Choose Your Own Adventure: Crowdsourcing for the Management of Complex and Refractory Pediatric Dermatology Cases

The session presented by pediatric dermatologists at a conference aimed to explore complex and refractory pediatric dermatology cases through an interactive discussion format. Led by Robert Smith from Johns Hopkins School of Medicine, the panel addressed cases including rhoven reactive infectious mucocutaneous disease (Rhyme), juvenile dermatomyositis, and hidradenitis suppurativa (HS), highlighting their management and treatment options. The panel emphasized the need for audience participation to foster collective learning and address gaps in current practices. For each case, the panel discussed potential diagnoses, workups, and treatments based on their clinical experiences rather than established guidelines, which often lack robust evidence in pediatric populations. Treatment discussions included the use of corticosteroids, methotrexate, and biological therapies like TNF inhibitors and interleukin blockers. The session underscored the variability in management strategies and the importance of multidisciplinary approaches to improve outcomes for pediatric patients with challenging dermatologic conditions. Ultimately, the session encouraged further research and collaboration among dermatologists, pediatricians, and other specialists to enhance the care of children with complex skin diseases.