Top Clinical Insights: Pediatric Dermatology Infection
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Clinical Practice
- Cimetidine is an option for the treatment of facial molluscum lesions. It is dosed 8-10 mg/kg per dose up to 800 mg 2-3x per day, but efficacy is highest in atopic dermatitis patients.
- "BOTE" sign- Beginning Of The End. Molluscum inflammation causes a Gianotti-Crosti reaction just before resolution, (typically resolves within two months of this phenomenon).
- For pediatric patients with exuberant infections of molluscum and/or warts, consider a possible immune deficiency.
- Herpes infections in a patient less than two months old should be considered a medical emergency and seek immediate treatment as it can be life-threatening.
- A large meta-analysis study showed that topical salicylic acid and liquid nitrogen had the highest cure rates for common warts.