Pediatric Dermatology Morbidity and Mortality

The presentation discusses two pediatric dermatology cases highlighting complications and treatment strategies. The first case involves a 14-year-old girl with linear IGA bullous disease and a history of paraspinal sarcoma, who struggled with high-dose prednisone and associated side effects. Treatment included the gradual introduction of dapsone, which led to complications such as methemoglobinemia. Adjustments in her treatment plan ultimately included intravenous immunoglobulin (IVIG), resulting in significant improvement and stabilization of her condition over time. The second case highlights a 9-year-old girl diagnosed with rhinoderma due to severe vitamin A deficiency from a restrictive diet. After recognizing her limited food intake and addressing the deficiencies through nutritional intervention and acquiring oral vitamin formulations that she would accept, her skin condition improved dramatically. Both cases emphasize the importance of thorough diagnostic work and a flexible treatment approach tailored to pediatric patients, leading to successful outcomes and resolution of complex dermatologic issues.