Caring for Pediatric Hidradenitis Suppurativa Patients in the Emergency Department

Kavina Patel1, Maria Leszczynska2, Venessa Peña-Robichaux2

  • 1From the Medical Student, Department of Medical Education, Long School of Medicine, University of Texas Health San Antonio, San Antonio.

Insights

This study offers guidance for managing acute flares of hidradenitis suppurativa (HS) in pediatric emergency departments. It aims to equip clinicians with essential knowledge for effectively treating children with this chronic inflammatory skin condition.

Area of Science:

  • Dermatology
  • Pediatric Emergency Medicine

Background:

  • Hidradenitis suppurativa (HS) is a chronic, recurrent inflammatory skin disease.
  • HS presents with nodules, sinus tracts, and abscesses, primarily in intertriginous areas.
  • Management of acute HS flares in children requires specific clinical considerations.

Purpose of the Study:

  • To provide evidence-based recommendations for managing acute hidradenitis suppurativa flares in pediatric emergency departments.
  • To educate healthcare providers on the unique aspects of HS care in children.
  • To improve clinical decision-making for pediatric HS patients in emergency settings.

Main Methods:

  • Literature review on hidradenitis suppurativa management in pediatric populations.
  • Incorporation of clinical expertise from experienced practitioners.
  • Development of practical guidelines for emergency department settings.

Main Results:

  • Key considerations for diagnosis and initial management of acute HS flares in children.
  • Guidance on pain control, wound care, and antibiotic selection.
  • Recommendations for referral and follow-up care.

Conclusions:

  • Standardized management protocols can optimize outcomes for children with acute HS flares.
  • Early and appropriate intervention is crucial for preventing disease progression and complications.
  • Educating clinicians is vital for ensuring effective care for pediatric HS patients.

Related Concept Videos

Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
1.6K
Hand hygiene01:23

Hand hygiene

Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
4.9K
Suctioning the Oropharyngeal Airway01:25

Suctioning the Oropharyngeal Airway

In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
498
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
208
Handwashing III: During the Procedure and Post-Procedure Steps01:15

Handwashing III: During the Procedure and Post-Procedure Steps

To wash hands properly, follow these steps:
1.9K
Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
99