PEDIATRICSTREATMENT
■ Scalp: Mineral oil, followed by antidandruff shampoo
■ Other areas: Topical steroids
Eczema
■ Chronic, recurrent skin lesions associated with other allergic conditions
(asthma, seasonal allergies)
■ Etiology is unclear, but numerous triggers for eczema flares have been iden-
tified including local skin trauma, foods, environmental allergens, and emo-
tional distress.
■ 60–80% of patients will have resolution of eczema by adulthood.
SYMPTOMS/EXAM
■ Pruritic, scaly, erythematous lesions (see Figure 5.4)
■ Typical distribution:
■ Infants: Face
■ Children (<12 years old): Extensor surfaces
■ Adolescents: Flexor surfaces
DIAGNOSIS
Clinical diagnosis
TREATMENT
■ Skin moisturizers
■ Topical steroids
FIGURE 5.3. Seborrhea. (See also color insert.)
(Reproduced, with permission, from Shah BR, Lucchesi M. Atlas of Pediatric Emergency
Medicine. McGraw-Hill, 2006:295.)
If it doesn’t itch, it’s probably
not eczema.Eczema herpeticum: Eczema
superinfected with herpes
simplex virus