Pediatric Skin Research Articles

Iontophoresis Improves the Impact on the Quality of Life of Children with Primary Hyperhidrosis-A Prospective Study and a Short Review.

Primary hyperhidrosis (PH) is a somatic and idiopathic pediatric skin disease. The eccrine glands are tiny and very numerous, with approximately 3 million distributed throughout the skin. There is no commonly accepted amount of sweating to define hyperhidrosis, but people with this disease suffer real limitations integrating into society, which can be quantified through quality of life measurement scales. We want to draw attention to this disease and its impact on children's quality of life because it is significant and there are no studies conducted on groups consisting solely of children. There are various quality of life evaluation questionnaires for hyperhidrosis. We studied 103 children with hyperhidrosis by monitoring their sweat severity and its impact on quality of life, using the Hyperhidrosis Disease Severity Scale. We compared the scale results before and after 10 days of iontophoresis. This study includes only children under 18 years old, treated with iontophoresis. The average age of the group is 11.84 ± 2.89 years. Treatment success is recorded in 68 (66.02%) children, but a change in the score is recorded in 74 (71.84%) children. The average HDSS score at T0 is 2.95 ± 0.70, compared to the HDSS score at T1 of 1.92 ± 0.86. Hyperhidrosis has a negative impact on daily life, especially self-esteem, occupational productivity, emotional well-being, and interpersonal relationships. Iontophoresis is a safe and effective treatment method that reduces the severity of hyperhidrosis and increases the quality of life.

Ultrasound features of cutaneous myiasis: a rare case in a child.

Cutaneous myiasis is an infestation of the skin with larvae of some dipteran species. Among humans, Dermatobia hominis is the most frequently encountered dipteran responsible for cutaneous myiasis. This insect is endemic to tropical and subtropical regions, consequently, individuals travelling from non-endemic areas are most susceptible to infection due to a lack of prior exposure. Three clinical variants of myiasis are distinguished: furuncular, migratory, and wound myiasis. Furuncular myiasis represents the most common form among travelers, yet it is a rare cause of pediatric skin manifestations in developed countries. Limited awareness of this condition in non-endemic regions contributes to diagnostic challenges. In this scenario, ultrasound is useful in the diagnostic workup, enabling the identification of the viable larva.

The Spectrum of Pediatric Skin Diseases: A Prospective Study in Sudan

Background: In line with the World Health Organization's (WHO) campaign to improve community dermatology services, research on the spectrum of pediatric skin diseases is crucial for both patients and policymakers. Identifying the spectrum of pediatric skin conditions among children visiting the Khartoum Dermatological Hospital's outpatient dermatology clinic was the goal of this study. Methods: Over six months, a prospective cross-sectional study including children (0–18 years old) was undertaken. Once the pertinent medical history and examinations were gathered, dermatologists made the diagnosis. Skin conditions were divided into several categories. The analysis of the data was done with the SPSS version 23. Results: A total of 320 children, with a male-to-female ratio of 1.1:1, were enrolled. Ten categories with 38 different skin diseases were established after diagnosis. Infections in 152 (47.5%), eczematous disorders in 89 (27.8%), and appendageal disorders in 19 (5.93%) children were the most prevalent conditions by group. Impetigo (37.5%), scabies (10.9%), and seborrheic dermatitis (10.6%) were the most frequently seen diseases. These illnesses most commonly afflicted the areas of the limbs (30%), face (20%), and scalp (18.7%). Papules in 148 (46%) and scales in 74 (23%) children were the most prevalent primary and secondary efflorescence, respectively. A clinical diagnosis was made in the majority (266 [83.1%]) of the cases. Conclusion: The most frequently observed group was infection. This demonstrates how crucial it is to maintain good personal and family hygiene, minimize overcrowded spaces, and promoting public health.

Characterization of Skin Interfollicular Stem Cells and Early Transit Amplifying Cells during the Transition from Infants to Young Children.

