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Martin-Gorgojo A, Del Boz J, Descalzo-Gallego MÁ, Arias-Santiago S, Molina-Leyva A, Gilaberte Y, Fernández-Crehuet P, Husein-ElAhmed H, Viera-Ramírez A, Fernández-Peñas P, Taberner R, Buendía-Eisman A, García-Doval I. What Proportion of the Spanish Dermatology Caseload Corresponds to Pediatric Dermatoses? Results From the DIADERM National Random Sampling Survey. ACTAS DERMO-SIFILIOGRAFICAS 2023; 114:858-864. [PMID: 37286080 DOI: 10.1016/j.ad.2023.05.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Revised: 05/22/2023] [Accepted: 05/23/2023] [Indexed: 06/09/2023] Open
Abstract
BACKGROUND Visits for skin conditions are very common in pediatric primary care, and many of the patients seen in outpatient dermatology clinics are children or adolescents. Little, however, has been published about the true prevalence of these visits or about their characteristics. MATERIAL AND METHODS Observational cross-sectional study of diagnoses made in outpatient dermatology clinics during 2 data-collection periods in the anonymous DIADERM National Random Survey of dermatologists across Spain. All entries with an International Classification of Diseases, Tenth Revision code related to dermatology in the 2 periods (84 diagnoses) were collected for patients younger than 18 years and classified into 14 categories to facilitate analysis and comparison. RESULTS In total, the search found 20 097 diagnoses made in patients younger than 18 years (12% of all coded diagnoses in the DIADERM database). Viral infections, acne, and atopic dermatitis were the most common, accounting for 43.9% of all diagnoses. No significant differences were observed in the proportions of diagnoses in the respective caseloads of specialist vs. general dermatology clinics or public vs. private clinics. Seasonal differences in diagnoses (January vs. May) were also nonsignificant. CONCLUSIONS Pediatric care accounts for a significant proportion of the dermatologist's caseload in Spain. Our findings are useful for identifying opportunities for improving communication and training in pediatric primary care and for designing training focused on the optimal treatment of acne and pigmented lesions (with instruction on basic dermoscopy use) in these settings.
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Affiliation(s)
- A Martin-Gorgojo
- Servicio de ITS/Dermatología, Sección de Especialidades Médicas. Ayuntamiento de Madrid, Madrid, España; Unidad de Investigación. Fundación Piel Sana AEDV, Madrid, España.
| | - J Del Boz
- Unidad de Investigación. Fundación Piel Sana AEDV, Madrid, España; Servicio de Dermatología, Hospital Regional Universitario de Málaga, Málaga, España
| | | | - S Arias-Santiago
- Servicio de Dermatología. Hospital Virgen de las Nieves, Granada, España
| | - A Molina-Leyva
- Servicio de Dermatología. Hospital Virgen de las Nieves, Granada, España
| | - Y Gilaberte
- Servicio de Dermatología. Hospital Universitario Miguel Servet, IIS Aragón, Zaragoza, España
| | - P Fernández-Crehuet
- Servicio de Dermatología. Hospital Universitario Reina Sofía, Córdoba, España
| | - H Husein-ElAhmed
- Servicio de Dermatología. Hospital General de Baza, Granada, España
| | - A Viera-Ramírez
- Servicio de Dermatología. Hospital Santa Catalina, Las Palmas de Gran Canaria, España
| | - P Fernández-Peñas
- The University of Sydney, Department of Dermatology, Westmead Hospital, Westmead, New South Wales, Australia
| | - R Taberner
- Departamento de Dermatología. Hospital de Son Llàtzer, Palma de Mallorca, España
| | | | - I García-Doval
- Unidad de Investigación. Fundación Piel Sana AEDV, Madrid, España
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Martin-Gorgojo A, Del Boz J, Descalzo-Gallego MÁ, Arias-Santiago S, Molina-Leyva A, Gilaberte Y, Fernández-Crehuet P, Husein-ElAhmed H, Viera-Ramírez A, Fernández-Peñas P, Taberner R, Buendía-Eisman A, García-Doval I. [Translated article] What Proportion of the Spanish Dermatology Caseload Corresponds to Pediatric Dermatoses? Results From the DIADERM National Random Sampling Survey. ACTAS DERMO-SIFILIOGRAFICAS 2023; 114:T858-T864. [PMID: 37734543 DOI: 10.1016/j.ad.2023.09.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Revised: 05/22/2023] [Accepted: 05/23/2023] [Indexed: 09/23/2023] Open
Abstract
