Abstract

SKIN DISEASES in children often differ sufficiently from those seen in adults to warrant special consideration. We consider the following the commonest skin diseases in infants and children*: Alopecia areata Birthmarks (hemangioma) Contact dermatitis Diaper rash Herpes simplex Impetigo contagiosa Infantile eczema Insect bites Keloid Moles (pigmented nevi) Molluscum contagiosum Pediculosis Pityriasis rosea Pyodermas Ringworm (tinea) Scabies Seborrheic dermatitis Urticaria Warts ALOPECIA AREATA Diagnosis.—Alopecia areata consists of round hairless patches; the involved skin is normal in appearance or slightly scaly. The patches may be single or multiple. The alopecia may extend all over the scalp to produce what is called alopecia totalis. The condition may also affect eyebrows and axillary and pubic hair. It is important to rule out superficial ringworm of the scalp; a check of the scalp with Wood's light usually makes the differentiation easy. Treatment.—Astimulating ointment containing 3% betanaphthol, 3% salicylic acid, and 6% sulfur in a washable cream may be applied twice a day. Ultraviolet treatment seems helpful in more resistant cases. Patients

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