Clinic and demographic characteristics of pediatric patients with lichen sclerosus

The COVID-19 pandemic necessitated a sudden limitation of in-person outpatient occupational and physical therapy services for most patients at a large, multisite pediatric hospital located in the Midwest, United States. To ensure patient and staff safety, the hospital rapidly shifted to deliver most of these services via telerehabilitation. The purposes of this study were to (1) describe the rapid implementation of telerehabilitation during the COVID-19 pandemic, (2) describe the demographic characteristics of patients who continued in-person services and those who received telerehabilitation, and (3) evaluate the therapists’ perceptions of telerehabilitation for physical and occupational therapy. Most of the children (83.4% of n=1352) received telerehabilitation services. A family was more likely to choose to continue in-person visits if their child was <1-year-old, had a diagnosis of torticollis, received serial casting, or was post-surgical. Occupational and physical therapy therapists (n=9) completed surveys to discern their perceptions of the acceptability of telerehabilitation, with most reporting that telerehabilitation was as effective as in-person care.

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Vulvar Lesions in the Pediatric Patient

10.2310/fm.19108 ◽

2020 ◽

Author(s):

Michele Troutman ◽

Hong-Thao Thieu

Keyword(s):

Pediatric Patients ◽

Systemic Treatment ◽

Skin Barrier ◽

Lichen Sclerosus ◽

Medical Attention ◽

Condition Versus ◽

Common Complaint ◽

Irritant Dermatitis ◽

Systemic Condition ◽

Dermatitis Contact

Vulvar lesions are a common complaint for which pediatric patients seek medical attention. Please refer to the chapter on Prepubertal Vulvovaginitis for more details. A careful history and physical exam, including full skin exam should be performed when pediatric and adolescent patients present with vulvar complaints. The chief complaint and chronicity of the symptoms can narrow the differential. The chronicity and areas of dermatologic involvement can also be key to diagnosing a systemic condition versus a primary vulvar dermatosis. When the latter is assumed, a referral to an appropriate specialist such as a Pediatric and Adolescent Gynecologist or Dermatologist should be considered. Treatment for vulvar dermatoses should be etiology dependent with consideration of systemic treatment as appropriately indicated. Vulvar hygiene should be considered in all patients as restoring the skin barrier and removing potential irritants is imperative to healing and preventing further irritation. This review contains 1 figure, 2 tables, and 25 references. Keywords: vulva, vulva dermatosis, vulvovaginitis, lichen sclerosus, atopic dermatitis, psoriasis, streptococcus vulvovaginitis, irritant dermatitis, contact dermatitis

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Pediatric Lichen Sclerosus et Atrophicus: A Retrospective Analysis of 38 Pediatric Patients

International Journal of Clinical Practice ◽

10.1111/ijcp.14661 ◽

2021 ◽

Author(s):

Basak Yalici‐Armagan ◽

Ecem Bostan ◽

Neslihan Akdogan ◽

Sibel Ersoy‐Evans

Keyword(s):

Retrospective Analysis ◽

Pediatric Patients ◽

Lichen Sclerosus ◽

Lichen Sclerosus Et Atrophicus

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Pharmacological treatment and demographic characteristics of pediatric patients with Attention Deficit Hyperactivity Disorder, Sweden

European Neuropsychopharmacology ◽

10.1016/j.euroneuro.2013.07.009 ◽

2013 ◽

Vol 23 (12) ◽

pp. 1732-1738 ◽

Cited By ~ 12

Author(s):

Shahram Bahmanyar ◽

Anders Sundström ◽

Magnus Kaijser ◽

Anne-Liis von Knorring ◽

Helle Kieler

Keyword(s):

Attention Deficit Hyperactivity Disorder ◽

Attention Deficit ◽

Pharmacological Treatment ◽

Pediatric Patients ◽

Demographic Characteristics ◽

Hyperactivity Disorder

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Vascular lesions in genital lichen sclerosus in pediatric patients

Pediatric Dermatology ◽

10.1111/pde.14277 ◽

2020 ◽

Vol 37 (5) ◽

pp. 849-852

Author(s):

