12-month-old male Past 3 months increased erythema and pruritus scratches all
night, sheets bloody in the am family history of allergic rhinitis and
... [Show More] asthma - Acute
atopic dermatitis
treatment for acute atopic dermatitis - Daily lukewarm bath 5-20min, mild or no
soap.
pat dry after bath, add emollient, ie. aquaphor
Repeat emollient with each diaper change
Topical steroids first line, least potent first
calcineurini inhibitors to face (tacrolimus, and pimecrolimus)
Consider bleach baths and wet wraps
14 year old female, healthy Itchy rash on stomach and feet dryness, erythema,
irritated Tried to treat with topical steroids at home, moisturizer and lots of bath
and body works creams - Contact dermatitis
Treatment for contact dermatitis - Remove offending agent ( nickel allergy to jeans
buttons, rubber from latex flip flops)
Clean area, treat with emoillents
Topical steroids
will not recur if agent is avoided
can occur from poison ivy, latex, fragrances
11 year old female healthy
developed rash over last week
intense pruritic circular raised papular rash - Insect bites due to bed bugs
Information about bed bugs - Visible to naked eye, small
Wingless
Yellow to reddish oval shaped, prominent eyes
Mostly night feeders, attracted to warm blooded animals and humans
Life cycle: egg 4-5 days, nymph state 5 stages, adult 1 year,
Can survive 1 year without feeding
Hide in luggage, mattresses, box springs, clothing
Signs and symptoms of bed bug insect bites - Erythemous papule with or wheal 2-
5mm with punctuate centerMost common reaction small inflamed
Itchy bump where each bite occurred ( resolves in 1-2 weeks if not exposed
further)
can become widespread bullies rash
Other factors of when to consider bed bug diagnosis - recent travel, pruritic papule
noted on awakening, skin reaction with linear configuration
Treatment of bed bugs - professional pest management
all mattresses should be checked for dark stains usually around the head of bed, use
scraper to remove.
bag all stuffed animals for 3 days at freeze at 18 degrees or below. Or high heat at
122 degrees
Prevention of Bed bugs - Check all hotel mattresses on arrival for small dark stains
around head of bed.
Keep luggage up and away from bed.
Clothes worn in hotel room should be bagged and sealed.
Use caution with garage sale items.
5 year old boy known food allergy to milk, egg and peanut. At birthday party came
to mom, itchy, coughing and sneezing. Child given Benadryl and brought to your
office, Diffuse generalized hives, papular and erythema areas. - Uritcaria and
angioedema in setting of anaphylaxis [Show Less]