Eczema: Listen for the sound of silence
I find that most parents who bring their children in for atopic eczema have woefully underlubricated the child's skin.
I find that most parents who bring their children in for atopic eczema have woefully underlubricated the child's skin. To make my point in the exam room, I tell the parents "If you can hear your child's skin, it's too dry." Then I rub my fingers over a patch of the child's dry skin and watch the parents' expressions of amazement as they hear the rough, sandy sound. For contrast, I rub a finger over the top of my hand, which is usually well lubricated with lotion. The silence is instructive and evokes smiles all around.
Wanda Lo, MD
San Luis Obispo, Calif.
Recognize & Refer: Hemangiomas in pediatrics
July 17th 2019Contemporary Pediatrics sits down exclusively with Sheila Fallon Friedlander, MD, a professor dermatology and pediatrics, to discuss the one key condition for which she believes community pediatricians should be especially aware-hemangiomas.
Full case: Infant presents with an asymptomatic pearl-like nodule on the heel
Infant is closely monitored at subsequent well visits and rechecked after 3 months, showed full resolution of the skin lesion over the heel area.
