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Evaluating Medicaid Coverage for Over-the-Counter Treatments for Diaper Dermatitis. 评估尿布皮炎非处方治疗的医疗补助覆盖范围。
IF 1.2 4区 医学
Pediatric Dermatology Pub Date : 2026-09-01 Epub Date: 2026-05-12 DOI: 10.1111/pde.70250
Kathleen Jedruszczuk, Sneha A Rangu, Helen T Shin
{"title":"Evaluating Medicaid Coverage for Over-the-Counter Treatments for Diaper Dermatitis.","authors":"Kathleen Jedruszczuk, Sneha A Rangu, Helen T Shin","doi":"10.1111/pde.70250","DOIUrl":"10.1111/pde.70250","url":null,"abstract":"<p><p>Diaper dermatitis is a common dermatologic condition in infancy, frequently managed with over-the-counter (OTC) products. We conducted a cross-sectional review of Medicaid Preferred Drug Lists across 49 states and the District of Columbia to evaluate coverage of 14 commonly used OTC diaper dermatitis treatments. Coverage varied widely by state and product class, with therapeutic agents, such as topical antifungals, low potency corticosteroids, and antibiotics, more frequently covered than preventive barrier products, such as petrolatum and zinc oxide. These findings reveal significant state-level disparities in Medicaid coverage and highlight the potential access gaps for low-income families managing a common pediatric condition.</p>","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":"1167-1169"},"PeriodicalIF":1.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147875154","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
Mentorship Over Infrastructure: What Drives Dermatology Residents to Pursue Pediatric Dermatology Fellowship. 指导基础设施：是什么驱使皮肤科住院医生追求儿科皮肤科奖学金。
IF 1.2 4区 医学
Pediatric Dermatology Pub Date : 2026-09-01 Epub Date: 2026-06-14 DOI: 10.1111/pde.70291
Jennifer J Schoch, Han Li, Israel D Andrews, Nanette Silverberg, Marla Jahnke, Teresa Wright, Maria Gnarra Buethe
{"title":"Mentorship Over Infrastructure: What Drives Dermatology Residents to Pursue Pediatric Dermatology Fellowship.","authors":"Jennifer J Schoch, Han Li, Israel D Andrews, Nanette Silverberg, Marla Jahnke, Teresa Wright, Maria Gnarra Buethe","doi":"10.1111/pde.70291","DOIUrl":"10.1111/pde.70291","url":null,"abstract":"<p><p>The pediatric dermatology workforce shortage threatens equitable access to specialized care for children. We conducted a national survey of dermatology residents (n = 202) to examine the relative influence of mentorship, educational exposure, training satisfaction, and financial considerations on fellowship decision-making. In multivariable analysis, mentorship emerged as the primary predictor of fellowship pursuit (OR: 6.034, 95% CI: 2.315-19.648, p = 0.013), while structural program features such as in-house fellowships and faculty availability improved training satisfaction but did not independently drive fellowship intentions. These findings support workforce strategies that prioritize structured mentorship pathways alongside compensation models that sustain the pediatric dermatology faculty base.</p>","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":"1185-1187"},"PeriodicalIF":1.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13617163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148252671","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
GLP-1 Receptor Agonists and Pediatric Dermatology: An Emerging Clinical Intersection. GLP-1受体激动剂和儿科皮肤病学：一个新兴的临床交叉。
IF 1.2 4区 医学
Pediatric Dermatology Pub Date : 2026-09-01 DOI: 10.1111/pde.70353
Seema Kumar
{"title":"GLP-1 Receptor Agonists and Pediatric Dermatology: An Emerging Clinical Intersection.","authors":"Seema Kumar","doi":"10.1111/pde.70353","DOIUrl":"https://doi.org/10.1111/pde.70353","url":null,"abstract":"","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148875347","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
Social Unrest and Its Implications on the Pediatric Dermatological Patient: Lessons From a Single Center Academic Dermatology Department. 社会动荡及其对儿科皮肤病患者的影响：来自单一中心学术皮肤科的经验教训。
