{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T15:11:57Z","timestamp":1788966717792,"version":"build-2803163510"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Dermatological diseases constitute 4% to 12% of all emergency department (ED) visits and may contribute to high health care costs. However, little is known about pediatric visits. The aim of this study was to determine characteristics, photo app utilization, and diagnostic concordance at follow-up of pediatric visits to the ED with dermatological complaints.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This was a retrospective study conducted in the ED at an academic medical center. Patients younger than or equal to 18\u00a0years of age who presented with a dermatologic concern between May 2022 and April 2023 were included. The association between clinical characteristics and the use of a photo application in the ED was evaluated using logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      In 380 patients who met inclusion criteria, the most common final diagnoses were rash (30%, N=115), burn (10%, N=39), and cellulitis (9%, N=35). Fourteen patients (4%) had an emergent triage category (ESI 2). Photo app was used in 38% (N=143) encounters. Factors associated with the photo app use in multivariate analysis included ESI category 2 (odds ratio [OR]: 4.08, 95% CI: 1.17-14.18,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.027), ESI category 3 (OR: 1.74, 95% CI: 1.07-2.82,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.025), and duration of illness &gt;1 week (OR: 3.50, 95% CI: 1.54-7.96,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.003). The diagnosis at follow-up was identical in 68% (N=78) of cases; clarified for 22% (N=25) and altered in 11 patients (10%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Most pediatric visits presenting to the ED with dermatological complaints are non-urgent and ER physicians can accurately diagnose the majority of these cases. Triage category ESI 2, ESI 3, and illness duration &gt;1 week were associated with the photo app use.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/pec.0000000000003600","type":"journal-article","created":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T10:00:28Z","timestamp":1780394428000},"page":"577-582","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Characteristics of Pediatric Visits to the Emergency Department With Dermatological Complaints"],"prefix":"10.1097","volume":"42","author":[{"given":"Katherine","family":"Homme","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine"},{"name":"Division of Pediatric Emergency Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8069-3393","authenticated-orcid":false,"given":"Tomas","family":"Leng","sequence":"additional","affiliation":[{"name":"Division of Pediatric Emergency Medicine"},{"name":"Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James (Jim) L.","family":"Homme","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine"},{"name":"Division of Pediatric Emergency Medicine"},{"name":"Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,6,2]]},"reference":[{"key":"R1-20260909","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1111\/pde.14476","article-title":"Evaluation of emergency department utilization for dermatologic conditions in the pediatric population within the United States from 2009-2015","volume":"38","author":"Collier","year":"2021","journal-title":"Pediatr Dermatol"},{"key":"R2-20260909","doi-asserted-by":"crossref","first-page":"e001215","DOI":"10.1136\/bmjpo-2021-001215","article-title":"Paediatric dermatological conditions in an emergency department: a single-centre study in Thailand","volume":"5","author":"Techasatian","year":"2021","journal-title":"BMJ Paediatr Open"},{"key":"R3-20260909","doi-asserted-by":"crossref","first-page":"1468","DOI":"10.1111\/j.1468-3083.2010.03672.x","article-title":"High frequency, diversity and severity of skin diseases in a paediatric emergency department","volume":"24","author":"Kramkimel","year":"2010","journal-title":"J Eur Acad Dermatol Venereol"},{"key":"R4-20260909","doi-asserted-by":"crossref","first-page":"e14531","DOI":"10.2196\/14531","article-title":"A smartphone app for improving clinical photography in emergency departments: comparative study","volume":"7","author":"Liu","year":"2019","journal-title":"JMIR Mhealth 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Dermatol"},{"key":"R8-20260909","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1111\/acem.12955","article-title":"Photographing injuries in the acute care setting: development and evaluation of a standardized protocol for research, forensics, and clinical practice","volume":"23","author":"Bloemen","year":"2016","journal-title":"Acad Emerg Med"},{"key":"R9-20260909","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1111\/acem.14080","article-title":"Improving follow-up attendance for discharged emergency care patients using automated phone system to self-schedule: a randomized controlled trial","volume":"28","author":"Bauer","year":"2021","journal-title":"Acad Emerg Med"},{"key":"R10-20260909","doi-asserted-by":"crossref","first-page":"e2022059673","DOI":"10.1542\/peds.2022-059673","article-title":"Optimizing pediatric patient safety in the emergency care setting","volume":"150","author":"Joseph","year":"2022","journal-title":"Pediatrics"},{"key":"R11-20260909","first-page":"215","article-title":"Dermatologists in the emergency department: a 6-year retrospective analysis","volume":"34","author":"Ram\u00edrez-Garc\u00eda","year":"2015","journal-title":"P R Health Sci J"},{"key":"R12-20260909","doi-asserted-by":"crossref","first-page":"1113","DOI":"10.1111\/pde.14336","article-title":"Diagnostic concordance between pediatric emergency department physicians and dermatologists in a tertiary hospital in Mexico","volume":"37","author":"Alba-Rojas","year":"2020","journal-title":"Pediatr Dermatol"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.1097\/PEC.0000000000003600","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T14:19:09Z","timestamp":1788963549000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1097\/PEC.0000000000003600"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,2]]},"references-count":12,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000003600","relation":{},"ISSN":["0749-5161","1535-1815"],"issn-type":[{"value":"0749-5161","type":"print"},{"value":"1535-1815","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,2]]},"assertion":[{"value":"2026-01-02","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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