By K. Strom (auth.), Univ. Prof. Dr. med. Dietrich Abeck, Walter Burgdorf MD, Prof. Dr. med. Hansjoerg Cremer (eds.)
This publication offers the commonest pores and skin ailments of kids, which account for greater than ninety% of the providing situations. In each one bankruptcy, the differential diagnostic chances are proven in a desk the place crucial distinguishing good points are summarized. therapy is gifted in huge element, reflecting the present literature in addition to the medical adventure in huge German pediatric dermatology clinics. The clinical names of all urged drugs are given in order that the publication can be utilized via readers worldwide, instead of simply people with entry to eu drugs. information are integrated for the treating health care provider on the right way to top tailor a number of the treatment regimens and count on the process the sickness. contemporary advances in dermatologic treatment together with tacrolimus, pimecrolimus, and imiquimod are incorporated. The appendix includes distinct functional details at the number of a suitable car, in addition to on antibiotics, antihistamines, and topical corticosteroids.
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Additional info for Common Skin Diseases in Children: Diagnosis and Management
In Germany, it is described as Sonnenstich (sun sting). Most patients have had excessive irradiation to the head, but this is not mandatory. There may be an elevated leukocyte count, elevated hematocrit secondary to dehydration and in- creased levels of C-reactive protein. In children, the process may have a delayed onset, so a child with a significant sunburn should be checked throughout the night by the parents. There is a gradual transition from sun poisoning to heat stroke with loss of temperature control, seizures and circulatory collapse.
The edema results from the leakage of proteins, electrolytes and water through capillaries into the extravascular space. Clinical Features Burns are usually divided clinically into 4 stages or degrees: • First-degree burn - damage to the upper layers of the epidermis with hyperemia, erythema and swelling; painful; heals without scarring. • Second-degree burn Grade 2a - damage to the epidermis with subepidermal blister; painful; heals without scarring (Fig. 13). Grade 2b - subepidermal blister with damage to epidermis, dermis and sometimes adnexal structures; dermis below the blister appears white; painful; heals with scarring.
In the case of children, if the child is in a rapid growth phase, the garments may have to be re-fitted. They are usually used for 12 months, along with extensive, specialized physical therapy. For smaller burn scars, usually deep second-degree, a silicone gel sheet can be employed. It can be employed in children of all ages. The self-adherent gel is applied to the area as soon as re-epithelialization has occurred. It is worn around the clock, but the skin and the gel sheet are cleaned gently every 12 hours.