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- Presentation
Infectious Disease Update: Pediatric Dermatology
Description
The session, led by Dr. Ted Rosen, focused on pediatric dermatology and infectious diseases, highlighting the ongoing importance of these topics following events like COVID-19. Speaker Dr. Lisa Swanson, a dermatologist from Idaho, discussed common skin infections in children, starting with impetigo—an often embarrassing but treatable condition that can range in severity. Treatment typically includes mupirocin and cephalexin, although access to other antibiotics can be limited. Dr. Swanson emphasized the significance of proper treatment and noted that vinegar soaks can aid in recovery. Other topics included Staph Scalded Skin Syndrome, which primarily affects young children and causes severe discomfort, and the recent resurgence of zoster (shingles) in children, which may arise from changes in vaccination patterns. The presentation also touched on HSV (the cold sore virus), hand, foot, and mouth disease caused by coxsackievirus A6, warts, and molluscum contagiosum, outlining various treatment approaches. Notably, Dr. Swanson highlighted concerns surrounding measles—an increasingly relevant issue—as vaccination rates decline, potentially leading to outbreaks. Throughout, she stressed the necessity for up-to-date knowledge and vaccination to prevent these infectious diseases, drawing on her personal experiences with patients. Conclusively, Dr. Rosen mentioned the rising concern regarding resistance to mupirocin, underlining the need for awareness regarding local treatment efficacy.
View moreConclusions
- Impetigo treatment typically involves mupirocin and oral antibiotics, which can effectively manage the condition despite emerging resistance.
- Topical vinegar soaks can enhance the efficacy of mupirocin for impetigo treatment by alleviating crustiness.
- Recurrent impetigo may indicate a carrier state in the patient or their family members, and swabbing may be necessary to identify carriers.
- Staph Scalded Skin Syndrome (SSSS) is characterized by exfoliative toxins from Staphylococcus aureus and presents primarily in children under five with low mortality.
- Herpes Zoster is increasing among children due to widespread chickenpox vaccination, which alters immunity thresholds for varicella reactivation.
- Treatment for shingles in children tends to be less painful than in adults and typically includes acyclovir or valacyclovir.
- Herpes Simplex Virus poses significant risks in infants under three months and requires prompt IV acyclovir treatment.
- Recent outbreaks of Hand, Foot, and Mouth Disease are now predominantly caused by Coxsackie A6, which leads to more severe presentations.
- Eczema Coxsackium occurs when children with eczema contract HFMD, leading to exacerbated symptoms that require treatment of the eczema.
- Effective wart treatments include the novel use of pinto bean pressure wraps to induce ischemic response in wart tissue, proving effective with minimal discomfort.
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