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1、TheChildwithanIntegumentaryAlteration Chapter49StreptococcaldiseasesImpetigoCharacterizedbyhoney-coloredlesionsUsuallyaresecondarytoinsectbitesIfonlyoneortwo,mayuseointmentbutformore,oralantibioticmustbeusedCat-scratchdiseaseCharacterizedbylymphadenopathy,fever,andmalaiseGiveslifetimeimmunity
2、FungalinfectionsSuperficialfungalinfectionsTineacruris–jockitchTineapedis–athlete'sfootTineacapitis-ringwormTineacorporis–fungalinfectionoftheepidermisCandidiasisOrallyinbabies,calledthrushandtreatedwithoralNystatinOrallyinadults,thinkHIVIndiaperarea,characterizedbysatellitelesionsandtreatedw
3、ithNystatincreamHerpesSimplexVirusInfectionHerpessimplextypes1and2areresponsibleTypesHerpeslabialis(coldsores,feverblisters)HerpeticgingivostomatitisHerpeticocularinfectionHerpeticwhitlowGenitalherpes(rareinchildren,suspectchildabuse)DiagnosticEvaluationUsuallyinspectionbutcandoTzanksmearInte
4、rventionSymptomatic,ifearlyinoutbreak,ZoviraxmaybegivenLiceTypesPediculosisCapitisPediculosisCorporisPediculosisPubisManagementKwellCanbeneurotoxicifleftontoolongOTCmedsEffectiveandsafertouseOvideGoodbutflammableScabiesCausedbyamitethatburrowsundertheskinExtremelypruritic,especiallyatnightLoo
5、kforintradigitalinfestationTreatedwithElimiteorKwellMustbeleftonovernightPruritismaycontinueAtopicDermatitisIninfants,associatedwithformulafeedingsandearlyintroductionofsolidfoodsS/SRed,bumpy,itchyskinLichenificationOftenfoundbehindtheears,cheeks,&extensor/flexorsurfacesTherapeuticmanagementR
6、educeexposuretoallergenReducingpruritisTopicalcorticosteroids…mustbecarefulwiththis,especiallyonthefaceduetoscarringandmayonlyusefor14daysElidelAvoidanceofhotbaths,restrictiveclothing,soapsMuststaymoisturizedatalltimesCONTACTDERMATITISAssessmentS/S…pruriticfluidfilledvesiclesTherapeuticmanage
7、mentHydrocortisonecream,Elidel,Benedryl,Calaminelotion,AveenoBathsAvoidallergensCommonoffendersPoisonIvySoapsLatexDisposableDiapersNickelInsectbitesandstingsAssessment0.5-5%ofpopulationhaveanaphylacticresponseMaytake10-12stingstoreachanaphyla
