Pediatric Dermatology DDX Deck In
1. Introduction: How to use this DDX Deck - p. iv 2. Primary and secondary lesions - p. iv 3. Section 1: Blisters (Vesicles and Bullae) - p. 4 4. 1. Herpes simplex infections - p. 4 5. 2. Varicella and herpes zoster - p. 10 6. 3. Hand, foot, and mouth disease - p. 14 7. 4. Impetigo and ecthyma - p. 16 8. 5. Staphylococcal scalded skin syndrome (SSSS) - p. 18 9. 6. Linear IgA dermatosis - p. 20 10. 7. Dermatitis herpetiformis (DH) - p. 20 11. 8. Pemphigus - p. 22 12. 9. Pemphigoid - p. 24 13. 10. Epidermolysis bullosa, non-scarring - p. 26 14. 11. Epidermolysis bullosa, scarring - p. 28 15. 12. Epidermolytic ichthyosis - p. 32 16. 13. Incontinentia pigmenti - p. 32 17. 14. Diffuse cutaneous mastocytosis - p. 34 18. 15. Sucking blisters - p. 34 19. 16. Miliaria - p. 36 20. 17. Bullous drug reactions - p. 36 21. Section 2: Mucosal Erosions (Blister Bases) - p. 38 22. 18. Aphthous ulcers - p. 38 23. 19. Geographic tongue - p. 40 24. 20. Stevens–Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) - p. 42 25. 21. Mycoplasma-induced rash and mucositis (MIRM) - p. 44 26. 22. Mucosal erosions in immunobullous and hereditary bullous diseases - p. 44 27. Section 3: Pustular Lesions - p. 46 28. 23. Erythema toxicum and transient neonatal pustular melanosis - p. 46 29. 24. Infantile acropustulosis - p. 46 30. 25. Folliculitis - p. 48 31. 26. Acne and perioficial dermatitis - p. 50 32. 27. Pyoderma gangrenosum - p. 56 33. 28. Acute generalized exanthematous pustulosis (AGEP) - p. 56 34. Section 4: Red Papules and Nodules - p. 58 35. 29. Furunculosis and cellulitis - p. 58 36. 30. Necrotizing fasciitis - p. 60 37. 31. Mycobacterial infections - p. 60 38. 32. Viral exanthems - p. 62 39. 33. Gianotti–Crosti syndrome - p. 64 40. 34. Scarlet fever - p. 64 41. 35. Kawasaki disease - p. 66 42. 36. DRESS syndrome - p. 68 43. 37. Cutaneous larva migrans - p. 68 44. 38. Papular urticaria and spider bites - p. 70 45. 39. Scabies - p. 72 46. 40. Syphilis - p. 74 47. 41. Erythema multiforme (EM) - p. 76 48. 42. Fixed drug eruptions - p. 78 49. 43. Morbilliform and urticarial drug eruptions - p. 80 50. 44. Erythema nodosum (EN) - p. 82 51. 45. Panniculitis - p. 84 52. 46. Dermatofibromas - p. 86 53. 47. Keloids and hypertrophic scars - p. 86 54. 48. Angiofibromas - p. 88 55. 49. Congenital self-healing reticulohistiocytosis (CSHR) - p. 90 56. 50. Malignant tumors - p. 92 57. Section 5: Flat Vascular Lesions, Blanching - p. 94 58. 51. Mottling - p. 94 59. 52. Cutis marmorata telangiectasia congenita (CMTC) - p. 94 60. 53. Livedo reticularis - p. 96 61. 54. Urticaria and dermographism - p. 98 62. 55. Port-wine stains and nevus simplex - p. 102 63. 56. Vascular spiders - p. 106 64. 57. Neonatal lupus erythematosus - p. 108 65. Section 6: Raised Blanching Vascular Lesions - p. 110 66. 58. Hemangiomas - p. 110 67. 59. Diffuse neonatal hemangiomatosis - p. 116 68. 60. Tufted angiomas - p. 118 69. 61. Hemangioendothelioma - p. 120 70. 62. Pyogenic granuloma - p. 120 71. 63. Lymphatic malformations - p. 122 72. 64. Venous malformations - p. 124 73. Section 7: Non-Blanching Vascular Lesions (Petechiae and Purpura) - p. 126 74. 65. Vasculitis (Henoch–Schönlein purpura) - p. 126 75. 66. Periarteritis nodosa - p. 130 76. 67. Pernio - p. 132 77. 68. Progressive pigmented purpura (PPP) - p. 134 78. Section 8: Papulosquamous Eruptions - p. 136 79. 69. Pityriasis rosea (PR) - p. 136 80. 70. Psoriasis - p. 138 81. 