Interviewing and treating pediatric dermatology patients

1. Children are different from adults. Learn the differences.
2. Approach patients cautiously. Sit across the room and talk to the parents before examining the child. This gives
them time to ‘size you up’.
3. Speak directly to the child as if he/she understands what you are saying. Make eye contact with the child.
4. Keep the parent in the room for procedures as much as possible unless it interferes with the procedure or the
parent wishes to step out of the room.
5. Conservative management is best. Try to use the lowest effective dose of medication for the shortest time.
6. Avoid new therapies which do not have a proven track record in pediatrics until adequate clinical trials are performed.
7. Do not use treatments which may decrease growth or mental development.
8. Anticipatory guidance and emotional support are helpful especially in chronic disorders (e.g. alopecia areata, atopic
dermatitis).
Adapted from Honig PJ. Potential clinical management risks in pediatric dermatology. Risk Management in
Dermatology, Part II. AM Medica Communications LTS: New York, 1988: 6