SDPA Summer | What’s New in Pediatric Dermatology?
This morning during the SDPA’s Annual Summer Dermatology Conference, Dr. Jim Treat gave a lively presentation covering a multitude of topics in pediatric dermatology. Did you know that tonsillectomy is recommended for pediatric patients who have recurrent guttate psoriasis? One study resulted in clearance up to 90% of psoriasis in this population once they had undergone a tonsillectomy. In addition to symptomatic improvement of psoriasis, prevention of future comorbidities associated with psoriasis make this as a possible treatment choice in the right patient population.
Next, Dr. Treat covered atopy; encompassing the newest guidelines from the medical literature in regards to food allergens and the gut biome. He explained that a child with severe atopic dermatitis may benefit from early introduction to common food allergens through guidance of an allergist. Dr. Treat encouraged providers to work closely with parents of children with food allergies as he has seen unfortunate vitamin and protein deficiencies, such as Kwashiorkor presenting due to food restriction in this patient population. The long term safety of non-steroidal topical treatments and systemic alternatives for atopic dermatitis were also discussed.
Dr. Treat presented clinical cases of uncommon skin presentations due to trauma seen in the teenage population. For example, did you know there was something called the ice and salt challenge? It results in frostbite. Huffing behavior and henna tattoo allergies were also covered. As dermatology providers, Dr. Treat explained, we are the “gateway in getting these children into help” through early recognition and diagnosis of vascular lesions.
An increasingly common presentation Dr. Treat has seen is “toilet seat dermatitis” illustrating the importance of education to parents when choosing toilet cleaning products. Finally, Dr. Treat discussed pediatric presentations of melanoma with the warning “beware of the bleeding red papule”.
Byline: Sarah Patton, PA-C, MSHS
Posted: June 1, 2017