71. Pityriasis lichenoides - p. 144 82. 72. Lichen planus (LP) and lichen nitidus - p. 146 83. 73. Pityriasis rubra pilaris (PRP) - p. 150 84. 74. Lichen striatus - p. 152 85. 75. Porokeratosis of Mibelli - p. 154 86. 76. Lupus erythematosus (LE) - p. 156 87. 77. Dermatomyositis - p. 160 88. 78. Ichthyosis - p. 162 89. 79. Darier’s disease (keratosis follicularis) - p. 166 90. 80. Tinea (dermatophyte infections) - p. 168 91. Section 9: Eczematous Disorders (Red with Disruption of Skin Surface) - p. 172 92. 81. Atopic dermatitis (AD) - p. 172 93. 82. Allergic contact dermatitis (ACD) - p. 178 94. 83. Juvenile plantar dermatosis - p. 182 95. 84. Nummular dermatitis - p. 182 96. 85. Seborrheic dermatitis - p. 184 97. 86. Langerhans cell histiocytosis (LCH) - p. 186 98. 87. Diaper dermatitis - p. 188 99. 88. Intertrigo - p. 190 100. 89. Candidiasis - p. 192 101. 90. Perianal cellulitis - p. 194 102. 91. Acrodermatitis enteropathica (AE) - p. 196 103. Section 10: Skin-Colored Papules and Nodules with a Rough Surface - p. 198 104. 92. Warts - p. 198 105. 93. Epidermal nevi - p. 204 106. 94. Keratosis pilaris (KP) - p. 206 107. 95. Corns and calluses - p. 208 108. Section 11: Skin-Colored Papules and Nodules with a Smooth Surface - p. 210 109. 96. Molluscum contagiosum - p. 210 110. 97. Milia and sebaceous hyperplasia - p. 212 111. 98. Epidermal cysts - p. 214 112. 99. Dermoid cysts - p. 216 113. 100. Pilomatricoma and trichoepithelioma - p. 218 114. 101. Granuloma annulare - p. 220 115. 102. Neurofibroma and lipomas - p. 222 116. 103. Piezogenic papules - p. 222 117. 104. Sweat gland tumors - p. 224 118. Section 12: White Lesions - p. 226 119. 105. Post-inflammatory hypopigmentation and pityriasis alba - p. 226 120. 106. Vitiligo - p. 228 121. 107. Lichen sclerosus (LS) - p. 230 122. 108. Morphea - p. 232 123. 109. Halo nevus - p. 234 124. 110. Nevus depigmentosus and linear and whorled nevoid hypomelanosis (LWNH—Blaschkoid hypomelanosis—hypomelanosis of ito) - p. 236 125. 111. Nevus anemicus - p. 238 126. 112. Ash leaf macules - p. 238 127. 113. Piebaldism - p. 240 128. 114. Waardenburg syndrome (WS) - p. 240 129. 115. Oculocutaneous albinism (OCA) - p. 242 130. 116. Tinea versicolor - p. 244 131. Section 13: Flat Brown Lesions - p. 246 132. 117. Mongolian spots - p. 246 133. 118. Nevus of ota - p. 246 134. 119. Café-au-lait macules (CALMs) - p. 248 135. 120. Freckles - p. 248 136. 121. Lentigines - p. 250 137. 122. Nevus spilus - p. 250 138. 123. Junctional nevi - p. 252 139. 124. Becker’s nevus - p. 252 140. 125. Post-inflammatory hyperpigmentation - p. 254 141. 126. Mosaic hyperpigmentation - p. 254 142. Section 14: Raised Brown Lesions - p. 256 143. 127. Congenital melanocytic nevi (CMN) - p. 256 144. 128. Intradermal melanocytic nevi - p. 258 145. 129. Melanoma - p. 262 146. 130. Pilar and smooth muscle hamartomas - p. 262 147. 131. Mastocytosis - p. 264 148. 132. Benign cephalic histiocytosis - p. 266 149. 133. Acanthosis nigricans (AN) - p. 266 150. 134. Confluent and reticulated papillomatosis (CARP) - p. 268 151. Section 15: Yellow Lesions - p. 270 152. 135. Nevus sebaceus - p. 270 153. 136. Juvenile xanthogranuloma (JXG) - p. 270 154. 137. Necrobiosis lipoidica diabeticorum (NLD) - p. 272 155. 138. Focal dermal hypoplasia - p. 272 156. Section 16: Congenital Circumscribed Hair Loss - p. 274 157. 139. Aplasia cutis congenita (ACC) - p. 274 158. 