Feature Article

Common skin problems in children. Infectious rashes and infestations

Feature Article

Common skin problems in children. Infectious rashes and infestations

Gayle Fischer

Figures

© focus_bell/stock.adobe.com model used for illustrative purposes only
© focus_bell/stock.adobe.com model used for illustrative purposes only

Abstract

Cutaneous infections and infestations are common in children; the key to their diagnosis is a positive culture or scraping to confirm infection and/or response to anti-infective agents.

Key Points

  • Although impetigo is usually due to Staphylococcus aureus, certain groups (including Aboriginal and Torres Strait Islander people) are particularly susceptible to group A Streptococcus infections.
  • Children with recurrent S. aureus infections are usually carriers of this bacterium.
  • Not all cases of folliculitis are due to S. aureus; Pseudomonas aeruginosa acquired from contaminated water or bath toys may be responsible.
  • Most acute genital infections in children are due to group A Streptococcus.
  • Tinea capitis is a childhood condition, which may at times present with an inflammatory mass.
  • Genital warts in children should always be a cause for concern.
  • Scabies is often a very difficult diagnosis to make; it is often mistaken for dermatitis.