Pediatric Dermatology最新文献

{"title":"What Matters Most to Minoritized Families in Pediatric Dermatology Care: A Qualitative Study.","authors":"Molly Thapar, Elizabeth Garcia-Creighton, Sandra Garcia-Hernandez, Caroline Tietbohl, Lucinda L Kohn","doi":"10.1111/pde.16021","DOIUrl":"https://doi.org/10.1111/pde.16021","url":null,"abstract":"<p><strong>Background: </strong>Limited access to pediatric dermatology care is a well-recognized issue for racially and/or ethnically minoritized (Black, Hispanic, American Indian/Alaska Native [AI/AN]) communities. Little is known about their experiences utilizing dermatology care. Understanding the perspectives of affected families will aid healthcare systems in reducing disparities.</p><p><strong>Objective: </strong>To identify racially and/or ethnically minoritized families' values regarding their children's dermatology care, opinions regarding racial concordance between the patient and healthcare clinicians, and perceptions of how pediatric dermatologists can improve their practice.</p><p><strong>Methods: </strong>English- or Spanish-speaking parents and/or guardians of children receiving care at a pediatric dermatology clinic identifying as Black, Hispanic, or AI/AN were interviewed from November 2, 2023, to January 23, 2024. Thematic analysis was conducted using a reflexive, team-based inductive approach.</p><p><strong>Results: </strong>Thirty-two parents were interviewed. Four major themes were identified: Being Heard, Patient-Clinician Racial and/or Ethnic Concordance, Patient-Clinician Gender Concordance, and Pediatric Patient-Clinician Relationship. Being heard was the most important factor, defined as experiencing validation, empathy, patience, and respect for patient autonomy from their child's clinician. Racial and/or ethnic concordance between the patient and clinician was another commonly identified theme from interviews. Parents valued comparable minority backgrounds over racial and/or ethnic concordance with their child's clinician. Many parents expressed preferences for gender concordance, clinician familiarity with the patient, and specific clinician communication styles when engaging children.</p><p><strong>Conclusions: </strong>Black, Hispanic, and AI/AN families shared that racial and/or ethnic concordance does matter, but being heard matters more. Assessing patient priorities through interpersonal skills training should be a core competency in dermatology residency education to enhance the care of our diverse and underserved patients and their families.</p>","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144619682","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}

{"title":"Pediatric Staphylococcal Scalded Skin Syndrome: A Systematic Review of the Literature to Inform Work-Up and Management.","authors":"Laurel Gray, Annika M Hansen, Sarah D Cipriano","doi":"10.1111/pde.16029","DOIUrl":"https://doi.org/10.1111/pde.16029","url":null,"abstract":"<p><strong>Background: </strong>Significant gaps exist in the literature regarding the work-up and management of staphylococcal scalded skin syndrome (SSSS). These include (a) the utility of ancillary testing in improving diagnostic accuracy and informing patient care, and (b) appropriate management strategies for antibiotics, fluids, and skin care. Moreover, no systematic review to date has focused on non-neonatal pediatric SSSS to provide a comprehensive analysis of the literature.</p><p><strong>Methods: </strong>A systematic review of PubMed and OVID was conducted from 2010 to 2024 using the medical subject heading (MeSH) term 'staphylococcal scalded skin syndrome' with restriction to MeSH major topic. Studies involving neonates (< 90 days old) and premature infants (< 37 weeks' gestation) were excluded. Articles were limited to English-language studies involving human subjects.</p><p><strong>Results: </strong>A total of 48 studies were analyzed. Laboratory evaluations, including blood counts, chemistry panels, and inflammatory markers, were found to be non-specific and did not enhance diagnostic accuracy or inform patient care. Aerobic bacterial cultures from suspected infection foci were more likely to yield positive results, while blood cultures were typically sterile. Findings suggest that clindamycin does not improve outcomes in SSSS, supporting beta-lactam antibiotics as a preferred first-line treatment. Fluid resuscitation was necessary for children unable to maintain oral intake, and bland emollients were effective for skin care.</p><p><strong>Conclusion: </strong>The findings support a \"less is more\" approach to both the work-up and management of SSSS, emphasizing minimal laboratory testing, targeted antibiotic use, and supportive skin care. Future research should focus on prospective studies implementing these strategies and evaluating outcomes to refine care further.</p>","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144619681","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}

{"title":"Chronic Tender Palmar Plaque in a 15-Year-Old Boy.","authors":"Rachita Misri, Shruti Sharma, Vishal Gaurav","doi":"10.1111/pde.15974","DOIUrl":"https://doi.org/10.1111/pde.15974","url":null,"abstract":"","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144591945","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}

