By Julian Verbov MD, Neil Morley MB (auth.)
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Extra resources for Colour Atlas of Paediatric Dermatology
Example text
D the axillae in this overweight ehiId. 37 Staphylococcal sealded skin syndrome Another baby aged 2 weeks with lcsions showiog a tendeDey to localization. 38 Staphylococca l sealded skin syndro m e Closc-up o f a sim ilarly affcctoo 12-day-old child showing faeial erythcOla and pcriora l, ncck and a,aUary involvcmclll. 39 Bulla us impetig o Two-wcck-old baby showing bullae, some of whieh dearly show a Auid level of pus. Began at 9 days. 40 Bullou s impc tigo This m:o nate seen at 13 days with vesieula r rather than bullous Icsions.
41) indieating a non-allergie reaetion of the skin is most commonly seen as napkin dermatitis (see Chapter 3). The ehild with atopie dermatieis is prone to irritant derrnatitis, but does not show an inereased incidenee of allergie eontaet derrnatitis. In the infant, aperioraI irritant derrnatitis is not uneommon from a eombination of dribbling $liiva , lip-lieking and rubbing the area. Uneommonly such a periorai dermatitis may be of allergie type due to eertain foods, partieularly oranges. 42) whieh is a manifestation of delayed hypersensitivity to a contaet allergen, is uncommon in ehildren (with the possible exception of poison ivy dermatitis) and partieularly in those under the age of3 years.
They are a manifestation of maternai androgen stimuIation and are a temporary phenomenon resolving in a few weeks. Although sometimes considered the same as milia, the sebaeeous hyperplasia papules tend to be mare Harid and are not cystie. 7) eaused by eeeri ne sweat retentjan is eharaeterized by an erythematous papulo-vesieular eruption that is distributed partieularly over faee, neek, upper ehest and baek, but wherever there is exeessive heating of the skin. Therapy is direeted towards avoidanee o f exeessive heat and humidity, w ith Lightweight loose elothing reeomm ended.
