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Erythema
Published in Giuseppe Micali, Pompeo Donofrio, Maria Rita Nasca, Stefano Veraldi, Vulval Dermatologic Diagnosis, 2015
Giuseppe Micali, Maria Rita Nasca, Stefano Veraldi
Clinical aspect: On the vulva, inverse psoriasis more often appears as sharply demarcated, bright red, nonscaling and glazed patches that may be associated with pronounced vestibular erythema (psoriatic vestibulitis) (Figure 2.1.3). Inverse psoriasis may involve the genitocrural area with confluent, bright red, slightly scaling plaques on the labia majora and the mons pubis, and scattered, well-demarcated erythematous patches on the inner thigh (Figure 2.1.4). Smooth, well-defined erythematous patches involving the inguinal and gluteal folds in the napkin area (napkin psoriasis) as a result of the Koebner’s phenomenon are also common findings in affected children (Figure 2.1.5). Symptoms are highly variable and may range from minimal discomfort to intense itching and/or burning. If pruritic, excoriations and lichenification due to scratching and rubbing may be observed.
Skin disorders
Published in Janet M Rennie, Giles S Kendall, A Manual of Neonatal Intensive Care, 2013
Janet M Rennie, Giles S Kendall
Napkin psoriasis is a severe form of the disorder which presents in the neonatal period with a well-demarcated, bright-red napkin rash with small scaly patches beyond the margins. This then disseminates with extensive psoriatic lesions to the scalp and face and trunk. The condition is usually self-limiting, resolving within a few weeks.
Perspectives on the pharmacological management of psoriasis in pediatric and adolescent patients
Published in Expert Review of Clinical Pharmacology, 2021
Emmanuel Mahé, Maud Amy De La Bretêque, Céline Phan
In addition, ciclopirox cream can be used to treat napkin psoriasis. Napkin psoriasis is often associated with bacterial and fungal superinfection. Thus, the antifungal, antibacterial and anti-inflammatory activities of ciclopirox, together with its galenic properties, mean that this agent can be used as a safe alternative to corticosteroids in infants with this condition. Ciclopirox cream should be applied after each diaper change, and should be used in conjunction with hygiene measures (i.e. routine washing of the affected area with soap and water).