BACKGROUND Visits for skin conditions are very common in pediatric primary care, and many of the patients seen in outpatient dermatology clinics are children or adolescents. Little, however, has been published about the true prevalence of these visits or about their characteristics. MATERIAL AND METHODS Observational cross-sectional study of diagnoses made in outpatient dermatology clinics during 2 data-collection periods in the anonymous DIADERM National Random Survey of dermatologists across Spain. All entries with an International Classification of Diseases, Tenth Revision code related to dermatology in the 2 periods (84 diagnoses) were collected for patients younger than 18 years and classified into 14 categories to facilitate analysis and comparison. RESULTS In total, the search found 20 097 diagnoses made in patients younger than 18 years (12% of all coded diagnoses in the DIADERM database). Viral infections, acne, and atopic dermatitis were the most common, accounting for 43.9% of all diagnoses. No significant differences were observed in the proportions of diagnoses in the respective caseloads of specialist vs. general dermatology clinics or public vs. private clinics. Seasonal differences in diagnoses (January vs. May) were also nonsignificant. CONCLUSIONS Pediatric care accounts for a significant proportion of the dermatologist's caseload in Spain. Our findings are useful for identifying opportunities for improving communication and training in pediatric primary care and for designing training focused on the optimal treatment of acne and pigmented lesions (with instruction on basic dermoscopy use) in these settings.
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Affiliation(s)
- A Martin-Gorgojo
- Servicio de ITS/Dermatología, Sección de Especialidades Médicas. Ayuntamiento de Madrid, Madrid, Spain; Unidad de Investigación. Fundación Piel Sana AEDV, Madrid, Spain.
| | - J Del Boz
- Unidad de Investigación. Fundación Piel Sana AEDV, Madrid, Spain; Servicio de Dermatología, Hospital Regional Universitario de Málaga, Málaga, Spain
| | | | - S Arias-Santiago
- Servicio de Dermatología. Hospital Virgen de las Nieves, Granada, Spain
| | - A Molina-Leyva
- Servicio de Dermatología. Hospital Virgen de las Nieves, Granada, Spain
| | - Y Gilaberte
- Servicio de Dermatología. Hospital Universitario Miguel Servet, IIS Aragón, Zaragoza, Spain
| | - P Fernández-Crehuet
- Servicio de Dermatología. Hospital Universitario Reina Sofía, Córdoba, Spain
| | - H Husein-ElAhmed
- Servicio de Dermatología. Hospital General de Baza, Granada, Spain
| | - A Viera-Ramírez
- Servicio de Dermatología. Hospital Santa Catalina, Las Palmas de Gran Canaria, Spain
| | - P Fernández-Peñas
- The University of Sydney, Department of Dermatology, Westmead Hospital, Westmead, New South Wales, Australia
| | - R Taberner
- Departamento de Dermatología. Hospital de Son Llàtzer, Palma de Mallorca, Spain
| | | | - I García-Doval
- Unidad de Investigación. Fundación Piel Sana AEDV, Madrid, Spain
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Betlloch-Mas I, Martínez-Miravete MT, Berbegal-DeGracia L, Sánchez-Vázquez L, Sánchez-Payá J. Teledermatology in paediatrics: Health-care impact on the early treatment of infantile haemangiomas. J Telemed Telecare 2020; 27:424-430. [PMID: 32188311 DOI: 10.1177/1357633x20904901] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
INTRODUCTION Teledermatology can solve diagnostic and therapeutic problems in paediatrics, for example in infantile haemangiomas (IHs) requiring early treatment with propranolol. This study aims to assess the impact of teledermatology following its implementation in a health area of Spain, specifically analysing its effectiveness in reducing the age of first propranolol treatment for IH. METHODS This was a descriptive study of paediatric teledermatology from 2015 to 2018, studying age, sex, diagnosis, time and mode of resolution. All IHs referred via teledermatology were analysed, and age at propranolol initiation was compared to the period prior to implementation (2008-2014). We also analysed IHs according to referral pathways (teledermatology vs. conventional pathways). RESULTS We included 432 consultations (47.7% boys). The main diagnoses were IH, erythematous-desquamative diseases and infections. Concordance in diagnosis between paediatricians and dermatologists was good, and 48.12% of cases consulted via teledermatology were resolved remotely. Response time was 2.81 days on average. Children younger than two months of age showed the highest proportion of in-person visits. In 2015-2018, children with IHs began treatment with propranolol at a mean age of 4.5 months (1.9 months in those referred via teledermatology vs. 5.6 months in those using conventional referral pathways). In 2008-2014, the mean age at referral was 7.1 months. These differences were significant. DISCUSSION Teledermatology is a fast and effective tool to resolve paediatric cases, enabling a significant decrease in the age of treatment in infants with IH.
