Utility of pattern-based approach to skin biopsies in pediatric non-infectious inflammatory diseases: a review of 140 cases

Background Skin diseases constitute a significant burden in the pediatric age group and demand a separate evaluation from adult dermatoses as both vary in mode of presentation, prognosis, and line of treatment. Objective To evaluate the histopathologic spectrum of skin biopsies in pediatric noninfec...

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Main Authors: Neha Singh, Suravi Mohanty, Rajalakshmi Tirumalae
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Journal of the Egyptian Women’s Dermatologic Society
Subjects:
Online Access:https://journals.lww.com/10.4103/jewd.jewd_33_24
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author Neha Singh
Suravi Mohanty
Rajalakshmi Tirumalae
author_facet Neha Singh
Suravi Mohanty
Rajalakshmi Tirumalae
author_sort Neha Singh
collection DOAJ
description Background Skin diseases constitute a significant burden in the pediatric age group and demand a separate evaluation from adult dermatoses as both vary in mode of presentation, prognosis, and line of treatment. Objective To evaluate the histopathologic spectrum of skin biopsies in pediatric noninfectious inflammatory diseases pediatric inflammatory diseases and its correlation with clinical findings. Patients and methods This was a retrospective study that included a total of 140 skin biopsies of noninfectious inflammatory dermatoses in children aged up to 18 years. The clinical differential diagnoses were compared with histopathologic diagnoses; concordance and discordance were calculated. Results Of the 140 patients, histopathologic diagnoses of 109 (77.9%) patients were concordant with the clinical diagnoses, whereas 23 (16.4%) showed discordance, among which 18 (78.3%) showed major discordance, while the remaining five (21.7%) cases had minor discordance. The remaining eight (5.7%) cases were inconclusive. Conclusion Histopathology is still the best tool for diagnosis in the majority of pediatric inflammatory dermatoses. Effective communication between the clinician and the pathologist and thorough clinical correlation enhances the value of the skin biopsies
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spelling doaj-art-cf3bcf0580da49cc855c3df20052da3a2025-01-20T04:38:41ZengWolters Kluwer Medknow PublicationsJournal of the Egyptian Women’s Dermatologic Society2090-25652025-01-01221526110.4103/jewd.jewd_33_24Utility of pattern-based approach to skin biopsies in pediatric non-infectious inflammatory diseases: a review of 140 casesNeha SinghSuravi MohantyRajalakshmi TirumalaeBackground Skin diseases constitute a significant burden in the pediatric age group and demand a separate evaluation from adult dermatoses as both vary in mode of presentation, prognosis, and line of treatment. Objective To evaluate the histopathologic spectrum of skin biopsies in pediatric noninfectious inflammatory diseases pediatric inflammatory diseases and its correlation with clinical findings. Patients and methods This was a retrospective study that included a total of 140 skin biopsies of noninfectious inflammatory dermatoses in children aged up to 18 years. The clinical differential diagnoses were compared with histopathologic diagnoses; concordance and discordance were calculated. Results Of the 140 patients, histopathologic diagnoses of 109 (77.9%) patients were concordant with the clinical diagnoses, whereas 23 (16.4%) showed discordance, among which 18 (78.3%) showed major discordance, while the remaining five (21.7%) cases had minor discordance. The remaining eight (5.7%) cases were inconclusive. Conclusion Histopathology is still the best tool for diagnosis in the majority of pediatric inflammatory dermatoses. Effective communication between the clinician and the pathologist and thorough clinical correlation enhances the value of the skin biopsieshttps://journals.lww.com/10.4103/jewd.jewd_33_24ackermandermatoseshistopathologicinflammatorypattern
spellingShingle Neha Singh
Suravi Mohanty
Rajalakshmi Tirumalae
Utility of pattern-based approach to skin biopsies in pediatric non-infectious inflammatory diseases: a review of 140 cases
Journal of the Egyptian Women’s Dermatologic Society
ackerman
dermatoses
histopathologic
inflammatory
pattern
title Utility of pattern-based approach to skin biopsies in pediatric non-infectious inflammatory diseases: a review of 140 cases
title_full Utility of pattern-based approach to skin biopsies in pediatric non-infectious inflammatory diseases: a review of 140 cases
title_fullStr Utility of pattern-based approach to skin biopsies in pediatric non-infectious inflammatory diseases: a review of 140 cases
title_full_unstemmed Utility of pattern-based approach to skin biopsies in pediatric non-infectious inflammatory diseases: a review of 140 cases
title_short Utility of pattern-based approach to skin biopsies in pediatric non-infectious inflammatory diseases: a review of 140 cases
title_sort utility of pattern based approach to skin biopsies in pediatric non infectious inflammatory diseases a review of 140 cases
topic ackerman
dermatoses
histopathologic
inflammatory
pattern
url https://journals.lww.com/10.4103/jewd.jewd_33_24
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AT rajalakshmitirumalae utilityofpatternbasedapproachtoskinbiopsiesinpediatricnoninfectiousinflammatorydiseasesareviewof140cases