140. Congenital triangular alopecia - p. 276 159. Section 17: Acquired Circumscribed Hair Loss - p. 278 160. 141. Alopecia areata (AA) - p. 278 161. 142. Tinea capitis and kerion - p. 280 162. 143. Traction alopecia and hair pulling - p. 282 163. Section 18: Congenital Diffuse Hair Loss - p. 284 164. 144. Ectodermal dysplasias (ED) - p. 284 165. 145. Hair shaft defects - p. 286 166. 146. Congenital atrichia with papules - p. 288 167. Section 19: Acquired Diffuse Hair Loss - p. 290 168. 147. Telogen and anagen effluvium - p. 290 169. Section 20: Thickened Nails - p. 292 170. 148. Congenital malalignment of the great toe - p. 292 171. 149. Pachyonychia congenita (PC) - p. 292 172. 150. Ectodermal dysplasia (nails) - p. 294 173. 151. Median nail dystrophy - p. 294 174. 152. Trachyonychia (20 nail dystrophy) - p. 296 175. 153. Psoriasis nails - p. 296 176. 154. Lichen planus nails - p. 298 177. Section 21: Thin, Slow-Growing, or Loss of Nail - p. 300 178. 155. Ectodermal dysplasia and nail-patella syndrome - p. 300 179. Section 22: Pitted Lesions - p. 302 180. 156. Ear pits and lip pits - p. 302 181. 157. Pitted keratolysis - p. 302 182. Section 23: Involvement of Palms and Soles - p. 304 183. 158. Palmoplantar keratodermas (PPK) - p. 304 184. Section 24: Photodistribution (Sun-Induced Lesions) - p. 306 185. 159. Sunburn - p. 306 186. 160. Phytophotodermatitis - p. 308 187. 161. Polymorphous light eruption (PMLE) - p. 310 188. 162. Erythropoietic protoporphyria (EPP) - p. 312 189. Section 25: Annular Arrangements - p. 314 190. 163. Annular arrangement - p. 314 191. Section 26: Linear or Curvilinear Arrangements - p. 316 192. 164. Linear or curvilinear arrangement - p. 316 193. Index - p. 321 194. A guide to topical steroids in children - p. 322
Pediatric Dermatology DDX Deck In
1. Introduction: How to use this DDX Deck - p. iv 2. Primary and secondary lesions - p. iv 3. Section 1: Blisters (Vesicles and Bullae) - p. 4 4. 1. Herpes simplex infections - p. 4 5. 2. Varicella and herpes zoster - p. 10 6. 3. Hand, foot, and mouth disease - p. 14 7. 4. Impetigo and ecthyma - p. 16 8. 5. Staphylococcal scalded skin syndrome (SSSS) - p. 18 9. 6. Linear IgA dermatosis - p. 20 10. 7. Dermatitis herpetiformis (DH) - p. 20 11. 8. Pemphigus - p. 22 12. 9. Pemphigoid - p. 24 13. 10. Epidermolysis bullosa, non-scarring - p. 26 14. 11. Epidermolysis bullosa, scarring - p. 28 15. 12. Epidermolytic ichthyosis - p. 32 16. 13. Incontinentia pigmenti - p. 32 17. 14. Diffuse cutaneous mastocytosis - p. 34 18. 15. Sucking blisters - p. 34 19. 16. Miliaria - p. 36 20. 17. Bullous drug reactions - p. 36 21. Section 2: Mucosal Erosions (Blister Bases) - p. 38 22. 18. Aphthous ulcers - p. 38 23. 19. Geographic tongue - p. 40 24. 20. Stevens–Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) - p. 42 25. 21. Mycoplasma-induced rash and mucositis (MIRM) - p. 44 26. 22. Mucosal erosions in immunobullous and hereditary bullous diseases - p. 44 27. Section 3: Pustular Lesions - p. 46 28. 23. Erythema toxicum and transient neonatal pustular melanosis - p. 46 29. 24. Infantile acropustulosis - p. 46 30. 25. Folliculitis - p. 48 31. 26. Acne and perioficial dermatitis - p. 50 32. 27. Pyoderma gangrenosum - p. 56 33. 28. Acute generalized exanthematous pustulosis (AGEP) - p. 56 34. Section 4: Red Papules and Nodules - p. 58 35. 29. Furunculosis and cellulitis - p. 58 36. 30. Necrotizing fasciitis - p. 60 37. 31. Mycobacterial infections - p. 60 38. 32. Viral exanthems - p. 62 39. 