Childhood Skin Conditions – When Your Child Should See a Dermatology Provider

12/1/2022

For routine skin exams, we recommend children be seen by a dermatology provider in their early teens. At this age, we can monitor any acne flare-ups and keep an eye on sun exposure. But this doesn’t mean you shouldn’t consider having your child seen sooner if you see something of concern. Our expertly trained dermatology providers treat patients of all ages with a variety of skin conditions, including those common in children of young ages.

Common Childhood Skin Conditions Treated By The Christie Clinic Department of Dermatology

Molluscum Contagiosum

Molluscum contagiosum is a viral lesion that spreads by direct contact. It looks like a dome shaped, translucent bump with a central umbilication and a shiny surface. Some people think these look like pimples from a distance. The bumps appear in crops and can occur anywhere on the body. There is occasional itching associated with the bumps. They may resolve spontaneously but can be treated in the office.

Viral warts

Viral warts are flesh colored bumps that are common on the hands and feet but also occurs on the extremities such as the knees. If a wart is scratched or picked, a wart may develop under the fingernail (subungual wart) or the virus may be spread to another area of skin. Treatment can be used over the counter such as Wart stick. This would be applied nightly to the wart and covered with a band-aid. If this nightly routine is not improving the appearance of the wart, we offer in office methods to rid the wart.

Eczema

Eczema is an inflammatory skin condition that is common in children. It follows a remitting and relapsing course. Eczema presents as a red, dry or scaly appearing rash that can be extremely itchy. It is caused by a skin barrier dysfunction which has a genetic association. Common areas of involvement include the face, inner elbows, behind the knees. Initial treatment may involve topical steroids and frequent moisturizing with a thick cream or emollient.

Impetigo

Impetigo is a contagious superficial skin infection. It shows up as small blisters that ooze and create a yellow crust on the skin. Impetigo is common among children with eczema. Topical and or oral antibiotics are needed to treat this condition along with proper hygiene.

Ring worm

Ring worm is spread by direct contact. Occasionally it can be transferred from cats or dogs. Ring worm usually presents as a solitary spot that is red with central clearing and scaly edge. It can start out small and grow larger in size. Treatment includes prescription or over the counter antifungal cream applied to the site twice daily for 2-3 weeks.

If there are any new or worsening skin issues you’ve noticed on your child, it’s always best to be seen by a dermatology provider. You know your child better than anyone – trust your gut and schedule an appointment if you think it’s best.


- Anna Snowden, PA-C