| What’s
alopecia? Alopecia is hair loss. It can be generalized,
from all over the scalp and body, or patchy, creating bald spots.
Alopecia areata is a common diagnosis
involving patchy hair loss, and it usually resolves without medication.
Fungal infection, known as "ring worm of the scalp," or
tinea capitis, can also cause alopecia.
There are less common causes of alopeica
as well. If your child has persistent, progressive, or patchy hair
loss, we recommend that you see your provider.
What is baby acne? Baby
acne is a rash found in infants, characterized by small red bumps
on the face. It is commonly seen between the ages of one and six
months. It resolves on its own, and doesn't need any specific treatment.
What is jaundice? Jaundice
is a term for yellow coloration of the skin and eyes. Jaundice is
caused by buildup of bilirubin, which is a product of the breakdown
of red blood cells by the body.
Jaundice is very common in newborns,
and usually is not a sign of serious problems. It can also be associated
with liver infections and other rare diseases in individuals of
any age. Jaundice should always be evaluated by a health care professional.
I have heard about something
called kernicterus; should I be concerned? Kernicterus
is an extremely rare brain disorder seen in patients who have very
severe jaundice in the newborn period. It can involve hearing loss,
movement disorders like cerebral palsy and other neurologic impairment.
The small risk of kernicterus is one of the reasons why jaundice
should always be evaluated by a health care professional.
What is eczema? Eczema
is an itchy, usually patchy, rash that can be triggered by dry skin
and/or allergies. It is treated with moisturizers and allergy medications,
as well as steroid creams.
What is seborrhea? Seborrhea
is a scaly, sometimes oily-looking rash that can be itchy. It tends
to involve the face and scalp, or behind the ears. It is known as
cradle cap in infants, but can occur in older children as well.
Should I use lotion on my
newborn’s skin? There is no need to use lotion on
your baby's skin. Peeling skin is normal and expected in the newborn
period.
What’s a café-au-lait
spot? A cafe-au-lait (coffee with cream) spot is a flat
patch of skin that is tan or brown compared to the rest of one's
skin. Cafe-au-lait spots range in size from very small to very large
(several inches in diameter). They are seen in up to ten percent
of children, and are generally of no concern. If your child has
many cafe-au-lait spots, ask about them at his or her next regular
check-up.
What’s a nevus? A
nevus is a patch of skin that is more highly pigmented than the
surrounding skin. It can have pigment and/or vascular components.
Nevi (more than one nevus) can be present at birth, or develop at
any age. Nevi grow at the same rate as the rest of the skin, getting
larger as a child grows. If they bleed, won't heal, change into
different colors or if their border changes character, a doctor
should evaluate them.
My baby has a stork bite;
can that get infected? A stork bite, also known as a salmon
patch, is a very common birthmark in the newborn. It occurs in up
to 40 percent of all newborns. It is a dull, reddish patch that
is found on the back of the neck, the middle of the forehead or
on the eyelids. This reddish patch is made up of dilated blood vessels.
Stork bites usually disappear by
one to two years of age although sometimes the patch on the back
of the neck will persist into adulthood. They are benign and do
not undergo any transformation.
What is cradle cap? Cradle
cap is the crusty layer of flaky skin that can be seen on the hair-producing
areas in infants. It is most commonly seen on the scalp but can
also be seen under the eyebrows. It occurs because the skin cells
in an infant are being produced faster than they can fall off. They
are caught in a layer of an oily substance produced by the skin’s
sebaceous cells. The sebaceous glands are over-stimulated by maternal
hormones passed to an infant across the placenta. When cradle cap
is found on other parts of the body, it is termed seborrhea. It
is not contagious.
What is a dermoid cyst? A
dermoid cyst is a small, firm growth that is usually found on the
head or face. They may not be noticeable at birth, but they grow
throughout life, becoming larger. They are not dangerous, and are
usually removed for cosmetic reasons. They are called dermoid cysts
because under the microscope, they look like skin (dermis).
What is dyshidrosis? Dyshidrosis
is a skin condition of the palms that causes irritation. Excessive
sweat production and subsequent drying of the palms of the hands
causes itchy blisters. The skin in this area is red and peeling.
When dyshidrosis becomes chronic, there is scaling and skin thickening.
What are warts? Warts
are a skin infection caused by a virus called the human papillomavirus
(HPV). There are more than 100 types of HPV.
