It would seem that children only need a specialist in dermatology. But as practice shows, children also suffer from ic diseases transmitted to them by inheritance or at birth. The specificity of children's dermatology is such that this should be done by a doctor who specializes specifically in the problems encountered in children. Pediatric dermatovenereologist diagnoses and treats disorders of the skin, mucous membranes of organs, hair, nails.
During the course of the disease, as a rule, not only the integument of the human body is involved, but also the visceral parts of the structure, as well as the nervous and endocrine. This is because the child often has impaired immunity, mutagenic manifestations, viral diseases, the use of a large number of drugs that could be dispensed with. It happens that children may have an individual predisposition. Such a specialist as pediatric dermatovenereologist be sure to take into account the features of the manifestation of dermatosis and many other diseases, focusing on the age of the child.
Less harmful immunosuppressive drugs, rather than kartosteroids or cytostatics, should be used to treat childhood illnesses. Constantly ongoing research in this field of medicine improves knowledge about the origin and treatment of these diseases, even the terminology may change.
The condition of the skin in young children almost completely depends on the living conditions and the mode of care for it. Children's doctors are doing their best to use non-invasive methods of treatment, and also try to reduce the drug burden on the body.
What diseases does a pediatric dermatovenereologist treat?
The main diseases that come to the professional more often than others are as follows:
- lichen planus;
- pyoderma;
- psoriasis;
- warts;
- acne;
- dermatitis;
- papillomas;
- seborrheic and perioral dermatitis;
- scabies;
- reaction to insect bites;
- cutaneous mastocytosis;
- granuloma annulare;
- trichomoniasis.
Rashes on the skin of babies can begin almost from the first days of life. Sometimes parents, due to some circumstances, do not attach due importance to this. But if the baby's immunity is weakened, and there is irritation on the skin, this may be the first signal that there are internal reasons for this. In addition, skin problems are a reason for the development of side infections and complications. If there is an adult in the house who is sick, for example, with mycosis, the newborn may well get the same infection. It should be remembered that the skin is a kind of indicator, knowing the features of which, one can draw conclusions about the general condition of the body.
When should a child be seen by a doctor?
With the following symptoms, you should sound the alarm and carry the baby to an appointment with a specialist:
- redness on the skin;
- rash, itching;
- spots, erosion;
- crusts, peeling;
- papillomas on the skin;
- growth of a wart;
- nevi (pigment spots) or moles;
- boils;
- changing the color of nails and others.
However, today you can call a specialist at home. This can be done if you go to a paid clinic or a good medical center. And the initial consultation can be obtained even on the Internet. If you already have your family dermatovenereologist , then you can refer to it. Surely he will advise a good specialist in childhood diseases from the same clinic.
Reception of a pediatric dermatovenereologist
At the appointment, the doctor examines the patient-child, and conducts an interview with the mother. If the baby is at the age that he can give intelligible answers to the doctor's questions, then this happens in the presence of one of the parents. Keep in mind that the baby may be shy of mom or dad, but the doctor will definitely find that special approach that will ensure the ability to make the correct diagnosis.
Diagnostics
The types of diagnostics used in pediatric dermatology are as follows:
The sooner you go to the clinic about the disease, the more guarantees of successful treatment of the disease. A child's body can be so fragile that any attempt at self-treatment will only harm the baby. An experienced specialist is able to determine the nature of the rash or other disorders that have occurred with the skin, mucous membranes, nails and hair of the child.
For example, the removal of a molluscum contagiosum is prescribed by a doctor if this minor cosmetic defect suddenly begins to grow. The procedure can be carried out in one of two ways: laser or cryosurgical intervention.
The essence of the first method is that the affected area is heated with a beam up to one hundred and fifty degrees. In this case, the “evaporated” place cannot be wetted with water for several days. If the wound is treated with antiseptic agents for a certain time, scars and scars should not remain. This technique has its advantages: it can be performed on an outpatient basis, it is painless, has a stable result, no recurrences are noticed, it is a non-contact method, after the procedure the wound heals quickly.
If the mollusk has grown, it is cauterized with liquid nitrogen under local anesthesia. The procedure is carried out in three sessions and does not leave marks with proper care and performance. Another way for an extensive lesion is a Volkmann spoon or tweezers. It is not worth carrying out the procedure at home, because only a doctor can correctly determine the type of rash, and competent execution ensures that there will be no traces left on the baby’s body afterwards. Toys with which the child played in a state of illness must be disinfected. While the baby is sick and being treated, other children should not be allowed to see him.
