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American Academy of Pediatrics
Article

Where in the World Did You Get That Rash?

Panteha Eshtiaghi and Miriam Weinstein
Pediatrics in Review April 2020, 41 (4) 184-195; DOI: https://doi.org/10.1542/pir.2018-0200
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Panteha Eshtiaghi
*Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
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Miriam Weinstein
†Hospital for Sick Children, Toronto, Ontario, Canada
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  1. Panteha Eshtiaghi, HBSc*
  2. Miriam Weinstein, MD, FRCPC†
  1. *Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
  2. †Hospital for Sick Children, Toronto, Ontario, Canada
  • AUTHOR DISCLOSURE

    Ms Eshtiaghi has disclosed no financial relationships relevant to this article. Dr Weinstein has disclosed that she has led advisory board meetings for Pfizer related to a new eczema product; has served as a consultant on skin care for Paladin Labs; has served as a consultant for a continuing medical education program for pharmacists on eczema management for Rx Briefcase; has served as an advisory board member for Johnson & Johnson on eczema and sun protection products; has served on an advisory board for Sanofi-Genzyme; and has received funds to develop an eczema teaching program for patients and families through a grant provided to the Hospital for Sick Children Foundation by La Roche-Posay. This commentary does contain a discussion of an unapproved/investigative use of a commercial product/device.

  • Abbreviations:
    ACD:
    allergic contact dermatitis
    CD:
    cercarial dermatitis
    CL:
    cutaneous leishmaniasis
    CLM:
    cutaneous larva migrans
    DF:
    dengue fever
    HFMD:
    hand, foot, and mouth disease
    HSV:
    herpes simplex virus
    KD:
    Kawasaki disease
    PCR:
    polymerase chain reaction
    PR:
    pityriasis rosea
    RT-PCR:
    reverse transcriptase polymerase chain reaction
  • Practice Gaps

    The challenge to diagnose cutaneous eruptions and lesions in patients who have spent time in foreign countries is increasingly common. With the advent of increased global travel, foreign adoptions, immigration, and refugee seekers, rashes that were once relegated to the realm of the exotic and likely to show up in a tropical diseases clinic may now present to a general pediatrician. Furthermore, the pediatric traveler is at increased risk for dermatoses. (1) It behooves the practitioner to be aware of these skin findings, to be able to recognize them and distinguish them from other skin conditions.

    Objectives

    After completing this article, readers should be able to:

    1. Identify and classify rashes by main morphologic patterns.

    2. Develop a broad differential diagnosis and diagnostic approach for a rash in a returned pediatric traveler based on initial morphology, history, epidemiology, and other clinical features.

    3. Consider both infectious and noninfectious causes of skin disorders presenting in a patient with a travel history.

    4. Outline the basic investigations and principles of management for travel-acquired and non–travel-acquired dermatologic illnesses.

    5. Discuss …

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    Pediatrics in Review: 41 (4)
    Pediatrics in Review
    Vol. 41, Issue 4
    1 Apr 2020
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    Where in the World Did You Get That Rash?
    Panteha Eshtiaghi, Miriam Weinstein
    Pediatrics in Review Apr 2020, 41 (4) 184-195; DOI: 10.1542/pir.2018-0200

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    Where in the World Did You Get That Rash?
    Panteha Eshtiaghi, Miriam Weinstein
    Pediatrics in Review Apr 2020, 41 (4) 184-195; DOI: 10.1542/pir.2018-0200
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      • Objectives
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