In the interfollicular epidermis, keratinocyte stem cells (KSC) generate a short-lived population of transit amplifying (TA) cells that undergo terminal differentiation after several cell divisions. Recently, we isolated and characterized a highly proliferative keratinocyte cell population, named "early" TA (ETA) cell, representing the first KSC progenitor with exclusive features. This work aims to evaluate epidermis, with a focus on KSC and ETA cells, during transition from infancy to childhood. Reconstructed human epidermis (RHE) generated from infant keratinocytes is more damaged by UV irradiation, as compared to RHE from young children. Moreover, the expression of several differentiation and barrier genes increases with age, while the expression of genes related to stemness is reduced from infancy to childhood. The proliferation rate of KSC and ETA cells is higher in cells derived from infants' skin samples than of those derived from young children, as well as the capacity of forming colonies is more pronounced in KSC derived from infants than from young children's skin samples. Finally, infants-KSC show the greatest regenerative capacity in skin equivalents, while young children ETA cells express higher levels of differentiation markers, as compared to infants-ETA. KSC and ETA cells undergo substantial changes during transition from infancy to childhood. The study presents a novel insight into pediatric skin, and sheds light on the correlation between age and structural maturation of the skin.

Stigmatization and Mental Health Impact of Chronic Pediatric Skin Disorders

Chronic skin disorders in children frequently are visible and can cause stigmatization. However, the extent of stigmatization from chronic skin disease and association with mental health needs further study. To examine the extent of stigma, dependence on disease visibility and severity, and association with mental health and quality of life (QOL) in chronic pediatric skin disease. A cross-sectional, single-visit study was conducted at 32 pediatric dermatology centers in the US and Canada from November 14, 2018, to November 17, 2021. Participants included patients aged 8 to 17 years with chronic skin disease and 1 parent. Using the Patient-Reported Outcomes Measurement Instrumentation System (PROMIS) Stigma-Skin, the extent of stigma with child-, caregiver-, and physician-assessed disease visibility (primary outcome) and severity was compared, as well as reduced QOL (assessed by Skindex-Teen), depression, anxiety, and poor peer relationships (PROMIS child and proxy tools) (secondary outcomes). The study included 1671 children (57.9% female; mean [SD] age, 13.7 [2.7] years). A total of 56.4% participants had self-reported high disease visibility and 50.5% had moderate disease severity. Stigma scores significantly differed by level of physician-assessed and child/proxy-assessed disease visibility and severity. Among children with chronic skin disorders, predominantly acne, atopic dermatitis, alopecia areata, and vitiligo, only 27.0% had T scores less than 40 (minimal or no stigma) and 43.8% had at least moderate stigma (T score ≥45) compared with children with a range of chronic diseases. Stigma scores correlated strongly with reduced QOL (Spearman ρ = 0.73), depression (ρ = 0.61), anxiety (ρ = 0.54), and poor peer relationships (ρ = -0.49). Overall, 29.4% of parents were aware of bullying of their child, which was strongly associated with stigma (Cohen d = -0.79, with children who were not bullied experiencing lower levels of stigma). Girls reported more stigma than boys (Cohen d = 0.26). Children with hyperhidrosis and hidradenitis suppurativa were most likely to have increased depression and anxiety. The findings of this study suggest that physician assessment of disease severity and visibility is insufficient to evaluate the disease impact in the patient/caregiver. Identifying stigmatization, including bullying, and tracking improvement through medical and psychosocial interventions may be a key role for practitioners.

