Pediatric Dermatology

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Lipstick movement into furrows on the upper and lower lips is a common problem encountered by mature women. It is caused by the loss of subcutaneous fat on the face and within the lips in combination with facial osteoporosis. The lip line of an adolescent girl protrudes from the face in a youthful pout, but with maturity, the lip line actually becomes flush with the face. This loss of volume results in the skin folding around the upper and lower lips, creating furrows into which lipstick can easily wick.

National report - Many dermatologists, especially pediatric dermatologists, have embraced 2-octyl cyanoacrylate tissue adhesive (Dermabond, Ethicon) as an alternative to using standard sutures and staples in selected patients. Dermabond has evolved, as a result of early complaints about dripping and smearing, to offer a new, higher-viscosity formulation. But it's unclear how effective the tissue adhesive is when skin tension exists.

Singapore - Just as the skin of a newborn differs from the skin of a young child, so too does the skin of premature infants born at 24 weeks differ from the skin of infants born later.

A recently developed algorithm has been designed to provide a simple, stepwise approach to the management of atopic dermatitis (AD) based on disease severity, says its creator Lawrence F. Eichenfield, M.D., chief of pediatric and adolescent dermatology, Children's Hospital, San Diego, and clinical professor of pediatrics and medicine (dermatology), University of California San Diego School of Medicine.

Psoriasis

Internationally recognized researcher, Alan Menter, M.D., considers the future of psoriasis treatment.

National report - In the treatment of vitiligo, the 308-nm excimer laser (PhotoMedex) achieves results as favorable as those of other phototherapy modalities in one-third the time, according to James M. Spencer, M.D.

There is alitany of genetic and acquired disorders that cause hyper- and hypopigmentation, and no one-size-fits-all treatment for either the loss of or an excess of pigment.

New York - While acitretin remains a common oral treatment for psoriasis, oral tazarotene (Allergan), fumaric acid esters (FAEs), and oral pimecrolimus can cut side effects ranging from alopecia to liver and kidney damage, according to a recent study.

National report - A large, prospective, six-year clinical trial is well under way to investigate whether early, aggressive treatment of atopic dermatitis in infants can alter the future course of their skin disorder and the development of other manifestations of atopy, particularly asthma.