Update on pediatric dermatologic surgery from tots to teens

Julianne A. Mann

Research output: Contribution to journalReview article

5 Scopus citations

Abstract

PURPOSE OF REVIEW: Children and their parents typically present to pediatricians to discuss treatment options for melanocytic nevi, nevus sebaceus, port-wine stains, and hemangiomas. Each of these conditions may be medically managed, but in some situations surgical intervention may be preferable. RECENT FINDINGS: Although recent studies have improved our understanding of melanoma risk among patients with congenital nevi, prospective trials are needed to more accurately assess whether surgical excision mitigates this risk. The risk of basal cell carcinoma within nevus sebaceus appears to be low, but more conclusive data requires further studies with modern immunohistochemical analysis. Pulsed dye laser is effective for treating port-wine stains, although the optimal timing is controversial. While oral and topical beta blockers have revolutionized the treatment of proliferating infantile hemangiomas, laser and/or surgical excision are useful in selected situations. SUMMARY: Excisional and/or laser surgery are indicated for certain common dermatologic conditions in children, although the optimal timing of these interventions is often subjective. Pediatricians should be familiar with why and when to refer patients for surgery of these common dermatological conditions.

Original languageEnglish (US)
Pages (from-to)452-459
Number of pages8
JournalCurrent Opinion in Pediatrics
Volume26
Issue number4
DOIs
StatePublished - Aug 2014

Keywords

  • Spitz nevus
  • congenital melanocytic nevus
  • hemangioma
  • nevus sebaceus
  • pediatric dermatologic surgery
  • port-wine stain
  • pulsed dye laser

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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