Understanding Common Skin Conditions in Children and When to See a Pediatric Dermatologist
Parents often find themselves navigating a variety of skin concerns as their children grow and need a pediatric dermatologist. The most common skin conditions in childhood are eczema, warts, acne, moles, and viral rashes. Occasionally these skin changes can be very distressing if the diagnosis is uncertain or the condition is not improving as expected.
Unlike adults, treating skin conditions in children requires much more education, tailoring treatments to the child’s age, and relating to younger ages.
It is also important to recognize that skin conditions can greatly impact children’s quality of life and social development. Dr. Daniel Grove, a board-certified dermatologist and pediatric dermatologist at Epiphany Dermatology in Charleston, has extensive experience addressing these unique challenges.
Common Skin Concerns in Children
One of the most frequent conditions Dr. Grove treats in children is eczema or atopic dermatitis. It is a chronic diagnosis that requires active maintenance and can randomly flare due to a number of triggers (i.e. environmental, infectious, seasonal changes).
Uncontrolled atopic dermatitis can be quite distressing to children due to constant itch, sleeping difficulties, and problems focusing in school. Uncontrolled atopic dermatitis will impact the entire household and can be extremely frustrating due to information and skin product overload.
In addition to atopic dermatitis, other common concerns include:
● Birthmarks: There are many different types of birthmarks ranging from simple benign lesions to larger more complex lesions. A classic example of a simple birthmark is a mole, but there are many other types of birthmarks such as hemangiomas or vascular malformations. Pediatricians are well equipped to manage simple birthmarks, but there is quite a wide array of birthmarks and presentations. I encourage parents of unevaluated birthmarks, especially if changing or symptomatic, to see a pediatric dermatologist.
● Warts and Molluscum Contagiosum: Warts and molluscum are caused by two different viruses that locally infect skin cells. The bumps commonly spread from contact via bath towels, sports, gym activities, or among household contacts. When over-the-counter treatments are not working or children are symptomatic or self-conscious about the bumps, I recommend seeing a dermatologist.
● Acne in Preteens and Teens: Acne can be incredibly distressing for children and adults. Uncontrolled severe acne can result in permanent scarring and long-standing dark spots, and impact social confidence. Dermatologists can help develop simple skin care routines and, if appropriate, guide you to clearer skin through medical intervention.
When to See a Pediatric Dermatologist
Parents may wonder whether a rash or skin issue warrants a visit to a specialist. According to Dr. Grove, common diagnoses (i.e. warts, acne, eczema, molluscum) that don’t improve after pediatrician evaluation and intervention warrant a referral. In addition, severe presentations of common diagnoses (ie rapidly spreading eczema or warts) should see a specialist.
Prevention and Healthy Habits
Dr. Grove encourages parents to focus on prevention and establishing healthy skin habits early. Dr. Grove’s pearls of wisdom:
- Use sunscreen regularly (mineral blocks are less irritating and work better!)
- UPF clothing and shade are great sun-protective additions during sports camps and beach days
- Don’t fall for the social media next-best skin product hype or trends
- Gentle facial wash, moisturizer, and sunblock are a great starting skin care regimen for most teens looking to start a facial regimen.
- When in doubt, ask your dermatologist!
Partnering with Parents
Dr. Grove emphasizes his commitment to partnering with parents in caring for their child’s skin, recognizing that every child is unique and every family has different needs. He also offers comprehensive dermatology services for the whole family. If you have concerns about your child’s skin or even your own, scheduling a consultation with an expert dermatologist can provide the answers and support you need.
Need to schedule an appointment for your child?
Schedule online or call our office at (843)556-8886.