Warts can grow on all parts of your
body. Some children have more natural resistance to the HPV virus
and don't seem to get warts as easily as other people. Warts will
usually disappear on their own, although it may take many months,
or even years.
They should be treated if they are
bothersome.
What are molluscum contagiosum?
Molluscum contagiosum is a viral skin infection that causes
raised, pearl-like bumps on the skin. On close inspection, one can
see a little dimple in the middle of the bump.
This is a common infection affecting
children. It is frequently seen on the face, neck, armpit, arms
and hands but may occur anywhere on the body except the palms and
soles.
Because molluscum are infectious,
they can spread to adjacent areas of the body, especially where
skin surfaces touch. They are benign and usually go away by themselves.
If they are spreading rapidly or bothering your child, you may want
to talk with your provider about how to have them removed.
What is erythema toxicum?
Erythema toxicum is a blotchy red rash found on newborns,
usually by the first or second day of life. Some of the spots can
have a raised center pimple surrounded by a flare of red. Erythema
toxicum can occur in half of all newborns. The rash generally resolves
on its own by the fifth or sixth day of life. It is not dangerous
or contagious.
What is a viral rash or a
viral exanthem? Exanthem is the name given to a rash that
is usually accompanied by other illness symptoms such as fever,
tiredness and headache. It is usually caused by an infectious condition
such as a virus. The rash is usually the result of a reaction to
a toxin produced by the virus or secondary to damage to the skin
by the virus or a natural body response to the virus.
Is a heat rash dangerous?
Heat rash is a skin condition that occurs when a child’s
skin begins to itch or peel due to overheating. It is also known
as prickly heat or miliaria. It appears as many tiny bumps surrounded
by redness. It usually occurs on clothed parts of the body. It usually
goes away on its own within a few days.
Heat rash occurs when a child’s
body begins to sweat. This can happen in a hot, humid environment
or when a child is overdressed. Perspiration irritates the surface
of the skin, trapping sweat beneath the skin, where it builds up,
causing the characteristic bumps.
The best treatment for heat rash
is to provide a cooler, less humid environment. The affected area
should be kept dry. Ointments or creams may make the condition worse.
Heat rash usually does not require medical assistance and will resolve
on its own.
What is a hemangioma? A
hemangioma is a collection of blood vessels. These vessels can be
close to the skin surface, resulting in reddish-purple “birthmarks.”
The most common hemangioma, called a “capillary hemangioma”
or a “strawberry hemangioma,” develops at or soon after
birth and usually resolves after several years. Other less common
hemangiomas, such as those called “port wine stains”
or “cavernous hemangiomas” do not usually disappear
on their own and may require treatment.
What are hives? Hives
are itchy, raised, pink areas that can be found anywhere on the
skin. They are not contagious. Hives most commonly occur because
of allergy to a food, medicine or other environmental exposure,
such as animals and pollens.
What is folliculitis? Folliculitis
is an infection of the hair follicles and can occur on any area
of the skin that has hair. Little red bumps and blisters develop.
These are usually painless, but can be itchy. Folliculitis usually
responds to cleansing and use of antibiotic ointments. Occasionally
oral antibiotics may be needed.
What is hot tub folliculitis?
Hot tub folliculitis is an infection of the hair follicles
acquired after using a hot tub. The rash consists of raised red
bumps. In most cases, hot tub folliculitis will resolve on its own
What is carotenemia? Carotenemia
is a condition in which the skin turns a yellowish color from eating
lots of foods that contain the pigment carotene. Carotene is found
in yellow and orange vegetables as well as some fruits. The pigment
does not cause any harm and the skin color will return to normal
with a more balanced diet. It is not dangerous.
Carotenemia is most noticeable in
light skinned toddlers, especially on their noses and hands. It
never causes the whites of the eyes to be yellow.
What is keratosis pilaris?
Keratosis pilaris is a harmless skin condition in which
tiny dry bumps develop around the hair follicles, creating the appearance
of “goose bumps.” These occur most prominently on the
trunk, buttocks and outer arms and legs. Treatment consists of applying
moisturizers and sometimes medicated creams to promote skin turnover.
What is ringworm? Ringworm
is an infection of the skin or scalp caused by a fungus. The infection
creates a ring-shaped, pink patch that can be itchy and gradually
grows bigger. It is spread through contact with an infected person
or animal.
