Anthony J. Mancini - Pediatric Dermatology: A Quick Reference Guide

American Academy of Pediatrics Publishing Staff Mary Lou White, Chief Product and Services Officer/SVP, Membership, Marketing, and Publishing Mark Grimes, Vice President, Publishing Evonne Acevedo, Editor, Digital Publishing Meghan Corey, Editorial Assistant Jason Crase, Senior Manager, Production and Editorial Services Theresa Wiener, Production Manager, Clinical and Professional Publications Linda Smessaert, MSIMC, Senior Marketing Manager, Professional Resources Mary Louise Carr, MBA, Marketing Manager, Clinical Publications Published by the American Academy of Pediatrics 345 Park Blvd Itasca, IL 60143 Telephone: 630/626-6000 Facsimile: 847/434-8000 www.aap.org The American Academy of Pediatrics is an organization of 67,000 primary care pediatricians, pediatric medical subspecialists, and pediatric surgical specialists dedicated to the health, safety, and well-being of all infants, children, adolescents, and young adults. While every effort has been made to ensure the accuracy of this publication, the American Academy of Pediatrics does not guarantee that it is accurate, complete, or without error. The recommendations in this publication do not indicate an exclusive course of treatment or serve as a standard of medical care. Variations, taking into account individual circumstances, may be appropriate. Statements and opinions expressed are those of the authors and not necessarily those of the American Academy of Pediatrics. Any websites, brand names, products, or manufacturers are mentioned for informational and identification purposes only and do not imply an endorsement by the American Academy of Pediatrics (AAP).

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Email Special Sales at for more information. 2021 American Academy of Pediatrics All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any meanselectronic, mechanical, photocopying, recording, or otherwisewithout prior permission from the publisher (locate title at ). No permission is necessary to make single copies of quick references sheets for noncommercial, educational purposes. First edition published 2009; second, 2011; third, 2016. Printed in the United States of America MA0997 3-356/1020 1 2 3 4 5 6 7 8 9 10 ISBN: 978-1-61002-458-7 eISBN: 978-1-61002-459-4 EPUB: 978-1-61002-493-8 Cover and publication design by LSD DESIGN, LLC Library of Congress Control Number: 2020933085 Reviewers/Contributors EditorsAnthony J.

Mancini, MD, FAAP, FAAD Professor of Pediatrics and Dermatology Northwestern University Feinberg School of Medicine Head, Division of Pediatric Dermatology Ann & Robert H. Lurie Childrens Hospital of Chicago Chicago, IL Associate EditorsAnna L. Bruckner, MD, FAAP, FAAD Associate Professor of Dermatology and Pediatrics University of Colorado School of Medicine Childrens Hospital Colorado Anschutz Medical Campus Aurora, CO Lucia Z. Diaz, MD Section Chief, Pediatric Dermatology Assistant Professor and Dermatology Residency Associate Program Director Department of Pediatrics and Medicine (Dermatology) Dell Medical School at the University of Texas at Austin Austin, TX Fred Ghali, MD, FAAP Clinical Associate Professor Department of Dermatology UT Southwestern Medical Center Baylor University Medical Center Dallas, TX Pediatric Dermatology of North Texas Grapevine, TX Daniel P. Krowchuk, MD, FAAP Professor of Pediatrics and Dermatology Wake Forest School of Medicine Winston-Salem, NC Emily Gurnee, MD Assistant Professor, Department of Dermatology University of Colorado School of Medicine Childrens Hospital Colorado Aurora, CO Ingrid C. Polcari, MD, FAAP Assistant Professor of Dermatology and Pediatrics Program Director, Dermatology Residency Program University of Minnesota Minneapolis, MN Patricia A.

Treadwell, MD, FAAP, FAAD Professor of Pediatrics Indiana University School of Medicine Riley Hospital for Children Indianapolis, IN The editors wish to thank J. Thomas Badgett, MD, PhD, FAAP, for his contributions to the first 2 editions of this book and Amy Jo Nopper, MD, FAAP, FAAD, and Michael L. Smith, MD, FAAP, FAAD, for their contributions to the first 3 editions of this book.American Academy of Pediatrics Board of Directors Reviewer Charles G. Macias, MD, MPH, FAAP ReviewersCouncil on GeneticsSection on Allergy and ImmunologySection on Rheumatology Theresa A. Bingemann, Executive Committee Ashley Cooper, MD, FAAP Megan Curran, MD, FAAP Marla Guzman, MD, FAAP Timothy Hahn, MD, FAAP Kristen Hayward, MD, FAAP Maureen Leffler, MD American Academy of Pediatrics Jennifer Gorlewski Manager, Section on Dermatology To our familiesNicki, Mallory, Christopher, Mackenzie, and Alexander; Heidi and Willwhose understanding and support made this project possible. Contents Foreword Concerns relating to the skin are common reasons for parents to seek medical care for their children.

Data from several sources indicate that up to 20% of child visits to pediatricians or family physicians involve a dermatologic problem as the primary reason for the visit, a secondary concern, or an incidental finding on physical examination. The volume of skin-related concerns and the supply-demand crunch for dermatologic referrals mandate that primary care physicians who care for children are prepared to recognize, diagnose, and treat common cutaneous disorders. This guide was originally designed to be a practical, easy-to-use tool for the busy practitioner, and we hope that this fourth edition continues to meet these goals. It is not an exhaustive reference; instead, it provides a concise summary of many common dermatologic disorders, with a standardized format that includes a brief background, physical findings, diagnostic modalities, and treatment approaches. Each chapter includes a useful Look-alikes table to assist in differential diagnosis and, when applicable, a Resources for Families section that provides links to patient information or support groups. Chapters to help enhance skills in recognizing and describing skin disorders, performing and interpreting diagnostic tests, and managing skin disease also are included.