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Feature Article

Common skin problems in children. Part 2: rashes other than atopic dermatitis

Gayle Fischer

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Abstract

In addition to atopic dermatitis, numerous other endogenous and exogenous dermatoses are seen in prepubertal children.

Key Points

  • Most cases of nappy rash are due to irritation and maceration, but Candida albicans infection, seborrhoeic dermatitis and psoriasis are other common causes.
  • Not all babies with seborrhoeic dermatitis recover; one-third will develop psoriasis and another third, atopic dermatitis.
  • The early signs of psoriasis in children include cradle cap, nappy rash, and post- and infra-auricular scaling and fissuring.
  • Childhood-onset psoriasis, ichthyosis vulgaris and keratosis pilaris are often confused with atopic dermatitis.
  • Urticaria is the only childhood skin condition that is effectively treated with antihistamines.
  • The grevillea Robyn Gordon is a common cause of contact allergy in children.

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