{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T04:05:49Z","timestamp":1772165149193,"version":"3.50.1"},"reference-count":33,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100005492","name":"Stanford University","doi-asserted-by":"publisher","award":["Department of Surgery Seed Grant Funding for resea"],"award-info":[{"award-number":["Department of Surgery Seed Grant Funding for resea"]}],"id":[{"id":"10.13039\/100005492","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Med Insights Pediatr"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Problems of the gluteal cleft are often due to pilonidal disease, but at times need to be distinguished from other diseases. We reported a series of adolescent patients with non-pilonidal gluteal cleft pathologies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We performed a retrospective review of all patients who presented to our pediatric Pilonidal Clinic from 1\/2019 to 12\/2023. Patients who received a work-up for diseases separate from pilonidal disease were included in our study. Patient demographics, clinical work-up, and treatment outcomes were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We identified 21 patients who had diagnoses other than pilonidal disease: 4 patients had neurological diseases (schwannoma, central disk protrusion, arachnoid cyst, Tarlov cyst); 7 patients had dermatological diseases (folliculitis, moisture-associated skin damage); 5 patients had inflammatory bowel disease; 4 patients had sacral dimples; and 1 patient had a sacral pressure ulcer. Diagnostic decisions were based on the presence and location of an open wound, history of immobility, presence of gluteal cleft swelling or pit, clinical symptoms of pain or erythema, and other similar lesions on the body. These characteristics were utilized to differentiate the diagnoses and construct a diagnostic algorithm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>We developed a practical diagnostic algorithm for differentiating gluteal cleft pathologies in adolescents, including dermatologic, colorectal, neurologic, and traumatic causes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11795565251366775","type":"journal-article","created":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T17:07:04Z","timestamp":1755882424000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Adolescent Gluteal Cleft Pathologies Not Due to Pilonidal Disease: A Case Series and Diagnostic Algorithm"],"prefix":"10.1177","volume":"19","author":[{"given":"Pamela","family":"Emengo","sequence":"first","affiliation":[{"name":"Division of Pediatric Surgery, Department of Surgery, Stanford University, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claire","family":"Abrajano","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Department of Surgery, Stanford University, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6540-4538","authenticated-orcid":false,"given":"Bill","family":"Chiu","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Department of Surgery, Stanford University, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,8,22]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2018.06.071"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s42804-024-00245-9"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2013.2777"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1515\/dx-2017-0005"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1515\/dx-2015-0034"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.14.2.244-269.2001"},{"key":"e_1_3_3_8_2","first-page":"234","article-title":"Pathologie Du PlI Interfessier","volume":"20","author":"Puissant A.","year":"1984","unstructured":"Puissant A. Pathologie Du PlI Interfessier. Ann Gastroenterol Hepatol. 1984;20:234-241.","journal-title":"Ann Gastroenterol Hepatol"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics12123193"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.4135\/9781412984102"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02603444"},{"key":"e_1_3_3_12_2","volume-title":"Folliculitis","author":"Winters RD","year":"2020","unstructured":"Winters RD, Mitchell M. Folliculitis. StatPearls Publishing; 2020."},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(46)91756-4"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0b013e318215f798"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/00152192-200509000-00006"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2022.06.014"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1159\/000335373"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000001748"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60026-9"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/apt.17370"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13187"},{"key":"e_1_3_3_22_2","unstructured":"National Institute of Neurologic Disorders and Stroke. Arachnoid Cysts. National Institute of Neurological Disorders and Stroke; 2023. Accessed September 28 2022. https:\/\/www.ninds.nih.gov\/health-information\/disorders\/arachnoid-cysts"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.3340\/jkns.2009.45.3.185"},{"key":"e_1_3_3_24_2","unstructured":"Ropper AH Samuels MA Klein JP Prasad S. Pain in the Back Neck and Extremities. Access Medicine; 2023. Accessed February 11 2024. https:\/\/accessmedicine.mhmedical.com\/content.aspx?bookid=3313\u00a7ionid=276731445"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2010.1610"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1542\/pir.32.3.109"},{"key":"e_1_3_3_27_2","unstructured":"Lee A Kwong N Wong Y. Management of Sacral Dimples Detected on Routine Newborn Examination: A Case Series and Review. Semantic Scholar; 2007. Accessed February 11 2024. https:\/\/www.semanticscholar.org\/paper\/Management-of-Sacral-Dimples-Detected-on-Routine-A-Lee-Kwong\/7e1d7d79c5bff664c6e260559805a8a14563644c"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1111\/apa.13422"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000002242"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000001585"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2023.02.054"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-023-05577-w"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2023.0373"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-024-05818-6"}],"container-title":["Clinical Medicine Insights: Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11795565251366775","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11795565251366775","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11795565251366775","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T17:07:05Z","timestamp":1755882425000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11795565251366775"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":33,"alternative-id":["10.1177\/11795565251366775"],"URL":"https:\/\/doi.org\/10.1177\/11795565251366775","relation":{"has-review":[{"id-type":"doi","id":"10.1177\/11795565251366775\/v2\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/11795565251366775\/v2\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/11795565251366775\/v3\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/11795565251366775\/v3\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/11795565251366775\/v2\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/11795565251366775\/v1\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/11795565251366775\/v1\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/11795565251366775\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/11795565251366775\/v2\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/11795565251366775\/v3\/review1","asserted-by":"object"}]},"ISSN":["1179-5565","1179-5565"],"issn-type":[{"value":"1179-5565","type":"print"},{"value":"1179-5565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8]]},"article-number":"11795565251366775"}}