Assessment of Pediatric Skin Patient Satisfaction with Pharmacy Services at Basmalah Clinic Jambi

The purpose of this study is to evaluate the level of satisfaction of pediatric skin patients with the pharmaceutical services provided at the Basmalah Jambi Clinic. The clinic is known as a primary health care provider in Jambi city and has a pharmacy unit that provides medicines for patients. Methods The research conducted was descriptive with an observational approach. The observational method is a collection technique on research subjects. The qualitative method in the study of Pediatric Satisfaction Assessment of Pharmaceutical Services at the Basmalah Jambi Clinic refers to a research approach that focuses on an in-depth understanding of patients' experiences, perceptions, and views of the pharmaceutical services they receive at the clinic. The results of this study indicate that pharmaceutical services at the Basmalah Jambi Clinic have met the needs and expectations of pediatric skin patients in general. However, there are some areas that need to be improved to enhance service quality and ensure continued patient satisfaction in the future.

P30 Trouble with skin: Do parents understand the impact skin conditions have on children’s quality of life?

Abstract Paediatric skin conditions have a negative impact on the quality of life in patients and their families. The children’s dermatology life quality index score (CDLQI) was initially designed and published in 1951. Often the parent or guardian fills out this questionnaire; basing their answers on how they feel the disease is affecting the child. This leads to a biased CDLQI that doesn’t show the true impact on the child. Objective: To evaluate the impact of atopic dermatitis and psoriasis on children aged 4-12 and to assess if there is a difference in the CDLQI depending on whether the parent or child fills out the form. Observational cross-sectional study. Eighty patients aged 4-12 were recruited from paediatric dermatology clinic. Disease severity scores were completed and treatment to date noted. Parents filled out the CDLQI on their own while the child filled it out with the doctor. Parent and child answers assessed for differences. Eighty patients and parents met the inclusion criteria. Forty patients had psoriasis and forty had atopic dermatitis. Across all disease severities parents underestimated the impact of itch. The moderate disease cohort showed the greatest difference in patient/parent CDLQI. Parents overestimated how embarrassed children were and most parents felt the disease was impacting the childs friendships and causing bullying. The majority of children did not report this as being an issue. This highlights the impact of paediatric skin disease on carers and the importance of the child filling out the CDLQI form.

Profil Penyakit Kulit pada Pasien Anak yang Berobat di Poliklinik Kulit dan Kelamin RSUD Provinsi Nusa Tenggara Barat Periode Januari 2020–Juni 2023

Skin diseases can affect all ages, children are no exception. Skin diseases in children can cause considerable discomfort, parental anxiety, and embarrassment in children and impact on absenteeism rates in school-age children. The purpose of this study was to determine the statistical epidemiology of pediatric skin diseases so that they could provide information regarding the prevalence of the disease so that it could be a way to evaluate the causes of skin diseases to help prevent and treat skin diseases. This study using descriptive retrospective method from secondary data from medical records of children aged 0 to 18 years undergoing treatment at the Dermatology and Venereology Polyclinic at Nusa Tengara Barat Province Hospital in the period January 2020 - June 2023. Then processed with software for presentation in tabular form. During this period, there were 475 pediatric patients with 448 new patients and 27 old patients. Generally men numbered 282 (59.4%). The most common categories of skin diseases in children were infectious diseases with 288 cases (60.6%), dermato-allergo-immunology with 89 cases (18.7%) and non-infectious diseases with 59 cases (12.5%). Most skin diseases are caused by infections, mainly parasitic infestations (mostly scabies), fungal infections (mostly pityriasis versicolor) and followed by bacterial infections (mostly impetigo crustosa).

Impact of an electronic medical-record-embedded clinical-decision support tool on duration of antibiotics for outpatient pediatric skin and soft-tissue infections.

Impact of an electronic medical-record-embedded clinical-decision support tool on duration of antibiotics for outpatient pediatric skin and soft-tissue infections.

Characteristics and onset of presentation of pediatric stiff skin syndrome: A retrospective cohort study of 11 patients in a tertiary care center.