33. Gianotti–Crosti syndrome - p. 64 40. 34. Scarlet fever - p. 64 41. 35. Kawasaki disease - p. 66 42. 36. DRESS syndrome - p. 68 43. 37. Cutaneous larva migrans - p. 68 44. 38. Papular urticaria and spider bites - p. 70 45. 39. Scabies - p. 72 46. 40. Syphilis - p. 74 47. 41. Erythema multiforme (EM) - p. 76 48. 42. Fixed drug eruptions - p. 78 49. 43. Morbilliform and urticarial drug eruptions - p. 80 50. 44. Erythema nodosum (EN) - p. 82 51. 45. Panniculitis - p. 84 52. 46. Dermatofibromas - p. 86 53. 47. Keloids and hypertrophic scars - p. 86 54. 48. Angiofibromas - p. 88 55. 49. Congenital self-healing reticulohistiocytosis (CSHR) - p. 90 56. 50. Malignant tumors - p. 92 57. Section 5: Flat Vascular Lesions, Blanching - p. 94 58. 51. Mottling - p. 94 59. 52. Cutis marmorata telangiectasia congenita (CMTC) - p. 94 60. 53. Livedo reticularis - p. 96 61. 54. Urticaria and dermographism - p. 98 62. 55. Port-wine stains and nevus simplex - p. 102 63. 56. Vascular spiders - p. 106 64. 57. Neonatal lupus erythematosus - p. 108 65. Section 6: Raised Blanching Vascular Lesions - p. 110 66. 58. Hemangiomas - p. 110 67. 59. Diffuse neonatal hemangiomatosis - p. 116 68. 60. Tufted angiomas - p. 118 69. 61. Hemangioendothelioma - p. 120 70. 62. Pyogenic granuloma - p. 120 71. 63. Lymphatic malformations - p. 122 72. 64. Venous malformations - p. 124 73. Section 7: Non-Blanching Vascular Lesions (Petechiae and Purpura) - p. 126 74. 65. Vasculitis (Henoch–Schönlein purpura) - p. 126 75. 66. Periarteritis nodosa - p. 130 76. 67. Pernio - p. 132 77. 68. Progressive pigmented purpura (PPP) - p. 134 78. Section 8: Papulosquamous Eruptions - p. 136 79. 69. Pityriasis rosea (PR) - p. 136 80. 70. Psoriasis - p. 138 81. 71. Pityriasis lichenoides - p. 144 82. 72. Lichen planus (LP) and lichen nitidus - p. 146 83. 73. Pityriasis rubra pilaris (PRP) - p. 150 84. 74. Lichen striatus - p. 152 85. 75. Porokeratosis of Mibelli - p. 154 86. 76. Lupus erythematosus (LE) - p. 156 87. 77. Dermatomyositis - p. 160 88. 78. Ichthyosis - p. 162 89. 79. Darier’s disease (keratosis follicularis) - p. 166 90. 80. Tinea (dermatophyte infections) - p. 168 91. Section 9: Eczematous Disorders (Red with Disruption of Skin Surface) - p. 172 92. 81. Atopic dermatitis (AD) - p. 172 93. 82. Allergic contact dermatitis (ACD) - p. 178 94. 83. Juvenile plantar dermatosis - p. 182 95. 84. Nummular dermatitis - p. 182 96. 85. Seborrheic dermatitis - p. 184 97. 86. Langerhans cell histiocytosis (LCH) - p. 186 98. 87. Diaper dermatitis - p. 188 99. 88. Intertrigo - p. 190 100. 89. Candidiasis - p. 192 101. 90. Perianal cellulitis - p. 194 102. 91. Acrodermatitis enteropathica (AE) - p. 196 103. Section 10: Skin-Colored Papules and Nodules with a Rough Surface - p. 198 104. 92. Warts - p. 198 105. 93. Epidermal nevi - p. 204 106. 94. Keratosis pilaris (KP) - p. 206 107. 95. Corns and calluses - p. 208 108. Section 11: Skin-Colored Papules and Nodules with a Smooth Surface - p. 210 109. 96. Molluscum contagiosum - p. 210 110. 97. Milia and sebaceous hyperplasia - p. 212 111. 98. Epidermal cysts - p. 214 112. 99. Dermoid cysts - p. 216 113. 100. Pilomatricoma and trichoepithelioma - p. 218 114. 101. Granuloma annulare - p. 220 115. 102. Neurofibroma and lipomas - p. 222 116. 103. Piezogenic papules - p. 222 117. 104. Sweat gland tumors - p. 224 118. Section 12: White Lesions - p. 226 119. 105. Post-inflammatory hypopigmentation and pityriasis alba - p. 226 120. 