IF 1.2 4区 医学
Pediatric Dermatology Pub Date : 2026-09-01 Epub Date: 2026-06-14 DOI: 10.1111/pde.70260
Colby L Presley, John Meisenheimer, Chandler W Rundle, Sheilagh Maguiness, Ian A Maher, Alyce J M Anderson
{"title":"Social Unrest and Its Implications on the Pediatric Dermatological Patient: Lessons From a Single Center Academic Dermatology Department.","authors":"Colby L Presley, John Meisenheimer, Chandler W Rundle, Sheilagh Maguiness, Ian A Maher, Alyce J M Anderson","doi":"10.1111/pde.70260","DOIUrl":"10.1111/pde.70260","url":null,"abstract":"<p><p>The medical care of the pediatric population is disproportionately affected compared to adult medical care during periods of social and political unrest. No-show and late cancellation rates (NSLCR) were collected across pediatric and adult dermatology clinics in Minneapolis, Minnesota during recent periods of social unrest and the year prior. Pediatric dermatologic appointments, specifically those in metropolitan areas, were found to have a statistically significant increase (p < 0.001) in NSLCR compared to adult dermatology clinics.</p>","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":"1183-1184"},"PeriodicalIF":1.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13617178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148252697","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
The Efficacy and Safety of Tofacitinib in 48 Children and Adolescents With Alopecia Areata: A Retrospective Study From China. 托法替尼治疗48例儿童青少年斑秃的疗效和安全性：一项来自中国的回顾性研究。
IF 1.2 4区 医学
Pediatric Dermatology Pub Date : 2026-09-01 Epub Date: 2026-06-14 DOI: 10.1111/pde.70246
Xiaoxian Li, Shengke Fang, Xuesong Wang, Zunqing Fan, Mengmeng Liu, Yan Liu, Honglei Wang, Guoyan Liu
{"title":"The Efficacy and Safety of Tofacitinib in 48 Children and Adolescents With Alopecia Areata: A Retrospective Study From China.","authors":"Xiaoxian Li, Shengke Fang, Xuesong Wang, Zunqing Fan, Mengmeng Liu, Yan Liu, Honglei Wang, Guoyan Liu","doi":"10.1111/pde.70246","DOIUrl":"10.1111/pde.70246","url":null,"abstract":"<p><p>A single-center retrospective study evaluated tofacitinib in 48 Chinese children and adolescents (aged 2-18 years) with alopecia areata. At Week 12, the median relative improvement rate in SALT score from baseline was 50.0% (IQR: 27.2%-70.2%). By Week 24, the improvement increased to 84.3% (IQR: 52.2%-100.0%), and 20 patients (41.7%) achieved SALT<sub>100</sub> complete response and 11 patients (22.9%) attained SALT<sub>75</sub>. During extended follow-up, 24 patients experienced relapse. Recurrence rates were significantly higher in those with dose reduction or withdrawal (73.1%, 19/26) compared to patients maintaining treatment (31.3%, 5/16). All reported adverse events were mild. Tofacitinib demonstrated efficacy and acceptable safety, but the high recurrence rate underscores the need for long-term management.</p>","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":"1191-1195"},"PeriodicalIF":1.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148252625","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
Impact of a Brief Educational Intervention on Parental Sun Safety Attitudes for Newborns. 简短的教育干预对新生儿父母太阳安全态度的影响。
IF 1.2 4区 医学
Pediatric Dermatology Pub Date : 2026-09-01 Epub Date: 2026-04-27 DOI: 10.1111/pde.70229
Ayesha Kothari, Kaylee Gwyn, Bashir Khatib-Shahidi, Faheed Shafau, Elizabeth Buzney