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Affiliation(s)
- Isabel Betlloch-Mas
- Department of Dermatology, Alicante University General Hospital, Alicante Institute for Health and Biomedical Research (ISABIAL-FISABIO Foundation), Spain
| | - María-Teresa Martínez-Miravete
- Department of Paediatrics, Alicante University General Hospital, Alicante Institute for Health and Biomedical Research (ISABIAL-FISABIO Foundation), Spain
| | | | | | - José Sánchez-Payá
- Epidemiology Unit, Alicante University General Hospital, Alicante Institute for Health and Biomedical Research (ISABIAL-FISABIO Foundation), Spain
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Teledermatology in paediatrics. Observations in daily clinical practice. ANALES DE PEDIATRÍA (ENGLISH EDITION) 2016. [DOI: 10.1016/j.anpede.2015.07.036] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Kakande B, Gumedze F, Hlela C, Khumalo NP. Focus on the Top Ten Diagnoses Could Reduce Pediatric Dermatology Referrals. Pediatr Dermatol 2016; 33:99-102. [PMID: 26572929 DOI: 10.1111/pde.12714] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
There is a sense that many patients seen at referral centers could be managed at a primary health care level. The objective of the current study was to examine the range of diagnoses among consultations at the Red Cross Children's Hospital in Cape Town, South Africa, to help develop a strategy for targeted education of primary health care personnel. This was a retrospective review of data for children seen at a pediatric dermatology clinic from 2005 to 2010, recorded according to International Classification of Diseases coding and compared with published data from similar clinical settings. There were 13,253 clinic visits, with 4,789 patients seen (median age 4.8 yrs, range 2 days to 18.6 yrs). The top 10 diagnoses accounted for 88.5% of consultations (59.5% atopic eczema [AE], 7.1% seborrheic dermatitis [SD], 4.2% superficial mycoses, 3.1% molluscum contagiosum, 2.8% vitiligo, 2.7% viral warts, 2.4% prurigo or scabies, 2.3% psoriasis, 2.3% hemangioma, 2.1% impetigo). Disease prevalence was somewhat different during the first year of life (AE 43.7%, SD 18.6%, hemangiomas 13.4%). Inflammatory dermatoses (76.6%) were more prevalent than infections and infestations (14.5%). The disease spectrum was similar to that in developed countries, although AE prevalence was higher in this study (followed by London 36%, Greece 35%, and Hong Kong 33%) than in 19 published studies. The top 10 diagnoses accounted for more than 70% of diagnoses in 12 studies. The retrospective nature and setting at a specialist clinic increased bias and limited generalizability. Focused education on the optimal care of common diseases, especially AE, could reduce referrals, improve access, and allow specialists at tertiary centers more time to manage complex and uncommon dermatoses.
