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Are you looking for concise, practical answers to those questions that are often left unanswered by traditional pediatric dermatology references? Are you seeking brief, evidence-based advice for complicated cases or controversial decisions? Curbside Consultation in Pediatric Dermatology: 49 Clinical Questionsprovides quick answers to the tricky questions most commonly posed during a "curbside consultation" between pediatricians. Dr. James Treat has designed this unique reference which offers expert advice, preferences, and opinions on tough clinical questions commonly associated with pediatric dermatology. The unique Q&A format provides quick access to current information related to pediatric dermatology with the simplicity of a conversation between two colleagues. Numerous images, diagrams, and references allow readers to browse large amounts of information in an expedited fashion. Curbside Consultation in Pediatric Dermatology: 49 Clinical Questionsprovides information basic enough for residents while also incorporating expert advice that even high-volume pediatricians will appreciate. Pediatricians, nurse practitioners, physician assistants and family practitioners will benefit from the user-friendly, casual format and the expert advice contained within. Some of the questions that are answered: How should I be working up and managing my patients with congenital nevi? How do I manage patients with severe atopic dermatitis? Which patients with hemangioma do I have to worry about? What do I need to think about for children with cafe au lait macules? Is there an algorithm for treating my acne patients?
James R. Treat, MD is an Assistant Professor of Pediatrics and Dermatology at the Perelman School of Medicine at the University of Pennsylvania, with his major clinical appointment at the Children's Hospital of Philadelphia.
Table of Contents
Dedication Acknowledgments About the Editor Contributing Authors Preface Foreword Introduction
Section I Birthmarks/Vascular and Other Skin Lesions Question 1 What Is the Natural Progression of Infantile Hemangiomas? Erin F. Mathes, MD and Ilona J. Frieden, MD Question 2 Are There Types or Locations of Hemangiomas That Require Special Attention? Erin F. Mathes, MD and Ilona J. Frieden, MD Question 3 What Are the Management/Treatment Options for Infantile Hemangiomas? Maria C. Garzon, MD Question 4 Do All Sebaceous Nevi Need to Be Removed? Magdalene Dohil, MD and Lawrence F. Eichenfield, MD Question 5 When Do I Worry About Midline Cutaneous Lumbosacral Lesions? Christine T. Lauren, MD Question 6 How Do I Evaluate White Birthmarks? Anna S. Salinas, MD and Moise L. Levy, MD Question 7 How Do I Evaluate Tan Birthmarks? Patrick McMahon, MD Question 8 What Do I Need to Consider Diagnostically and Therapeutically With Facial Port-Wine Stains?Magdalene Dohil, MD and Lawrence F. Eichenfield, MD
Section II Nevi and Photoprotection Question 9 What Sunscreen Should I Recommend to My Patients and How Can I Balance Sun Protection With Ensuring That They Receive Enough Vitamin D? Lisa Arkin, MD Question 10 What Do I Need to Know About Acquired Nevi? Kara N. Shah, MD, PhD Question 11 How Should I Manage Large Nevi? Leslie Castelo-Soccio, MD, PhD Question 12 Should Moles on the Hands, Feet, and Scalp Always Be Removed? Patrick McMahon, MD Question 13 Do All Congenital Nevi Need to Be Referred to a Dermatologist? Leslie Castelo-Soccio, MD, PhD