Stiff skin syndrome (SSS) is a rare disorder characterized by "rock hard" indurated skin affecting different body parts. The localized variant poses a diagnostic challenge, as it is frequently mistaken for other inflammatory connective tissue disorders. The aim of this study is to provide insightful clinical, radiologic and diagnostic data that might prove useful for the evaluation, management and treatment of pediatric patients with segmental SS. This single-center cohort study included patients ≤18 years diagnosed with localized SSS from 1988 to 2021 in a quaternary pediatric healthcare center in Toronto, Canada. Data included demographics, clinical, histopathologic and radiologic features, treatments, and clinical course. Data were summarized with descriptive statistics (mean, standard deviation, medians, interquartile ranges [IQRs]) and frequencies. A total of 11 patients were included. The sclerotic changes were measured clinically and radiologically, by a total of 16 imaging studies: 13 magnetic resonance imaging (MRI)and 3 ultrasound. MRI readings showed abnormal high signal intensity of the affected tissue correlating with the anatomical site of involvement in all cases, specifically, in the shoulder/pelvic girdle with limb extension. Shear wave ultrasound elastography (SWE) demonstrated higher values within the dermis compared to the control site. The presence of segmental sclerotic changes that affects the pelvic/shoulder girdle with extension to the extremities, in the absence of inflammation on biopsy and abnormal signaling intensity on imaging is suggestive of SSS. Skin SWE is a feasible, noninvasive, and objective instrument to evaluate and monitor sclerotic changes overtime, it could be potentially extrapolated to other pediatric skin sclerotic conditions.

Terápiás újdonságok a gyermekbőrgyógyászatban

As medical knowledge expands and targeted therapies emerge, there is newfound hope for treating congenital disorders and tumour-related syndromes that so far had been treated with surgeries, resulting temporary relief only. This article presents cutting-edge research and treatments for some of the most complex pediatric skin conditions. We demonstrate the evolving treatment landscape for congenital melanocytic nevi and the latest therapeutic strategies for pediatric melanoma malignum. Additionally, the article shows the most recent therapeutic breakthroughs in addressing vascular, lymphatic malformations, and neurofibromatosis.

Pediatric Dermatology in Canada: A Broad Review of Population Needs, Workforce and Training With Proposed Solutions.

The need for pediatric dermatology services is increasing across Canada. In parallel, the complexity of treatment with novel targeted therapeutics has increased. Currently, there is no accredited and limited non-accredited fellowship training access to pediatric dermatology in Canada. Understanding the current state of pediatric dermatology training in Canada will provide insight into opportunities for strategic improvement. A survey was distributed to 44 pediatric dermatology providers. In addition, a review of the burden of pediatric skin disease and education/training in Canada was performed. Thirty-four specialists responded to the survey (77% response rate). One third of current pediatric dermatology providers are over 50 years old and half of these (15%) plan to retire within the next 5 years. Half of respondents were dermatologists, 35% were pediatricians, and 11% were double boarded. Almost all respondents practiced in an academic setting (94%). Most had further fellowship training in pediatric dermatology (82.4%) but only 57% achieved this training in Canada, due to lack of accredited or non-accredited funded fellowship positions. There is a high and growing need for pediatric dermatology specialty care in a diverse range of settings. The current provider population and training programs are insufficient to meet current and future demands. We highlighted solutions to close this gap between supply and demand including increased double board certification in Pediatrics and Dermatology, a protected pediatric stream within existing Dermatology residency training programs and accredited fellowships in Pediatric Dermatology for both dermatologists and pediatricians.

A cross-sectional study of pediatric dermatoses in a specialized pigment and skin-of-color center in Australia.

There is a paucity of literature on pediatric skin conditions in skin of color, of which old epidemiological data are likely to become outdated as the ethnic diversity in developed countries such as Australia continues to grow. We analyzed the prevalence of presenting conditions of pediatric patients with skin of color attending an urban dermatology clinic in Melbourne, Australia over an 18-month period. The major presenting issues were vitiligo, atopic dermatitis, and acne vulgaris, the majority of which did not significantly differ by ethnicity; however, there was a statistically significantly higher proportion of Chinese and Indian patients presenting with atopic dermatitis. Given the varying presentations of these conditions in skin of color, our findings highlight the importance of increasing education for dermatologists and health personnel in pigmentary disorders and the need for further focused studies comparing the prevalence of skin disease across ethnicities.

