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Rash Decisions

Rash Decisions. Ethan Pettit, D.O. FAAP. Erythema Toxicum. Up to 60% of Term infants Healthy infants Vesicles/ pustues with ring of red around E=E Erythema toxicum = Eosinophils Typically gone by 7 days. Pustular Melanosis. Neonatal HSV?. Infant Nevus. Dilated fetal capillaries

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Rash Decisions

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  1. Rash Decisions Ethan Pettit, D.O. FAAP

  2. Erythema Toxicum • Up to 60% of Term infants • Healthy infants • Vesicles/pustues with ring of red around • E=E • Erythema toxicum=Eosinophils • Typically gone by 7 days

  3. PustularMelanosis

  4. Neonatal HSV?

  5. Infant Nevus • Dilated fetal capillaries • 40% of newborns • Flat, dull, pink • Front and back • 95% of front will fade • 50% of back will fade

  6. Port wine stain

  7. Nevus Flammeus • Caution to Face distribution • Laser treatment

  8. Hemangiomas

  9. Hemangiomas • Benign Proliferation of endothelial cells. • 1-3% at birth • 10% Caucasians by 1 year • More females than males • More common in preterm or SGA

  10. Hemangiomas • Proliferation • Up to year • Stabalization • Involution • Typically after 2

  11. Hemangiomas Treatment • Location • Cosmetic vs Dangerous • Large • Ulcerated

  12. EczemaAtopic Dermatitis

  13. Tineavs eczema

  14. Eczema Treatment • Moisture, Moisture, Moisture • Eucerin, Aquaphor, Cedophil, Aveeno, Vanicream • RIGHT out of the bath • Wet to dry wraps

  15. Eczema Treatment • Steroids • Creams: • Hydrocortisone 1%, 2.5% • Triamcinolone • Desonide • Sometimes oral steroids

  16. Eczema Treatment • Secondary infections • Cut nails short • Bleach water baths (1/2 cup per tub)

  17. Eczema Herpeticum

  18. Eczema Herpeticum Treatment • Treat the HSV, • Watch for bacterial infection as well

  19. seborrhea • Cradle cap • Scaly • Greasy • Usually not itchy

  20. Seborrhea treatment • Dandruff shampoo • Antifungal cream • Low potency steroid cream

  21. Keratosis Pilaris

  22. Hives

  23. Hives treatment • Steroids can help in extreme cases • Antihistamines • Benadryl • Zyrtec • Hydroxizine

  24. Chronic hives • May or may not have an identifiable trigger • Allergy testing • Most resolve within a few years

  25. Pityriasis Alba

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