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Dermatologic Conditions in Down Syndrome: A Multi-Site Retrospective Review of International Classification of Diseases Codes. Pediatr Dermatol 2024;41(6):1047-1052

Date

09/27/2024

Pubmed ID

39327647

DOI

10.1111/pde.15757

Scopus ID

2-s2.0-85205326233 (requires institutional sign-in at Scopus site)

Abstract

BACKGROUND AND OBJECTIVE: As the population and life expectancy of people with Down syndrome increases, identifying common skin conditions throughout the lifespan will help inform clinical care and research. We sought to evaluate dermatologic conditions diagnosed in pediatric and adult patients with Down syndrome.

METHODS: This multicenter retrospective study analyzed demographic and outpatient visit International Classification of Diseases codes of patients with Down syndrome evaluated at outpatient dermatology clinics in the United States or Canada between 2011 and 2021.

RESULTS: A total of 1529 patients with Down syndrome were identified from eight academic medical centers: 50.8% were children (0-12 years), 25.2% were adolescents (13-17 years), and 24% were adults (18 years and older). Eczematous dermatitis was the most common diagnosis overall (26%), followed by folliculitis (19.3%) and seborrheic dermatitis (15.6%). Other notable diagnoses included dermatophyte infections (13%), alopecia areata (11.6%), and psoriasis (6.7%). About 4.3% of visits included a code for high-risk medication use. Eczematous dermatitis, alopecia areata, and folliculitis were the most common diagnoses observed in children; folliculitis, hidradenitis suppurativa, and eczematous dermatitis in adolescents; and seborrheic dermatitis, eczematous dermatitis, and folliculitis in adults.

CONCLUSIONS: Dermatologic conditions in patients with Down syndrome vary by age, but are most often eczematous, adnexal, and cutaneous autoimmune disorders. This multicenter retrospective review identifies skin diseases that should be prioritized for clinical care guideline development and research in the Down syndrome community.

Author List

Rakasiwi T, Ryan C, Stein A, Vu A, Dykman M, Shah I, Reilly C, Brokamp G, Mologousis MA, Komishke B, Hou V, Maguiness S, Kirkorian AY, Price H, Hawryluk EB, Fernandez Faith E, Lara-Corrales I, Gurnee E, Holland KE, Rork JF

Author

Kristen E. Holland MD Associate Professor in the Dermatology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adolescent
Adult
Canada
Child
Child, Preschool
Down Syndrome
Female
Humans
Infant
Infant, Newborn
International Classification of Diseases
Male
Retrospective Studies
Skin Diseases
United States
Young Adult