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Just as dermatology cannot be separated from internal medicine, pediatric dermatology is inseparable from general pediatrics. Since most dermatologists have experience and training in internal medicine but less exposure to pediatrics and neonatology, an introduction to the special issues that can arise in pediatric dermatology is presented herein. As it is impossible to discuss all of pediatric dermatology in one chapter, the focus is instead on certain methods, diseases, and issues divided by three age divisions: neonates and infants, children, and adolescents. Topics of special importance such as pediatric medication use and biopsy pitfalls are discussed. Methods to enhance success in outpatient procedures in pediatric dermatology are also reviewed.
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Successful care of the pediatric patient is best achieved via comanagement with the neonatalogist, pediatrician, or primary care physician. In addition, an understanding of the parental or family situation is important. For example, children living in two households (due to divorced parents) may do best with two sets of medications, one in each home, to enhance compliance. Table 107-1 reviews ten helpful tips in practicing pediatric dermatology. As an example, if Internet access exists, patients or parents will likely search online for medical information before or after the office encounter. Parents and patients should be warned that medical information on the Internet is often inaccurate.1 It is wise to direct them to specific Internet Web sites, support groups, or pamphlets, but these resources should be reviewed before recommending them.
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