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Dermatologic conditions in internationally adopted children.

Diane L Whitaker-Worth1, Cheryl B Bayart2, Julia Anderson Benedetti3

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|May 12, 2017
PubMed
Summary

Healthcare providers must consider unique pre-adoption exposures and health variations when treating internationally adopted children. A broad differential diagnosis is crucial for addressing diverse dermatologic conditions in this population.

Keywords:
Health care deliveryInfection-bacterialInfection-fungalInsect bite/bite reactionsPediatric dermatologySkin signs of systemic disease

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Area of Science:

  • Pediatrics
  • International Adoption Health
  • Dermatology

Background:

  • Over 200,000 children have been adopted into United States (US) families internationally since 2000.
  • International adoption presents unique health challenges due to varied pre-adoption exposures and healthcare practices.
  • Children adopted internationally are a heterogeneous group with diverse vulnerabilities.

Purpose of the Study:

  • To inform healthcare providers about the spectrum of illnesses in internationally adopted children.
  • To emphasize the importance of considering pre-adoption factors in diagnosis and treatment.
  • To highlight the broad differential diagnosis for dermatologic conditions in this population.

Main Methods:

  • Review of potential pre-adoption exposures (nutritional, sensory, emotional, prenatal).
  • Consideration of international variations in healthcare, immunization, and hygiene standards.
  • Analysis of differential diagnoses for cutaneous eruptions, including endemic diseases and primary dermatologic conditions.

Main Results:

  • Internationally adopted children may present with a wide range of health issues, including unusual conditions.
  • Pre-adoption stressors and prenatal exposures significantly impact child health.
  • Cutaneous eruptions can stem from endemic systemic illnesses (e.g., measles, TB, leprosy) or primary dermatologic problems (e.g., scabies, infections).

Conclusions:

  • Healthcare providers need awareness of unique exposures and vulnerabilities in internationally adopted children.
  • A broad differential diagnosis and open-minded approach are essential for managing dermatologic conditions.
  • Understanding international healthcare variations is critical for appropriate patient care.