Top Clinical Insights: Panel: Challenging Pediatric Dermatology Cases
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Clinical Practice
- Be sure to ask about diet in pediatric patients, there has to be severe malnutrition for scurvy.
- Over the counter N-acetylcysteine can help with excoriation disorders (600 mg-1200 mg twice a day).
- Bilateral port wine stains in infants is suggestive of neonatal lupus.
- Tips for pediatric injections: keep your tools hidden, control then distract, involve the parent, keep the child in their "comfort position", and acknowledge anxiety.
- In pediatric patients, dermatopathology of dermatomyositis and lupus look the same, but the diagnosis is much more likely to be dermatomyositis.
- In psoriatic pediatric patients, scalp involvement is very common.