Pediatric Dermatology最新文献_第2页

Dermoid Cysts of the Auricle: A Review of the Literature. 耳廓皮样囊肿：文献综述

IF 1.2 4区医学

Pediatric Dermatology Pub Date : 2024-10-29 DOI: 10.1111/pde.15797

Alyssa Reese, Victoria Miller, Alaina Kenny, Hannah Smith, Sara Neimanis, Clinton Morrison

{"title":"Dermoid Cysts of the Auricle: A Review of the Literature.","authors":"Alyssa Reese, Victoria Miller, Alaina Kenny, Hannah Smith, Sara Neimanis, Clinton Morrison","doi":"10.1111/pde.15797","DOIUrl":"https://doi.org/10.1111/pde.15797","url":null,"abstract":"Background and objectives: Dermoid cysts are congenital anomalies that contain ectodermal elements such as teeth, bone, and nerves. The purpose of this study was to identify trends in the characteristics of dermoid cysts of the auricle and the demographics of the patient population they affect.Methods: A PubMed and EMBASE search for English-language publications that included cases of dermoid cyst(s) of the auricle from database inception to October 2022 was performed.Results: A total of 38 cases of dermoid cysts of the auricle were identified from 20 publications. The age, sex, and Fitzpatrick skin type of the patients, locations of the dermoid cysts, associated anomalies, treatment methods, and postoperative outcomes were examined. Patients' ages ranged from 0 to 63 years, with 27.6% (8/29) in the 0-17 age range. 56.8% (21/37) were reported as male. Dermoid cysts were frequently present on the postauricular surface (18/24, 75.0%) and on light skin (Fitzpatrick types I-III; 18/22, 81.8%). Unilateral dermoid cysts were more commonly reported on the right ear (17/22, 77.3%); only one patient had bilateral cysts. Associated anomalies included microtia, prominent ears, foot polysyndactyly, hemifacial microsomia, and cryptotia. All auricular dermoid cysts were managed with complete surgical excision, and no postoperative complications or recurrences were reported.Conclusions: Dermoid cysts of the auricle are reported more frequently in individuals with lighter skin; however, this is likely due to reporting bias. Complete surgical excision can be used to treat patients successfully, with a very low risk of complications and no need for preoperative imaging.","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142546719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Alopecic and eroded scalp plaque in a newborn. 新生儿头皮脱发和糜烂。

IF 1.2 4区医学

Pediatric Dermatology Pub Date : 2024-10-27 DOI: 10.1111/pde.15742

Rafael Escudero-Tornero, Marta Feito-Rodríguez, Tristán-Gabriel Sobral-Costas, José Manuel Busto-Leis, Raúl De Lucas-Laguna

引用次数: 0

Skin Imaging of Juvenile Xanthogranuloma: In Vivo Diagnosis by Line-Field Confocal Optical Coherence Tomography. 幼年黄疽瘤的皮肤成像：通过线场共聚焦光学相干断层扫描进行体内诊断。

IF 1.2 4区医学

Pediatric Dermatology Pub Date : 2024-10-24 DOI: 10.1111/pde.15786

Gerardo Palmisano, Simone Cappilli, Enrico Bocchino, Alessandro Di Stefani, Ketty Peris

引用次数: 0

A Missense Variant Affecting the N-Terminal Domain of the Laminin-332 β3 Chain Results in a Distinct Form of Junctional Epidermolysis Bullosa With Altered Granulation Tissue Response and No New Blistering: A Second Family Report. 影响层粘连蛋白-332 β3 链 N 端域的缺义变异导致一种不同形式的交界性表皮松解症，其肉芽组织反应改变，但无新的水疱：第二个家族报告

IF 1.2 4区医学

Pediatric Dermatology Pub Date : 2024-10-23 DOI: 10.1111/pde.15764

Marina Goldoni, Barbara Torres, Maurizio Pettinato, Alessia Gennaro, Tommaso Biagini, Angelo Giuseppe Condorelli, Rosanna Monetta, Tommaso Mazza, Laura Bernardini, Teresa Mattina

