Pediatric Dermatology: Maui Derm 2019 Highlights
Sheila Fallon-Friedlander, MD
Dr. Fallon-Friedlander began her presentation with a discussion of rare cases of Spitz nevi in children and strategies when encountering Spitz nevi in pediatric patients under the age of 12. In addition, Dr. Fallon-Friedlander discussed the incidence of melanoma in pediatric patients with congenital melanocytic nevus (CMN), including how to identify which patients with CMN are most at risk for melanoma. In addition, the role of genetic mutations in CMN was discussed, as well as a case of aggressive melanoma in an infant with congenital nevus syndrome and multiple NRAS and BRAF mutation-negative nodules. Dr. Fallon-Friedlander also reviewed screening guidelines for thyroid function in children with alopecia areata. In addition, Dr. Fallon-Friedlander discussed terbinafine therapy for pediatric onychomycosis and culture methods for the diagnosis of the condition. Dr. Fallon-Friedlander concluded her presentation with a discussion of molluscum contagiosum.
Ilona Frieden, MD
Dr. Frieden’s presentation covered such topics as infantile hemangiomas (IH) and vascular malformation updates. Dr. Frieden reviewed the clinical practice guidelines for the management of IH from the American Academy of Pediatrics, including guidelines on risk stratification, timing of referrals for IH, and the management of IH across multiple medical and surgical specialties. In addition, Dr. Frieden discussed risk factors for the degree and type of sequelae after the involution of untreated IH as well as studies on propranolol for the treatment of high-risk IH and timolol for superficial IH. Moving on to vascular malformations, Dr. Frieden discussed somatic mosaicism, new research on the cause of birthmarks, and a case of Klippel-Trenaunay syndrome treated with sirolimus. Dr. Frieden also discussed sirolimus for the treatment of lymphatic malformation.
