Pediatric DermatologyPub Date : 2025-07-01Epub Date: 2025-01-29DOI: 10.1111/pde.15870
Sonia A Havele, Kimberly A Horii, Denise W Metry, Ashli Lawson, Rebecca M Rentea, Amy J Nopper
{"title":"A Novel Report of Müllerian (Vaginal/Uterine) Agenesis in a Newborn Girl With LUMBAR Syndrome.","authors":"Sonia A Havele, Kimberly A Horii, Denise W Metry, Ashli Lawson, Rebecca M Rentea, Amy J Nopper","doi":"10.1111/pde.15870","DOIUrl":"10.1111/pde.15870","url":null,"abstract":"<p><p>LUMBAR syndrome is characterized by lower body segmental infantile hemangiomas, urogenital abnormalities/hemangioma ulceration, spinal cord malformations, bony deformities, anorectal malformations/arterial anomalies, and/or renal anomalies. Here we present an infant girl with LUMBAR syndrome who was also discovered to have Müllerian agenesis, defined as absent uterus or nonfunctional uterine remnants. While vaginal and uterine duplications are included among the diagnostic criteria for LUMBAR syndrome, this is the first case of associated Mullerian agenesis. This report also provides more evidence that LUMBAR syndrome be included in the spectrum of clinically overlapping disorders characterized by caudal dysgenesis, known as \"recurrent constellations of embryonic malformations.\"</p>","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":"817-821"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066472","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}
Pediatric DermatologyPub Date : 2025-07-01Epub Date: 2025-01-29DOI: 10.1111/pde.15879
Apostolos Katsiaunis, Madalyn Petrillo, Sarah N Robinson
{"title":"Labial Melanotic Macules in Two Pediatric Patients of Chinese Descent With Atopic Dermatitis.","authors":"Apostolos Katsiaunis, Madalyn Petrillo, Sarah N Robinson","doi":"10.1111/pde.15879","DOIUrl":"10.1111/pde.15879","url":null,"abstract":"<p><p>We report two pediatric patients of Chinese descent with atopic dermatitis (AD) who developed labial melanotic macules in the absence of previous topical calcineurin inhibitor (TCI) usage. Both patients presented with multiple hyperpigmented macules on the upper and lower vermilion lips with a negative genetic workup for Peutz-Jeghers. These findings suggest labial melanotic macules may be a cutaneous manifestation of chronic eczematous dermatitis in pediatric patients, particularly those of Asian descent. Increased recognition of this phenomenon may help clinicians as they are making treatment decisions and avoid unnecessary genetic testing, thus optimizing patient care and reducing costs.</p>","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":"888-889"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066970","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}
Pediatric DermatologyPub Date : 2025-07-01Epub Date: 2025-02-06DOI: 10.1111/pde.15894
Nelly Marlene Román Mendoza, Isabel Colmenero, Antonio Torrelo
{"title":"Pruritic Papules in a 7-Year-Old Boy.","authors":"Nelly Marlene Román Mendoza, Isabel Colmenero, Antonio Torrelo","doi":"10.1111/pde.15894","DOIUrl":"10.1111/pde.15894","url":null,"abstract":"","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":"874-876"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143365615","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":"¿Qué es la psoriasis?","authors":"","doi":"10.1111/pde.16032","DOIUrl":"10.1111/pde.16032","url":null,"abstract":"","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":"42 4","pages":"E1-E2"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691119","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}
Pediatric DermatologyPub Date : 2025-07-01Epub Date: 2025-04-13DOI: 10.1111/pde.15893
Ferial Alloush, Kei Shing Oh, Hisham F Bahmad, Robert Poppiti, Felipe Pedroso, Carole Brathwaite
{"title":"Soft Pillows, Hard Consequences: A Case Report Unveiling a Down Feather Neck Granuloma in a Pediatric Patient.","authors":"Ferial Alloush, Kei Shing Oh, Hisham F Bahmad, Robert Poppiti, Felipe Pedroso, Carole Brathwaite","doi":"10.1111/pde.15893","DOIUrl":"10.1111/pde.15893","url":null,"abstract":"<p><p>Down pillows, fitted with soft feathers, are commonly used among parents for their children due to their comfort, breathability, and warmth. In this case report, we present a 17-month-old boy who presented with a chief complaint of fever and progressive left neck swelling warranting a surgical excision after a failed course of antibiotic therapy. Histopathologic examination of the lesion demonstrated down feathers with associated granuloma with foreign-body type giant cell reaction, attributed to the use of the down pillow.</p>","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":"894-895"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993590","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}
Pediatric DermatologyPub Date : 2025-07-01Epub Date: 2025-05-14DOI: 10.1111/pde.15985
Roderic Phillips, Catherine Crock
