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Common misdiagnoses and prevalence of dermatological disorders at a pediatric tertiary care center

OBJECTIVES: Dermatological disorders are common in general pediatric practice. This study aimed to examine common skin problems and the manner in which they tend to be misdiagnosed. METHODS: A cross-sectional study was conducted from January 2015 to December 2016 using medical record data from the P...

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Autores principales: Onsoi, Witchuwan, Chaiyarit, Jitjira, Techasatian, Leelawadee
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7593671/
https://www.ncbi.nlm.nih.gov/pubmed/31537142
http://dx.doi.org/10.1177/0300060519873490
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author Onsoi, Witchuwan
Chaiyarit, Jitjira
Techasatian, Leelawadee
author_facet Onsoi, Witchuwan
Chaiyarit, Jitjira
Techasatian, Leelawadee
author_sort Onsoi, Witchuwan
collection PubMed
description OBJECTIVES: Dermatological disorders are common in general pediatric practice. This study aimed to examine common skin problems and the manner in which they tend to be misdiagnosed. METHODS: A cross-sectional study was conducted from January 2015 to December 2016 using medical record data from the Pediatric Dermatological Outpatient Unit at Khon Kaen University, Faculty of Medicine. RESULTS: A total of 1551 visits by 769 patients were documented during the study period. A total of 114 presenting diseases were recorded. The most common skin disease in the study population was dermatitis (unspecified) (88/769, 11.4%), followed by atopic dermatitis (76/769, 9.8%) and infantile hemangioma (72/769, 9.3%). There was a total of 55 (48.2%) misdiagnosed diseases. Some unique cutaneous diseases were undiagnosed because of their rarity. However, the percentages of common cutaneous diseases, such as tinea capitis and molluscum contagiosum, which had been misdiagnosed, were also high (62.50% [95% confidence interval = 24.49–91.48] and 71.43% [95% confidence interval = 29.04–96.33], respectively). CONCLUSION: A large percentage of misdiagnoses of common cutaneous diseases may be due to general pediatricians being undereducated in the field of dermatology. Accurate recognition and appropriate management of these conditions should be emphasized for educating general pediatricians in the future.
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spelling pubmed-75936712020-11-10 Common misdiagnoses and prevalence of dermatological disorders at a pediatric tertiary care center Onsoi, Witchuwan Chaiyarit, Jitjira Techasatian, Leelawadee J Int Med Res Retrospective Study OBJECTIVES: Dermatological disorders are common in general pediatric practice. This study aimed to examine common skin problems and the manner in which they tend to be misdiagnosed. METHODS: A cross-sectional study was conducted from January 2015 to December 2016 using medical record data from the Pediatric Dermatological Outpatient Unit at Khon Kaen University, Faculty of Medicine. RESULTS: A total of 1551 visits by 769 patients were documented during the study period. A total of 114 presenting diseases were recorded. The most common skin disease in the study population was dermatitis (unspecified) (88/769, 11.4%), followed by atopic dermatitis (76/769, 9.8%) and infantile hemangioma (72/769, 9.3%). There was a total of 55 (48.2%) misdiagnosed diseases. Some unique cutaneous diseases were undiagnosed because of their rarity. However, the percentages of common cutaneous diseases, such as tinea capitis and molluscum contagiosum, which had been misdiagnosed, were also high (62.50% [95% confidence interval = 24.49–91.48] and 71.43% [95% confidence interval = 29.04–96.33], respectively). CONCLUSION: A large percentage of misdiagnoses of common cutaneous diseases may be due to general pediatricians being undereducated in the field of dermatology. Accurate recognition and appropriate management of these conditions should be emphasized for educating general pediatricians in the future. SAGE Publications 2019-09-19 /pmc/articles/PMC7593671/ /pubmed/31537142 http://dx.doi.org/10.1177/0300060519873490 Text en © The Author(s) 2019 https://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Retrospective Study
Onsoi, Witchuwan
Chaiyarit, Jitjira
Techasatian, Leelawadee
Common misdiagnoses and prevalence of dermatological disorders at a pediatric tertiary care center
title Common misdiagnoses and prevalence of dermatological disorders at a pediatric tertiary care center
title_full Common misdiagnoses and prevalence of dermatological disorders at a pediatric tertiary care center
title_fullStr Common misdiagnoses and prevalence of dermatological disorders at a pediatric tertiary care center
title_full_unstemmed Common misdiagnoses and prevalence of dermatological disorders at a pediatric tertiary care center
title_short Common misdiagnoses and prevalence of dermatological disorders at a pediatric tertiary care center
title_sort common misdiagnoses and prevalence of dermatological disorders at a pediatric tertiary care center
topic Retrospective Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7593671/
https://www.ncbi.nlm.nih.gov/pubmed/31537142
http://dx.doi.org/10.1177/0300060519873490
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