Peds Derm 101
Child with purpura, abdominal pain and renal involvement
IgA vasculitis/HSP
A rash involving palsm and soles with fever and oral lesions that are very painful.
What is hand-foot-and-mouth-disease
This topical medication is the first-line treatment for scabies, commonly applied overnight to the entire body from neck down.
What is permethrin?
Honey colored crusted lesions around the mouth in children
Impetigo
Painful nodules and sinus tracts in axilla and groin
Unvaccinated child presenting with cough, conjunctivitis, coryza and maculopapular rash that begins on face and spreads downward. Has smalll white lesions on the buccal mucosa
Measles
What are bed bugs? Pearl: breakfast, lunch, dinner pattern
This antibiotic class frequently causes a maculopapular rash in patients with Epstein-Barr virus infection.
Amoxicillin or ampicillin
Painful dermatomal vescicular rash
Herpes zoster
Painful purple nodules on the shins associated with OCPs, sarcoidosis or strep
Erythema nodosum
A child presents with slapped cheek appearance and lacy rash to arms and trunk
What is erythema infectiosum (Fifth disease) caused by Parvovirus B-19
A patient presents with visible nits attached to hair shafts that do not brush off easily
What is pediculosis (aka lice)? Treat with permethrin or ivermectin
This medication is given in necrotizing fasciitis not only for antimicrobial coverage but also to suppress streptococcal toxin production
What is clindamycin
Immunocompromised patient with vesicular lesions in multiple dermatomes
Disseminated zoster. Pearl - needs iV acyclovir
A painful vesicular rash on the ear with facial paralysis
Ramsay Hunt Syndrome
18 year old student living in dorms with fever, petechial rash that rapidly progresses to purpura and shock
Most common cause of cellulitis
Streptococcus species
This medication is treatment of choice for Rocky Mountain Spotted fever, even for children
Doxycyline
After a tick bite from an Ixodes tick attached >36 hours, this medication can be given as a single-dose prophylaxis
Ulcerative lesions associated with IBD that worsens after debridement
Pyoderma gangrenosum
A child with fever, strawberry tongue, conjunctivitis, cracked lips and rash lasting >5 days
What is Kawasaki disease. Pearl: risk of coronary artery anuerysms. Treat with IVIG and ASA.
Fever for 5 days in a child + rash and mucous membrane findings = KAWASAKI=Give IVIG and ASA
A febrile child develops a rash that begins on the trunk and spreads outward after the fever resolves.
What is roseaola (HHV-6). Pearl: fever first, rash later
This antibiotic is the most common medication assosicated with Stevens-Johnson syndrome and toxic epidermal necrolysis
What are sulfonamide antibiotics (TMP-SMX)?
Rash that begins on wrists and ankles and spreads centrally
Rocky Mountain Spotty Fever
Pyogenic granuloma