control group, cohort size, and retrospective methods.
MRI of the brain and spine is useful for detecting intervenable abnormalities in high-risk children. Healthy infants with few small CMN may not require screening MRI.
PDF
