title: Exanthems in hospitalized pediatric patients: concordance between pediatric and dermatological diagnoses.
abstract: BACKGROUND
  Exanthems in children often represent a diagnostic challenge.
  
  
  OBJECTIVE
  To determine the concordance between pediatric and dermatological diagnoses of exanthems.
  
  
  METHODS
  Prospective study.
  
  
  METHODS
  Exanthems that appeared in hospitalized pediatric patients were diagnosed by pediatricians. Pediatric dermatologists, by consensus, either confirmed or modified the diagnoses. Whenever possible, laboratory tests were used to confirm the final clinical diagnoses. Age and evolution were compared with the Kruskal-Wallis test; the kappa coefficient was used to determine concordance.
  
  
  METHODS
  Institutional tertiary referral pediatric care center.
  
  
  RESULTS
  Concordance between pediatric and dermatological diagnoses was found in only 44 patients. When pediatric and dermatological diagnoses of exanthems were classified, the concordance between both diagnoses was very low (kappa = 0.165).
  
  
  CONCLUSIONS
  Pediatric specialists, other than dermatologists, failed to diagnose common skin diseases. This may be a consequence of insufficient training in dermatology by medical schools and pediatric residency.
authors.affiliation: Department of Pediatric Dermatology, National Institute of Pediatrics, Mexico City, Mexico.
authors.forename: Yaara L
authors.initials: YL
authors.lastname: Soriano-Hernández
authors.forename: Luz
authors.initials: L
authors.lastname: Orozco-Covarrubias
authors.forename: Lourdes
authors.initials: L
authors.lastname: Tamayo-Sánchez
authors.forename: Carola
authors.initials: C
authors.lastname: Durán-McKinster
authors.forename: Cristina
authors.initials: C
authors.lastname: Sosa-de-Martínez
authors.forename: Ramón
authors.initials: R
authors.lastname: Ruiz-Maldonado
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003880:Dermatology / Q000379:methods*; D005076:Exanthema / Q000175:diagnosis*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010372:Pediatrics / Q000379:methods*; D011446:Prospective Studies