Advantages of the best medical clinics
Given the specific behavior of children, it is better to treat skin and similar diseases in a private paid clinic - only here you will not put the child at risk of contracting another disease, instead of healing the one you came with.
Children are very sociable; in municipal institutions, waiting in line takes place in a common corridor. In the paid center you will be recorded for a certain time, there will be no queue, and the time is strictly observed. Your baby will be examined by an experienced specialist who has a certificate and a scientific title. You will be prescribed gentle, and at the same time, effective medications. You will receive comprehensive information about the nature of your child's disease, and at the appointment, the doctor will not take notes without looking at the patient, but will talk with you and your baby. Diagnosis and treatment will be performed by the best quality equipment and also without long queues. Create an opportunity for your child to receive good treatment!
- Qualified dermatologists with extensive experience working with children.
- Own pathomorphological laboratory.
- It is possible to obtain a "second opinion" of experts from the USA, Israel, France and other countries.
A pediatric dermatologist deals with the treatment of diseases and pathologies of the skin, mucous membranes, hair and nails of a child. The work of a dermatologist specializing in the treatment of adults differs significantly from that of a pediatric dermatologist. First of all, this is due to the peculiarities of children's skin: it is much more sensitive, and almost all pathologies that occur in the child's body directly affect its condition.
Qualified dermatologists of the EMC Children's Clinic treat patients from the first days of life up to 18 years old inclusive. All of them are certified and have extensive experience working with children. Many EMC specialists have been trained in leading clinics in Europe, Israel and the USA. Pediatric dermatologists of our clinic actively cooperate with pediatricians and other pediatric specialists in order to provide comprehensive medical care to residents of Moscow and other cities of Russia.
Thanks to the use of an individual approach to the treatment of each small patient and the creation of the most favorable conditions for his recovery, the maximum effectiveness of treatment is achieved, which is carried out by the specialists of our children's clinic. The dermatologist will conduct an examination, collect an anamnesis and draw up an optimal treatment plan for each child.
There are several key areas in the work of a pediatric dermatologist at the EMC clinic:
General dermatology involves an interdisciplinary approach to the diagnosis and treatment of skin diseases. All problems are considered taking into account the general health of the child. If necessary, other EMC doctors of various specializations are also involved in the treatment.
General dermatology includes:
diagnosis and treatment of acute and chronic skin diseases;
non-invasive diagnostics of the skin condition;
selection of individual products for the care and treatment of sensitive children's skin;
diagnostics and treatment of rheumatological diseases and connective tissue pathologies: skin and systemic forms of scleroderma, discoid lupus erythematosus and other collagenoses;
differential diagnosis and treatment of psoriatic and.
Dermatological surgery at EMC Children's Clinic includes:
carrying out all types of removal of skin neoplasms (molluscum contagiosum, warts, papillomas, etc.) using methods such as laser and electroexcision, cryodestruction;
treatment of wounds, burns, insect bites;
Removal of all types of skin neoplasms in the EMC Children's Clinic is performed under local anesthesia or during medical safe sleep (if necessary).
Dermatooncology and diagnosis of moles:
diagnosis of skin neoplasms using the most modern diagnostic equipment;
use of non-invasive diagnostic methods;
monitoring of moles: drawing up an electronic photodermatoscopic individual map of moles with the possibility of their annual dynamic control, using the Mole Mapping system;
removal of dangerous moles under local anesthesia by experienced surgeons according to modern European protocols, followed by pathomorphological examination in EMC's own cytological laboratory;
performing all types of skin biopsy (punch biopsy).
Mycology:
diagnosis of fungal diseases using the most modern research methods;
conducting microscopy with determining the type of pathogenic fungus and selecting the optimal therapeutic drug in our own laboratory;
treatment of fungal infections of the skin, mucous membranes, nails and hair in accordance with the European protocol.
Trichology:
diagnostics and treatment of all types of hair loss (focal, diffuse, androgenetic, cicatricial alopecia), including a comprehensive examination to identify the general metabolic causes of hair loss;
treatment of diseases of the scalp and selection of hygienic and medical products for hair care;
treatment of seborrhea in children.
