Pediatric Annals

CME Article 

Pediatric Dermatologic Emergencies: A Case-Based Approach for the Pediatrician

Paul L. Aronson, MD; Todd A. Florin, MD

Abstract

Patients with dermatologic complaints frequently visit the pediatric office and emergency department. Many of these conditions are managed safely on an outpatient basis; however, several situations require prompt and aggressive intervention. It is essential to recognize those dermatologic presentations that warrant emergent action, and potentially hospitalization, to minimize morbidity and mortality. This review presents a case-based approach to pediatric dermatologic emergencies.

ABOUT THE AUTHORS

Paul L. Aronson, MD; and Todd A. Florin, MD, are with Department of Pediatrics, The Children’s Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, PA 19104.

Address correspondence to: Paul L. Aronson, MD, Department of Pediatrics, The Children’s Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104; fax: 215-590-2768; or e-mail: aronsonp@email.chop.edu.

Dr. Aronson and Dr. Florin have disclosed no relevant financial relationships.

EDUCATIONAL OBJECTIVES

  1. Explain the clinical presentation, evaluation, and treatment of pediatric dermatologic conditions that are medical emergencies.
  2. Describe the differential diagnosis of emergent dermatologic conditions that present as erythroderma or purpura.
  3. Report the significance of dermatologic manifestations in a child with prolonged fever.

Abstract

Patients with dermatologic complaints frequently visit the pediatric office and emergency department. Many of these conditions are managed safely on an outpatient basis; however, several situations require prompt and aggressive intervention. It is essential to recognize those dermatologic presentations that warrant emergent action, and potentially hospitalization, to minimize morbidity and mortality. This review presents a case-based approach to pediatric dermatologic emergencies.

ABOUT THE AUTHORS

Paul L. Aronson, MD; and Todd A. Florin, MD, are with Department of Pediatrics, The Children’s Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, PA 19104.

Address correspondence to: Paul L. Aronson, MD, Department of Pediatrics, The Children’s Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104; fax: 215-590-2768; or e-mail: aronsonp@email.chop.edu.

Dr. Aronson and Dr. Florin have disclosed no relevant financial relationships.

EDUCATIONAL OBJECTIVES

  1. Explain the clinical presentation, evaluation, and treatment of pediatric dermatologic conditions that are medical emergencies.
  2. Describe the differential diagnosis of emergent dermatologic conditions that present as erythroderma or purpura.
  3. Report the significance of dermatologic manifestations in a child with prolonged fever.

Patients with dermatologic complaints frequently visit the pediatric office and emergency department. Many of these conditions are managed safely on an outpatient basis; however, several situations require prompt and aggressive intervention. It is essential to recognize those dermatologic presentations that warrant emergent action, and potentially hospitalization, to minimize morbidity and mortality. This review presents a case-based approach to pediatric dermatologic emergencies.

ABOUT THE AUTHORS

Paul L. Aronson, MD; and Todd A. Florin, MD, are with Department of Pediatrics, The Children’s Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, PA 19104.

Address correspondence to: Paul L. Aronson, MD, Department of Pediatrics, The Children’s Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104; fax: 215-590-2768; or e-mail: aronsonp@email.chop.edu.

Dr. Aronson and Dr. Florin have disclosed no relevant financial relationships.

EDUCATIONAL OBJECTIVES

  1. Explain the clinical presentation, evaluation, and treatment of pediatric dermatologic conditions that are medical emergencies.
  2. Describe the differential diagnosis of emergent dermatologic conditions that present as erythroderma or purpura.
  3. Report the significance of dermatologic manifestations in a child with prolonged fever.

10.3928/00904481-20090201-01

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