Pediatric Dermatology
Children’s skin is uniquely sensitive, reacts differently than adult skin, and is constantly changing as they grow. From infancy through adolescence, pediatric patients experience a wide range of skin conditions that can look and behave very differently from those seen in adults. At Refine Dermatology in Knoxville, Tennessee, we provide comprehensive pediatric dermatology care focused on evidence-based treatment and compassionate support for children and their families.
Led by Dr. Jill Salyards, board-certified dermatologist and founder of Refine Dermatology, our practice is committed to delivering high-quality medical dermatologic care in a welcoming, kid-friendly environment. Dr. Salyards is a mother to four boys, so she understands your concerns on a clinical and personal level!
We know that skin concerns can cause significant anxiety for parents, particularly when symptoms are persistent, uncomfortable, or unclear. Our goal is to provide clarity, reassurance, and effective treatment plans that support long-term skin health.
What Is Pediatric Dermatology?
Pediatric dermatology is the branch of dermatology dedicated to diagnosing and treating skin, hair, and nail conditions in infants, children, and adolescents. Children’s skin differs from adult skin. It is thinner, more reactive, and has an immature barrier function, making it more susceptible to irritation, inflammation, and infection.
Many pediatric skin conditions are benign and resolve on their own, but others benefit from early dermatologic evaluation. Our providers are trained to recognize normal developmental skin changes, identify patterns that suggest underlying disease, and determine when treatment or monitoring is appropriate. Early intervention can often prevent complications, reduce discomfort, and improve quality of life.
Common Pediatric Skin Conditions We Treat
Eczema (Atopic Dermatitis)
Eczema, also known as atopic dermatitis, is one of the most common chronic skin conditions in children. It typically presents as dry, itchy, inflamed patches of skin and often affects the cheeks, arms, legs, and flexural areas such as the elbows and behind the knees. Symptoms may fluctuate over time and are often triggered by environmental factors, allergens, illness, or changes in weather.
Mild eczema is frequently managed with regular moisturization and gentle skincare. Over-the-counter topical corticosteroids may also provide temporary relief. However,
dermatologic evaluation is recommended when eczema is persistent, worsening, or significantly affecting a child’s comfort. Warning signs include intense itching that disrupts sleep, frequent scratching leading to skin breakdown, bleeding or crusting, or recurrent flares despite appropriate home care.
Prescription therapies, customized skincare routines, and education on trigger avoidance can dramatically improve symptoms and help restore the skin barrier.
Warts
Warts are benign skin growths caused by a viral infection. In children, warts most commonly appear on the hands, fingers, and feet. While many warts resolve spontaneously, they may persist for months or years and can spread to other areas of the body or to other individuals.
Dermatologic evaluation is appropriate when warts are painful, spreading, increasing in number, or interfering with daily activities such as walking, writing, or sports participation. Treatment options may include cryotherapy (freezing), prescription topical medications, or other
office-based therapies designed to accelerate clearance and reduce viral spread.
Molluscum Contagiosum
Molluscum contagiosum is a common viral skin infection in pediatric patients. It presents as small, smooth, flesh-colored papules with a characteristic central indentation. Lesions are generally asymptomatic but are contagious and may spread through direct contact or scratching.
In many cases, molluscum resolves spontaneously over several months to a few years. However, dermatologic treatment may be recommended when lesions are numerous, rapidly spreading, inflamed, persistent, or causing discomfort. Treatment can help reduce the duration of infection, minimize spread, and prevent secondary complications such as scarring or infection.
Acne in Children and Adolescents
Acne can develop in late childhood or early adolescence. Mild acne may respond to gentle cleansing and over-the-counter topical treatments. However, moderate to severe acne, particularly when inflammatory, often benefits from professional dermatologic care.
Early intervention plays an important role in preventing long-term scarring and
post-inflammatory pigmentation. Acne can also have a significant psychosocial impact during formative years. If acne is painful, persistent, leaving marks, or affecting a child’s self-esteem, evaluation by a dermatologist is recommended to establish an effective and age-appropriate treatment plan.
Rashes and Inflammatory Skin Reactions
Rashes are extremely common in children and may result from viral illnesses, allergic reactions, irritants, new skincare or household products, or underlying skin sensitivity. Many rashes resolve without treatment; however, certain features should prompt professional evaluation.
Dermatologic assessment is recommended if a rash is painful, blistering, associated with fever or systemic symptoms, worsening over time, or not improving after several days. Rashes of unclear origin or those that recur frequently also benefit from expert evaluation. Accurate diagnosis is essential to guide appropriate treatment and avoid unnecessary or ineffective therapies.
Birthmarks and Moles
Most children have benign moles or birthmarks that grow proportionally as they age. These lesions are typically harmless and require only routine observation. However, monitoring for changes is important.
A mole or birthmark should be evaluated promptly if it changes rapidly, develops irregular borders, shows color variation, becomes itchy or painful, or begins bleeding. While skin cancer is rare in children, atypical or evolving lesions should never be ignored. Dermatologic evaluation provides reassurance and ensures appropriate monitoring or intervention when necessary.
Why Choose Refine Dermatology for Pediatric Care?
At Refine Dermatology, we care for patients of all ages, including infants, children, adolescents, and young adults. We recognize that parents want clear answers and thoughtful guidance. Our team is committed to partnering with families to ensure children receive appropriate, effective care at every stage of development. Bringing your child to see a dermatologist is never an overreaction!
If your child is experiencing a skin condition that is uncomfortable, persistent, or concerning, our team is here to help. Early evaluation can provide reassurance, prevent complications, and support healthy skin as your child grows.
To schedule an appointment at Refine Dermatology in Knoxville, please contact our office at 865-545-0900.
Frequently Asked Questions
When should my child see a dermatologist?
If a skin condition is itchy, painful, spreading, persistent, worsening, associated with fever, or causing concern, it is appropriate to seek evaluation by a dermatologist.
Are pediatric skin conditions different from adult conditions?
Yes. Children’s skin is thinner and more reactive, and many conditions present differently than in adults. Dermatologists are trained to recognize age-specific patterns and tailor treatment accordingly.
Can eczema or molluscum spread or worsen without treatment?
Yes. Scratching can lead to spread, secondary infection, or scarring. Dermatologic care can help manage symptoms and reduce complications.
Can acne in children cause permanent scarring?
Inflammatory acne can lead to scarring if left untreated. Early evaluation and appropriate treatment help minimize long-term skin changes.
Should I be worried about moles or birthmarks in my child?
Most are benign. However, lesions that change rapidly, bleed, itch, or appear irregular should be examined by a dermatologist.