Physiotherapy:
general and narrow-band ultraviolet (PUVA and UVB), selective pulsed and laser infrared therapy, acupuncture, phonophoresis;
laser correction of vascular formations of the skin, complex treatment of rosacea and cicatricial effects of acne.
Venereology:
treatment and prevention of frequent relapses of herpes infection, including vaccination;
diagnosis of human papillomavirus, determination of the risk of oncogenicity;
cryosurgery, radio wave excision and electroexcision of papillomavirus neoplasms, including those of genital localization;
development of individual schemes for immunotherapy and prevention of human papillomavirus;
examination and treatment of sexually transmitted infections (trichomoniasis, chlamydia, ureaplasmosis, mycoplasmosis, gardnerellosis, candidiasis, herpes);
complete diagnosis of syphilitic infection, including the congenital form;
emergency prevention;
diagnosis of HIV infection.
Dermatologists at the EMC Children's Dermatological Center in Moscow widely use the method of phototherapy for the treatment of skin diseases such as atopic dermatitis (neurodermatitis), parapsoriasis, lichen planus, seborrheic dermatitis, patchy alopecia, vitiligo, etc. Experts note high efficiency, versatility and the safety of phototherapy, which is especially important in the treatment of diseases in children.
On the basis of the Clinic of Dermatovenereology and Allergology-Immunology of the European Medical Center, the Pruritus Center successfully operates, within which specialists from various fields provide comprehensive assistance to patients with acute and chronic manifestations of this disease.
Itching can be a symptom of many skin diseases, internal diseases, neurological and mental disorders. Specialists of the Itching Treatment Center work in accordance with modern international standards and use the latest diagnostic methods, which allows them to provide assistance to patients at the highest level. Among the services offered:
outpatient and inpatient care;
local and systemic drug therapy;
psychological help;
phototherapy.
The European Medical Center has its own pathomorphological laboratory, which allows for histological examinations. If necessary, it is possible to obtain a "second opinion" of experts from the USA, Israel, France and other countries regarding biopsy specimens (remote formations).
In our clinic, you can always undergo a medical examination and get certificates from a pediatric dermatologist for a swimming pool, a sports club and children's institutions.
A pediatric dermatologist is the same dermatologist, but dealing with the treatment of diseases of the skin and its appendages (hair, nails), mucous membranes, taking into account the specifics of the child's body. After all, children's skin, especially in young children, is different from the skin of adults. Many diseases of the internal organs of the child (digestion disorders, allergies) immediately affect the condition of the skin.
For accurate and timely diagnosis, treatment of delicate children's skin, taking into account the specifics of the child's body, requires special knowledge of a narrow-profile specialist - a pediatric dermatologist.
What are the symptoms of visiting a pediatric dermatologist?
Parents should definitely show their child to a pediatric dermatologist if he has the following symptoms:
- the skin turned red, flaky, crusts, cracks appeared;
- erosion, weeping areas;
- acne, including teenage;
- blisters with severe itching appeared;
- any formations on the skin: moles, warts, papillomas;
- purulent inflammation in the area of the base of the hair, as well as the sebaceous glands and tissues surrounding the hair;
- general baldness or excessive hairiness of the trunk and limbs;
- change in the structure of the nails.
Skin diseases in children with their manifestations are quite different from skin problems in adults. Various rashes and morphological changes in the skin give outwardly to know about the presence of a dermatological disease in a child. These are all kinds of spots and rashes, papules and tubercles, nodules and blisters, pustules and vesicles, scales, abrasions, scars, sores, and so on.
In turn, it is important that parents understand that even harmless skin manifestations can be a symptom of much more serious systemic diseases: autoimmune, infectious or hereditary.
Examination methods used by a pediatric dermatologist
A few days before the first visit to the dermatologist, you should not use anti-allergic and any external medications, as this will affect the picture of the disease, which is important during the examination. The appointment lasts about 30 minutes.
A pediatric dermatologist usually starts with a conversation with the parents and the child. The doctor will clarify complaints, find out how the child eats (the presence of possible allergens), in what conditions he lives. After that, a visual examination of the child is mandatory. To clarify the diagnosis, the dermatologist may need an additional examination:
- general, biochemical blood test;
- blood test for antibodies and antigens;
- microscopy of the affected area (scraping);
- histological, cytological examination;
- planting for flora.
The doctor, if possible, will remove the papilloma, the wart, and advise you on medical cosmetics suitable for your child. After treatment, control is mandatory.