106. Vitiligo - p. 228 121. 107. Lichen sclerosus (LS) - p. 230 122. 108. Morphea - p. 232 123. 109. Halo nevus - p. 234 124. 110. Nevus depigmentosus and linear and whorled nevoid hypomelanosis (LWNH—Blaschkoid hypomelanosis—hypomelanosis of ito) - p. 236 125. 111. Nevus anemicus - p. 238 126. 112. Ash leaf macules - p. 238 127. 113. Piebaldism - p. 240 128. 114. Waardenburg syndrome (WS) - p. 240 129. 115. Oculocutaneous albinism (OCA) - p. 242 130. 116. Tinea versicolor - p. 244 131. Section 13: Flat Brown Lesions - p. 246 132. 117. Mongolian spots - p. 246 133. 118. Nevus of ota - p. 246 134. 119. Café-au-lait macules (CALMs) - p. 248 135. 120. Freckles - p. 248 136. 121. Lentigines - p. 250 137. 122. Nevus spilus - p. 250 138. 123. Junctional nevi - p. 252 139. 124. Becker’s nevus - p. 252 140. 125. Post-inflammatory hyperpigmentation - p. 254 141. 126. Mosaic hyperpigmentation - p. 254 142. Section 14: Raised Brown Lesions - p. 256 143. 127. Congenital melanocytic nevi (CMN) - p. 256 144. 128. Intradermal melanocytic nevi - p. 258 145. 129. Melanoma - p. 262 146. 130. Pilar and smooth muscle hamartomas - p. 262 147. 131. Mastocytosis - p. 264 148. 132. Benign cephalic histiocytosis - p. 266 149. 133. Acanthosis nigricans (AN) - p. 266 150. 134. Confluent and reticulated papillomatosis (CARP) - p. 268 151. Section 15: Yellow Lesions - p. 270 152. 135. Nevus sebaceus - p. 270 153. 136. Juvenile xanthogranuloma (JXG) - p. 270 154. 137. Necrobiosis lipoidica diabeticorum (NLD) - p. 272 155. 138. Focal dermal hypoplasia - p. 272 156. Section 16: Congenital Circumscribed Hair Loss - p. 274 157. 139. Aplasia cutis congenita (ACC) - p. 274 158. 140. Congenital triangular alopecia - p. 276 159. Section 17: Acquired Circumscribed Hair Loss - p. 278 160. 141. Alopecia areata (AA) - p. 278 161. 142. Tinea capitis and kerion - p. 280 162. 143. Traction alopecia and hair pulling - p. 282 163. Section 18: Congenital Diffuse Hair Loss - p. 284 164. 144. Ectodermal dysplasias (ED) - p. 284 165. 145. Hair shaft defects - p. 286 166. 146. Congenital atrichia with papules - p. 288 167. Section 19: Acquired Diffuse Hair Loss - p. 290 168. 147. Telogen and anagen effluvium - p. 290 169. Section 20: Thickened Nails - p. 292 170. 148. Congenital malalignment of the great toe - p. 292 171. 149. Pachyonychia congenita (PC) - p. 292 172. 150. Ectodermal dysplasia (nails) - p. 294 173. 151. Median nail dystrophy - p. 294 174. 152. Trachyonychia (20 nail dystrophy) - p. 296 175. 153. Psoriasis nails - p. 296 176. 154. Lichen planus nails - p. 298 177. Section 21: Thin, Slow-Growing, or Loss of Nail - p. 300 178. 155. Ectodermal dysplasia and nail-patella syndrome - p. 300 179. Section 22: Pitted Lesions - p. 302 180. 156. Ear pits and lip pits - p. 302 181. 157. Pitted keratolysis - p. 302 182. Section 23: Involvement of Palms and Soles - p. 304 183. 158. Palmoplantar keratodermas (PPK) - p. 304 184. Section 24: Photodistribution (Sun-Induced Lesions) - p. 306 185. 159. Sunburn - p. 306 186. 160. Phytophotodermatitis - p. 308 187. 161. Polymorphous light eruption (PMLE) - p. 310 188. 162. Erythropoietic protoporphyria (EPP) - p. 312 189. Section 25: Annular Arrangements - p. 314 190. 163. Annular arrangement - p. 314 191. Section 26: Linear or Curvilinear Arrangements - p. 316 192. 164. Linear or curvilinear arrangement - p. 316 193. Index - p. 321 194. A guide to topical steroids in children - p. 322