Dr. Rouslia Alfaro, a second year Dermatology Resident, delivered the first of the case series for the second part entitled: The Growth Chart: Skin Conditions in the Growing Child. In a presentation entitled: Creepin’ it Real: Psoriasis in the Pediatric Population, three cases of the representative papulosquamous disease in children aged 2, 11 and 18 years old were presented. It was shortly followed by a thorough case reaction of Dr. Nina A. Gabaton, FPDS. She focused on topics such as prevalence and incidence of psoriasis in the pediatric population, different screening tools and treatment options in managing these cases and the different challenges in utilizing biological treatment and phototherapy especially during this time of the pandemic. Dr. Gabaton also presented recent guidelines on how to proactively look after the overall health of children with Psoriasis. She ended her lecture by emphasizing that the best treatment option should be tailored to the patient’s unique case and personal risk factors and that the decision to treat should be a shared decision.

Dr. Precious Imam, a second year dermatology resident presented the second case series entitled: “Infantile Hemangioma: Trick or Treat” where three cases of infantile hemangioma were elucidated. It was shortly followed by an expert lecture by Dr. Mark Jean Aan Koh, Head and Senior Consultant from KK Women’s and Children’s Hospital Singapore. He started by giving an overview on the classification of vascular anomalies in children. He then focused on a simplified step-wise approach in identifying and diagnosing the different types of Infantile and Congenital Hemangiomas. Dr. Koh emphasized on making the accurate diagnosis in vascular tumor to be able to identify concomitant syndromes and to arrive at the best treatment option. He then gave a real world experience of different treatment regimens for treating vascular tumors such as oral and topical beta blockers and laser intervention among others. These were complemented by an impressive before and after treatment photos of the cases.

The interactive Q and A portion started with Dr. Mark Koh giving more of his insights on the current treatment protocol of cases previously presented and future treatment intervention plan for the said cases. Another question raised focused on the mental health problems encountered by growing children in relation to their dermatologic problems. Dr. Gabaton emphasized the importance of establishing rapport with the patient and to be able to find cues about mental and social issues in these patients to help them cope holistically with their emotional stress and mental concerns and avoid social isolation.

The closing remarks for both parts were delivered by the Chairperson of the EAMC Department of Dermatology. Dr. Ma. Angela Lavadia reiterated the importance of recognizing these diseases in the younger population and managing them accordingly so that these children can fulfill their potential as our future. She also thanked the attendees and esteemed reactors and emphasized on the importance of collaboration between healthcare professionals for exchange of knowledge and ultimately better patient care.