{"title":"A Missense Variant Affecting the N-Terminal Domain of the Laminin-332 β3 Chain Results in a Distinct Form of Junctional Epidermolysis Bullosa With Altered Granulation Tissue Response and No New Blistering: A Second Family Report.","authors":"Marina Goldoni, Barbara Torres, Maurizio Pettinato, Alessia Gennaro, Tommaso Biagini, Angelo Giuseppe Condorelli, Rosanna Monetta, Tommaso Mazza, Laura Bernardini, Teresa Mattina","doi":"10.1111/pde.15764","DOIUrl":"https://doi.org/10.1111/pde.15764","url":null,"abstract":"Junctional epidermolysis bullosa (JEB) is a rare genodermatosis characterized by fragility of the skin and mucous membranes due to alterations in the dermal epidermal junction. This condition manifests as mechanically induced bullous lesions that heal with hypertrophic granulation tissue and/or atrophic scars. Here, we report two brothers carrying a homozygous LAMB3 missense variant, p.Gly254Asp, which affects the N-terminal end of the laminin-332 (LM332) β3 chain, previously described in another JEB family sharing a common ethnic origin and LAMB3 haplotype with the siblings reported here. Moreover, all affected patients with p.Gly254Asp mutation from both families exhibits a distinct phenotype consisting of a few localized long-standing skin lesions characterized by excessive granulation tissue formation or keloid scars, without new blistering, and associated with amelogenesis imperfecta. Our patients also showed nail dystrophy, expanding the phenotypic spectrum and confirming the peculiar role of the N-terminal end of the β3 chain in regulating the granulation tissue response associated with the wound healing process.","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142505508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Topical Timolol for Treatment of Spider Angiomas in Children: A Case Series. 外用噻吗洛尔治疗儿童蛛状血管瘤：病例系列。

IF 1.2 4区医学

Pediatric Dermatology Pub Date : 2024-10-22 DOI: 10.1111/pde.15788

Marie-Chantal Caussade, Griffin Stockton Hogrogian, Albert C Yan

引用次数: 0

Improvement in Atopic Dermatitis and Recurrent Infection With Dupilumab in Children With Distinct Genetic Types of Hyper-IgE Syndrome: A Case Series and Literature Review. 使用杜匹单抗可改善不同基因型高 IgE 综合征患儿的特应性皮炎和复发性感染：病例系列和文献综述

IF 1.2 4区医学

Pediatric Dermatology Pub Date : 2024-10-18 DOI: 10.1111/pde.15780

Jenna K Dick, Christina Boull, Tamara C Pozos, Sheilagh M Maguiness

引用次数: 0

Congenital Insensitivity to Pain With Anhidrosis Is Associated With Harlequin Color Change: A Survey Study. 先天性对疼痛不敏感伴有多汗症与哈雷金变色有关：一项调查研究。

IF 1.2 4区医学

Pediatric Dermatology Pub Date : 2024-10-18 DOI: 10.1111/pde.15784

Mahan Maazi, Joseph M Lam

引用次数: 0

Onychomycosis in the US Pediatric Population-An Emphasis on Fusarium Onychomycosis. 美国儿科人群中的甲真菌病--以镰刀菌属甲真菌病为重点。

IF 1.2 4区医学

Pediatric Dermatology Pub Date : 2024-10-18 DOI: 10.1111/pde.15785

Aditya K Gupta, Tong Wang, Shruthi Polla Ravi, Wayne L Bakotic

{"title":"Onychomycosis in the US Pediatric Population-An Emphasis on Fusarium Onychomycosis.","authors":"Aditya K Gupta, Tong Wang, Shruthi Polla Ravi, Wayne L Bakotic","doi":"10.1111/pde.15785","DOIUrl":"https://doi.org/10.1111/pde.15785","url":null,"abstract":"Background: Onychomycosis is a common nail disease that is often difficult to treat with a high risk of recurrence.Objective: To update our current understanding of the etiologic profile in pediatric patients with onychomycosis utilizing molecular diagnosis by polymerase chain reaction (PCR) combined with histopathologic examination.Methods: Records of 19,770 unique pediatric patients were retrieved from a single diagnostic laboratory in the United States spanning over a 9-year period (March 2015 to April 2024). This cohort represents patients clinically suspected of onychomycosis seen by dermatologists and podiatrists. Dermatophytes, nondermatophyte molds (NDMs), and yeasts were identified by multiplex real-time PCR corroborated by the demonstration of fungal invasion on histopathology.Results: An average of 37.0% of all patients sampled were mycology-confirmed to have onychomycosis. Most patients were between ages 11 and 16 years, and the rate of mycologically confirmed onychomycosis was significantly higher among the 6- to 8-year (47.2%) and 9- to 11-year (42.7%) age groups compared to the 0- to 5-year (33.1%), 12- to 14-year (33.2%), and 15- to 17-year (36.7%) age groups. The majority of infections were caused dermatophytes (74.7%) followed by NDMs (17.4%). The Trichophyton rubrum complex represents the dominant pathogen with higher detection rates in the 6- to 11-year-olds. Fusarium was the most commonly isolated NDM with an increasing prevalence with age.Conclusions: Elementary school-aged children have a higher risk of contracting onychomycosis which may be attributed to the onset of hyperhidrosis at puberty, use of occlusive footwear, nail unit trauma, and walking barefoot. Fusarium onychomycosis may be more prevalent than expected, and this may merit consideration of management strategies.","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142472023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Combined Pediatric Rheumatology/Dermatology Clinics: Benefits and Challenges. 儿科风湿病学/皮肤病学联合诊所：优势与挑战。