It can be treated with antifungal
creams or, if it is on the scalp, can be treated with antifungal
medicine taken by mouth.
What is a kerion? A
kerion sometimes develops in children with ringworm of the scalp.
The affected scalp becomes red, boggy, and painful and can have
blisters or collections of pus. It requires oral medications to
resolve.
Are lice our friends? Lice
are not our friends, but they sure do like us. In fact, they are
quite unwelcome guests.
Lice (tiny, gray bugs) and nits (lice
eggs) are found in hair and can cause itchy scalp. They spread quickly
by contact with an infected person’s brush, hat, pillow and
bed sheets.
Lice are the reason Moms tell their
kids not to share combs and hats with other kids. Treatment generally
includes anti-lice shampoos and careful cleaning of the infected
child’s combs, brushes, clothing and bedding.
What is miliaria? Miliaria,
also called “heat rash” or “prickly heat”,
looks like tiny red bumps. It is often on the neck, back or chest.
It occurs when a child becomes overheated such as with fever, hot
weather, overdressing or exercise. It is harmless and resolves within
a few days.
What is a blue-gray macule
(Mongolian spot)? Blue-gray macules are also known as Mongolian
spots. There are flat bluish or bluish-grey marks on the skin, often
on the lower back, that appear at birth. They are benign, and more
common in darker skinned races such as Asian, African or Indian.
Mongolian spots can be mistaken for bruises or child abuse; they
fade away naturally in the first few years of life.
What is a nevus? A
nevus is a medical term for a mole—a darkened either flat
or slightly raised mark on the skin. These can be small marks such
as freckles or larger lesions that can be very dark or irregular.
Nevi should be followed closely by your provider, and may need to
be examined or biopsied by a dermatologist.
What is a nevus sebaceous?
A nevus sebaceous is generally a solitary hairless patch
in the scalp. It often has an orange-peel tan-orange appearance.
These lesions have a small risk of becoming cancerous in adulthood,
and it is often recommended to have them removed before puberty.
What are petichiae? Petechiae
are small pinpoint dots of blood under the skin. They do not blanch
or become pale when touched. Petechiae can be found after rubbing
or trauma of the skin, or on the face after severe coughing episodes.
If there are many petechiae all over
the body, it could be a sign of a serious systemic illness, infection
or low platelet count. A child with many petechiae should see a
doctor.
What is pityriasis rosea?
This is a benign rash on the trunk of the body. It starts
with a “herald patch”—measuring 1-2 cm, this patch
is scaly and salmon colored. Then a secondary rash appears within
10 days, and is a pinkish scaly rash, often in a Christmas-tree
pattern on the back. No treatment is necessary, as the rash will
self-resolve. Occasionally, dandruff shampoo used as a lotion can
help clear up the rash.
What is a pilomatrixoma?
A pilomatrixoma is a benign tumor often associated with
hair cells that appear as small firm nodule below the skin. They
grow slowly over months to years, and are more common in children.
Recommended treatment is surgical excision.
What does poison ivy look
like and what kind of rash does it cause? Poison ivy is
a woody bush or plant that is characterized by each leaf being composed
of three leaflets. Contact with urushiol, an oil contained in poison
ivy plants, can cause an allergic contact dermatitis. This develops
in 12-48 hours, and is very itchy, red and often blistered and linear.
To prevent poison ivy, wear long pants and sleeves, and wash with
warm soapy water if exposed.
What is a port wine stain?
A port wine stain is a vascular (blood vessel containing)
birthmark of the skin, which produces a reddish-purplish discoloration
of the skin. They are present at birth and most common on the face.
They can sometimes be a sign of an underlying disorder, but are
usually benign. Laser treatment can sometimes be helpful to lighten
these birthmarks.
What is a pyogenic granuloma?
A pyogenic granuloma is a small reddish bump on the skin
that bleeds easily because of a high concentration of blood vessels.
These often occur on the site of prior injury or trauma. Pyogenic
granulomas occasionally will resolve spontaneously, but may need
to be removed surgically.
What is tinea? Tinea
is a fungal infection that when found on the skin is called ringworm.
It can affect the scalp (tinea capitis), body, groin area (jock
itch) or feet (athlete’s foot). It is contagious, and often
is reddened and scaly. Generally, it can be treated with creams
or lotions. Ringworm of the scalp often needs treated with oral
medication.