Rivka Friedland ◽

Dan Ben‐Amitai ◽

Elena Didkovsky ◽

Meora Feinmesser ◽

Alex Zvulunov

Keyword(s):

Pediatric Patients ◽

Lichen Sclerosus ◽

Vascular Lesions

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Vulvar Lesions in the Pediatric Patient

10.2310/obg.19108 ◽

2020 ◽

Author(s):

Michele Troutman ◽

Hong-Thao Thieu

Keyword(s):

Pediatric Patients ◽

Systemic Treatment ◽

Skin Barrier ◽

Lichen Sclerosus ◽

Medical Attention ◽

Condition Versus ◽

Common Complaint ◽

Irritant Dermatitis ◽

Systemic Condition ◽

Dermatitis Contact

Vulvar lesions are a common complaint for which pediatric patients seek medical attention. Please refer to the chapter on Prepubertal Vulvovaginitis for more details. A careful history and physical exam, including full skin exam should be performed when pediatric and adolescent patients present with vulvar complaints. The chief complaint and chronicity of the symptoms can narrow the differential. The chronicity and areas of dermatologic involvement can also be key to diagnosing a systemic condition versus a primary vulvar dermatosis. When the latter is assumed, a referral to an appropriate specialist such as a Pediatric and Adolescent Gynecologist or Dermatologist should be considered. Treatment for vulvar dermatoses should be etiology dependent with consideration of systemic treatment as appropriately indicated. Vulvar hygiene should be considered in all patients as restoring the skin barrier and removing potential irritants is imperative to healing and preventing further irritation. This review contains 1 figure, 2 tables, and 25 references. Keywords: vulva, vulva dermatosis, vulvovaginitis, lichen sclerosus, atopic dermatitis, psoriasis, streptococcus vulvovaginitis, irritant dermatitis, contact dermatitis

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A Single-Center Retrospective Evaluation of Unplanned Pediatric Critical Care Upgrades

Journal of Pediatric Intensive Care ◽

10.1055/s-0041-1740449 ◽

2021 ◽

Author(s):

Lisa R. Yoder ◽

Bridget Dillon ◽

Theodore K. M. DeMartini ◽

Shouhao Zhou ◽

Neal J. Thomas ◽

...

Keyword(s):

Critical Care ◽

Pediatric Patients ◽

Diagnostic Category ◽

Pediatric Intensive Care ◽

Demographic Characteristics ◽

Retrospective Evaluation ◽

Single Institution ◽

Diagnostic Categories ◽

Care Services ◽

Poor Outcomes

Abstract Background Inappropriate triage of critically ill pediatric patients can lead to poor outcomes and suboptimal resource utilization. This study aimed to determine and describe the demographic characteristics, diagnostic categories, and timing of unplanned upgrades to the pediatric intensive care unit (PICU) that required short (< 24 hours of care) and extended (≥ 24 hours of care) stays. In this article, we hypothesized that we will identify demographic characteristics, diagnostic categories, and frequent upgrade timing periods in both of these groups that may justify more optimal triage strategies. Methods This was a single-institution retrospective study of unplanned PICU upgrades between 2012 and 2018. The cohort was divided into two groups (short and extended PICU stay). We reviewed the electronic health record and evaluated for: demographics, mortality scores, upgrade timing (7a-3p, 3p-11p, 11p-7a), lead-in time (time spent on clinical service before upgrade), patient origin, and diagnostic category. Results Four hundred and ninety-eight patients' unplanned PICU upgrades were included. One hundred and nine patients (21.9%) required a short and 389 (78.1%) required an extended PICU stay. Lead-in time (mean, standard deviation) was significantly lower in the short group (0.65 ± 0.66 vs. 0.91 ± 0.82) (p = 0.0006). A higher proportion of short group patients (59, 46.1%) were upgraded during the 3p-11p shift (p = 0.0077). Conclusion We found that approximately one-fifth of PICU upgrades required less than 24 hours of critical care services, were more likely to be transferred between 3p-11p, and had lower lead-in times. In institutions where ill pediatric patients can be admitted to either a PICU or a monitored step-down unit, this study highlights quality improvement opportunities, particularly in recognizing which pediatric patients truly need critical care.

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