Children's dermatologist at a private clinic
Many private clinics in Moscow offer a paid medical service to see a pediatric dermatologist. Private medical centers were created in accordance with all the requirements of Russian and international standards, which made it possible to avoid the shortcomings of state polyclinics associated with the use of outdated equipment and queues.
Experienced professionals provide children with professional medical care at the highest level. Pediatric dermatologists at private clinics in Moscow work with children from infancy to adulthood.
Our Help Center for private medical institutions in Moscow "Your Doctor" will help you choose a medical institution close to your place of residence, make an appointment with a pediatric dermatologist at a convenient time for you.
A dermatologist is a doctor who treats diseases not only of the skin, but also of hair, nails, and mucous membranes. Children's skin is very thin and delicate, so it is constantly exposed to dangers. In addition, kids do not like to sit still, but try to independently explore the world around them, touching everything that is of interest. Hence the frequent damage to the skin, often caused by infections.
What does a doctor do?
Pediatric dermatologists are doctors who are visited relatively rarely, so it is not easy to meet them in a simple clinic. Most often they work in large medical institutions, as well as private clinics. In order to establish a diagnosis, the doctor often needs only an examination, but often he is forced to refer the patient for additional examination. In most cases, they become tests.
The list of diseases that a pediatric dermatologist treats is quite voluminous. One of the most popular reasons for contacting such a doctor is lichen, which children become infected with when they come into contact with homeless animals. The specialist also fights acne. Often he has to interact with an allergist, because many allergic diseases provoke skin rashes. Various warts, papillomas, bumps of unknown origin are also the subject of the doctor's work. He also treats serious, life-threatening diseases (for example, scleroderma).
When should you visit a pediatric dermatologist?
Skin diseases are almost always noticeable. With the appearance of a rash, pustules, wounds (in the absence of injuries), you need to take the baby to the pediatrician as soon as possible. He, if necessary, will give a referral to a pediatric dermatologist. Alarming symptoms can also be peeling of the skin, constant itching, increased sensitivity of the skin, and hair loss. On examination, the specialist tries to find the cause of the ailment that has arisen, because it can often be caused by a disease of other organs (for example, intestinal disorders often cause acne).
How to become a pediatric dermatologist?
Unfortunately, it is impossible to get a specialized education in pediatric dermatology. If you decide to become a specialist in this field, then you should first take a course in the Pediatrics program. You can do this at PMGMU them. THEM. Sechenov and RNIMU them. N.I. Pirogov. Next, it is worth continuing your studies in residency in the direction of "Dermatovenereology". After receiving the diploma, as well as throughout the entire medical practice, it is recommended to regularly take specialized courses aimed at improving qualifications in the field of pediatric dermatology. So, for example, a similar course of lectures can be listened to at the State Scientific Center for Dermatovenereology and Cosmetology.
Famous specialists of Moscow
The Department of Pediatric Dermatology of the State Research Center for Dermatovenereology and Cosmetology is by far the most authoritative institution conducting research in this area. Its history dates back to the first third of the 20th century, when the State Venereological Institute was established in Moscow. It was headed by S.L. Bogrov, a student of the famous dermatologist A.I. Pospelov. Active research work was carried out throughout the existence of the Institute. In 1929, the manual "Venereal Diseases in Children" was prepared, which marked the beginning of work on childhood diseases at the institute. The textbook was edited by V.M. Bronner. Today, the Department of Pediatric Dermatology is headed by D.V. Proshutinskaya, MD, member of the European Society of Pediatric Dermatology.