Section III Rashes Question 14 How Do You Distinguish Serious Systemic Rashes Like Toxic Epidermal Necrolysis and Stevens-Johnson Syndrome From Each Other and From Less Serious Rashes Like Chronic Urticaria? Anna S. Salinas, MD and Moise L. Levy, MD Question 15 When Should I Refer Recurrent Oral Ulcers to a Specialist? Bhavik S. Desai, DMD, PhD; Andres Pinto, DMD, MPH, FDS RCSEd; and Faizan Alawi, DDS Question 16 When Does a Drug Rash Require Referral? John C. Browning, MD, FAAD, FAAP Question 17 How Do I Treat and Monitor Henoch Schönlein Purpura? Leslie Castelo-Soccio, MD, PhD Question 18 How Do I Diagnose and Treat Scabies? Albert C. Yan, MD, FAAP, FAAD Question 19 How Do I Differentiate and Treat Bug Bite Reactions? Dirk M. Elston, MD Question 20 What Are the Keys to Recognizing the Rash of Lupus, Dermatomyositis, and Juvenile Idiopathic Arthritis? Andrea L. Zaenglein, MD Question 21 What Causes Vulvar and Perineal Itching? Andrea L. Zaenglein, MD Question 22 What Therapies Work for Pityriasis Rosea? John C. Browning, MD, FAAD, FAAP Question 23 What Is the Approach to the Newborn With Blisters? Kimberly D. Morel, MD, FAAD, FAAP Question 24 What Are the Types and Appearances of Contact Dermatitis? Glen H. Crawford, MD and Sharon E. Jacob, MD
Section IV Atopic Dermatitis Question 25 What Is the Natural Progression of Atopic Dermatitis? Lisa Arkin, MD Question 26 What Are the Different Treatment Options for Atopic Dermatitis Based on Age and Affected Body Part? James Treat, MD Question 27 What Are the Alternatives to Topical Steroids for Atopic Dermatitis? Marissa J. Perman, MD Question 28 How Do I Diagnose and Manage Eczema Herpeticum? Andrea L. Zaenglein, MD Question 29 When Should I Refer a Patient With Eczema to an Allergist? Terri Brown-Whitehorn, MD
Section V Infections Question 30 How Do I Treat Recalcitrant Warts? Patrick McMahon, MD Question 31 When Should I Expect Properly Treated Tinea Capitis to Improve? What Other Treatment Options Are Available When Griseofulvin Fails? Sheila F. Friedlander, MD Question 32 How Do I Manage and Help Patients Prevent Recurrent Methicillin-Resistant Staphylococcus aureus Furunculosis? Sheila F. Friedlander, MD Question 33 How Do I Manage Recalcitrant Head Lice? Dirk M. Elston, MD Question 34 What Is Molluscum contagiosum and How Is It Treated? Lisa Arkin, MD Question 35 Should I Treat Recurrent Herpes Simplex on the Lip? John C. Browning, MD, FAAD, FAAP Question 36 When Should Warts Be Treated? Albert C. Yan, MD, FAAP, FAAD Question 37 What Are the Current Recommendations for Lyme Disease Based on the Stage at Which the Illness is Diagnosed? Brian T. Fisher, DO, MSCE, MPH Question 38 What Genital Lesions Should Make Me Suspect Child Abuse? Maj. Sarah M. Frioux, MD and Joanne Wood, MD, MSHP Question 39 How Should I Approach Genital Ulcers in Sexually Active Teens? Maj. Sarah M. Frioux, MD and Joanne Wood, MD, MSHP
Section VI Pigmentary and Hair Disorders Question 40 What Work-Up Should Be Done for Patients With Vitiligo? Leslie Castelo-Soccio, MD, PhD Question 41 What Work-Up Should Be Done for Patients With Alopecia? Leslie Castelo-Soccio, MD, PhD
Section VII Acne Question 42 What Are the Different Types of Acne and How Is Each Type is Treated? Magdalene Dohil, MD and Lawrence F. Eichenfield, MD Question 43 What Is a Reasonable Amount of Time to Treat Acne Before the Patient Is Referred to a Dermatologist? Marissa J. Perman, MD Section VIII Other Question 44 How Can I Manage Hidradenitis Suppurativa? Adam Nabatian, MD and Warren R. Heymann, MD Question 45 When Should I Suspect and How Do I Manage Hair Pulling (Trichotillomania)? Marissa J. Perman, MD Question 46 How Should I Manage Hyperhidrosis? Randy Tang, MD and Warren R. Heymann, MD Question 47 What Causes Itching Without Any Rash? Dirk M. Elston, MD Question 48 After Children Get Lacerations or Stitches, How Can I Help Prevent or Minimize Scarring?Christopher J. Miller, MD Question 49 Are There Skin Findings That Are Part of Paraneoplastic Syndromes or Markers of Risk of Internal Malignancy? Randy Tang, MD and Warren R. Heymann, MD