{"title":"Value of Whole Skin Examination in Older Children Presenting With Skin Conditions.","authors":"Roderic Phillips, Catherine Crock","doi":"10.1111/pde.15985","DOIUrl":"10.1111/pde.15985","url":null,"abstract":"<p><strong>Background: </strong>Medical teaching has always emphasized the importance of a good history and a complete medical examination. Missing some areas of examination can lead to errors in diagnosis and management and to adverse outcomes. At the same time, factors including time pressures, medicolegal concerns, and the desire to avoid embarrassment for patients have led to many practitioners routinely bypassing genital and/or breast examination.</p><p><strong>Methods: </strong>This study is a prospective audit of examination findings in patients attending their first appointment at a consultant pediatric dermatology clinic.</p><p><strong>Results: </strong>Data were collected on 221 adolescents, and 46 (20%) of them had unexpected findings on skin during genital and/or breast examination. These findings were not mentioned in history and were sufficient to change the management plan in some way. In 24 cases (10%), the change in plan involved a changed prescription and/or identification of a new problem requiring ongoing management. These findings included eczema, psoriasis, new moles, molluscum, vitiligo, severe phimosis, hidradenitis, and acanthosis nigricans.</p><p><strong>Conclusion: </strong>During history taking, anogenital pathology is often not revealed by the adolescent or the family. Inspection of the anogenital area may be of value in optimizing the medical management plan for an adolescent. Reasons for examination should be explained and the exam performed respectfully with discretion.</p>","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":"779-781"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049695","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}
Pediatric DermatologyPub Date : 2025-07-01Epub Date: 2025-05-29DOI: 10.1111/pde.15978
Clint Christian T Garbanzos, Jorge A Rios-Duarte, Heather D Hardway, Austin Todd, Dawn M R Davis, Julia S Lehman
{"title":"Direct Immunofluorescence (DIF) Microscopy of Skin Biopsies From Children: A Retrospective Cohort Study of 986 DIF Studies.","authors":"Clint Christian T Garbanzos, Jorge A Rios-Duarte, Heather D Hardway, Austin Todd, Dawn M R Davis, Julia S Lehman","doi":"10.1111/pde.15978","DOIUrl":"10.1111/pde.15978","url":null,"abstract":"<p><strong>Background/objectives: </strong>Immune-mediated skin disorders, such as immunobullous dermatoses and leukocytoclastic vasculitis, rarely affect children. While direct immunofluorescence (DIF) biopsy is a standard diagnostic tool, limited data exist on pediatric DIF patterns, rates of positivity, pretest diagnostic concordance, and the relevance of biopsy site. This study sought to address these gaps.</p><p><strong>Methods: </strong>DIF data from all skin and mucosal specimens interpreted at Mayo Clinic's reference immunodermatology laboratory for patients aged 0-18 years (August 22, 2017 to November 30, 2023) were reviewed. DIF results were classified as positive if a characteristic pattern was seen and negative if the findings were negative or nondiagnostic.</p><p><strong>Results: </strong>Of 986 pediatric DIF studies, 153 (15.5%) were positive and comparable to adult positivity rates (20.9%) during the same period. The most frequent DIF patterns were IgA-predominant vasculitis (N = 85/153; 55.5%) and lichenoid tissue reaction (N = 21/153;13.7%). Concordance between pretest diagnosis and positive DIF results was highest for linear IgA bullous dermatosis (N = 7/7; 100%) and dermatitis herpetiformis (N = 6/6; 100%). Excluding these entities, DIF changed the pretest diagnosis in 16.7% (N = 19/114) of cases. While lower extremity biopsies were initially more likely to yield positive DIF results, this association disappeared when IgA vasculitis cases were excluded.</p><p><strong>Conclusion: </strong>The most frequent DIF pattern in children was that of IgA-predominant vasculitis. Pediatric DIF positivity rates closely mirrored those of adults, supporting similar biopsy thresholds. DIF results differed from the pretest impression in a substantial percentage, supporting the value of DIF in select situations in the pediatric population. After controlling for IgA vasculitis, biopsy site was not associated with DIF positivity.</p>","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":"767-772"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144173918","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}
Pediatric DermatologyPub Date : 2025-07-01Epub Date: 2025-05-29DOI: 10.1111/pde.15991
Kevin V Thomas, Todd Le, Feben Messele, Catharine B Garland, Eric J Monroe, Denise Metry, Yakir Levin, Kristen M Kelly, Lisa M Arkin
{"title":"Adding to Your Tool Box: Laser Therapy for Vascular Anomalies.","authors":"Kevin V Thomas, Todd Le, Feben Messele, Catharine B Garland, Eric J Monroe, Denise Metry, Yakir Levin, Kristen M Kelly, Lisa M Arkin","doi":"10.1111/pde.15991","DOIUrl":"10.1111/pde.15991","url":null,"abstract":"<p><p>Adjuvant laser therapy of vascular anomalies is based on the principle of selective photo-thermolysis, through targeted destruction of selected chromophores with minimal injury to surrounding tissue. Choice of laser wavelength, treatment parameters, and predicted response to therapy are dependent on the dominant chromophore within the vascular anomaly, lesional location, and target depth, with relatively superficial and mucosal lesions producing the best response to therapy. Lasers can be safely combined with multi-modal approaches for vascular anomalies, including sclerotherapy, surgical excision, and systemic therapy. In this manuscript, we review the laser literature on a range of vascular anomalies, and provide indications, appropriate therapeutic and warning endpoints in the skin, pearls/pitfalls, and multi-disciplinary approaches for pediatric dermatologists pursuing laser as adjuvant therapy for vascular anomalies.</p>","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":"716-727"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12285566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}