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- Presentation
You May Not Have Seen It, but It Has Seen You: Commonly Missed Diagnoses in Dermatology
Description
The session titled "You May Not Have Seen It, but It Has Seen You: Commonly Missed Diagnoses in Dermatology" presented by Sadaf Hussein and co-hosts, focused on lesser-known dermatological diagnoses. It began with a case study of a two-week-old with peri-umbilical erythema, misdiagnosed often as infection but identified as benign self-limited neonatal peri-umbilical erythema. Subsequent cases included a child with persistent diaper rash due to allergic contact dermatitis from blue dye in diapers, an eight-year-old with granulomatous cheilitis linked to Crohn's disease, and a teenager exhibiting symptoms of measles during a reported outbreak in the U.S., highlighting the importance of vaccination and diagnosis. Other discussions featured hypersensitivity responses post-candida antigen injection, blistering dermatitis induced by senna laxatives, and the rare genetic skin condition epidermolysis bullosa pruriginosa. Finally, Dupixent was noted as a promising treatment for this condition, which had shown significant improvement in affected patients. The session emphasized the need for awareness and prompt recognition of these often-overlooked skin conditions.
View moreConclusions
- Self-limited neonatal periumbilical erythema is commonly misdiagnosed as infection but is benign and self-resolving.
- Allergic contact dermatitis caused by blue dye in diapers can resemble other forms of diaper rash, necessitating careful diagnosis.
- Granulomatous cheilitis can be an early sign of Crohn's disease in children, sometimes appearing in asymptomatic patients.
- Measles is experiencing a resurgence due to vaccination hesitancy and international travel, with significant complications if contracted.
- Hypersensitivity reactions to Candida antigen injections can occur, highlighting the importance of patient education regarding prior treatment responses.
- Alopecic and aseptic nodules of the scalp (AANS) can be mistaken for other conditions, but proper diagnosis alleviates anxiety and reduces unnecessary treatments.
- Senna can induce blistering dermatitis in children, especially with overuse, requiring awareness among caregivers and healthcare providers.
- Epidermolysis bullosa pruriginosa, a rare genetic condition, can respond positively to Dupixent, showcasing potential treatment avenues for previously challenging dermatitis.
- Ahad, T., Riley, A., Martindale, E., Bremen, B., & Owen, C. (2018). Vulvar swelling as the first presentation of Crohn's disease in children-A report of three cases. Pediatric Dermatology, 35(1), E1-E4.
- Wieland, C., & Davis, D. (2016). Penile and Scrotal Swelling: An Underrecognized Presentation of Crohn's Disease. Pediatric Dermatology, 33(2), 172-177.
- Nabatian, A., Shah, K., Iofel, E., Rosenberg, S., Javidian, P., Pappert, A., Milgraum, S. S. (2011). Asymptomatic Granulomatous Vulvitis and Granulomatous Cheilitis in Childhood: The Need for Crohn Disease Workup. Journal of Pediatric Gastroenterology and Nutrition, 53(1), 100-101.
- Int J Trichology, (2018). AANS (Alopecic and Aseptic Nodules of the Scalp). Int J Trichology, 10(5), 231-233.
- Shehadeh, N., Sarig, O., Bar, J., Sprecher, E., Samuelov, L. (2020). Dupilumab as a Novel Treatment of epidermolysis bullosa pruriginosa-associated pruritus. British Journal of Dermatology, https://doi.org/10.1111/bjd.18855.
- Zhou, A. G., Little, A. J., Antaya, R. J. (2020). Epidermolysis bullosa pruriginosa treated with dupilumab. Pediatric Dermatology, https://doi.org/10.1111/pde.14493.
- Caroppo, F., Milan, E., Giulioni, E., Belloni Fortina, A. (2021). A case of dystrophic epidermolysis bullosa pruriginosa treated with dupilumab. Journal of Dermatology, https://doi-org.ezp-prod1.hul.harvard.edu/10.1111/jdv.17887.