title: Emergency department utilization of pediatric dermatology (PD) consultations.
abstract: BACKGROUND
  There are few published data about pediatric dermatology (PD) consultations in the pediatric emergency department (PED).
  
  
  OBJECTIVE
  We profiled PD consultations to determine patterns of dermatology utilization by the PED.
  
  
  METHODS
  We reviewed electronic medical records of 347 PD consultations from the PED over a 36-month period from January 2011 to December 2013. We recorded patient age and gender; PED diagnosis; PD diagnosis; skin biopsy, if needed, with histopathology report; and outpatient PD follow-up.
  
  
  RESULTS
  Patient age ranged from 3 days to 18 years with the majority (54.8%) of consultations for patients aged 0 days to 5 years. The most common diagnostic categories were infections and inflammatory skin disorders. Atopic dermatitis was the most common individual diagnosis. In all, 48.1% of patients had PD outpatient clinic follow-up. The rate of diagnostic agreement between the pediatric emergency medicine and PD provider was 58%.
  
  
  CONCLUSIONS
  Use of electronic medical records, retrospective study design, and population based at a tertiary-care children's hospital represent potential limitations.
  
  
  CONCLUSIONS
  PD providers contribute to patient care in the PED. Dermatology education in the PED should include the more commonly encountered disorders identified in this study, including infectious diseases and atopic dermatitis.
authors.affiliation: Children's Hospital of Philadelphia, Philadelphia, Pennsylvania. Electronic address: amandatheresamoon@gmail.com.
authors.forename: Amanda T
authors.initials: AT
authors.lastname: Moon
authors.affiliation: Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
authors.forename: Leslie
authors.initials: L
authors.lastname: Castelo-Soccio
authors.affiliation: Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
authors.forename: Albert C
authors.initials: AC
authors.lastname: Yan
mesh_terms: D000293:Adolescent; D000359:Aftercare / Q000706:statistics & numerical data; D002648:Child; D002675:Child, Preschool; D003872:Dermatitis / Q000175:diagnosis*; D003876:Dermatitis, Atopic / Q000175:diagnosis; D003880:Dermatology / Q000706:statistics & numerical data*; D003875:Drug Eruptions / Q000175:diagnosis; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D018324:Hemangioma, Capillary / Q000175:diagnosis; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007299:Insect Bites and Stings / Q000175:diagnosis; D008297:Male; D009386:Neoplastic Syndromes, Hereditary / Q000175:diagnosis; D010372:Pediatrics / Q000706:statistics & numerical data*; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D012532:Scabies / Q000175:diagnosis; D012874:Skin Diseases, Infectious / Q000175:diagnosis*; D014581:Urticaria / Q000175:diagnosis
keywords: atopic dermatitis; consultation; education; emergency; infection; pathology; pediatric