Dx	S/S	Tx
Erythema Toxicum Neonatrum	·       Asymptomatic ·        Scattered, erythematous papules & pustules	None
Neonatal HSV	·       Three types: ·       Vesicular clusters on skin, eyes & mucous ·       membranes ·       CNS infection ·       Fulminant, disseminated, multiorgan disease	Acyclovir
Staphylococcal scalded skin syndrome	·       Fever, irritability ·       Diffuse erythema —+ flaccid, flexural blistering ·       +ve Nikolsky sign	Oxacillin, nafcillin, or vancomycin

	Measles (rubeola)
MOT	·       Airborne
Clx	·       Prodrome – 4 Cs (Cough, Coryza, Conjunctivitis, Koplik spots) ·       Maculopapular exanthem     – Head -9 Body Spread     – Spares palms/soles
PPx	·       Live-attenuated measles vaccine
Tx	·       Supportive ·       Vitamin A for hospitalized pt

	Roseola infantum
👾	HHV-6 most common
#	Age <2 years
Clx	3-5 days of high fever followed by blanching maculopapular rash
Tx	Supportive

Perianal (Ass) skin rashes
	Contact dermatitis	Candida	Perianal Streptococcus
#	Most common cause in infants	Second most common cause in infants	School-aged children
PEx	Spares creases/skinfolds	Beefy-red rash involving skinfolds with satellite lesions	Bright, sharply demarcated erythema over perianal/perineal area
Tx	Topical barrier ointment or paste	Topical antifungal therapy	ORAL antibiotics

Infectious complications of Atopic Dermatitis
Dx	👾	Clx
Impetigo	Staphylococcus aureus Streptococcus pyogenes	Painful, non-pruritic pustules with honey-crusted adherent coating
Eczema herpeticum	Herpes simplex type I	Painful vesicular rash with “punched-out” erosions & hemorrhagic crusting
Molluscum contagiosum	Poxvirus	Flesh-colored papules with central umbilication
Tinea corporis	Trichophyton rubrum	Pruritic circular patch with central clearing & raised, scaly border

Nonbullous impetigo
👾	·       Staphylococcus aureus ·       Group A beta-hemolytic Streptococcus (S pyogenes)
Clx	·       Painful non-itchy pustules & honey-crusted lesions
Tx	·       Topical antibiotics (eg, mupirocin)
Complications	·       Poststreptococcal glomerulonephritis

Herpangina vs herpetic gingivostomatitis
	Herpangina	Herpetic gingivostomatitis
Pathogen	Coxsackie A virus	HSV 1
Age	1-7 years	6 months-5 years
Timing	اخر الصيف – اول الخريف	يأتي في اي وقت
Clx	• Fever • Pharyngitis • Gray vesicles/ulcers on oropharynx not  on lips	• Fever • Pharyngitis • Erythematous gingiva • Clusters of vesicles on oral mucosa/lips
Tx	Supportive	Oral acyclovir

Anaphlaxis	Urticaria	Angioedema
HYPOTENSION Rash Wheezing	No hypotension Only rash after exposure to allergen	No hypotension Swelling (can be anywhere, but be careful for swelling around AW)
Dx: clx Tx: Epi pen	Tx: H1 Blocker Steroids	Dx: Clx Tx: Secure AW

Anaphylaxis
?	·       Food (Nuts, shellfish) ·       Drugs (eg. ß-lactam antibiotics) ·       Insect stings
Clx	CVS ·       Vasodilation hypotension & tissue edema RESP ·       Upper AW edema -9 stridor & hoarseness ·       Bronchospasm wheezing SKIN ·       Urticarial rash, pruritus, flushing
Tx	·       IM epinephrine (Rz if no improvement) ·       AW management & volume resuscitation ·       Adjunctive therapy (Antihistamines, GCS)

Allergic rhinitis:	·       Sx: Shiner, pale boggy mucosa, cobblestoning ·       How to dx? Clx ·       Do I need to do any other tests (skin test)? No, except if the pt is refractory or you wanna desensetize ·       Tx: avoid triggers – Intranasal steroids.
Allergic conjunctivitis	Same as above. ⤴️ Same tx, H2>H1.
Food Allergies	·       Make sure there’s no anaphylaxis, if there’s –> make them have Epi pen ·       If they wanna know what type of food they are allergic to, just try all food u can get ·       Soy milk allergy is a lil bit frightening (it can present w/ bloody diarrhea or FTT) –> just change the formula

Allergic Rhinitis
Sx	·       Rhinorrhea, congestion, sneezing, itching ·       Cough 2° to postnasal drip ·       Ocular itching & tearing
PEx	·       “Allergic shiners” (infraorbital edema & darkening) ·       “Allergic salute” (transverse nasal crease) ·       Pale, bluish, enlarged turbinates ·       Pharyngeal cobblestoning ·       “Allergic facies” (high-arched palate, open-mouth breathing)
Tx	·       Allergen avoidance ·       Intranasal corticosteroids