Tuesday, 3 July 2012

Treatment of cradle cap

This type of scaling is very common, particularly on the vertex, during the first few weeks of life, and is generally believed to represent persisting vernix. It may form when a mother refrains from cleaning an infant’s head during bathing for fear of injuring the “soft spot”. Such scaling may appear in early infancy in babies in whom the scalp was clear at birth. To some, this is a form of infantile seborrhoeic dermatitis; to others, it is a different entity. The scalp should be regularly oiled with coconut oil (in the more refractory case, water-dispersible bland emollient should be massaged into the scalp once or twice a day), left for several hours, and then rinsed out using a mild shampoo (soap should be avoided). After washing, a topical anti-yeast agent should be given, such as 2% ketoconazole cream. The scalp can be cleaned with 2% ketoconazole shampoo (it may cause some scalp irritation, not recommended by some) but shampoos containing selenium sulphide and applications containing salicylic acid or corticosteroids, should not be used on the scalp in neonates because of the dangers posed by their percutaneous absorption. Treatment should be applied for 10–14 days.

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Main Works of Reference List (The first eight are my top favourites)

  • British National Formulary
  • British National Formulary for Children
  • Guidelines (BAD - BASHH - BHIVA - Uroweb)
  • Oxford Handbook of Genitourinary Medicine, HIV, and Sexual Health
  • Oxford Handbook of Medical Dermatology
  • Rook's Textbook of Dermatology
  • Simple Skin Surgery
  • Weedon's Skin Pathology
  • A Concise Atlas of Dermatopathology (P Mckee)
  • Andrews' Diseases of the Skin
  • Andrology (Nieschlag E FRCP, Behre M and Nieschlag S)
  • Bailey and Love's Short Practice of Surgery
  • Davidson's Essentials of Medicine
  • Davidson's Principles and Practice of Medicine
  • Fitzpatrick's Colour Atlas and Synopsis of Clinical Dermatology (Klaus Wolff FRCP and Richard Allen Johnson)
  • Fitzpatrick’s Dermatology in General Medicine
  • Ganong's Review of Medical Physiology
  • Gray's Anatomy
  • Hamilton Bailey's Demonstrations of Physical Signs in Clinical Surgery
  • Hutchison's Clinical Methods
  • Lever's Histopathology of the Skin
  • Lever's Histopathology of the Skin (Atlas and Synopsis)
  • Macleod's Clinical Examination
  • Martindale: The Complete Drug Reference
  • Oxford Handbook of Clinical Examination and Practical Skills
  • Oxford Textbook of Medicine
  • Practical Dermatopathology (R Rapini)
  • Sexually Transmitted Diseases (Holmes K et al)
  • Statistics in Clinical Practice (D Coggon FRCP)
  • Stockley's Drug Interactions
  • Treatment of Skin Disease: Comprehensive Therapeutic Strategies
  • Yen & Jaffe's Reproductive Endocrinology