IF 1.2 4区医学

Pediatric Dermatology Pub Date : 2024-10-18 DOI: 10.1111/pde.15774

Jessica L Crockett, Susan Kim, Emily von Scheven, Anubhav Mathur, Kelly M Cordoro

{"title":"Combined Pediatric Rheumatology/Dermatology Clinics: Benefits and Challenges.","authors":"Jessica L Crockett, Susan Kim, Emily von Scheven, Anubhav Mathur, Kelly M Cordoro","doi":"10.1111/pde.15774","DOIUrl":"https://doi.org/10.1111/pde.15774","url":null,"abstract":"Background/objectives: Integrated care models, like combined rheumatology/dermatology clinics (RDCs), facilitate efficient coordination between specialists and provide comprehensive care. Given the limited literature on pediatric RDC logistics, outcomes, benefits and, challenges, we comprehensively characterized our patient cohort at the UCSF Benioff Children's Hospital RDC and surveyed pediatric dermatologists participating in RDCs.Methods: We retrospectively reviewed 71 patients new to the UCSF Pediatric RDC between September 2017 and September 2023. A survey was distributed in 2024 to 17 dermatologists in North America, each representing a unique pediatric RDC.Results: 69% of patients (49/71) were female. Seventeen (24%) presented without a known diagnosis; the first RDC visit established a diagnosis for 7 of them (41%). Of patients with a previously established diagnosis, initial RDC evaluation confirmed it in 52 (96%) and revised it for 2 (4%). The most encountered diagnoses were linear morphea (33%), lupus (23%), and psoriasis (13%). New systemic therapy was prescribed for 23% of patients, and additional work-up was recommended via skin biopsy (8%) and imaging (28%). Survey results revealed all pediatric RDCs include trainees, but only 59% (10/17) receive administrative support. All agreed that RDCs are valuable for patient care and most (15/17, 88%) felt that the RDC was a valuable use of their time.Conclusions: Pediatric RDCs are valuable for consensus diagnosis, streamlined evaluation, and management of complex patients. Though clinical and administrative support for RDCs is generally poor, RDCs are valuable to patients, a good use of time for clinicians, and offer educational opportunities for team members.","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142472020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pediatric Dermatology eConsultation in Academic Centers: A Collaborative Model for Optimized Outpatient Care. 学术中心的儿科皮肤病电子会诊：优化门诊护理的合作模式。

IF 1.2 4区医学

Pediatric Dermatology Pub Date : 2024-10-17 DOI: 10.1111/pde.15793

Jessica L Crockett, Kelly M Cordoro

{"title":"Pediatric Dermatology eConsultation in Academic Centers: A Collaborative Model for Optimized Outpatient Care.","authors":"Jessica L Crockett, Kelly M Cordoro","doi":"10.1111/pde.15793","DOIUrl":"https://doi.org/10.1111/pde.15793","url":null,"abstract":"Background/objective: The demand for pediatric dermatology services in the U.S. is high, especially at large academic healthcare centers. eConsultation programs provide a solution to poor in-person access by offering diagnostic and management support to primary care providers (PCPs). To determine the real-world utility of eConsultation in pediatric dermatology within a closed system at a major academic center, we assessed the outcomes, diagnostic and management concordance, and predictors of eConsult completion of an asynchronous provider-to-provider pediatric dermatology eConsult program.Methods: Retrospective cohort study of 900 consecutive outpatient pediatric dermatology eConsult referrals from PCPs at a tertiary academic center from 2017 to 2021.Results: Of 900 eConsult referrals, 621 (69%) were completed without the need for in-person dermatology follow-up. 46 (5%) were completed but required follow-up. 233 eConsult referrals (26%) were declined, primarily due to medical complexity. Thirty referrals (3%) were declined because of inadequate clinical photos. The PCP communicated eConsult recommendations to the patient/family on an average of 1.6 days (SD 3) after receiving the completed eConsult. eConsults for adolescents were less likely to be completed compared to infants (p = 0.03). Diagnostic and management concordance between PCP and dermatologist was 78% and 67%, respectively.Conclusions: Provider-to-provider eConsultation provides rapid speciality guidance to PCPs managing low-complexity skin conditions in pediatric outpatients. The lower rate of management plan concordance compared to diagnostic concordance suggests that eConsultation improves outpatient skin management by PCPs.","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142472024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0