{"title":"Multiple Blue Nodules and Severe Anemia in a Child.","authors":"Ayush Jain, Vaishnavi Verma, Sethuraman Gomathy","doi":"10.1111/pde.15918","DOIUrl":"https://doi.org/10.1111/pde.15918","url":null,"abstract":"","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144266975","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}
Luis Fernando Sánchez-Espino, Marta Ivars, Asunción Vicente-López, Carolina Prat-Torres, Judith Armstrong-Morón, Eulalia Baselga
{"title":"Erythrokeratodermia Variabilis due to a Compound Heterozygous Variants in the NIPAL4 Gene.","authors":"Luis Fernando Sánchez-Espino, Marta Ivars, Asunción Vicente-López, Carolina Prat-Torres, Judith Armstrong-Morón, Eulalia Baselga","doi":"10.1111/pde.15959","DOIUrl":"https://doi.org/10.1111/pde.15959","url":null,"abstract":"<p><p>We report on a novel pathogenic genetic variant in compound heterozygosis of the NIPAL4 gene c.396C>Gp.(Ile132Met); additionally, we comment on key clinical findings that contribute to the expansion of the EKVP phenotype in childhood.</p>","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144234760","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":"Blastic Plasmacytoid Dendritic Cell Neoplasm Presenting With Bruise-Like Macules: Case Report and Literature Review.","authors":"Juan Bai, Su Wang, Hong Fang, Jianjun Qiao","doi":"10.1111/pde.15931","DOIUrl":"https://doi.org/10.1111/pde.15931","url":null,"abstract":"<p><p>Blastic plasmacytoid dendritic cell neoplasm (BPDCN) is a rare and aggressive malignancy characterized by a high frequency of cutaneous lesions at diagnosis. We report a 16-year-old female with BPDCN presenting with bruise-like macules over her face, trunk, and extremities, without evidence of other organ involvement, and review six similar cases. Pediatric BPDCN typically has a more favorable prognosis compared to adult cases. However, bruise-like lesions pose greater diagnostic challenges than other clinical presentations, such as solitary nodules, which can delay accurate diagnosis and timely treatment. Therefore, an initial diagnostic skin biopsy is valuable for early clinical and pathological evaluation, as it can support timely intervention and improve the likelihood of achieving complete biological remission.</p>","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199833","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}
Alekhya Gurram, Fareen Momin, Md Ibrahim Tahashilder, Richard F Wagner
{"title":"Representations of Alopecia in Children's Literature.","authors":"Alekhya Gurram, Fareen Momin, Md Ibrahim Tahashilder, Richard F Wagner","doi":"10.1111/pde.15999","DOIUrl":"https://doi.org/10.1111/pde.15999","url":null,"abstract":"<p><p>Alopecia impacts children's self-esteem and emotional well-being, and early exposure to literature on health conditions can foster awareness and acceptance. This study evaluates the diversity, accessibility, and medical accuracy of children's books on alopecia, assessing their alignment with the American Academy of Dermatology (AAD) and American Journal of Psychiatry (AJP) treatment recommendations. While these books represent various alopecia types, hair colors, and textures, they lack sufficient inclusion of healthcare providers, male protagonists, recommended treatments, and external support resources. Enhancing the medical accuracy and diversity of these books can improve clinical understanding, support networks, and overall quality of life for affected children.</p>","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199834","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}
Hannah R Chang, Hsing-Jou Su, Karin Kartawira, Anna Grossberg, Joy Wan
{"title":"Feasibility and Acceptability of Patient-Reported Outcomes Collection in Routine Pediatric Atopic Dermatitis Care.","authors":"Hannah R Chang, Hsing-Jou Su, Karin Kartawira, Anna Grossberg, Joy Wan","doi":"10.1111/pde.15972","DOIUrl":"https://doi.org/10.1111/pde.15972","url":null,"abstract":"<p><p>Atopic dermatitis (AD) is a common and chronic skin disease that adversely impacts physical, mental, and social health. Because patients' experience of AD may not correlate with traditional clinician-reported assessments of disease burden, patient-reported outcomes (PROs) are important for understanding the full experience of AD in children and their caregivers. In this pilot study involving 153 children with AD, we found that collecting PROs during routine pediatric AD care is both feasible and acceptable. These findings support future efforts to implement PROs in clinical practice to promote patient-centered care and facilitate shared decision-making.</p>","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192108","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}
Nelly Marlene Román Mendoza, Magdalini Louka, Sergio García-González, Nelmar-Valentina Ortiz-Cabrera, Barbara Fernández Garoz, Lucero Noguera-Morel, Ángela Hernández-Martín
{"title":"Short Anagen Hair Syndrome and Its Association With WNT10A Gene Variants: A Report of Three Pediatric Cases.","authors":"Nelly Marlene Román Mendoza, Magdalini Louka, Sergio García-González, Nelmar-Valentina Ortiz-Cabrera, Barbara Fernández Garoz, Lucero Noguera-Morel, Ángela Hernández-Martín","doi":"10.1111/pde.15976","DOIUrl":"https://doi.org/10.1111/pde.15976","url":null,"abstract":"<p><p>Short anagen hair syndrome (SAHS) is a rare hair disorder characterized by a shortened anagen phase, limiting hair growth to a few centimeters. SAHS is a benign condition often improving after puberty, with diagnosis supported by clinical, trichological, and genetic findings. We report three pediatric cases of persistently short hair, all with negative hair pull tests and trichogram findings revealing club-shaped roots, tapering, and hair shaft diameter variability. Genetic testing identified the c.682 T>A;p.(Phe228Ile) variant in heterozygosity in the WNT10A gene in two patients, a variant reported as a risk factor for the condition.