Paediatric patients may demonstrate greater susceptibility to topical corticosteroid-induced HPA axis suppression and to exogenous corticosteroid-induced HPA axis suppression and to exogenous corticosteroid effects than adult patients because of greater absorption due to a larger skin surface area to body weight ratio. HPA axis suppression, Cushing's syndrome and intracranial hypertension have been reported in paediatric patients receiving topical corticosteroids. Manifestations of adrenal suppression in paediatric patients include linear growth retardation, delayed weight gain, low plasma cortisol levels and an absence of response to ACTH stimulation. Manifestations of intracranial hypertension include a bulging fontanelle, headaches and bilateral papilledema.
Atypical presentations of herpes simplex genitalis are becoming more frequent. 58 M, Positive (HAART), 98, Buttock, N/A, Fucidin ointment, Loss to follow-up. Was prescribed fucidin which I understand can be used as treatment for both, but I’d really like to know for sure if it’s impetigo, herpes, or something else entirely! He wouldn’t do a test and said there wasn’t one for herpes – which I know is rubbish. You don’t get boils w herpes you get pustules or blisters, that looks like it is full of crap in it. Aciclovir cream (Cymex Ultra, Virasorb, Zovirax). It is not used for viral diseases that affect the skin such as herpes simplex, varicella (chickenpox) and vaccinia. Medically they are described as being caused by the Herpes Simplex Virus. On Oldest Boy I have used Blistex, Fucidin cream, Sudocrem and Zovirax.