The Child with an Integumentary Alteration Chapter 49课件.pptVIP

The Child with an Integumentary AlterationChapter 49; Streptococcal diseases Impetigo Characterized by honey-colored lesions Usually are secondary to insect bites If only one or two, may use ointment but for more, oral antibiotic must be used Cat-scratch disease Characterized by lymphadenopathy, fever, and malaise Gives lifetime immunity ; Fungal infections Superficial fungal infections Tinea cruris – jock itch Tinea pedis – athletes foot Tinea capitis - ringworm Tinea corporis – fungal infection of the epidermis Candidiasis Orally in babies, called thrush and treated with oral Nystatin Orally in adults, think HIV In diaper area, characterized by satellite lesions and treated with Nystatin cream ;Herpes Simplex Virus Infection Herpes simplex types 1 and 2 are responsible Types Herpes labialis (cold sores, fever blisters) Herpetic gingivostomatitis Herpetic ocular infection Herpetic whitlow Genital herpes (rare in children, suspect child abuse) Diagnostic Evaluation Usually inspection but can do Tzank smear Intervention Symptomatic, if early in outbreak, Zovirax may be given ;Lice;Scabies;Atopic Dermatitis; Therapeutic management Reduce exposure to allergen Reducing pruritis Topical corticosteroids…must be careful with this, especially on the face due to scarring and may only use for 14 days Elidel Avoidance of hot baths, restrictive clothing, soaps Must stay moisturized at all times ;CONTACT DERMATITIS;Insect bites and stings; Viral infections of the integumentary system Warts (Verrucae) Human Papillomavirus causes abnormal epidermal growth Verrucae vulgaris (common wart) Plantar wart Verrucae plana (flat wart) Verrucae filiform (genital wart) All warts are hard to get rid of! Things that look like warts but are not: Molluscum Contagiosum Caused by a virus but will spontaneously disappear within six months Have an indented or umbilicated center Not on palms or soles ;Viral infections of the integumentary system Pityriasis rosea “Christmas tree” rash, has a