1	Office Pediatric Dermatology Bernard A. Cohen , M. D. bcohena@jhmi.edu dermatlas.com dermatlas.org
2	Office Pediatric Dermatology Resources-Texts Schachner, Hansen:Pediatric Dermatology, Churchill Livingston Harper:Textbook of Pediatric Dermatology, Blackwell Science Hurwitz:Clinical Pediatric Dermatology, WB Saunders Cohen:Pediatric Dermatology,Harcourt duVivier:Atlas of Clinical Dermatology, WB Saunders
3	More Texts Bork:Diseases of the Oral Mucosa and the Lips, WB Saunders Rook, Dawber:Diseases of the Nails Baran:Diseases of the Nails Dawber:Diseases of the hair
4	Resources-Journals Pediatric Dermatology Archives of Dermatology Journal of the American Academy of Dermatology Contemporary Pediatrics
5	Resources-Online dermatlas.com dermatlas.org Pubmed OMIN Various support groups/foundations MDConsult Emedecine
6	Office Pediatric Dermatology What can I evaluate and treat in the office? Depends on your comfort level, interest, time Common pedsderm problems account for 15-20% of office visits. Component of health maintenance Skin integrity, hair, nails Sun protection Mole check
7	Office Pediatric Dermatology What can I evaluate and treat in the office? Acne Atopic dermatitis and other dermatitides Infections and infestations Scabies, lice, fleas Viral infections (HSV,VZV,papillomavirus, molluscum) Bacterial infections Fungal infections (Candida, dermatophytes)
8	Office Pediatric Dermatology What can I evaluate and treat in the office? Nevi Pigmented Vascular (hemangiomas, malformations) Organoid (epidermal, sebaceous) Papulosquamous (psoriasis, dermatitides) Vesiculobullous Lumps/bumps (epidermoid, dermoid, GA, PG) Reactive erythemas (figurate, drug reactions, viral exanthems, Kawasaki, collagen vascular disease)
9	Office Pediatric Dermatology How do I use the dermatologist? To reassure the parents when I already know the diagnosis To reassure myself when I think that I know the diagnosis To make a diagnosis when I’m really stumped To collaborate with the dermatologist on specific patient care issues (eg. Accutane) To refer the patient for problems that require tertiary care
10	How do I make my consultation with the dermatologist valuable? First do a systemic evaluation of the patient. Identify a pattern, organization, morphology of the rash. Make a differential diagnosis and working diagnosis. Identify specific questions re: dx and rx. Identify relevant medical issues. Make the dermatologist work for you.