Pediatric Dermatology Questions and Answers 2024 |
Exam Review
What is the name of the group of skin conditions that cause rash, dryness, inflammation
and itching? **** Eczema
What is the most common type of eczema? **** Atopic dermatitis
What two conditions is atopic dermatitis usually associated with? **** Allergic rhinitis
and or asthma
Why? Because this is part of the atopic triad. Atopy = genetic tendency to develop
allergic diseases.
Is eczema common or rare in pediatrics? **** Common!
How does acute eczema present? **** Dark skin - Erythematous, dark brown or
violaceous papules and plaques
Light skin - Erythematous papules and plaques
How does chronic eczema present? **** Thickening of skin, fissuring, +/- post-
inflammatory hypopigmentation
True/False: The main areas of impact for eczema in infants and young adults is the
flexor surfaces. **** False! It's the extensor surfaces.
True/False: Eczema commonly affects the cheeks in infants and young children. ****
True!
True/False: Eczema in older children and adults typically presents to the flexor surfaces.
**** True!
Describe the typical appearance of nummular eczema **** Coin shaped
Minimal to no central clearing
Lesions are typically erythematous (light skin) or dark brown/violet (dark sin) with
red/brown flakes
How do you make a diagnosis of eczema? **** Clinically!
True/False: There is no role for food allergy testing in kiddos with atopic dermatitis. ****
False! Should be considered on a case-by-case basis (if kids are having symptoms of
food allergies and or difficult to control eczema)
What are the two main hallmarks of treatment for eczema? **** Trigger identification
and avoidance
, Judicious skin regimen! (Aggressive hydration and moisturization!)
What type of medication is indicated for acute flares of eczema? **** Topical
corticosteroids
What is the name of the virus that causes hand, foot mouth disease? ****
Coxsackievirus
What is eczema coxsackium? **** When children with eczema become affected with
Coxsackievirus, which causes vesicles, bullae and erosions to the area of recent/current
eczema (not just the hands, feet and mouth)
True/False: A biopsy is needed to make a diagnosis of Eczema coxsackium ****
False! Clinical diagnosis
How is Eczema coxsackium treated? **** Suportive care
- Hydration (internally and externally)
- Ibuprofen or acetaminophen for fever/pain
What is eczema herpeticum? **** When children with eczema become affected with
HSV 1 or 2, which causes itchy and painful blisters that predominantly affect the face
and neck
True/False - eczema herpeticum has a predominance for the trunk and extremities ****
False! Predominance for head/neck
What is the characteristic appearance of eczema herpeticum lesions? **** Punched-
out erosions; often blood-stained (red, purple or black)
True/False - Eczema herpeticum is a clinical diagnosis **** True
True/False - Eczema herpeticum is a dermatologic emergency **** True!
How is eczema herpeticum treated? **** Systemic antiviral therapy (Usually IV!
Although mild cases can be treated orally)
If you note punched-out hemorrhagic lesions to a baby's face, located in close proximity
to the eye, what is the next best step in management? **** STAT Ophthalmology
consult
What is the name for the eczematous disorder that involves the soles of the feet which
starts with areas of erythema to the weight-bearing areas, and then progresses to a
shiny, glazed and cracked appearance? **** Juvenile plantar dermatosis
Exam Review
What is the name of the group of skin conditions that cause rash, dryness, inflammation
and itching? **** Eczema
What is the most common type of eczema? **** Atopic dermatitis
What two conditions is atopic dermatitis usually associated with? **** Allergic rhinitis
and or asthma
Why? Because this is part of the atopic triad. Atopy = genetic tendency to develop
allergic diseases.
Is eczema common or rare in pediatrics? **** Common!
How does acute eczema present? **** Dark skin - Erythematous, dark brown or
violaceous papules and plaques
Light skin - Erythematous papules and plaques
How does chronic eczema present? **** Thickening of skin, fissuring, +/- post-
inflammatory hypopigmentation
True/False: The main areas of impact for eczema in infants and young adults is the
flexor surfaces. **** False! It's the extensor surfaces.
True/False: Eczema commonly affects the cheeks in infants and young children. ****
True!
True/False: Eczema in older children and adults typically presents to the flexor surfaces.
**** True!
Describe the typical appearance of nummular eczema **** Coin shaped
Minimal to no central clearing
Lesions are typically erythematous (light skin) or dark brown/violet (dark sin) with
red/brown flakes
How do you make a diagnosis of eczema? **** Clinically!
True/False: There is no role for food allergy testing in kiddos with atopic dermatitis. ****
False! Should be considered on a case-by-case basis (if kids are having symptoms of
food allergies and or difficult to control eczema)
What are the two main hallmarks of treatment for eczema? **** Trigger identification
and avoidance
, Judicious skin regimen! (Aggressive hydration and moisturization!)
What type of medication is indicated for acute flares of eczema? **** Topical
corticosteroids
What is the name of the virus that causes hand, foot mouth disease? ****
Coxsackievirus
What is eczema coxsackium? **** When children with eczema become affected with
Coxsackievirus, which causes vesicles, bullae and erosions to the area of recent/current
eczema (not just the hands, feet and mouth)
True/False: A biopsy is needed to make a diagnosis of Eczema coxsackium ****
False! Clinical diagnosis
How is Eczema coxsackium treated? **** Suportive care
- Hydration (internally and externally)
- Ibuprofen or acetaminophen for fever/pain
What is eczema herpeticum? **** When children with eczema become affected with
HSV 1 or 2, which causes itchy and painful blisters that predominantly affect the face
and neck
True/False - eczema herpeticum has a predominance for the trunk and extremities ****
False! Predominance for head/neck
What is the characteristic appearance of eczema herpeticum lesions? **** Punched-
out erosions; often blood-stained (red, purple or black)
True/False - Eczema herpeticum is a clinical diagnosis **** True
True/False - Eczema herpeticum is a dermatologic emergency **** True!
How is eczema herpeticum treated? **** Systemic antiviral therapy (Usually IV!
Although mild cases can be treated orally)
If you note punched-out hemorrhagic lesions to a baby's face, located in close proximity
to the eye, what is the next best step in management? **** STAT Ophthalmology
consult
What is the name for the eczematous disorder that involves the soles of the feet which
starts with areas of erythema to the weight-bearing areas, and then progresses to a
shiny, glazed and cracked appearance? **** Juvenile plantar dermatosis
