Primary Care Perspectives

Primary Care Perspectives: Episode 23 - Pediatric Dermatology: Common Skin Problems in Kids

Dec 4, 2017
In this discussion, pediatric dermatologist James Treat, an attending physician at Children’s Hospital of Philadelphia, sheds light on common skin issues in children. He delves into eczema treatment, highlighting a streamlined medication approach. Treat emphasizes the genetic triggers of eczema over dietary ones and offers strategies for managing skin lesions. He also provides insights on acne treatments, including the use of retin-A, and stresses sunscreen safety for kids, addressing parent concerns about toxins in skincare.
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ADVICE

Simplified Steroid Selection

  • Simplify steroid choices by selecting one from each potency class (7, 5, and 3).
  • Dr. Treat suggests hydrocortisone 2.5%, trimcinolone 0.025% and 0.1% ointments.
INSIGHT

Eczema and Food Allergies

  • Eczema is primarily a skin barrier issue, not usually directly caused by food allergies.
  • Ingested allergens may cause itching, leading to scratching, which worsens eczema by breaking down the skin barrier further.
ADVICE

Infant Eczema Management

  • For infants under six months with eczema, use low-potency steroids like hydrocortisone 2.5%.
  • Prioritize moisturizing and gentle cleansing to reduce steroid dependence.
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