Cosmetologist, dermatologist, laser therapist The priority area of work is injection methods in cosmetology. The leading place in practice is occupied by the method of contour injection plastic: fragmentary filling, vector lifting, 3-D face modeling, bio-reinforcement, correction of congenital and acquired defects of the soft tissues of the face. He owns the method of non-surgical facelift with Aptos threads, methods of thread reinforcement. She has experience in cell technologies - SPRS-therapy: skin diagnostics and anti-aging therapy. He owns the perfect technique for transplanting autofibroblasts into the patient's skin. Engaged in the correction of mimic wrinkles with Dysport, biorevitalization and bioreparation methods. Education: Graduated with honors from the Siberian State Medical University with a degree in medicine. At the same time, she studied at the department of fundamental medicine, which is an elite system of multicomponent additional education for students of the medical faculty with a high level of current performance, aimed at training highly qualified specialists. Graduated from clinical residency in dermatology and venereology, advanced training of the Faculty of Postgraduate Medical Education in the specialty of cosmetology. Advanced training courses: Training in the program "Therapeutic cosmetology", 288 hours 2009: Participant of the 68th All-Russian Scientific and Practical Conference named after. N.I. Pirogov; Training under the program "Mesotherapy in Therapeutic Cosmetology"; Programma di biorivitalizzazione long-acning IAL-SYSTEM ; Certification course "Theory and practice of using Dysport (botulinum toxin type A) in aesthetic medicine" with the right to use this drug in clinical practice; Course for the use of Restylane, Restylane Perlane, Restylane Touch, Restylane vital, Restylane Lipp, Restylane Light; 2011: Application of the collagen preparation COLLOST in dermatocosmetology; Contour correction with Perfectha Derm preparations (France); Scientific and practical educational program on methods of working with Botox (botulinum toxin type A); Training under the program "Methods of working with intradermal implants based on hyaluronic acid Juvederm ULTRA and Surgiderm"; 2012: Course "Fundamentals of permanent makeup", 72 hours; Scientific and information program on anti-aging therapy "Volumemetric methods for correcting involutional changes in the face with Juvederm VOLUMA"; 2013: Workshop The advantages of the combined use of polyrevitalizants of the NCTF 135 collection and biorevitalizants M-HA10 and M-HA18 in the prevention and correction of involutional skin changes; 2014: RegenLab Autologous Cellular Rejuvenation; Certificate of attendance at theoretical and practical seminars on SPRS therapy with the right to conduct, Human Stem Cell Institute; Application of Er:Yag and Nd:Yag technology in dermatocosmetology; Full certified training in modern high-tech quantum technologies in aesthetic medicine on the Palomar StarLux500 laser system; Intensive course on cosmetology methods Aptos Light Lift; Intensive course on cosmetology methods Aptos Nano; Intensive course on cosmetology methods Aptos Excellence; 2015: Theoretical and practical course on hardware technology HydraFacial, Edge System (USA); Training on the device Vitalaser 500 PLUS GmbH (Germany), Laser biorevitalization of the skin; Reconstruction of facial skin using Fotona 4D laser technologies - a new concept of rejuvenation; "Laennec - human placenta hydrolyzate" with the right to use this drug in therapeutic practice and aesthetic medicine; Acne. Pathogenesis. Correction of 1-4 degrees. IMAGE Aesthetic Institute; Course theoretical and practical course BIOCEUTIC and INTERACTIVITY, NATINUEL; Course "Professional recipes and massage techniques ELLA BACHE"; The course "Theory and practice of using Meso-Wharton P199 in aesthetic medicine" with the right to use this drug in clinical practice; The course "Theory and practice of using Meso-Xanthin P199 in aesthetic medicine" with the right to use this drug in clinical practice; Participant of scientific conference YVORE The Art of Embodiment of Excellent Results; Participant of the theoretical and practical seminar "Modern Trichology"; Course "Tropical peels ONLY YOURx". Participation in events: 2006: Participant of the 65th All-Russian Scientific and Practical Conference named after N.I. Pirogov 2008: Winner of the 67th All-Russian Scientific and Practical Conference named after. N.I. Pirogov in the section "Topical issues of dermatology and cosmetology"; Winner of the 67th All-Russian Scientific and Practical Conference named after V.I. N.I. Pirogov in the section "Topical issues of oncology". In 2003 she was awarded by the Governor of the Tomsk Region V.M. Kress "For special achievements in teaching". He is the winner of the Final All-Russian Scientific and Practical Conference named after. N.I. Pirogov in the section "Actual issues of dermatology and cosmetology". She was engaged in scientific activities under the guidance of the famous Russian oncologist, D.M.N., professor, "Excellence in Health", member of the board of national experts of the CIS countries on lasers and laser technologies, head of the department of the Oncology Research Institute of the Russian Academy of Medical Sciences Evtushenko Vera Alexandrovna. Participant of the All-Russian Scientific and Practical Conference INNOVATION RAS, 2009. Participant of the All-Russian Charitable Action SMILE, annually held on the basis of the Research Institute of Microsurgery and Plastic Surgery of the TSC RAMS. This is an action of high-tech assistance to children and adults with malformations, deformities in the maxillofacial region. General practice: Experience: 8 years.
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