Israeli pediatricians' confidence level in diagnosing and treating children with skin disorders: a cross-sectional questionnaire pilot study.

Pediatricians daily see large numbers of patients with skin disorders. However, they encounter limited guidance as a result of a marked deficiency in pediatric dermatologists. Hence, reevaluation of training opportunities during pediatric residency has become essential. Our aim was to evaluate the confidence level of pediatric residents and specialists in diagnosing and treating skin disorders in children and to determine career and training-related characteristics that influence it. Conducted as a cross-sectional study, we administered a questionnaire to 171 pediatricians across Israel. We assessed respondents' self-efficacy about their ability to diagnose and treat skin disorders and collected data regarding their previous dermatology training and preferred training methods. 77.8% of respondents reported below or average self-efficacy scores in diagnosing and managing children with skin disorders. Older age (>40 years old; OR = 5.51, p = 0.019), treating a higher number of patients with skin disorders (OR = 2.96, p = 0.032), and having any training in dermatology, either during medical school or residency (OR = 7.16, p = 0.031, OR = 11.14, p = 0.003 respectively), were all significant parameters involved in pediatricians reporting high self-efficacy in skin disorder management. Most pediatric residents and pediatricians have average or below-average confidence in managing pediatric skin disorders. We suggest incorporating dermatology rotations during pediatric residency to improve young pediatricians' self-efficacy in managing skin disorders and ultimately help pediatricians provide better care for patients presenting with dermatological conditions. These findings can ultimately help refine a pilot program in dermatology that might be implemented during pediatric residency.

Psoriasis Exacerbation Following Dupilumab Use In A Nine-year-old Black Male Patient

Distinguishing between psoriasis and other inflammatory dermatoses in pediatric skin of color can pose challenges. As more topical and systemic treatments become available for pediatric patients, early and accurate diagnoses are needed to help guide treatments for those that progress to severe disease. Delays in diagnosis for this population often lead to worsening disease until a correct diagnosis is reached. The goal of this article is to improve the understanding of inflammatory dermatoses in skin of color and review differential diagnoses, by presenting a case of psoriasis in a pediatric patient who flared after receiving dupilumab for an incorrect diagnosis of atopic dermatitis.

Granuloma annulare on ultrasound: a diagnosis to consider in pediatric skin lesions.

Granuloma annulare (GA) is a rare, benign, inflammatory, self-limited, granulomatous dermatosis that affects children and young adults. The most frequent clinical form is localized GA. Deep GA generally presents as painless palpable subcutaneous nodules in the lower extremities, buttocks, hands and scalp. They may have a fast-growing firm subcutaneous mass presentation, mimicking a malignant lesion which requires an imaging evaluation. Diagnosis of deep GA can be more difficult and imaging evaluation is frequently performed, ultrasound being one of the techniques used. To describe the US characteristics of GA in a pediatric series. Descriptive, retrospective, 14-year study of all pediatrics GA cases. Twelve pediatric cases with GA. 66% females. The lesions were mainly distributed in the extremities: 50% in the lower extremities and 42% in the upper extremities, mostly with multiple lesions. A total of 45 lesions were analyzed, 8 superficial lesions and 37 deep lesions. On ultrasound, the superficial GA corresponded to hypoechoic poorly defined solid plaque like or nodular lesions, located in the dermal-epidermal plane. The deep GA presented as solid nodular, poorly defined hypoechoic lesions that compromised the deep subcutaneous-aponeurotic plane. GA is an inflammatory lesion that presents as a superficial or deep palpable nodule that predominantly affects children. Superficial and deep GA present characteristic findings on US that can guide the diagnosis. The radiologist needs to know its US appearance to be able to suggest the diagnosis, especially in multiples lesions.

