SKIN FUNCTION
 

It provides the body with a flexible protective covering.
It conserves the body fluid by preventing water loss.
It provides a barrier that prevents body invasion by many bacteria, fungi, and other micro-organisms that are present in the environment.
It regulates the body temperature.

PEDIATRIC DERMATOLOGY
Childhood dermatitis is unfortunately very common. Although it is generally a relatively minor problem, some children endure prolonged and almost unbearable suffering.

DERMATITIS OF INFANCY (BIRTH TO 2 YEARS):
From the protected, quite sterile, temperature and humidity controlled environment of the uterus, the newborn is launched into a less protected, contaminated, cooler, and much drier environment, that the body, and the skin in particular, can adjust so rapidly is a miracle.
 

A skin problem can develop if the mother is too fastidious and bathes the skin excessively. This can cause dry skin (xerosis) or even a contact dermatitis. If there is a familial tendency toward atopic eczema, then excess and too frequent bathing, especially in winter, is definitely very harmful for the atopic child; the lanolin in baby oils can also be irritating.
A skin problem could also happen as a result of lack of daily bathing and adequate drying of the skin, that debris can accumulate in the intertriginous areas (skin folds) of the neck, axilla, and groin. This can lead to a bacterial or candidal intertrigo. The fatter the child, the greater this problem.
Cradle cap is a yellowish greasy and crusted collection of shedding skin, caught around hairs of the scalp. Sometimes mother wants to avoid damage to the "soft spot" so that the she avoids adequate cleansing which lead to further accumulation of the debris.
Neonatal erythema, seen at birth, is more commonly seen 2-3 days later.
Diaper area dermatitis can be a manifestation of a contact dermatitis. It results from too enthusiastic bathing of the diaper area, with inadequate rinsing of the soap, or, conversely, it can be an intertrigo caused by accumulation of debris because of too little bathing, inadequate cleansing of the skin folds, and infrequent changing of soiled diapers.
Seborrheic dermatitis and, rarely, psoriasis, can be found in infants, usually as an intertriginous type of dermatitis.
Prickly heat is another one of the problems caused by the wrong environment-in this case, too many clothes and/or too warm room. One sees small, pinpoint sized vesicles or pustules localized in the intertriginous areas or even quite generalized.
Skin eruptions secondary to measles and chickenpox.

DERMATITIS OF CHILDREN (AGED 2-12 YEARS):
 

Dermatologic Allergy:
1. Contact dermatitis: very common; poison plant (ivy or oak) dermatitis
is seen.
2. Atopic eczema: in children, eczema of the feet or toes and
depigmented, scaly, eczema lesions on the cheeks and arms
(pityriasis simplex type).
3. Drug eruption: not too common.
Vascular Dermatoses:
1. Urticaria: A papular urticaria occurs, often due to insect bites
2. Erythema multiforme: rather rare.
Seborrheic Dermatitis and Acne:

Both are seen as child approaches puberty. Comedones are early signs of acne.

Papulosquamous Dermatoses:
1. Psoriasis: not uncommon, but a special type, the guttate form, is seen
quite frequently and usually follows a streptococcal infection of the 
tonsils or throat.
2. Pityriasis rosea: it is common in the form of erthematous discrete 
lesions on the face and large irregular lesions on body.
3. Tinea versicolor: it is in the form of scaly depigmented areas 
secondary to fungal skin infection.
Dermatologic bacteriology:
1. Impetigo: the lesions vary from small vesicles to large bullae that 
rupture and discharge a honey-colored serous liquid, new lesions can 
develop in a matter of hours. Crusts form from the discharge and appear 
to be lightly stuck on the skin surface. When removed, superficial 
erosion remains.
2. Ecthyma: it is another superficial bacterial infection, but it is seen less commonly and is deeper than impetigo. It is usually caused by 
b-hemolytic streptococci and occurs on the buttocks and thighs of 
children. It start as vesicles or vesicopustules that appear and rapidly 
changes into piled-up crust 1 to 3 cm in diameter, overlying a superficial 
erosion or ulcer, in neglected cases scarring can occur as a result of 
extension of the infection into the dermis.
Dermatologic virology:
1. Chickenpox
2. Warts (papillomas): These can prove to be a painful experience for the 
child, Genital tract papillomas in children can usually be linked to sexual abuse.
3. Molluscum contagiosum: also known as "water warts".
4. Measles
5. German measles
6. Cutaneous diseases associated with human immunodeficiency virus 
(HIV) infection. The majority of children with HIV infection are the infants 
of mothers with the disease.
Dermatologic Mycology:
1. Tinea of the feet: is the most common foot dermatitis in children.
2. Tinea of the groin
3. Tinea of smooth skin: Is quite common and is caused by contact with 
kittens, puppies, and other children.
4. Candidiasis: in children involvement is mainly on the crural area.

The goal of dermamed broad spectrum skin ointment for infants and children
 

1. Soothing non- irritant to the skin.
2. Completely safe.
3. Regulate the body immune response to any allergen that could initiate skin hypersensitivity.
4. Stimulate cellular immunity.
5. Has bactericidal and fungicidal effect.
  • March 10, 2015
  • DermaMed Pharmaceutical Inc.

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