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- Panteha Eshtiaghi, HBSc*
- Miriam Weinstein, MD, FRCPC†
- *Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
- †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.
- 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:
Identify and classify rashes by main morphologic patterns.
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.
Consider both infectious and noninfectious causes of skin disorders presenting in a patient with a travel history.
Outline the basic investigations and principles of management for travel-acquired and non–travel-acquired dermatologic illnesses.
Discuss …
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