Antibiotic susceptibility and clonal distribution of Staphylococcus aureus from pediatric skin and soft tissue infections: 10-year trends in multicenter investigation in China.

Skin and Soft Tissue Infections (SSTIs) Surveillance Network of S. aureus In Pediatrics in China was established in 2009 to routinely report epidemiological changes. We aimed to monitor the present antibiotic sensitivity and molecular characteristics of S. aureus and methicillin-resistant S. aureus (MRSA) from SSTIs in children nationwide and track the changes over the past decade. Patients diagnosed with SSTIs from the dermatology departments of 22 tertiary pediatric hospitals in seven geographical regions of China were recruited continuously from May 2019 to August 2021. S. aureus was isolated, and its sensitivity to 15 antimicrobials was evaluated using the broth microdilution method. The molecular characteristics of the MRSA isolates were determined through multilocus sequence typing (MLST) and staphylococcal cassette chromosome mec (SCCmec) typing. The presence of the Panton-Valentine leukocidin gene (pvl) was determined. The detection rate of S. aureus was 62.57% (1379/2204), among which MRSA accounted for 14.79% (204/1379), significantly higher than the result in previous study in 2009-2011 (2.58%, 44/1075). Compared with previous study, the sensitivity to cephalosporins and fusidic acid decreased to varying degrees, while that to chloramphenicol, ciprofloxacin, clindamycin, erythromycin, gentamicin, penicillin, and tetracycline increased significantly. The sensitivity to mupirocin, trimethoprim/sulfamethoxazole (TRISUL), and rifampicin still maintained at a high level (97.90%, 99.35% and 96.66% respectively). The leading multidrug resistance pattern of MRSA and methicillin-sensitive S. aureus (MSSA) were erythromycin-clindamycin-tetracycline (55.84%; 43/77) and erythromycin-clindamycin-chloramphenicol (27.85%, 44/158) respectively. 12 high-level mupirocin-resistant strains were detected, and notable differences in geographical distribution and seasonal variation were observed. The main types of MRSA were ST121 (46.08%, 94/204), followed by ST59 (19.61%, 40/204). SCCmec V (65.69%, 134/204) and SCCmec IV (31.86%, 65/204) were dominant epidemic types. ST121-V, ST59-IV, and ST22-V were the most prevalent clones nationwide. The detection rate of pvl had increased markedly from 9.09% (4/44) in 2009-2011 to 22.55% (46/204) in 2019-2021 (P<0.05). The antibiotic sensitivity and molecular characteristics of S. aureus from pediatric SSTIs has changed significantly over the past decade. To standardize medical care, provide timely and reasonable clinical treatment, and effectively manage infection control, Chinese pediatric SSTIs guidelines are urgently needed.

Histopathologic Spectrum and Clinicopathologic Concordance of Pediatric Skin Biopsies: 18-Year Experience in a Tertiary Hospital in Southeast Nigeria