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Affiliation(s)
- Betty Kakande
- Division of Dermatology, Red Cross Children's Hospital, Cape Town, South Africa.,Division of Dermatology, Groote Schuur Hospital, Cape Town, South Africa
| | - Freedom Gumedze
- Department of Statistical Sciences, University of Cape Town, Cape Town, South Africa
| | - Carol Hlela
- Division of Dermatology, Red Cross Children's Hospital, Cape Town, South Africa.,Division of Dermatology, Groote Schuur Hospital, Cape Town, South Africa
| | - Nonhlanhla P Khumalo
- Division of Dermatology, Red Cross Children's Hospital, Cape Town, South Africa.,Division of Dermatology, Groote Schuur Hospital, Cape Town, South Africa
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Batalla A, Suh-Oh HJ, Abalde T, Salgado-Boquete L, de la Torre C. [Teledermatology in Paediatrics. Observations in daily clinical practice]. An Pediatr (Barc) 2015; 84:324-30. [PMID: 26271410 DOI: 10.1016/j.anpedi.2015.07.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2015] [Revised: 06/08/2015] [Accepted: 07/01/2015] [Indexed: 12/25/2022] Open
Abstract
INTRODUCTION Teledermatology is a technique that is increasingly being developed. There are many studies that assess this discipline in the general population, but few studies analyse the paediatric population exclusively. The aims of this study are to describe the distribution of diseases consulted through teledermatology, the use of this technique to avoid face-to-face consultations, and the agreement between virtual and face-to-face diagnoses, in the paediatric population. MATERIAL AND METHODS The work consisted of an observational and retrospective study of the virtual consultations made between May 2011 and January 2015 through a store-and-forward teledermatology programme, involving patients from 0 to 15 years. We collected demographic data, as well as the diagnoses made by the paediatrician who made the virtual consultation, and by the dermatologists who assessed the virtual and the face-to-face consultations, the indication given by the dermatologist who assessed the virtual consultation (discharge or referral), reason for referral, and diagnostic agreement rate. RESULTS A total of 183 virtual consultations were analysed. The most frequent diagnoses were inflammatory diseases (39%), benign pigmented lesions (23%), and infectious diseases (20%). Almost half of the virtual consultations (48%) were referred for a face-to-face diagnosis. Diagnostic agreement between the dermatologist who evaluated the virtual consultation and the dermatologist who evaluated the face-to-face consultation was 89%, and 66% between the paediatrician who made the virtual consultation and the dermatologist who assessed it. CONCLUSIONS Virtual consultations have a similar disease distribution to conventional (face-to-face) referrals. Approximately half of the virtual consultations do not require a subsequent face-to-face visit. The agreement rate between the diagnoses given by both dermatologists (virtual and face-to-face diagnoses) is high.
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Affiliation(s)
- Ana Batalla
- Servicio de Dermatología, Complejo Hospitalario de Pontevedra, Pontevedra, España.
| | - Hae Jin Suh-Oh
- Servicio de Dermatología, Complejo Hospitalario de Pontevedra, Pontevedra, España
| | - Teresa Abalde
- Servicio de Dermatología, Complejo Hospitalario de Pontevedra, Pontevedra, España
| | | | - Carlos de la Torre
- Servicio de Dermatología, Complejo Hospitalario de Pontevedra, Pontevedra, España
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Comparative Epidemiologic Study of Skin Diseases in Foreign Children and Children of Spanish Origin in Alicante, Spain. ACTAS DERMO-SIFILIOGRAFICAS 2014. [DOI: 10.1016/j.adengl.2013.12.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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8
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Pérez-Crespo M, Ramos-Rincón JM, Albares-Tendero MP, Betlloch-Mas I. Comparative epidemiologic study of skin diseases in foreign children and children of Spanish origin in Alicante, Spain. ACTAS DERMO-SIFILIOGRAFICAS 2014; 105:394-400. [PMID: 24480098 DOI: 10.1016/j.ad.2013.12.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2013] [Revised: 12/03/2013] [Accepted: 12/11/2013] [Indexed: 11/26/2022] Open
Abstract
INTRODUCTION Previous studies in Spain have shown that the foreign and immigrant populations can have different diseases to Spanish-born individuals. However, no comparative study has specifically investigated foreign children in Spain. MATERIAL AND METHODS The objective of the study was to compare skin diseases in foreign children with those in children born in Spain of Spanish parents. We included all patients under 15 years of age who were seen in our dermatology department between January 2007 and December 2007. RESULTS During the study period, 3108 pediatric patients were seen in the dermatology department. Of these, 2661 (85.6%) were Spanish and 447 (14.3%) were foreigners. Foreign children sought medical care more often (11.4%) than Spanish children (6%) (P<.001) and made less use of the specialist outpatient clinic (59.6% vs 68.8% [P<.001]) and more use of emergency care. Complaints observed more frequently in the foreign children were scabies (adjusted odds ratio [aOR], 10.6; 95% CI, 4.71-24.10), arthropod bites (aOR, 2.80; 95% CI, 1.14-6.87), hypopigmentation (aOR, 2.61; 95% CI, 1.06-6.44), and atopic dermatitis (aOR, 1.65; 95% CI, 1.19-2.31). Melanocytic nevus was observed more frequently in Spanish children (aOR, .50; 95% CI, .30-.83). CONCLUSIONS Differences between children born in Spain of Spanish parents and foreign children were found for type of visit and frequency of skin diseases.
