Pediatric Dermatology
Children's skin is structurally different from adults, and diseases often present uniquely in pediatric populations.
Infantile Hemangiomas (IH)
The most common benign vascular tumor of childhood. They typically appear in the first few weeks of life, proliferate rapidly during the first 3-5 months, and slowly involute over years.
When to Treat:
- Life-threatening (e.g., airway involvement).
- Functional impairment (e.g., periocular lesions threatening vision).
- Ulceration (painful and risks scarring).
- High risk of permanent disfigurement (e.g., large facial lesions).
First-line treatment: Oral Propranolol (initiated under specialist supervision).
Neonatal Rashes
Distinguishing benign transient conditions from serious pathology.
- Erythema Toxicum Neonatorum: Blotchy red macules with central papules/pustules. Usually appears at 24-48 hours. Benign, resolves spontaneously.
- Transient Neonatal Pustular Melanosis: Pustules lacking erythema present at birth, leaving hyperpigmented macules. Common in infants with darker skin types. Benign.
- Neonatal Herpes Simplex: Clustered vesicles. Medical emergency requiring immediate IV Acyclovir.