By Julian Verbov MD, Neil Morley MB (auth.)
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Extra info for Colour Atlas of Paediatric Dermatology
The common dinieal manifestations in early congenita! enomegaly, lymphadcnopathy, rrunitis, and mueocutaneous eruptions. Cuta neous eruptions are va ried in charaeter but discrete copper-brown maeu lo-papular or papulo-squamous lesiol1s are most common. 45) is a form of histioeytosis X which usually presenes with an infantile seborrhoeie dcrmatitis-like distribution and appearanee but uneommonly before the age of9 months. On closer inspeetion, reddish-brown or purpurie papules may identify the disorder.
Flaccid blisters appear, few Of many, most commooly Qver th e faee, and these quic,kly dry and erust. Lesions may also be ringed with a erusted edge. In treatment removal of the crusts is important because bacteria are present in the lesions and infected crusts en courage spread . If impetigo is widespread or haemolytic streptococci present, a full course of oral antibiotic is indicated and this may help to prevent the occasionaI comphcation of acute glomerulonephritis following streptococcal impeeigo.
Oral antibiotic therapy predisposes to the canditiaH which ea n b c tteated with nystatin O f mieonazole cream. O ral eandidiasis will also reguire trea tment . 33) must not be forgotten in the itehing newborn infant and if the napkin area is involved papules will be visib le and evidenee of seabies over palms, so les, and trunk will be found . Other members of the family should be exa mined and treated in addieion to the baby . For the baby, after ioitial bathing and ehange ofbedding we u se half- strength bellzyl bcnzoate applieation EP applied twice to the entire skin below the neck and then onee again the fo llowing morning.
Colour Atlas of Paediatric Dermatology by Julian Verbov MD, Neil Morley MB (auth.)