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Journal of the American Academy of Dermatology
Volume 77, n° 5
pages 879-885 (novembre 2017)
Doi : 10.1016/j.jaad.2017.06.005
accepted : 2 June 2017
Original Articles

Outpatient dermatology consultation impacts the diagnosis and management of pediatric oncology patients: A retrospective study
 

Hannah Song, BA a, b, Sarah N. Robinson, MD c, Jennifer T. Huang, MD b, d,
a Harvard Medical School, Boston, Massachusetts 
b Dermatology Program, Boston Children's Hospital, Boston, Massachusetts 
c Harvard Combined Dermatology Residency, Boston, Massachusetts 
d Department of Dermatology, Harvard Medical School, Boston, Massachusetts 

Correspondence to: Jennifer T. Huang, MD, Boston Children's Hospital, Department of Dermatology, 300 Longwood Ave, Boston MA 02115.Boston Children's HospitalDepartment of Dermatology300 Longwood AveBostonMA02115
Abstract
Background

The impact of dermatology consultation on the care of children with oncologic conditions is unknown.

Objective

To review outpatient dermatology visits and the resulting impact on diagnosis and management of pediatric oncology patients.

Method

Retrospective review of pediatric oncology patients with outpatient dermatology visits at a tertiary care center from 2008 to 2015.

Results

The most common dermatologic diagnoses in 516 patients were skin infections (21.3%) and nonmalignant skin eruptions (33.4%). A diagnosis of significant impact (ie, malignancy, adverse cutaneous drug reaction, graft-versus-host disease, varicella-zoster virus, or herpes simplex virus infection), was made at the dermatology clinic in 14.7% of visits. Consultation resulted in a change in diagnosis in 59.8% of patients, change in dermatologic management in 72.4% of patients, and change in management of noncutaneous issues in 12.4% of patients.

Limitations

The use of electronic medical records, the nongeneralizable study population, and the retrospective design represent potential limitations.

Conclusion

Outpatient dermatology consultation can affect the care of pediatric oncology patients with respect to diagnosis and treatment of skin conditions and management of nondermatologic issues.

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

Key words : epidemiology, management, outpatient visits, pediatric oncology, treatment

Abbreviations used : GVHD, HSCT, HSV, VZV



 Funding sources: None.
 Conflicts of interest: None declared. Ms Song had full access to all data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
 Presented at the Society of Investigative Dermatology 76th Annual Meeting. Portland, OR; April 26-29, 2017.
 Reprints not available from the authors



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