How many is too many? A review of the significant numbers in pediatric skin lesions and their recommended evaluation
- PMID: 39235117
- DOI: 10.1111/pde.15687
How many is too many? A review of the significant numbers in pediatric skin lesions and their recommended evaluation
Abstract
Pediatric dermatologists are frequently consulted to evaluate children for cutaneous signs of systemic disorders. Numerical thresholds of significance have been described in the dermatologic literature for various skin findings where the likelihood of an associated extracutaneous abnormality or known genetic syndrome increases significantly. Knowledge of these numerical thresholds facilitates diagnosis and management, which improves clinical outcomes and avoids severe complications. This review highlights the clinical presentation, complications, evaluation, and numerical significance, when applicable, for the following skin findings: infantile hemangiomas, capillary malformations, café-au-lait macules, hypopigmented macules, juvenile xanthogranulomas, pilomatricomas, and angiofibromas.
Keywords: infantile hemangiomas; multiple abnormalities; pigmentation disorders; vascular malformations.
© 2024 Wiley Periodicals LLC.
References
REFERENCES
-
- Krowchuk DP, Frieden IJ, Mancini AJ, et al. Clinical practice guideline for the management of infantile hemangiomas. Pediatrics. 2019;143(1):e20183475. doi:10.1542/peds.2018‐3475
-
- Horii KA, Drolet BA, Frieden IJ, et al. Prospective study of the frequency of hepatic hemangiomas in infants with multiple cutaneous infantile hemangiomas. Pediatr Dermatol. 2011;28(3):245‐253. doi:10.1111/j.1525‐1470.2011.01420.x
-
- Ji Y, Chen S, Yang K, et al. Screening for infantile hepatic hemangioma in patients with cutaneous infantile hemangioma: a multicenter prospective study. J Am Acad Dermatol. 2021;84(5):1378‐1384. doi:10.1016/j.jaad.2020.11.062
-
- Iacobas I, Phung TL, Adams DM, et al. Guidance document for hepatic hemangioma (infantile and congenital) evaluation and monitoring. J Pediatr. 2018;203:294‐300.e2. doi:10.1016/j.jpeds.2018.08.012
-
- Christison‐Lagay ER, Burrows PE, Alomari A, et al. Hepatic hemangiomas: subtype classification and development of a clinical practice algorithm and registry. J Pediatr Surg. 2007;42(1):62‐68. doi:10.1016/j.jpedsurg.2006.09.041
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical