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J Am Acad Dermatol. 2013 Jun;68(6):926-31. doi: 10.1016/j.jaad.2012.12.949. Epub 2013 Jan 24.

Pediatric dermatology inpatient consultations: a retrospective study of 427 cases.

Author information

1
Pediatric Dermatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA. mcmahonp@email.chop.edu

Abstract

BACKGROUND:

Limited reviews of inpatient pediatric dermatology (PD) exist in the current medical literature.

OBJECTIVE:

We sought to profile the inpatient PD consultations at a large tertiary care children's hospital.

METHODS:

We reviewed the electronic medical records of 427 consecutive PD consultations over a 52-month period from January 2006 to April 2010. The age, gender, diagnosis, requesting service, number of skin biopsies performed, and reason for admission to the hospital were recorded.

RESULTS:

Patients ranged in age from newborn to 17 years old: 18% were 6 weeks to 11 months of age. General pediatrics was the service that most frequently consulted PD (44% of consultations). The most common diagnostic categories included infectious diseases, graft-versus-host disease, dermatitis, vascular anomalies, and drug eruptions. The most common diagnoses when hospitalization was primarily for skin-related disease were infections and vascular anomalies. Admission for skin disease associated with a systemic illness was most frequently for infections and drug eruptions.

LIMITATIONS:

The retrospective nature of the study, its reliance on electronic medical records, and occurrence at a tertiary care children's hospital are potential limitations.

CONCLUSIONS:

Information obtained from this study may be used to: (1) tailor teaching to relevant diagnoses for health care providers and trainees who care for children in a hospital setting, (2) inform clinicians about the array of conditions on which PD consultants provide input, and (3) understand the impact PD consultations have in a pediatric tertiary care center.

PMID:
23352278
DOI:
10.1016/j.jaad.2012.12.949
[Indexed for MEDLINE]
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