Presentations
- Evolve postnatally
- Present at birth
- Rashes and other skin lesions
- Structural malformations
Conditions
- Common newborn conditions, such as:
- cradle cap
- eczema
- erythema toxicum
- giant congenital melanocytic nevus
- milia
- miliaria
- nappy rash
- pigmentation changes
- Dermatological considerations related to prematurity
- Disorders of the:
- Iatrogenic conditions:
- extravasation and surgical wound care
- Infectious causes of rashes:
- cytomegalovirus (CMV)
- syphilis
- Pressure injuries
- Skin manifestations of intrauterine infections
- Skin manifestations of maternal conditions, including:
- systemic lupus erythematosus (SLE)
- Structural problems, such as:
- cutis aplasia
- incontinentia pigmenti
- skin tags
- Vascular malformations, such as:
- haemangiomas
- naevus flammeus
- naevus simplex
- vascular malformations
For each presentation and condition, Advanced Trainees will know how to:
Synthesise
- recognise the clinical presentation
- identify relevant epidemiology, prevalence, pathophysiology, and clinical science
- take a comprehensive clinical history
- conduct an appropriate examination
- establish a differential diagnosis
- plan and arrange appropriate investigations
- consider the impact of illness and disease on patients and their quality of life when
developing a management plan
Manage
- provide evidence-based management
- prescribe therapies tailored to patients’ needs and conditions
- recognise potential complications of disease and its management, and initiate
preventative strategies
- involve multidisciplinary teams
Consider other factors
- identify individual and social factors and the impact of these on diagnosis and
management
Presentations
- Cardiovascular compromise in high-flow vascular malformations
- Congenital structural conditions
Conditions
- Life-threatening conditions, such as:
- epidermolysis bullosa
- X-linked ichthyosis
- Syndromes with characteristic skin lesions, such as:
- Klippel–Trénaunay syndrome
- Noonan syndrome
- port wine stains
- tuberous sclerosis
For each presentation and condition, Advanced Trainees will know how to:
Synthesise
- recognise the clinical presentation
- identify relevant epidemiology, prevalence, pathophysiology, and clinical science
- take a comprehensive clinical history
- conduct an appropriate examination
- establish a differential diagnosis
- plan and arrange appropriate investigations
- consider the impact of illness and disease on patients and their quality of life when
developing a management plan
Manage
- provide evidence-based management
- prescribe therapies tailored to patients’ needs and conditions
- recognise potential complications of disease and its management, and initiate
preventative strategies
- involve multidisciplinary teams
Consider other factors
- identify individual and social factors and the impact of these on diagnosis and
management
- Characteristics and diagnosis of congenital and acquired infectious rashes and skin lesions
- Pathophysiology and differences between:
- benign and pathological rashes in a newborn
- haemangioma and other vascular malformations
- Recognition of severe and life-threatening congenital skin conditions, such as:
- epidermolysis bullosa
- severe ichthyosis
- Skin care of newborns at all gestations
- The role of healthy skin to prevent infections and allergies
Investigations
- Genetic testing, including microarray where appropriate
- Imaging of lesions and for investigation of associated conditions
- Indications and interpretation of specific dermatological investigations, such as skin
biopsy
- Technique for swabbing of lesions for multiple chemical sensitivity (MCS)
Procedures
- Irrigation of an extravasation injury
- Skin scraping
- Wound care
- Aetiology, management, and pathophysiology of skin lesions
- Minimisation of risk of disease transmission in the neonatal intensive care unit (NICU) or secondary
infection of rashes, where relevant
- Treatment of infectious rashes in consultation with a dermatologist and infectious disease
specialist, where necessary
