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Journal of the American Academy of Dermatology
Volume 74, n° 6
pages 1173-1177 (juin 2016)
Doi : 10.1016/j.jaad.2016.01.021
accepted : 15 January 2016
Original Articles

Emergency department utilization of pediatric dermatology (PD) consultations
 

Amanda T. Moon, MD a, , Leslie Castelo-Soccio, MD, PhD a, b, Albert C. Yan, MD a, b
a Children's Hospital of Philadelphia, Philadelphia, Pennsylvania 
b Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania 

Reprint requests: Amanda T. Moon, MD, Children's Hospital of Philadelphia, 3550 Market St, 2nd Floor, Philadelphia, PA 19104.Children's Hospital of Philadelphia3550 Market St2nd FloorPhiladelphiaPA19104
Abstract
Background

There are few published data about pediatric dermatology (PD) consultations in the pediatric emergency department (PED).

Objective

We profiled PD consultations to determine patterns of dermatology utilization by the PED.

Methods

We reviewed electronic medical records of 347 PD consultations from the PED over a 36-month period from January 2011 to December 2013. We recorded patient age and gender; PED diagnosis; PD diagnosis; skin biopsy, if needed, with histopathology report; and outpatient PD follow-up.

Results

Patient age ranged from 3 days to 18 years with the majority (54.8%) of consultations for patients aged 0 days to 5 years. The most common diagnostic categories were infections and inflammatory skin disorders. Atopic dermatitis was the most common individual diagnosis. In all, 48.1% of patients had PD outpatient clinic follow-up. The rate of diagnostic agreement between the pediatric emergency medicine and PD provider was 58%.

Limitations

Use of electronic medical records, retrospective study design, and population based at a tertiary-care children's hospital represent potential limitations.

Conclusions

PD providers contribute to patient care in the PED. Dermatology education in the PED should include the more commonly encountered disorders identified in this study, including infectious diseases and atopic dermatitis.

The full text of this article is available in PDF format.

Key words : atopic dermatitis, consultation, education, emergency, infection, pathology, pediatric

Abbreviations used : AD, IH, PD, PED



 At the time of initial submission, Dr Moon was affiliated with the University of Rochester Medical Center in Rochester, NY.
 Supported by a mentorship grant from the Society for Pediatric Dermatology in 2014.
 Conflicts of interest: None declared.



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