{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T22:11:11Z","timestamp":1788300671811,"version":"build-2803163510"},"reference-count":7,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2004,4,14]],"date-time":"2004-04-14T00:00:00Z","timestamp":1081900800000},"content-version":"vor","delay-in-days":44,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Dermatology"],"published-print":{"date-parts":[[2004,3]]},"abstract":"<jats:p><jats:bold>Abstract:\u2002<\/jats:bold> Understanding the pattern of disease referrals is important in the delivery of a service. We followed 331 new referrals at a pediatric dermatology clinic over 12 months. Fifty percent of the patients were female; 293 patients (88.5%) had a single diagnosis and 36 (10.9%) had two diagnoses. Three leading causes for referrals accounted for 60% of the 371 skin diseases encountered: 124 diagnoses (33%) were of eczema, 73 diagnoses (20%) were of nevi, and 22 diagnoses (6%) were of viral warts. The nevi seen included melanocytic, epidermal, sebaceous, and vascular nevi. Skin biopsies were performed in 23 patients (6.9%), and microscopy and culture for fungal infections in 11 patients (3.3%). Forty\u2010one patients (12%) were referred to the laser clinic for assessment of their nevi or pigmented skin lesions. Topical steroids were prescribed in 47% of patients during their follow\u2010ups. Follow\u2010up appointments were offered to 90% of patients. Eczema required the most frequent follow\u2010up. Gender disparity in referrals was evident only in endogenous eczema (odds ratio [OR] 1.64, 95% confidence interval [CI] 1.04\u20132.60 in males; p\u00a0=\u00a00.033). Girls were more likely to be referred to the laser clinic than boys (OR 2.31, 95% CI 1.10\u20134.92; p\u00a0=\u00a00.026). Most dermatologic diagnoses were made on clinical grounds and moderately potent topical corticosteroids were the most commonly prescribed medication. Since chronic skin disorders prevailed in the referrals, repeated follow\u2010up appointments were required.<\/jats:p>","DOI":"10.1111\/j.0736-8046.2004.21203.x","type":"journal-article","created":{"date-parts":[[2004,4,14]],"date-time":"2004-04-14T08:14:17Z","timestamp":1081930457000},"page":"109-112","source":"Crossref","is-referenced-by-count":28,"title":["Skin Diseases in Chinese Children at a Pediatric Dermatology Center"],"prefix":"10.1111","volume":"21","author":[{"given":"Kam Lun","family":"Hon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ting Fan","family":"Leung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yin","family":"Wong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kwok Chiu","family":"Ma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tai Fai","family":"Fok","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2004,4,14]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1470.2000.01841.x"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1470.1994.tb00565.x"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2230.2002.01163.x"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1159\/000250144"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1470.1996.tb00704.x"},{"key":"e_1_2_5_7_2","doi-asserted-by":"crossref","first-page":"415","DOI":"10.2340\/0001555560415423","article-title":"Prevalence of skin diseases among adolescents, 12\u201316 years of age","volume":"60","author":"Larsson PA","year":"1980","journal-title":"Acta Derm Venereol (Stockh)"},{"key":"e_1_2_5_8_2","first-page":"436","article-title":"A study of new patients at a dermatologic outpatient clinic","volume":"109","author":"McFadden N","year":"1989","journal-title":"Tidsskr Nor Laegeforen"}],"container-title":["Pediatric Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.0736-8046.2004.21203.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.0736-8046.2004.21203.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T20:01:56Z","timestamp":1697140916000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.0736-8046.2004.21203.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,3]]},"references-count":7,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2004,3]]}},"alternative-id":["10.1111\/j.0736-8046.2004.21203.x"],"URL":"https:\/\/doi.org\/10.1111\/j.0736-8046.2004.21203.x","archive":["Portico"],"relation":{},"ISSN":["0736-8046","1525-1470"],"issn-type":[{"value":"0736-8046","type":"print"},{"value":"1525-1470","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,3]]}}}