Concerns relating to the skin are common reasons for parents to seek medical
care for their children. Data from several sources indicate that up to 20% of
child visits to pediatricians or family physicians involve a dermatologic problem
as the primary reason for the visit, a secondary concern, or an incidental finding
on physical examination. The volume of skin-related concerns and the supply-
demand crunch for dermatologic referrals mandate that primary care physicians
who care for children are prepared to recognize, diagnose, and treat common
cutaneous disorders.
This guide was originally designed to be a practical, easy-to-use tool for the
busy practitioner, and we hope that this third edition continues to meet these
goals. It is not an exhaustive reference; instead, it provides a concise summary
of many common dermatologic disorders, with a standardized format that
includes a brief background, physical findings, diagnostic modalities, and
treatment approaches. Each chapter includes a useful Look-alikes table to assist
in differential diagnosis and, when applicable, a Resources for Families section
that provides links to patient information or support groups. Chapters to help
enhance skills in recognizing and describing skin disorders, performing and
interpreting diagnostic tests, and managing skin disease also are included.
The accompanying color photographs have been selected to illustrate some
cardinal features of each disorder. In this edition, we have added new chapters
on acrodermatitis enteropathica; aplasia cutis congenita; dermoid cysts;
epidermal nevi; erythema nodosum; Henoch-Schönlein purpura; juvenile
plantar dermatosis; kwashiorkor; Langerhans cell histiocytosis; pigmentary
mosaicism, hyperpigmented; pigmentary mosaicism, hypopigmented;
pityriasis lichenoides; and polymorphous light eruption. We have also
updated the text throughout, supplied new links to useful patient
resources, and replaced or added numerous clinical images.
We hope this guide continues to fulfill an important need for the pediatric
provider who wants a quick dermatology reference.
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