What is a swimmer’s
itch? Swimmer's itch (cercarial dermatitis) is an intensely
itchy rash caused by an allergic reaction to a specific parasite
sometimes found in fresh water lakes in the central U.S. Treatment
is usually symptomatic and includes avoidance of contaminated water.
Brisk drying with a towel after swimming may help prevent infection.
Polluted lakes are sometimes chemically treated to get rid of the
parasite.
What is seabather’s
eruption? Seabather's eruption is a rash that occurs when
a swimmer is stung by marine life larvae while swimming in the salt
waters of the Caribbean and coasts of Florida. Seabather’s
eruption should not be confused with swimmer’s itch.
Seabather’s eruption occurs
in areas of the body covered with swim apparel as opposed to swimmer’s
itch, which occurs on exposed areas of the body. Since the rash
is self-limiting, treatment is primarily symptomatic.
What is thrush? Thrush
is a yeast (fungal) infection of the tongue or the moist line of
the mouth. Thrush is common in infancy.
Thrush is characterized by white
patches on the tongue, mucous membranes of the mouth and sometimes
lips. Thrush generally is a benign condition in healthy individuals.
It can usually be easily treated with oral medications prescribed
by your health care provider.
What is tinea versicolor?
Tinea versicolor is a skin condition caused by a yeast-like
fungal infection. The term means "multicolored ringworm."
It is characterized by numerous light spots and scaly patches usually
located on the neck, upper back and shoulders. Tinea versicolor
is a benign condition, which may come and go for years. It can be
treated with over-the-counter products that your health care provider
can recommend.
What is tinea capitis? Tinea
capitis is a fungal infection of the scalp, commonly known as "ringworm."
Symptoms of tinea capitis include patches of hair loss, hair breakage
near the root and an itchy, scaly scalp. Ringworm of the scalp must
be treated with oral medications. Topical creams are not effective
with fungal scalp infections.
What is tinea corporis? Tinea
corporis, commonly known as ringworm, is a fungal infection of the
skin. Ringworm usually appears as a ring-shaped pink patch that
is about 1/2 to 1 inch in size. The rash usually has a scaly, slightly
raised border with a clear center. Tinea corporis can be easily
treated with over-the-counter topical anti-fungal medication.
What is tinea crusis? Tinea
crusis, commonly known as jock itch, is a fungal infection of the
perineal (crotch) area. Tinea crusis is characterized by a pink,
scaly, itchy rash on the inner thighs, groin and scrotum. It can
be effectively treated with over-the-counter antifungal medications
when used as directed.
What is vitiligo? Vitiligo
is a genetic skin disorder characterized by loss of pigmentation
(melanin) of patches of skin. Areas of hypopigmentation (light pigmentation)
usually appear as oval or irregular ivory-white patches of skin
with a well-demarcated border. The exact cause of vitiligo is unknown.
Vitiligo is primarily a cosmetic
problem, with affected individuals generally being healthy. However,
because vitiligo may be confused with other skin disorders, or rarely
can be associated with other diseases, it is important to see a
health care provider for evaluation and diagnosis if vitiligo is
suspected.
What is acne? Acne
is a disease of the skin, commonly found where sebacceous (oil)
glands are numerous, such as on the face, upper back, and chest.
It is the result of over-activity and plugging of the oil glands.
Plugged oil glands become inflamed
or infected and commonly appear as blackheads, whiteheads (pimples),
or red bumps. Acne is not caused by diet, dirt, sexual activity
or other behaviors.
There is no medication that will
cure acne, but it can and should be treated with good skin care.
Your health care provider can recommend proper treatment.
Does food make acne worse?
No. Eating certain foods, like chocolate, will not make
acne worse.
However, eating a well-balanced diet
with 6-8 servings of water each day will help keep your body and
skin healthy.
Will washing my face more
often make my acne better? Washing your face twice a day
with a mild cleanser is adequate. More frequent cleansing and scrubbing
can take away protective properties of your skin and irritate your
skin.
What is an ingrown toenail?
An ingrown toenail has nothing to do with a nail growing
into the tissue of the toe. In fact, an ingrown nail occurs when
the skin on one or both sides of a nail grows over the edges of
the nail secondary to irritation, infection or trauma. Redness,
pain and swelling at the corner of the nail results. Sometimes a
small amount of pus can be seen draining from the area. |