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Pustular rashes
Consider: Acne vulgaris (there should be accompanying comedones) [6] Folliculitis (small pustules at the base of hairs) [7] Pustular psoriasis [2]
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Without
Consider:
Algorithm
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Summary of Paediatric Skin Rashes: adapted by Dr Adrian M Bonsall, BA(Hons), MBBS (London) (Hons), MRCPCh (I), FACEM (Primary) from the Paediatric Handbook 6th Ed. Royal Children's Hospital, Melbourne.
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4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. Klein P; Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis eMedicine.com 2009. Pompholyx, DermNet NZ Webster GF; Acne vulgaris. BMJ. 2002 Aug 31;325(7362):475-9. Sladden MJ, Johnston GA; More common skin infections in children. BMJ. 2005 May 21;330(7501):1194-8. Greaves MW; Chronic urticaria in childhood. Allergy. 2000 Apr;55(4):309-20. Keratosis Pilaris; DermAtlas 2007 Curtis D; Cellulitis eMedicine.com 2009. Freeman AF, Shulman ST; Kawasaki disease: summary of the American Heart Association guidelines. Am Fam Physician. 2006 Oct 1;74(7):1141-8. Lewis LS, Roseola Infantum, Medscape, May 2012 Asano Y , Yoshikawa T, Suga S, et al; Clinical features of infants with primary human herpesvirus 6 infection (exanthem subitum, roseola infantum). Pediatrics. 1994 Jan;93(1):104-8. Fifth disease; DermNet NZ Parvovirus; Public Health England Picture of Measles Rash; Red Book Online 2007 Streptococcal and Enterococcal Infections; Merck Manuals 2009. Yung AP, McDonald MI; Early clinical clues to meningococcaemia. Med J Aust. 2003 Feb 3;178(3):134-7. Kraft DM, Mckee D, Scott C; Henoch-Schonlein purpura: a review. Am Fam Physician. 1998 Aug;58(2):405-8, 411. Khalid S, Khurshid M; Presentation of a patient with palpable purpuric rash. J Pak Med Assoc. 2009 Jan;59(1):46-7. Watts RG; Idiopathic thrombocytopenic purpura: a 10-year natural history study at the childrens hospital of alabama. Clin Pediatr (Phila). 2004 Oct;43(8):691-702. DyneP, Sawtelle S, DeVore H; Pediatrics, Henoch-Schnlein Purpura eMedicine.com 2009. Weisse M; The fourth disease, 1900-2000 The Lancet 2001; 357:299-301 No authors listed; Fourth, fifth, and sixth. Br Med J. 1974 Nov 23;4(5942):429.
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Original Author: Dr Adrian Bonsall, Dr Sean Kavanagh Last Checked: 18/03/2011 Current Version: Dr Laurence Knott Document ID: 1981 (v25) EMIS
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