Clinical Pediatric Dermatology - E-Book
Parents bring their children to pediatrician for common pediatric problems and ask for opinion on coexisting skin problems (secondary complaint) or they come with primary dermatological problems. Very few pediatricians work in dermatology OPD or wards during their training in pediatrics and hence are not able to handle dermatological complaints when they set up their practice. When faced with such a problem, there is a tendency to prescribe ointments containing antibacterial, antifungal agents, and steroids. Such a polytherapeutic approach may have disastrous consequences. Moreover, some of the dermatological conditions in children are different from those in adults. In this era of sub-specialization, general pediatricians who offer primary care to children must be knowledgeable in pediatric dermatological problems. Since 20–30% of cases in pediatric practice have dermatological problems, there is a need for a book on "Pediatric Dermatology" keeping in view the specific problems encountered in Indian subcontinent.
Clinical Pediatric Dermatology is primarily meant for beginners in pediatric dermatology and pediatricians. This book has been written keeping in view the interests of both. The main purpose of this book is to educate pediatricians and dermatologists who take care of young ones with pediatric dermatoses.
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Dr. D. M. Thapa has tried to cover various skin manifestations, physiological and pathological, present in children, through his book, Clinical Pediatric Dermatology. Dr Thapa, an eminent personality in the field of Pediatric Dermatology, has succeeded in including wide range of topics and focusing on most of the common pediatric skin affections. Keeping in mind the audience for the book, its organization seems to be quite logical and the sequence of chapters is well thought of. The book starts off by discussing fundamental topics (e.g.,general pediatric skin care and skin infections) and then continues to more complex disorders (e.g., vesicobullous disorders and genodermatoses). Diseases associated with skin appendages are clubbed together for simplicity. Lastly dermatological emergencies along with certain newer therapeutics in skin diseases have been described. The book is colorful with an attractive layout. The content section of the book is quite elaborate, with detailed enumeration of various subtopics. The excellent print quality, with good quality pages, single volume book, in a slim format makes it a pleasure to read.
As this book is specifically designed for the pediatric and primary care provider with an interest in dermatology, the subject matter is dealt in a fashion that is concise and complete at the same time. Large number of good quality photographs is an asset of this book.
Although this book has got a wide coverage with inclusion of some interesting topics like STD in teenage group and cosmetics in children, there are areas where the book can improve. In spite of the fact that the book shows different photographs for various diseases, certain important diseases have been left conspicuously without any illustration. For example, in chapter on Exanthems, there are no figures at all! Similarly seven illustrations have been provided for the disease acrodermatitis enteropathica with no images relating to protein energy malnutrition. Various other diseases for which pictures could have been quite helpful are onychomycosis and contact dermatitis in children. I wish if at least some classic papers and more recent references were included throughout the text. A dedicated section on skin manifestations of child abuse and factitious dermatoses, which we increasingly see in our OPD, would have made the book complete. Given the wealth of information provided in this book, the index could also be improved. For example, staphylococcal scalded skin syndrome is listed not under “staphylococcal scalded skin syndrome” but rather under “toxin-mediated staphylococcal syndromes”.
The book is reasonably well written using simple English with clear and vivid writing. But it could have been more user friendly by including more tables, diagrams, flowcharts/algorithms. The text could have been more appealing if it was in the form of bullets rather than passage.
The book has very many features that may be helpful to readers. It includes almost all pediatric dermatological diseases seen commonly in our OPD or wards. The book is written with reference to Indian context and hence has direct application at point-of-care setting. For the book to become further more relevant for use in such setting, I suggest that wherever possible, the management of the diseases may be described more specifically. For example, rather than simply enumerating the drugs for treating contact dermatitis the duration of therapy along with drug dosages may have been included. This would be helpful to the readers as it would obviate the need not refer another book to decide about treatment. I feel that the chapter on Neonatal Dermatology, one of the respected pediatric disciplines, is quite brief, and could have been more elaborate. Chapters on Infestation, Bacterial, Viral and Fungal infections are especially useful as the description is with respect to Indian subcontinent.
There are very few books on the subject of Pediatric Dermatology, as for example, I could find only one other book on this subject from Indian authors. Few other books with
18 Keratinization disorders
19 Connective Tissue Disorders
20 Photosensitivity Disorders
22 Nutritional Deficiency Disorders
23 Disorders of sebaceous and sweat glands
24 Disorders of Hair and Nail
25 Cosmetics in Children
9 Viral Infections
10 Fungal Infections
12 Eczemas and Dermatitis
13 Urticaria Angioedema and Adverse Cutaneous Drug Reactions
14 Mastocytosis and Histiocytoses
15 Pigmentary Disorders
16 Papulosquamous Disorders
17 Vesicobullous Disorders