</p>","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144174105","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":"Clinical Features and Current Therapeutic Approaches to Monilethrix: A Systematic Review.","authors":"Adam C Yu, Dana Koroluk, Fatmah Alzahrani","doi":"10.1111/pde.15986","DOIUrl":"https://doi.org/10.1111/pde.15986","url":null,"abstract":"<p><p>Monilethrix is a rare congenital hair disorder characterized by fragile, beaded hair shafts due to mutations in various keratin or desmoglein 4 genes. A systematic review of 24 studies (16 pediatric only, 3 mixed adult and pediatric, 3 adult only, and 2 unspecified) evaluating various treatment modalities identified topical and oral minoxidil as the most effective therapies, while oral retinoids and other treatments showed variable efficacy. Further pediatric research and clinical studies are necessary to assess long-term treatment outcomes and explore novel therapeutic strategies for this challenging condition.</p>","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144173148","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":"Progressive Soft Tissue Swelling in a Pediatric Patient Leading to the Diagnosis of Fibrodysplasia Ossificans Progressiva: A Case Report.","authors":"Orhan Yilmaz, Loretta Fiorillo","doi":"10.1111/pde.15962","DOIUrl":"https://doi.org/10.1111/pde.15962","url":null,"abstract":"<p><p>Fibrodysplasia ossificans progressiva (FOP) is a rare genetic disorder characterized by progressive heterotopic ossification (HO) and congenital malformation of the great toes. This case describes a 5-year-old Caucasian girl who initially presented with painless neck and back swelling as well as severe limitation of movement in the neck and shoulder girdle, who was diagnosed as FOP following tissue-based genetic testing revealing the ACVR1 (p.Arg206His) pathogenic variant. The diagnostic process, which included imaging, skin biopsy, and a thorough infectious and autoimmune workup, emphasized the challenges in identifying FOP due to its rarity; however, bilateral congenital hallux valgus, often present in FOP, can be a clue for early diagnosis. While corticosteroids provide temporary relief, long-term management now includes palovarotene, a novel therapy to suppress HO.</p>","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144174008","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":"Doxycycline Prophylaxis in Adolescent Patients Treated With MEK Inhibitors.","authors":"Faith Cormier, Irene Lara-Corrales, Rebecca Levy","doi":"10.1111/pde.15996","DOIUrl":"https://doi.org/10.1111/pde.15996","url":null,"abstract":"<p><p>Mitogen-activated protein kinase inhibitors (MEKi) are used to treat various conditions, including plexiform neurofibromas, brain tumors, and cancers. Our study aimed to determine whether doxycycline prophylaxis could reduce the frequency and/or severity of acneiform eruptions and paronychia, common side effects of MEKi. Our retrospective study included data from 43 patients aged 12 to 18 years, who received MEKi treatment at the Hospital for Sick Children, Toronto, Canada, between 2010 and 2023. We found that while doxycycline prophylaxis did not significantly impact the frequency or severity of acneiform eruptions (based on CTCAE grading), it appeared to be associated with fewer MEKi discontinuations due to skin toxicities and decreased rates of paronychia.</p>","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144174005","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":"Inflamed or Infected Molluscum Contagiosum Lesions: Pediatrician Perceptions and the Risk of Antibiotic Overuse.","authors":"Trevor Young, Jenny Wei, Joy Wan, Albert C Yan","doi":"10.1111/pde.15998","DOIUrl":"https://doi.org/10.1111/pde.15998","url":null,"abstract":"<p><strong>Background/objectives: </strong>Molluscum contagiosum (MC) is a common pediatric skin infection caused by the molluscum contagiosum virus. Lesions often become inflamed prior to self-resolving. This phenomenon can mimic bacterial superinfection, although true superinfection of MC lesions is thought to be rare.</p><p><strong>Methods: </strong>We conducted a single-center retrospective study of MC patients 0-18 years of age who were diagnosed with MC and had a bacterial culture of one or more inflamed molluscum lesions over a 10-year period. Data collected included the prevalence of true infection on culture, specific pathogens that were implicated, and the prevalence of antibiotic usage. We also surveyed general pediatricians to better understand their beliefs and practices regarding MC superinfection.</p><p><strong>Results: </strong>Fifty-one patients who were diagnosed with MC and underwent a bacterial culture were included. Most patients were diagnosed and treated by their pediatrician. Of 57 cultures collected from the 51 included patients, 7 (12%) isolated a pathogenic bacterial organism. Thirty-six (71%) patients were prescribed at least one topical antibiotic, and 32 (63%) patients were prescribed at least one systemic antibiotic to treat their MC or MC-related superinfection. Among the 217 pediatricians surveyed, 118 complete responses were received (54% response rate), with 47% of respondents reporting never culturing MC lesions suspected of being superinfected.</p><p><strong>Conclusions: </strong>Our study reaffirms a low prevalence of MC superinfection, as evidenced by the low rate of culture positivity. However, antibiotics were routinely prescribed despite negative cultures. These findings suggest that using bacterial cultures for MC lesions suspected of being superinfected, and-when clinically appropriate-waiting briefly for preliminary results before treating with antibiotics could dramatically reduce unnecessary antibiotic use.</p>","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161030","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}