ABSTRACT Background: Many studies have evaluated the spectrum of pediatric skin disorders in outpatient, inpatient, and emergency settings in different regions of Nigeria. However, literature analyzing histopathological data of dermatologic diseases in children undergoing biopsy or excision of skin lesions in Nigeria is lacking. The present study was aimed at determining the spectrum, frequency, and clinicopathologic diagnostic concordance of pediatric dermatopathological lesions at a tertiary care hospital in southeast Nigeria. Materials and Methods: This is a retrospective cross-sectional study undertaken at the department of Histopathology, Nnamdi Azikiwe University Teaching Hospital (NAUTH), Nnewi. All pediatric (up to 18 years old) skin biopsies received at the department of Histopathology, NAUTH, Nnewi over an 18-year period from January 2004 to December 2021 were included in the study. Relevant clinical and demographic data had been collected from the request forms. For ease of analysis and comparison with other skin studies, the skin lesions were classified according to the International Classification of Diseases, Tenth revision (ICD-10) (2019), for disorders of the skin and subcutaneous tissue. Results: Pediatric skin biopsies constituted 20.2% of all the skin biopsies received at our laboratory during the study period, with a male to female ratio of 1:1. The initial clinical diagnosis was concordant with histopathologic diagnosis in 88 out of 189 cases (46.6%). Forty-nine percent of biopsies/excisions were performed in the head and neck area. The most common diagnostic categories, in decreasing order of size, were neoplasms, disorders of skin appendages, papulosquamous disorders, and infections. Only about a quarter of neoplasms were malignant. Conclusion: Our study has documented the importance of histopathology as a gold standard in the diagnosis and management of skin lesions. Improved training of primary care physicians and closer cooperation between pediatricians, dermatologists, and pediatric surgeons will increase the chances of accurate diagnosis.

Evaluation of clinicoepidemiological features of pediatric dermatoses in Egyptian children

Background Epidemiological studies determine the burden of skin diseases, especially in children, which is required for proper health-care planning. Objectives To evaluate the clinicoepidemiologic features of skin diseases among Egyptian children. Patients and methods This was a cross-sectional, community-based study that included 2594 children of both sexes with ages that ranged from birth to less than 18 years. This study included government schools, private schools, and maternity and childhood care centers in Sohag Governorate, Upper Egypt. Sociodemographic data, the general examination included body parameters, and dermatological examination of children were documented. Results Skin diseases were detected in 25.1% (651/2594) of the examined children. Allergic skin diseases were the most common detected, one in 32.4% of children followed by sebaceous gland disorders (acne vulgaris) in 30.7% and then infectious skin diseases in 24.85%. Head was affected in the majority of patients (54.8%). The median age of children with skin diseases was 11 (1–18) years. Females constituted 66% of children with skin diseases. Children with skin diseases from rural areas constituted 63.1%. The median age of children with an infectious skin disease was 8 (2–14) years. Female sex, rural residence, and parents of low educational levels were associated with higher percentages of infectious skin diseases in children. Conclusion This study concluded that the most common detected pediatric skin diseases were allergic skin disorders, sebaceous gland disorders, and infectious skin diseases, respectively. Socioeconomic status, environmental factors, and medical resources are the most important factors affecting the prevalence of skin diseases.

Pediatric hidradenitis suppurativa: Describing care patterns in the emergency department.

The emergency department (ED) is a common point of care for many pediatric hidradenitis suppurativa (HS) patients; however, ED care may not align with recommended treatment standards. The objective of this study is to describe the care pediatric HS patients receive in the ED compared to both HS management guidelines and the management of pediatric skin and soft tissue abscess (SSTA) patients. We performed a retrospective chart review of pediatric HS and SSTA patients who presented to a single pediatric ED. Demographic and ED encounter data including medications, procedures, recommendations, consults, and referrals were collected. 58 HS and 175 SSTA charts were reviewed. 69.5% of patients were female and 93.6% were African American/Black. 29.3% of HS and 61.7% of SSTA encounters involved incision and drainage (I&D); 62.1% of HS and 70.1% of SSTA encounters involved the prescription or administration of oral clindamycin; 3.4% of HS and 0.6% of SSTA encounters involved dermatology consultation in the ED; and 22.4% of HS and 5.1% of SSTA encounters involved outpatient referrals to dermatology. Our data reveal a pediatric HS and SSTA population that is predominantly female and African American/Black. Significant differences were found in the average ages and number of lesions between HS and SSTA patients. I&D and oral clindamycin were the most common treatments across groups; however, I&D was performed significantly more frequently among SSTA encounters than HS encounters. Our results suggest that subtle knowledge gaps may exist in ED provider management of pediatric HS.