Pediatric Dermatology最新文献_第4页

Soft Pillows, Hard Consequences: A Case Report Unveiling a Down Feather Neck Granuloma in a Pediatric Patient. 柔软的枕头，坚硬的后果：一个儿科患者羽绒颈部肉芽肿的病例报告。

IF 1.2 4区医学

Pediatric Dermatology Pub Date : 2025-07-01 Epub Date: 2025-04-13 DOI: 10.1111/pde.15893

Ferial Alloush, Kei Shing Oh, Hisham F Bahmad, Robert Poppiti, Felipe Pedroso, Carole Brathwaite

引用次数: 0

Value of Whole Skin Examination in Older Children Presenting With Skin Conditions. 全皮检查在大龄儿童皮肤病中的价值。

IF 1.2 4区医学

Pediatric Dermatology Pub Date : 2025-07-01 Epub Date: 2025-05-14 DOI: 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":"Background: 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.Methods: This study is a prospective audit of examination findings in patients attending their first appointment at a consultant pediatric dermatology clinic.Results: 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.Conclusion: 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.","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}

引用次数: 0

Direct Immunofluorescence (DIF) Microscopy of Skin Biopsies From Children: A Retrospective Cohort Study of 986 DIF Studies. 儿童皮肤活检的直接免疫荧光（DIF）显微镜：986项DIF研究的回顾性队列研究

IF 1.2 4区医学

Pediatric Dermatology Pub Date : 2025-07-01 Epub Date: 2025-05-29 DOI: 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":"Background/objectives: 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.Methods: 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.Results: 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.Conclusion: 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.","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}

引用次数: 0

Isolated Hypopigmentation on the Upper Lip of a 12-Year-Old Boy. 一名12岁男孩上唇孤立性色素沉着。

IF 1.2 4区医学

Pediatric Dermatology Pub Date : 2025-07-01 Epub Date: 2025-03-10 DOI: 10.1111/pde.15829

Jason Hynes, Niamh Leonard, Maeve Lynch

引用次数: 0

Management of Hypergranulation Tissue: A Report of a Pediatric Case. 肉芽组织增生的处理：一个儿科病例的报告。

IF 1.2 4区医学

Pediatric Dermatology Pub Date : 2025-07-01 Epub Date: 2025-02-06 DOI: 10.1111/pde.15897

Margaret Hurley, Jennifer Scott, Andrea L Zaenglein

引用次数: 0

Laser Surgery in Pediatric Skin of Color Patients: A Systematic Review. 激光手术治疗儿童有色皮肤患者：系统综述。

IF 1.2 4区医学

Pediatric Dermatology Pub Date : 2025-07-01 Epub Date: 2025-04-28 DOI: 10.1111/pde.15916

Shaliz Aflatooni, Nicholas Chin, Amberlyn Colina, Andrew C Krakowski, Lilia Correa-Selm, Thomas Beachkofsky

引用次数: 0

Characterizing Disease Severity, Comorbidities, and Treatment Plans in Pediatric Hidradenitis Suppurativa Patients With and Without Obesity: A Cohort and Cross-Sectional Analysis. 有肥胖和无肥胖儿童化脓性汗腺炎患者疾病严重程度、合并症和治疗方案的特征：一项队列和横断面分析

IF 1.2 4区医学

Pediatric Dermatology Pub Date : 2025-07-01 Epub Date: 2025-05-15 DOI: 10.1111/pde.15983

Asfia Numani, Rachel Ziebart, Austin Todd, Afsaneh Alavi, Nessa Aghazadeh Mohandesi, Dawn M R Davis

{"title":"Characterizing Disease Severity, Comorbidities, and Treatment Plans in Pediatric Hidradenitis Suppurativa Patients With and Without Obesity: A Cohort and Cross-Sectional Analysis.","authors":"Asfia Numani, Rachel Ziebart, Austin Todd, Afsaneh Alavi, Nessa Aghazadeh Mohandesi, Dawn M R Davis","doi":"10.1111/pde.15983","DOIUrl":"10.1111/pde.15983","url":null,"abstract":"Background: Hidradenitis suppurativa (HS) is a chronic inflammatory condition. While obesity is linked to increased HS severity in adults, data on its impact in pediatric HS remain limited. This study investigates the relationships between obesity, HS severity, HS-related comorbidities, and therapeutic management in pediatric patients.Methods: This is a retrospective cohort analysis on patients diagnosed with HS before 18 years of age. Data were collected on disease severity, comorbidity development, and treatments. Trends were compared between HS patients with and without obesity and with healthy controls for comorbidity development.Results: There was no difference in disease severity using Hurley staging between patients with and without obesity (p = 0.679). Patients with obesity were more likely to be prescribed biologics (p = 0.012), but not other treatments. The risk of developing dyslipidemia, anxiety, depression, and thyroid disease was elevated in pediatric HS patients, even after controlling for BMI (p < 0.001).Conclusions: In this study, obesity was not associated with HS disease severity in children. However, children with obesity were more likely to be prescribed biologics. HS may independently increase the risk of dyslipidemia, anxiety, depression, and thyroid disease.","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":"773-778"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12288943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078157","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}

引用次数: 0

Psoriasiform Dermatitis Following Kawasaki Disease: A Case Report and Literature Review. 川崎病后银屑病样皮炎1例报告并文献复习。

IF 1.2 4区医学

Pediatric Dermatology Pub Date : 2025-07-01 Epub Date: 2024-12-27 DOI: 10.1111/pde.15859

Shota Nakayama, Naotomo Kambe, Hiroyuki Irie, Kazushi Izawa, Ryohei Nishijima, Hiroo Ueno, Masakazu Fujimoto, Takahiro Yasumi, Kenji Kabashima

引用次数: 0

Junctional Epidermolysis Bullosa With Pyloric Atresia Complicated by Esophageal Atresia and Nephrotic Syndrome: A Case Report and Review of the Literature. 大疱性结缔组织表皮松解伴幽门闭锁并发食道闭锁肾病综合征1例报告及文献复习。

IF 1.2 4区医学

Pediatric Dermatology Pub Date : 2025-07-01 Epub Date: 2025-03-03 DOI: 10.1111/pde.15905

Kennedy Sabharwal, Ianna Blanchard, Emily S Gorell, Mariam Iqneibi, Anne W Lucky, David J Worhunsky

引用次数: 0

Rapidly Progressive Rash Associated With Systemic Symptoms in a 5-Year-Old Girl. 1例5岁女童伴全身症状的快速进行性皮疹

IF 1.2 4区医学

Pediatric Dermatology Pub Date : 2025-07-01 Epub Date: 2025-02-20 DOI: 10.1111/pde.15883

Joselyn Ye-Tay, Brian A Moreno, Folasade F Fayiga, Ana M Duarte

引用次数: 0