Diagnosis and treatment of specky silver crumbs in children
I. Diagnosis
(i) Clinical performance
– Children ‘ s specky silver crumbs are usually shown in red specks with clear borders, with multiple layers of silver and white crumbs. These specks are of different sizes and small possibilities, such as the size of a coin, can be large enough to merge into large pieces. The good hair parts consist mainly of stretching sides such as elbows, knees and scalps, but may also be found in other parts of the body.
– A thin membrane phenomenon, i.e., the appearance of a light red, bright, translucent film, can occur after the scraping of the scab. This is typical of silver crumbs.
– Child patients may be subject to different levels of itching, and some children may suffer from skin damage, infections, etc., as a result of scratching, thereby aggravating the condition.
(ii) Medical history collection
– Queries about family history are crucial. Silver crumbs have a certain genetic tendency, and if there are cases of silver crumbs in the family, the probability of silver crumbs in children is relatively high. Information on the type, age and severity of silver crumbs in the family helps to make a preliminary assessment of the condition of the child.
– Ask about the causes of morbidity, such as the recent history of infection (especially streptococcal infections), trauma and stress. Infection is one of the contributing factors common to silver crumbs in children, such as the rash that may cause silver crumbs in some cases following upper respiratory infections.
(iii) Laboratory inspection
– Skin work is one of the important methods of diagnosing silver crumbs. Under pathology, typical pathological changes can be observed, such as over-penetrating, impervious agularity, reduction or disappearance of the particle layer, and thicker thorns. Although a dermal biopsy is an innovative one, it can provide a clear basis for diagnosis for an unusual case.
– A routine blood test helps to determine if an infected child is infected. Because of the silver crumbs induced by the infection, the white cell count, the percentage of neutral particles, etc. may change. At the same time, indicators of inflammation such as blood sank and C-reactive proteins, which usually rise during the scab season, can also be examined.
Treatment
(i) Treatment with external drugs
– Sugar cortex hormonal is a common external medicine for the treatment of specky silver crumbs in children. The sugar cortex hormones of varying intensity are selected according to the age of the child, the extent of the skin damage and the severity of the condition. For facial, skin wrinkles, etc., weak sugar cortex hormones, e.g., dinard emulsions, are used to reduce the occurrence of adverse reactions such as skin atrophy. For thick spots in limbs, torso, etc., strong sugar cortex hormones can be used appropriately, but not for too long.
– Vitamin D3 derivatives, such as capo-triol ointment, are also common medicines. It regulates the growth and fragmentation of skin cells and reduces the generation of crumbs. Combined use with sugar cortex hormones enhances the efficacy of treatment while reducing the use of sugar cortex hormones and the incidence of adverse reactions. It should be noted, however, that when kapol is used for children, it should not be too large to avoid high calcium haematosis.
(ii) Phototherapy
– Ultraviolet (NB-UVB) in the narrow spectrum is a safe and effective phototherapy method for the treatment of specky silver crumbs in children. It can inhibit excessive growth of skin cells and mitigate inflammation. During phototherapy, the dose will need to be adjusted to the age of the child, skin type, etc. At the same time, care must be taken to protect sensitive areas, such as the eyes and genitals of infected children, from UV damage.
– Photochemistry (PUVA) is less used in children because it has some side effects, such as nausea, vomiting, skin light aging and may increase the risk of skin cancer.
(iii) Systemic treatment
– Systematic treatment may be considered for children with severe medical conditions, external drugs and phototherapy. Methamphetamine is a common drug, but due to some side effects such as liver and kidney toxicity and bone marrow inhibition, use in children requires caution. Indicators such as blood regularity, liver and kidney function must be closely monitored.
– The use of biological agents, such as Inassipe, has also been introduced for some of the incurable children ‘ s s specks of silver. Biological agents are primarily targeted at key target points in the silver crumb outbreak mechanism, such as the cancer cause of death – alpha (TNF – alpha), which is relatively effective and safe, but at relatively high prices and which require further observation for long-term safety.
The diagnosis of specky silver crumbs in children requires a combination of clinical performance, medical history and laboratory tests. Treatment should take into account the child ‘ s characteristics, choose safe and effective treatment, and be sensitive to adverse reactions during treatment in order to achieve optimal treatment.
