Local Vaccine Site Reactions and Contact Allergy to Aluminum

Abstract:  Childhood vaccines are a routine part of pediatric care in the United States; clinicians must be able to recognize and interpret associated localized adverse reactions. Redness and induration at the site of injection are commonly reported and are considered to be the result of local inflammation or hematoma formation, although other atypical reactions can occur. We report the case of a 6-month-old infant who developed subcutaneous nodules at the sites of his 4- and 6-month Pentacel (DTaP/Hib/IPV, diphtheria, tetanus, acellular pertussis, Haemophilus b conjugate, and inactivated poliovirus vaccine) and ...

Local Vaccine Site Reactions and Contact Allergy to Aluminum is a post from: Skincare

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Delineating Capillary Malformations in the Operating Suite Using White Eyeliner Pencil

Abstract:  Delineating the extent of capillary malformations in the operating suite can be challenging because of a variety of physiologic modifiers, including vasodilatation induced by anesthesia, reactive erythema, and filtering of colors with protective laser eyewear. The use of traditional surgical pens to mark the treatment field has limitations; we have found the use of a white eyeliner pencil to delineate lesions a contemporary technique that assists in identifying the target tissue intraoperatively.

Delineating Capillary Malformations in the Operating Suite Using White Eyeliner Pencil is a post from: Skincare

Delineating Capillary Malformations in the Operating Suite Using White Eyeliner Pencil is a post from: Skincare

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Early and Successful Enzymatıc Debridement Via Collagenase Application to Pinna in a Preterm Neonate

Abstract:  We report early and successful enzymatic debridement using collagenase application to pinna in a preterm neonate. Collagenase clostridiopeptidase A should be kept in mind not only for the removal of eschar but also for avoidance of the progression of necrotic tissue in neonates.

Early and Successful Enzymatıc Debridement Via Collagenase Application to Pinna in a Preterm Neonate is a post from: Skincare

Early and Successful Enzymatıc Debridement Via Collagenase Application to Pinna in a Preterm Neonate is a post from: Skincare

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Propranolol for Recalcitrant Ulcerated Hemangioma of Infancy

Abstract:  Hemangioma of infancy (HOI) is a common, self-resolving, benign tumor that frequently requires no intervention. Ulceration is one of the main complications of HOI, and active treatment is usually required to manage pain, potential scarring, and occasionally bleeding and infection. Since the discovery that oral propranolol is an effective treatment for complicated HOI, it has been replacing systemic corticosteroids as first-line therapy, and early recommendations for treatment protocols have been devised. We report the successful treatment of six children with recalcitrant ulcerated HOI using propranolol. In all cases, complete, ...

Propranolol for Recalcitrant Ulcerated Hemangioma of Infancy is a post from: Skincare

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Postvaccination Morphea Profunda in a Child

Abstract:  We report a new case of postvaccination morphea profunda (MP) in a child and discuss its different clinical presentations, prognosis, and therapy and its relationship with “solitary morphea profunda.” A 2-year-old healthy girl presented with an induration of the anterior aspect of the left thigh of 9 months duration. The lesion had appeared 3 months after a third dose of diphtheria-tetanus-pertussis vaccine. Cutaneous examination showed an induration of 7 × 7 cm with an “orange peel” texture after pinching the skin. Histologic examination confirmed the diagnosis of MP. Systemic steroids (1 mg/kg/day) led ...

Postvaccination Morphea Profunda in a Child is a post from: Skincare

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Sole Dermatitis in Children: Patch Testing Revisited

Abstract:  Although dermatoses affecting the soles of the feet in children are regularly encountered in dermatology clinics, the relationship with allergic contact dermatitis affecting this part of the foot is not well established. The aim of this study was to evaluate the relevance of patch testing children with sole dermatoses. We reviewed the results of all patch tests performed in children (<18 years) presenting with dermatoses involving the soles between 1997 and 2009 from our departmental patch test database. Forty-one children were identified: 27 children with an inflammatory dermatitis affecting the ...

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Contact allergy and allergic contact dermatitis in children – a review of current data

Allergic contact dermatitis (ACD) in children was previously considered to be a rare occurrence. However, the growing number of case reports and cross-sectional studies through the past three decades indicate that ACD is, in fact, a highly relevant diagnosis in children. Furthermore, the frequency of ACD in children seems to be increasing. In 1999, a review of the literature reported prevalence rates of 14.5–70% in selected paediatric populations. The current paper reviews the studies on the prevalence of positive patch test reactions and ACD in the paediatric population during the ...

Contact allergy and allergic contact dermatitis in children – a review of current data is a post from: Skincare

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