← All decks

Dermatology

Vesiculopustular and Erosive Disorders in Newborns and Infants

Built from Dermatology, 5th Edition

What’s inside

6 sections · 118 slides

  1. 01

    Diagnostic approach

    Sorting benign newborn rashes from dangerous infections

    • Why a systematic approach matters
    • Bedside tests for vesicles and pustules
    • Bedside tests for diagnosing newborn vesicles and pustules

    3 slides

  2. 02

    Differential diagnosis

    Two reference tables cover every recognized cause

    • Reading the vesiculopustular diagnosis table
    • Differential diagnosis of vesiculopustular diseases.
    • Differential diagnosis of vesiculopustular diseases. (continued)
    • Differential diagnosis of vesiculopustular diseases. (continued)
    • Differential diagnosis of vesiculopustular diseases. (continued)
    • Differential diagnosis of vesiculopustular diseases. (continued)
    • Differential diagnosis of vesiculopustular diseases. (continued)
    • Differential diagnosis of vesiculopustular diseases. (continued)
    • Differential diagnosis of vesiculopustular diseases. (continued)
    • Differential diagnosis of vesiculopustular diseases. (continued)
    • Reading the bullae and erosion diagnosis table
    • Differential diagnosis of bullae, erosions, and ulcerations.
    • Differential diagnosis of bullae, erosions, and ulcerations. (continued)
    • Differential diagnosis of bullae, erosions, and ulcerations. (continued)
    • Differential diagnosis of bullae, erosions, and ulcerations. (continued)
    • Differential diagnosis of bullae, erosions, and ulcerations. (continued)
    • Differential diagnosis of bullae, erosions, and ulcerations. (continued)
    • Differential diagnosis of bullae, erosions, and ulcerations. (continued)
    • Differential diagnosis of bullae, erosions, and ulcerations. (continued)
    • Differential diagnosis of bullae, erosions, and ulcerations. (continued)
    • Differential diagnosis of bullae, erosions, and ulcerations. (continued)
    • Differential diagnosis of bullae, erosions, and ulcerations. (continued)

    22 slides

  3. 03

    Common causes

    The rashes most newborns and infants will actually have

    • Erythema toxicum neonatorum: overview
    • Clinical features of erythema toxicum neonatorum
    • Erythema toxicum neonatorum
    • Erythema toxicum neonatorum: papulovesicles with an erythematous flare
    • Erythema toxicum neonatorum: multiple papulovesicles and pustules
    • Diagnosing erythema toxicum neonatorum
    • Look-alikes of erythema toxicum neonatorum
    • Transient neonatal pustular melanosis: overview
    • Three-phase evolution of TNPM
    • Transient neonatal pustular melanosis
    • Transient neonatal pustular melanosis in a Black neonate
    • Diagnosis and course of TNPM
    • Miliaria: obstructed sweat ducts
    • Miliaria crystallina versus miliaria rubra
    • Miliaria crystallina and miliaria rubra
    • Miliaria rubra in a newborn
    • Managing miliaria
    • Neonatal cephalic pustulosis: neonatal acne
    • Neonatal cephalic pustulosis
    • Neonatal cephalic pustulosis vs infantile acne
    • Neonatal cephalic pustulosis versus infantile acne.
    • Neonatal cephalic pustulosis versus infantile acne. (continued)
    • Neonatal cephalic pustulosis versus infantile acne. (continued)
    • Cutaneous candidiasis in newborns
    • Staphylococcal infection versus congenital candidiasis
    • Invasive fungal dermatitis in preterm infants
    • Congenital candidiasis in a neonate born at 24 weeks' gestation
    • Congenital candidiasis in premature neonates with very low birth weight
    • Diagnosing cutaneous candidiasis
    • Treatment decisions in congenital candidiasis
    • Outcomes of treated candidiasis
    • Sucking blisters
    • Physiologic skin findings in neonates
    • Exogenous causes of neonatal erosions
    • Aplasia cutis congenita of the forearm
    • Staphylococcal pyoderma and bullous impetigo
    • Bullous impetigo in an infant
    • Staphylococcal scalded skin syndrome
    • Staphylococcal scalded skin syndrome
    • Cutaneous mastocytosis in infants
    • Bullous mastocytosis
    • Maternal autoimmune bullous disease in the newborn
    • Neonatal pemphigoid gestationis

    43 slides

  4. 04

    Uncommon and rare causes

    Less frequent conditions with distinctive patterns

    • Acropustulosis of infancy: overview
    • Clinical course of acropustulosis of infancy
    • Acropustulosis of infancy
    • Acropustulosis of infancy on the dorsal fingers
    • Acropustulosis of infancy on the plantar surface
    • Acropustulosis of infancy on the ankle
    • Distinguishing acropustulosis from scabies
    • Treating acropustulosis of infancy
    • Eosinophilic pustular folliculitis of infancy: overview
    • Clinical course of EPF of infancy
    • Eosinophilic pustular folliculitis of infancy
    • Eosinophilic pustular folliculitis of infancy on the scalp
    • Diagnosis and treatment of EPF of infancy
    • Congenital and neonatal Langerhans cell histiocytosis
    • Congenital Langerhans cell histiocytosis
    • Evaluating a newborn with LCH
    • Prognosis and treatment of LCH
    • Incontinentia pigmenti: overview
    • Four cutaneous phases of incontinentia pigmenti
    • Incontinentia pigmenti stage 1
    • Incontinentia pigmenti stage 1
    • Extracutaneous features and follow-up in IP
    • Autosomal dominant hyper-IgE syndrome: overview
    • Neonatal presentation of hyper-IgE syndrome

    24 slides

  5. 05

    Very rare disorders

    Distinctive but infrequent causes worth recognizing

    • Neonatal Behçet disease
    • Neonatal HSV infection: a key differential diagnosis
    • Neonatal-onset pediatric Behçet disease
    • Vesiculopustular eruption in Down syndrome
    • Vesiculopustular eruption in transient myeloproliferative disorder of Down syndrome
    • Course and risk of the Down syndrome eruption
    • Congenital erosive and vesicular dermatosis: overview
    • Congenital erosive and vesicular dermatosis
    • Congenital erosive and vesicular dermatosis
    • Healing and associations of CEVD
    • Epidermolytic ichthyosis in the newborn
    • Epidermolytic ichthyosis
    • Pyoderma gangrenosum in infants
    • Restrictive dermopathy
    • Noma neonatorum
    • Perinatal gangrene of the buttock
    • Key takeaways
    • A structured approach to the newborn with skin lesions

    18 slides

  6. 06

    References

    Sources cited in this chapter

    • References
    • References (continued)
    • References (continued)
    • References (continued)
    • References (continued)
    • References (continued)
    • References (continued)
    • Dermatology, 5th Edition (2-Volume Set)

    8 slides