Assignment 12.1: Pediatric Skin Manifestations
This week begins with learning about the different dermatological manifestations in the pediatric population. We become familiar with the multiple possible etiologies and recommended evidence-based treatment. We also focus on reviewing the different hematological disorders diagnosed in the pediatric population and recommend evidence-based treatment.
Learning Materials
Read the following in your Burns’ Pediatric Primary Care textbook:
• Chapter 31, "Infectious Diseases" (pp. 456–507)
• Chapter 33, "Atopic, Rheumatic, and Immunodeficiency Disorders" (Atopic Dermatitis, pp. 544–548)
• Chapter 34, “Dermatologic Disorders”
• Chapter 39, “Hematologic Disorders”
Read the following in your Pediatric Physical Examination: An Illustrated Handbook textbook:
Chapter 7, “Skin Assessment”
These readings help you to become familiar with multiple skin manifestations that present in the pediatric population and to formulate an origin and evidence-based treatment. Also, be familiar with the presentation of different hematological conditions that can present in the pediatric population and the recommended evidence-based treatment.
TEXTBOOK REFERENCE
Garzon Maaks, D. L., Barber Starr, N., Brady, M. A., Gaylord, N. M., Driessnack, M., & Duderstadt, K. (2021). Burns’ pediatric primary care (7th ed.). Elsevier.
Duderstadt, K. G. (2019). Pediatric physical examination: An illustrated handbook (3rd ed.).
Mosby.
Assignment Guidelines
Complete the following table with each skin manifestation’s cause and diagnosis.
Skin Manifestation Cause Diagnosis
Itchy, erythematous vesicles with flu like symptoms.
Vesiculopustular lesions with severe itching in evenings, curving burrows.
Small, firm pink-flesh colored papules, umbilicated with cheesy white core.
2-3 clustered groups of macules/papules, do not cross midline, painful. Not typically found in children.
Hypo or hyperpigmented, multiple annular, macules/patches, warm humid weather.
Sometimes accompany Strep throat. Erythematous slightly raised/flat patches that cover body, may develop Pastia’s lines.
Inflammatory (papules, pustules) or noninflammatory (white or black heads).
Influenced by puberty, cosmetics, sports, job, family history.
This rash causes severe headaches, high fever, nausea and vomiting with muscle aches. Rash is not pruritic, appears initially on wrist and ankles and then spreads both directions. Multiple erythematous flat papules. Often associated with a tick bite.
Erythematous, itching, scaly conditions related to allergies.
Erythematous patches, commonly on the face, with honey-colored crust, may be both bullous or nonbullous.
Erythematous circle that expands over days leaving a clearing around the initial mark. May be warm and tender, does not itch. Associated with Lyme disease.
Discrete erythematous 1-2 mm papules or pustules near hair follicle, pruritus, sometimes associated with hot tubs.
Erythematous, tender, warm with regional lymphadenopathy.
Low grade fever, erythematous flat patches predominately on the cheeks but may spread to trunk, arms, and legs. Typically seen from ages 5-15.
Erythematous flaky crusts of yellow, greasy scales, on scalp, face, diaper area. Not pruritic.
Erythematous, well defined sharp scaly plaques.
The child will present with swollen lymph nodes on the affected side that the cat scratch or bite is noted. They may have fatigue, headache and low grade fever.
Moist, beefy red macules/papules with sharp borders and satellite lesions.
Elevated flesh color/pale papules sometimes with scales and irregular surface, asymptomatic.
Pruritic, slightly erythematous circular lesions with a slightly raised border and central clearing.
Pruritic symmetric, small macular/papular, pale pink lesions. Look for herald patch and/or Christmas tree pattern.
Pruritic erythematous/brown, sharply marginated plaques, raised-border, scaly lesion on upper thighs and groin.
Typically seen under age of five, erythematous papule that develops ulcer in mouth and vesicles on hands and feet.
Clusters of small clear, tense vesicles with an erythematous base, usually on one side of mouth.
White patches on tongue and mucous membrane, possible cracks in corners of mouth.
Raised, well-circumcised irregular circles that are erythematous, edematous and pruritic.
Typically appears at the age of two following several days of fever, erythematous generalized flat/slightly raised patches, does not itch.
Live insects and nits (eggs and shells) may be visible to the naked eye at the back of your child’s neck and/or behind their ears. Severe pruritis.
Macules that are hyperpigmented lesions that may vary in color from light brown to dark brown, irregular borders and size
Benign vascular neoplasms
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