{"title":"Infantile Acral Fibroma-An Uncommon Presentation on the Heel.","authors":"Victoria Salathe, Michelle Croda, Megan Mosca, Benjamin Warren Casterline, Kara Braudis, Jonathan Dyer","doi":"10.1111/pde.16023","DOIUrl":"https://doi.org/10.1111/pde.16023","url":null,"abstract":"<p><p>Infantile digital fibroma (IDF) is a benign tumor of myofibroblasts occurring in infancy and early childhood. IDF occurs almost exclusively on the digits and presents as a firm, red or flesh-colored nodule. We describe an atypical case of IDF presenting on the lateral heel that was excised due to obstruction of gait and normal development. The case illustrates that IDF can present outside of the digits and highlights specific treatment considerations that must be taken at this location.</p>","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576013","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}

{"title":"Adolescent With Penile Lesions.","authors":"Lucía Campos-Muñoz, Raluca Oancea Ionescu, Alberto Conde-Taboada, Pedro Pérez Segura, Eduando López-Bran","doi":"10.1111/pde.16017","DOIUrl":"https://doi.org/10.1111/pde.16017","url":null,"abstract":"","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529181","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}

{"title":"Telangiectasia in the Distribution of the Superior Vena Cava: A Novel Dermatological Manifestation of 22q11.2 Deletion Syndrome.","authors":"Aoife Hollywood, Olga Tummon, Maeve A McAleer, Suzanne Kelleher, Alan D Irvine","doi":"10.1111/pde.16019","DOIUrl":"https://doi.org/10.1111/pde.16019","url":null,"abstract":"<p><p>The 22q11.2 deletion syndrome (22q11.2DS) is one of the most common microdeletion syndromes. It has a wide clinical spectrum, affecting multiple organ systems. Dermatological presentations are uncommon and often non-specific. We present two cases of 22q11.2DS presenting with strikingly similar matted telangiectasia in the distribution of the superior vena cava.</p>","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529182","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}

{"title":"Treatment of a Superficial Lymphatic Malformation With Fractional Ablative Erbium:Yttrium Aluminum Garnet Laser Therapy.","authors":"Nicole Loranger, Isabella Plumptre, Mark Scharf","doi":"10.1111/pde.15954","DOIUrl":"https://doi.org/10.1111/pde.15954","url":null,"abstract":"<p><p>Lymphatic malformations are rare vascular malformations that can have a significant impact on patient quality of life. Treatment can include surgical resection, sclerotherapy, laser, and medical therapy. We report a patient with a superficial microcystic lymphatic malformation treated with fractional ablative erbium-doped:yttrium aluminum garnet (Er:YAG) laser, resulting in improvement in the lesion's appearance and symptoms.</p>","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144485491","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}

{"title":"Generalized Annular Pustular Lesions in a Child.","authors":"Sonika Garg, Biswanath Behera, Raghavendra Rao, Bhini Ameta, Pavithra Ayyanar","doi":"10.1111/pde.15973","DOIUrl":"https://doi.org/10.1111/pde.15973","url":null,"abstract":"","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144485489","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}

{"title":"Head and Neck Venous Malformations in Children: Clinical Characteristics, Therapeutic Approach, and Outcomes.","authors":"Andrea Fernanda González-Moreno, Isabel Alejandra Escobar-Basurto, Silvia Angélica Carmona-Cruz, Carola Durán-McKinster, Maria Teresa García-Romero","doi":"10.1111/pde.16013","DOIUrl":"https://doi.org/10.1111/pde.16013","url":null,"abstract":"<p><p>Venous malformations (VM) are the most common vascular malformation in children, frequently presenting on the head and neck. This retrospective study evaluated the clinical characteristics, management, and outcomes of pediatric patients with head and neck VM cared for at our institutional Vascular Anomalies Center. We included 51 patients, most with isolated spongiform VM located on the face manifesting since infancy but diagnosed at preschool age; the most frequent treatment was sclerotherapy, and most patients had partial to total improvement of their VM. In this study, we found the majority of pediatric VM of the head and neck were isolated of the spongiform type, and diagnostic delay was frequent; sclerotherapy was the predominantly used treatment, and most patients reported partial to complete improvement.</p>","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144485490","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}

{"title":"Indurated Plaques in an Otherwise Healthy Child.","authors":"Edan Davidson, Sharon Merims, Rony Shreberk-Hassidim, Dan Harlev, Stephanie Benshushan, Vered Molho-Pessach","doi":"10.1111/pde.15966","DOIUrl":"https://doi.org/10.1111/pde.15966","url":null,"abstract":"","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317586","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}