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Affiliation(s)
- M Pérez-Crespo
- Servicio de Dermatología, Hospital General Universitario de Alicante, Alicante, España; Unidad de Dermatología, Hospital Marina Baixa, Villajoyosa, Alicante, España.
| | - J M Ramos-Rincón
- Servicio de Medicina Interna, Hospital General Universitario de Alicante, Alicante, España; Departamento de Medicina Clínica, Facultad de Medicina, Universidad Miguel Hernández, Campus de San Juan, Alicante, España
| | - M P Albares-Tendero
- Servicio de Dermatología, Hospital General Universitario de Alicante, Alicante, España
| | - I Betlloch-Mas
- Servicio de Dermatología, Hospital General Universitario de Alicante, Alicante, España; Departamento de Medicina Clínica, Facultad de Medicina, Universidad Miguel Hernández, Campus de San Juan, Alicante, España
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Katsarou A, Armenaka M, Kosmadaki M, Lagogianni E, Vosynioti V, Tagka A, Stefanaki C, Katsambas A. Skin diseases in Greek and immigrant children in Athens. Int J Dermatol 2012; 51:173-7. [DOI: 10.1111/j.1365-4632.2011.04948.x] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Peñate Y, Borrego L, Hernández N, Islas D. Pediatric dermatology consultations: a retrospective analysis of inpatient consultations referred to the dermatology service. Pediatr Dermatol 2012; 29:115-8. [PMID: 21453306 DOI: 10.1111/j.1525-1470.2011.01406.x] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
To analyze the care provided by consultant dermatologists to hospitalized pediatric patients, we retrospectively studied the records of inpatient pediatric consultation requests received by a hospital dermatology department between 2000 and 2009. The diagnoses were recorded according to the International Classification of Diseases, Ninth Revision (ICD-9). In a high percentage of cases, the problem was addressed in a single visit, and few additional tests were ordered. The most common diagnostic groups were diseases of the skin and subcutaneous tissue (ICD-9: 680-709). The most frequent specific diagnosis was atopic dermatitis (ICD-9: 691.8). Our series shows that the role of dermatologists as consultants for pediatric inpatients is similar to their role in outpatient consultations.
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Affiliation(s)
- Yeray Peñate
- Dermatology Department, Hospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria, Spain.
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López V, Martín J, Monteagudo C, Jordá E. Epidemiología de la cirugía dermatológica pediátrica. Un estudio retrospectivo de 996 niños. ACTAS DERMO-SIFILIOGRAFICAS 2010. [DOI: 10.1016/j.ad.2010.02.016] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Corbalán-Vélez R, Martínez-Menchón T, Clemente-Ruiz De Almirón A, Frías-Iniesta J. ¿Se puede mitigar el dolor asociado a las verrugas plantares? ACTAS DERMO-SIFILIOGRAFICAS 2010; 101:645-646. [DOI: 10.1016/j.ad.2010.02.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2010] [Accepted: 02/08/2010] [Indexed: 11/30/2022] Open
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Motivos de consulta dermatológicos en la población inmigrante y española del área de salud del Hospital Son Llàtzer (Mallorca). ACTAS DERMO-SIFILIOGRAFICAS 2010. [DOI: 10.1016/j.ad.2009.11.007] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Monteagudo B, Cabanillas M, Acevedo A, de las Heras C, Pérez-Pérez L, Suárez-Amor O, Ginarte M. Molusco contagioso: estudio descriptivo. An Pediatr (Barc) 2010; 72:139-42. [DOI: 10.1016/j.anpedi.2009.09.008] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2009] [Revised: 09/14/2009] [Accepted: 09/15/2009] [Indexed: 11/30/2022] Open
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Relieving the Pain Associated with Plantar Warts. ACTAS DERMO-SIFILIOGRAFICAS 2010. [DOI: 10.1016/s1578-2190(10)70689-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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Taberner R, Nadal C, Llambrich A, Vila A, Torné I. Dermatology Service Utilization and Reasons for Consultation by Spanish and Immigrant Patients in the Region Served by Hospital Son Llàtzer, Palma de Majorca, Spain. ACTAS DERMO-SIFILIOGRAFICAS 2010. [DOI: 10.1016/s1578-2190(10)70642-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Epidemiology of Pediatric Dermatologic Surgery: A Retrospective Study of 996 Children. ACTAS DERMO-SIFILIOGRAFICAS 2010. [DOI: 10.1016/s1578-2190(10)70715-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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