Naftifine (Naftin) in pediatrics.
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Biomedical subjects
Publications and source records attributed to L G Rabinowitz.
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Mucha-Habermann disease, or pityriasis lichenoides et varioliformis acuta, is usually a benign, papulosquamous, cutaneous disorder. It has also been reported in a severe form with fever and systemic symptoms both in children and adults. We report a 12-year-old boy with the febrile, ulceronecrotic type. A review of similar cases in the literature shows a 16% frequency of acute necrotic lesions, as well as rare complications such as fever, superinfected lesions, bacteremia (most often with Staphylococcus aureus), and rheumatologic manifestations such as arthritis and scleroderma. There is no definitive treatment, but tetracycline, erythromycin, methotrexate, and ultraviolet light are used most frequently. The most common histologic feature is mononuclear perivascular infiltrates. Mucha-Habermann disease can mimic other common entities such as varicella and insect bites.
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Capillary (or strawberry) hemangiomas can present a difficult problem in management, and much controversy exists over whether it is better to watch and wait for natural involution, or to be more aggressive and attempt to prevent some of the negative potential sequelae. A case study of a neonate with a large, early macular capillary hemangioma of the head and neck successfully treated with the 585-nm pulsed dye laser is presented. In addition, a review of a number of treatments for more advanced lesions is presented. Modalities discussed include argon, carbon dioxide, and neodymium: YAG lasers; cryotherapy; local and systemic steroids; and surgical excision.
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Parents are shocked by the unexpected appearance and growth of hemangiomas, the most common benign tumors of childhood, yet parents' psychosocial needs are largely ignored. A psychoeducational/self-help pilot group for parents is described in this article. The Mental Health Inventory and a 44-item questionnaire were used to gather pertinent biopsychosocial data. Parents were more distressed and had less of a sense of well-being than the general population. Medical complications were significantly associated with the couple's distress (P < 0.05). Parental perception of hemangiomal surface area or site was not correlated with parental distress. Therapists clinically assessed parental distress, presented coping strategies for parents and families, and discussed medical information about hemangiomas and normal childhood development.