Children are welcome at Gaughf Dermatology. Providing the highest-quality care for all ages is a priority in a caring and compassionate environment. Common pediatric procedures can include evaluation and removal of moles and birthmarks and treatment of conditions such as eczema or atopic dermatitis, molluscum contagiosum and warts. If a biopsy is necessary, our goal is to make it as painless and trauma-free as possible. We also offer the best therapies and the newest technology for the treatment of acne in preteens and teenagers.
Atopic Dermatitis and Atopic Eczema
The word “atopic” means there is a tendency for excess inflammation in the skin and linings of the nose and lungs. This often runs in families with allergies such as hay fever and asthma, sensitive skin, or a history of atopic dermatitis. Although most people with atopic dermatitis have family members with similar problems, 20% of them are the only ones in their family with the condition.
Atopic eczema is very common in all parts of the world. It affects about 10% of infants and 3% of the total population in North America. Atopic eczema can occur at any age but is most common in infants to young adults. The skin rash is very itchy and can be widespread or limited to a few areas. The condition frequently improves with adolescence, but many patients are affected by atopic eczema throughout life, although not as severely as in early childhood.
When the disease starts in infancy, it is called infantile eczema. This is an itchy, oozing, crusting rash and occurs mainly on the face and scalp, but patches can appear anywhere. Because of the itch, children may rub their head, cheeks, and other patches with a hand, a pillow, or anything within reach. In many cases children eczema disappears before two years of age. Proper treatment can help until time solves the problem. Red scaly patches can present on the cheeks, folds of the arms and legs, but can occur anywhere. Atopic dermatitis can be long lasting and very itchy. Treatment is preferred to control itching, decrease inflammation and repair the skin barrier.
What We Do
- Moisturizers daily such as Aquaphor®, Vanicream®, CeraVe®, Cetaphil®, or Coconut Oil
- Topical medications – topical steroids, topical calcineurin inhibitor, exfoliants
- Orals – antibiotics, antihistamines, or immunomodulators
- Patch testing for allergens
- Customized Eczema boot camp to help relieve flares
Moles & Birthmarks
Known as nevi, moles and other birthmarks are benign pigmented spots or patches of skin that range in color from tan, brown, and black to red, pink or purple (vascular nevi, such as strawberry hemangiomas or port wine stains). Though most birthmarks are harmless, occasionally some may develop into cancer. A professional should examine moles exhibiting any of the following warning signs immediately:
- Itches or bleeds.
- Rapidly changes in color, size or shape.
- Multiple colors
- Looks different from all other moles
- Is located where it can’t be easily monitored, such as on the scalp.
Be aware that a mole does not have to be symptomatic to be dangerous. Therefore, at Gaughf Dermatology, we recommend that everyone have a yearly skin examination. Moles can be “atypical” or precancerous and often need to be biopsied for close monitoring. This leads to prevention and/or early diagnosis of melanoma. Melanoma can be fatal, but when diagnosed early, is completely curable.
Hemangiomas consist of blood vessels close to the skins surface and are considered vascular birthmarks. They may appear several weeks after birth. These are common on the head, neck, or limbs and can be pink, red, blue, or purple. Some hemangiomas shrink on their own over time while others grow as the child grows.
What We Do:
Our providers will examine your hemangioma and determine if any treatment is needed. Laser therapy can be one treatment of vascular birthmarks as well as topical or oral therapy. At Gaughf dermatology we stay abreast of the latest research on birthmark treatment.
Acne occurs for many reasons including oil clogging pores, bacteria, hormones and inflammation. It can be complicated by stress, heredity, and other factors. Acne can occur at any age throughout life and is very treatable. Treatment goals are to heal existing lesions, stop new lesions from forming, and prevent the development of scars.
What We Do:
Depending on your personal needs, acne treatments at Gaughf Dermatology may involve the following:
- Topical Medications
- Oral Antibiotics and Anti-Inflammatories
- Hormone medication, including birth-control pills and spironolactone
- Isotretinoin (Accutane) – for more severe acne or cases resistant to other treatment
- Photodynamic Therapy
- Medical grade cosmetic products