{"title":"Impact of a Brief Educational Intervention on Parental Sun Safety Attitudes for Newborns.","authors":"Ayesha Kothari, Kaylee Gwyn, Bashir Khatib-Shahidi, Faheed Shafau, Elizabeth Buzney","doi":"10.1111/pde.70229","DOIUrl":"10.1111/pde.70229","url":null,"abstract":"<p><p>Early-life sun exposure accounts for a substantial portion of lifetime UV damage, with much of lifetime risk acquired before age 20 years. Despite clear pediatric and dermatology guidelines, many parents remain unsure of what optimal sun protection means, highlighting the need for accessible education and intervention. In our study, parents expressed strong interest in learning how to protect their newborns but lacked clear, actionable guidance. A brief, targeted educational session significantly improved parental attitudes toward sun safety and increased their intention to adopt recommended photoprotective behaviors.</p>","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":"1152-1153"},"PeriodicalIF":1.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13617174/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147778021","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
Cutis Tricolor-Like Pigmentary Mosaicism in Mowat-Wilson Syndrome: Phenotypic Overlap With Ruggieri-Happle Syndrome. 莫沃特-威尔逊综合征的皮肤三色样色素嵌合：与鲁格里-哈普尔综合征的表型重叠。
IF 1.2 4区 医学
Pediatric Dermatology Pub Date : 2026-09-01 Epub Date: 2026-06-14 DOI: 10.1111/pde.70294
Didier Bessis, Pierre Meyer, Marjolaine Willems
{"title":"Cutis Tricolor-Like Pigmentary Mosaicism in Mowat-Wilson Syndrome: Phenotypic Overlap With Ruggieri-Happle Syndrome.","authors":"Didier Bessis, Pierre Meyer, Marjolaine Willems","doi":"10.1111/pde.70294","DOIUrl":"10.1111/pde.70294","url":null,"abstract":"<p><p>Cutis tricolor (CT) is a rare pigmentary mosaicism characterized by the coexistence of hyperpigmented and hypopigmented areas on a background of normal skin; its syndromic form, Ruggieri-Happle syndrome (RHS), is associated with neurodevelopmental delay, facial dysmorphism, skeletal abnormalities, and other systemic defects. We report a 16-year-old girl with molecularly confirmed Mowat-Wilson syndrome caused by a de novo pathogenic ZEB2 frameshift variant, who presented with extensive CT-like pigmentary mosaicism and marked phenotypic overlap with RHS. Brain MRI disclosed bilateral microphthalmia, optic nerve hypoplasia, coloboma, a shortened corpus callosum, a brainstem segmentation defect, and inferior vermian hypoplasia. This observation expands the cutaneous phenotype of ZEB2-related disease and suggests possible shared developmental pathways between Mowat-Wilson syndrome and RHS.</p>","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":"1247-1249"},"PeriodicalIF":1.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13617161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148252669","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
Narrow-Margin Excision of Atypical Spitz Tumors: A Single-Center Retrospective Review. 非典型Spitz肿瘤的窄缘切除：一项单中心回顾性研究。
IF 1.2 4区 医学
Pediatric Dermatology Pub Date : 2026-09-01 Epub Date: 2026-06-14 DOI: 10.1111/pde.70262
Kelly K Barry, May Madi Han, Stephen R Humphrey, Kara E Young, Valerie M Carlberg
{"title":"Narrow-Margin Excision of Atypical Spitz Tumors: A Single-Center Retrospective Review.","authors":"Kelly K Barry, May Madi Han, Stephen R Humphrey, Kara E Young, Valerie M Carlberg","doi":"10.1111/pde.70262","DOIUrl":"10.1111/pde.70262","url":null,"abstract":"<p><strong>Background/objectives: </strong>Atypical Spitz tumors (AST) represent a diagnostically challenging and biologically heterogeneous group of intermediate melanocytic tumors in children. Although recent expert consensus guidelines recommend narrow margin excision, objective outcome data supporting narrow excision margins remain limited. This study evaluates surgical management practices and clinical outcomes of AST treated at a tertiary academic center.</p><p><strong>Methods: </strong>A retrospective, IRB-approved chart review was performed on patients < 18 years diagnosed with AST and treated surgically from 2012 to 2025 at Children's Wisconsin. Lesions demonstrating spitzoid morphology with atypical histopathologic features were included. Demographics, clinical features, surgical margins, molecular studies, and clinical outcomes were assessed. Narrow excision was defined as ≤ 3 mm.