RESUMO
Langerhans cell histiocytosis (LCH) (previously called eosinophilic granuloma, Hand-Schüller-Christian syndrome, Letterer-Siwe disease, and Hashimoto-Pritzker disease) is a rare, heterogeneous disorder with highly variable presentation. LCH commonly affects the skin, as well as internal organs. Because the skin lesions appear benign, and LCH is unfamiliar to most physicians, diagnosis is often delayed. Treatment is controversial, with further clinical study needed. For persons with extensive, skin-limited disease, the existing topical therapies are impractical. We present a child with cutaneous LCH lesions that responded to ultraviolet light phototherapy with minimal adverse effects or patient discomfort.
Assuntos
Histiocitose de Células de Langerhans/radioterapia , Terapia Ultravioleta/métodos , Corticosteroides/uso terapêutico , Histiocitose de Células de Langerhans/tratamento farmacológico , Histiocitose de Células de Langerhans/patologia , Humanos , Lactente , Masculino , Couro Cabeludo/patologia , Resultado do Tratamento , Terapia Ultravioleta/efeitos adversosRESUMO
Skin care practices play an important role in the health of well newborns and hospitalized neonates. Fortunately, for many aspects of neonatal skin care, there exist evidence- or consensus-based recommendations to guide best practices. Based on our review of the recent medical literature, we include in this manuscript the current recommendations regarding neonatal skin cleansing and antisepsis; umbilical cord care; use of emollients; and prevention of diaper dermatitis. In addition, we review the recommended practices for preventing and treating pressure ulcers, wounds, and other skin injuries in hospitalized neonates.