Dermatology News

The common historical approach of “wait and see” for infantile hemangiomas can lead to bad outcomes, according to Lawrence A. Schachner, MD, a dermatologist and pediatrician.

Following a “dramatic” rise in skin and soft tissue infections, or SSTIs, in the United States that peaked earlier this decade, evidence shows an overall plateau in more recent years and a decline among children, although the burden remains substantial, researchers reported.

Johnson & Johnson is voluntarily recalling one lot of its Johnson’s Baby Powder product due to the presence of asbestos, according to a press release from the FDA.

A 4-year-old boy presents with a bumpy rash on the right side of his face for the past 5 months. The rash is neither pruritic nor painful. Before onset of the rash, he had a cavity treated. He is in day care with another child who was seen by a dermatologist for bumps on the skin that were treated with a cold liquid. Hydrocortisone 1% cream was tried for 2 weeks without clearance of the lesions.

A previously healthy, 2-month-old male is admitted to the hospital with an unusual blistering rash in the diaper area. The onset was a few days earlier, but since then, additional lesions have developed. There has been no fever reported or other concerning symptoms, such as nausea, vomiting, diarrhea, coughing or any other rash or skin findings. The baby’s appetite is normal and unchanged, and there have been no sick contacts. He is on no medications.

The FDA recently approved Galderma’s topical retinoid cream, known as Aklief, for the treatment of acne vulgaris.

A previously healthy 3-year-old female was admitted to the hospital with dehydration caused by poor oral intake due to painful sores in her mouth and on her lips. She also has a black lesion covering most of her upper lip and philtrum area (Figure 1). The problem began 4 days prior to admission, when the mother noted the presence of a few “pimples” above the upper lip. Soon, the lesions spread to include her oral mucosa and lower lip, along with some surrounding skin. Two days after the onset, she was taken to an urgent care clinic, where she was prescribed acyclovir for a presumed herpes simplex virus (HSV) infection. Two days later (day 4), she seemed to be much worse, particularly regarding dehydration, and was sent for admission.

A 15-year-old healthy male presented to the dermatology clinic for evaluation of a lesion on the right forearm. He first noticed it approximately 1 year ago. At that time, it was a hard, pink papule, which he thought was an insect bite. The lesion continued to enlarge over time. In the last month, it developed white papules within it. It has never drained. An attempt to perform an incision and drainage with his primary care provider 1 week before revealed blood rather than purulent drainage, with no improvement in the lesion. It is occasionally painful if bumped but otherwise asymptomatic.

According to research published in Trends in Microbiology, patients with atopic dermatitis, or AD, are commonly colonized with Staphylococcus aureus during flares. Bleach baths are one way clinicians are trying to reduce S. aureus colonization in AD patients and subsequently reduce disease severity.

Atopic dermatitis, one of the most common inflammatory skin conditions, begins in many patients by age 1 year, according to the American Academy of Dermatology. Globally, an estimated one in five children is affected by the disease. The prevalence is higher among children in developed countries, including the United States, and it may be increasing, researchers suggest.