</p><p><strong>Results: </strong>Forty-three patients were included. Twenty patients (46.5%) were female, 23 (53.5%) were male. Mean age was 7.4 years (range 1-15). Mean follow-up was 53.3 months. Thirty-seven patients (86.0%) underwent narrow excision and 6 (14.0%) underwent wider excision with mean surgical margins of 2.1 mm and 6.0 mm, respectively. Four patients in the narrow excision group (10.8%) required re-excision, including 1 (2.7%) due to clinical recurrence; no re-excisions occurred after wide excision. Surgical complications occurred in 50% of patients following wide excision compared to 5.4% following narrow excision. No local or distant metastases or deaths were observed during the study period.</p><p><strong>Conclusions: </strong>In our cohort, narrow excision of AST was commonly employed and associated with excellent short- to mid-term oncologic outcomes and low surgical morbidity. These findings provide supportive clinical outcome data aligning with current consensus recommendations favoring more narrow surgical management of AST in children.</p>","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":"1131-1135"},"PeriodicalIF":1.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148252651","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
Bilateral Involvement in CHILD Syndrome Successfully Treated With Cholesterol-Lovastatin Combination. 胆固醇-洛伐他汀联合成功治疗儿童双侧受累综合征。
IF 1.2 4区 医学
Pediatric Dermatology Pub Date : 2026-09-01 Epub Date: 2026-05-05 DOI: 10.1111/pde.70247
Metin Zeyrek, Kerem Balan, Sibel Ersoy-Evans
{"title":"Bilateral Involvement in CHILD Syndrome Successfully Treated With Cholesterol-Lovastatin Combination.","authors":"Metin Zeyrek, Kerem Balan, Sibel Ersoy-Evans","doi":"10.1111/pde.70247","DOIUrl":"10.1111/pde.70247","url":null,"abstract":"<p><p>Congenital hemidysplasia with ichthyosiform erythroderma and limb defects (CHILD) syndrome is a rare X-linked dominant disorder that primarily affects the skin and skeletal system but can also involve multiple organ systems. The disease usually presents with unilateral dermatological and skeletal abnormalities; however, rarely might bilateral involvement occur. This condition is associated with mutations in the NSDHL gene, which affects cholesterol biosynthesis. Herein, we report a 7-year-old female with bilateral involvement and a novel c.449 T>C (p.Phe150Ser) mutation in the NSDHL gene whose lesions cleared completely with topical cholesterol-lovastatin cream.</p>","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":"1220-1223"},"PeriodicalIF":1.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147841438","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
Dupilumab-Induced Psoriasis in an Adolescent With Severe Atopic Dermatitis: Successful Management With Abrocitinib. 杜匹单抗诱发的青少年严重特应性皮炎牛皮癣：阿布替尼成功治疗。
IF 1.2 4区 医学
Pediatric Dermatology Pub Date : 2026-09-01 Epub Date: 2026-05-18 DOI: 10.1111/pde.70269
Grigorios Theodosiou, Åke Svensson
{"title":"Dupilumab-Induced Psoriasis in an Adolescent With Severe Atopic Dermatitis: Successful Management With Abrocitinib.","authors":"Grigorios Theodosiou, Åke Svensson","doi":"10.1111/pde.70269","DOIUrl":"10.1111/pde.70269","url":null,"abstract":"<p><p>Psoriasiform eruptions have been described in patients treated with dupilumab. This case report describes an adolescent with severe atopic dermatitis who developed a widespread psoriasiform dermatitis 8 months after starting dupilumab. His therapy was switched to abrocitinib resulting in near-complete resolution of the psoriatic lesions with good atopic dermatitis control. This case adds to the limited pediatric literature on dupilumab-induced psoriasis and highlights abrocitinib as an effective therapeutic alternative capable of addressing both conditions concurrently.</p>","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":"1241-1243"},"PeriodicalIF":1.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13617169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147974555","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
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