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Review Article
Online Published: 31 Dec 2025
 


Acute pediatric dermatologic presentations in family medicine and emergency settings: diagnostic accuracy, early management, and clinical outcomes

Mazi Mohammed Alanazi, Rawa Anbar Abdulhameed Khan, Ahmed S. Alherz, Mohammed A. Aldahan, Batool Ahmed Alsubaiti, Nadiyah Salem Althunayan, Abdulmohsen Abdulaziz A. Abanmi, Yazed Ahmad Almahalawi, Abdullah Dhafer Alrazig, Abdulaziz Saud N. Alshahrani.


Abstract
Acute skin conditions are common in childhood and frequently present to emergency departments and family medicine clinics. Data on diagnostic performance and early management in these settings are limited. A systematic review was conducted according to PRISMA 2020 guidance. Electronic databases were searched from inception for observational studies and case series reporting acute pediatric dermatologic presentations in emergency or primary care settings. Two reviewers screened studies, extracted data, and performed narrative synthesis. A total of 9 studies were included from Europe, the Middle East, and Asia. In emergency departments, dermatologic conditions accounted for 4 to 6% of pediatric visits when primary skin complaints were counted and 17% when any skin finding was recorded. Infections and allergic dermatoses were the most common diagnoses, while drug eruptions and vasculitic rashes represented smaller groups. Hospital admission of children with skin disease ranged from 5% to 11%, mainly for severe infections, vasculitides, and drug reactions. Diagnostic uncertainty was common, and 10-24% of cases were coded as suspected or unknown. Studies comparing pediatrician diagnoses with dermatologists found a diagnostic agreement of 55 to 66%, with changes in diagnosis and treatment. Acute pediatric dermatologic presentations are common in ED and often managed with limited diagnostic certainty. To improve diagnostic precision, basic dermatology training, use of simple visual algorithms, and integration of teledermatology consultation into ED services is required.

Key words: Pediatric dermatology, skin diseases, emergency department, family medicine, diagnostic accuracy, systematic review.


 
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How to Cite this Article
Pubmed Style

Alanazi MM, Khan RAA, Alherz AS, Aldahan MA, Alsubaiti BA, Althunayan NS, Abanmi AAA, Almahalawi YA, Alrazig AD, Alshahrani ASN. Acute pediatric dermatologic presentations in family medicine and emergency settings: diagnostic accuracy, early management, and clinical outcomes. IJMDC. 2025; 9(12): 3349-3356. doi:10.24911/IJMDC.51-1764794120

Web Style

Alanazi MM, Khan RAA, Alherz AS, Aldahan MA, Alsubaiti BA, Althunayan NS, Abanmi AAA, Almahalawi YA, Alrazig AD, Alshahrani ASN. Acute pediatric dermatologic presentations in family medicine and emergency settings: diagnostic accuracy, early management, and clinical outcomes. https://www.ijmdc.com/?mno=301263 [Access: January 16, 2026]. doi:10.24911/IJMDC.51-1764794120

AMA (American Medical Association) Style

Alanazi MM, Khan RAA, Alherz AS, Aldahan MA, Alsubaiti BA, Althunayan NS, Abanmi AAA, Almahalawi YA, Alrazig AD, Alshahrani ASN. Acute pediatric dermatologic presentations in family medicine and emergency settings: diagnostic accuracy, early management, and clinical outcomes. IJMDC. 2025; 9(12): 3349-3356. doi:10.24911/IJMDC.51-1764794120


Vancouver/ICMJE Style

Alanazi MM, Khan RAA, Alherz AS, Aldahan MA, Alsubaiti BA, Althunayan NS, Abanmi AAA, Almahalawi YA, Alrazig AD, Alshahrani ASN. Acute pediatric dermatologic presentations in family medicine and emergency settings: diagnostic accuracy, early management, and clinical outcomes. IJMDC. (2025), [cited January 16, 2026]; 9(12): 3349-3356. doi:10.24911/IJMDC.51-1764794120


Harvard Style

Alanazi, M. M., Khan, . R. A. A., Alherz, . A. S., Aldahan, . M. A., Alsubaiti, . B. A., Althunayan, . N. S., Abanmi, . A. A. A., Almahalawi, . Y. A., Alrazig, . A. D. & Alshahrani, . A. S. N. (2025) Acute pediatric dermatologic presentations in family medicine and emergency settings: diagnostic accuracy, early management, and clinical outcomes. IJMDC, 9 (12), 3349-3356. doi:10.24911/IJMDC.51-1764794120


Turabian Style

Alanazi, Mazi Mohammed, Rawa Anbar Abdulhameed Khan, Ahmed S. Alherz, Mohammed A. Aldahan, Batool Ahmed Alsubaiti, Nadiyah Salem Althunayan, Abdulmohsen Abdulaziz A. Abanmi, Yazed Ahmad Almahalawi, Abdullah Dhafer Alrazig, and Abdulaziz Saud N. Alshahrani. 2025. Acute pediatric dermatologic presentations in family medicine and emergency settings: diagnostic accuracy, early management, and clinical outcomes. International Journal of Medicine in Developing Countries, 9 (12), 3349-3356. doi:10.24911/IJMDC.51-1764794120


Chicago Style

Alanazi, Mazi Mohammed, Rawa Anbar Abdulhameed Khan, Ahmed S. Alherz, Mohammed A. Aldahan, Batool Ahmed Alsubaiti, Nadiyah Salem Althunayan, Abdulmohsen Abdulaziz A. Abanmi, Yazed Ahmad Almahalawi, Abdullah Dhafer Alrazig, and Abdulaziz Saud N. Alshahrani. "Acute pediatric dermatologic presentations in family medicine and emergency settings: diagnostic accuracy, early management, and clinical outcomes." International Journal of Medicine in Developing Countries 9 (2025), 3349-3356. doi:10.24911/IJMDC.51-1764794120


MLA (The Modern Language Association) Style

Alanazi, Mazi Mohammed, Rawa Anbar Abdulhameed Khan, Ahmed S. Alherz, Mohammed A. Aldahan, Batool Ahmed Alsubaiti, Nadiyah Salem Althunayan, Abdulmohsen Abdulaziz A. Abanmi, Yazed Ahmad Almahalawi, Abdullah Dhafer Alrazig, and Abdulaziz Saud N. Alshahrani. "Acute pediatric dermatologic presentations in family medicine and emergency settings: diagnostic accuracy, early management, and clinical outcomes." International Journal of Medicine in Developing Countries 9.12 (2025), 3349-3356. Print. doi:10.24911/IJMDC.51-1764794120


APA (American Psychological Association) Style

Alanazi, M. M., Khan, . R. A. A., Alherz, . A. S., Aldahan, . M. A., Alsubaiti, . B. A., Althunayan, . N. S., Abanmi, . A. A. A., Almahalawi, . Y. A., Alrazig, . A. D. & Alshahrani, . A. S. N. (2025) Acute pediatric dermatologic presentations in family medicine and emergency settings: diagnostic accuracy, early management, and clinical outcomes. International Journal of Medicine in Developing Countries, 9 (12), 3349-3356. doi:10.24911/IJMDC.51-1764794120




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