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SPD 2016
14-17 JULY 2016 •
MINNEAPOLIS,
MINNESOTA, USA
PracticeUpdate
Dermatology
Advisory
Board member Dr Sarah
Chamlin shares her top
sessions and take-aways
from the American
Society for Pediatric
Dermatology 2016 annual
meeting.
Dr Sarah Chamlin’s top 5
poster pearls fromSPD 2016
Sarah Chamlin MD, is Associate Professor of Pediatrics and Dermatology at
Northwestern University Feinberg School of Medicine, Attending Physician
at Children’s Memorial Hospital specialising in paediatric dermatology, and
Advisory Board member of
PracticeUpdate Dermatology
.
Paediatric
dermatology
literature year
in review
By Sarah Chamlin MD
K
evin Boyd MD from the University
of Alabama in Birmingham reviewed
articles published over the past year
relevant to paediatric dermatologists (Boyd
K. The Year in Review: Pediatrics. Paper pre-
sented at: 42nd Annual Society for Pediatric
Dermatology Meeting; July 14–17, 2016;
Minneapolis, MN).
Consensus communication on early peanut
introduction and the prevention of peanut
allergy in high-risk infants. Fleischer DM,
Sicherer S, Greenhawt M, et al.
Pediatrics
2015;136:600-604.
•
Early introduction of peanut to infants at
high risk for peanut allergy (ie, those with
a history of egg allergy or severe eczema) is
recommended to reduce this risk. The study
reported an 11% to 25% absolute reduction
in risk of developing peanut allergy in high-
risk infants. While dermatologists should
be aware of the LEAP trial (
N Engl J Med
1.
Tofacitinib is a promising future therapy for severe adolescent alopecia
areata.
In total, 13 patients with a median age of 15 years were treated with
tofacitinib, with 68% experiencing clinically significant growth. Adverse events
were mild and included headaches, upper respiratory infections, and mild
transaminitis.
2.
The common misperception that food plays a role in childhood atopic
dermatitis
persists for most parents (82%). In addition, most parents of
children with AD (58%) are unaware that infection can be a complicating
factor. These data were reported as part of a survey performed at a state fair
of 392 parents. Most parents get information about AD from their primary
care provider and the Internet.
3.
Allergic contact dermatitis is increasingly common in children.
Reports of adverse reactions, most commonly nickel-related dermatitis, to
common household toys or electronics such as iPads, laptops, and video game
controllers are on the rise. Consider these exposures when evaluating and
treating children with contact dermatitis.
4.
Evidence supports certain behavioural techniques to alleviate pre-
procedural anxiety and procedural pain perception for children
undergoing in-office procedures. The ideal timeframe to review the details
of the procedure with the child is 5 to 7 days beforehand. Counselling within
this timeframe may lessen anxiety. Children prepared for a painful procedure
by being told they would have “medium” pain experienced significantly less
pain than those not prepared.
5.
Clinical findings in AD patients vary among ethnicities
, and these
differing presentations can guide management. Hyperpigmentation, neck
lichenification, and lichen spinulosus are more common in black patients.
Follicular prominence is more common on the extensor surfaces of Asian
children and least common in non-Hispanic white children. Facial erythema
is more common in Asian and non-Hispanic white children. Infraorbital
fold involvement is less common in Asian children. Orbital darkening was
seen across all ethnicities, and white dermatographism was only observed in
white children. Of note, some of these findings that vary by races are listed
as Hanifin and Rajka minor criteria for AD.
PRACTICEUPDATE RHEUMATOLOGY & DERMATOLOGY
42ND ANNUAL MEETING OF THE SOCIETY FOR PEDIATRIC DERMATOLOGY
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