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Author(s) -
P. Giavedoni,
D. Morgado-Carrasco,
C. Carrera,
J. Ferrando,
A. Torrelo,
J. Torre Castro,
J. Lopez Robles,
M. D. Mendoza Cembranos,
F. Alfageme Roldan,
M. A. Gonzalez,
de Domingo,
S. M. Dolores,
G. Roustan Gullon,
K. Park,
J. H. Kim,
B. R. Im
Publication year - 2017
Publication title -
pediatric dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 73
eISSN - 1525-1470
pISSN - 0736-8046
DOI - 10.1111/pde.13268
Subject(s) - medicine , family medicine , dermatology
Color Doppler ultrasound (CDU) has been incorporated for the diagnosis, follow-up, and surgical planning of skin diseases. It is a widely available imagingmethod that allows evaluation of different skin pathologies. In pediatric patients it also has the advantage of being painless and not using ionizing radiation. Clinical cases: Five pediatric patients studied with CDU at Hospital Clinic in Barcelona from June to November 2016 are reported. Patient 1: Two-year-old girl with amniotic flanges in both hands. CDU revealed decreased thickness of the dermis and hypodermis. With thesemethod the patient could be classified as grade 2. Patient 2: Ten-day-old girl with nodule on the right leg. CDU showed hypoechoic dermal 13.6 9 6.1 mm lesion. Doppler ultrasound shows prominent blood flow in the periphery of the lesion. The histological diagnosis was of mastocytoma. CDU was useful in characterizing the lesion and for follow-up. Patient 3: Eight-year-old girl with a ventriculoperitoneal bypass valve, after surgery for apinealoblastoma. Complains about pain and erythema on the scalp. CDU demonstrated a valve in subcutaneous tissue without extrusion. Color Doppler demonstrates increased vascularity. CDU 10 days after: showed decreased vascularity with Doppler mode. DCU was useful to rule out valve migration. Patient 4: Seventeen-year-old girl with Goltz syndrome. CDU showed thickness of the dermis 0.7 mm in affected area and 1.4 mm in healthy contralateral skin. DCU determined the extent of dermal hypoplasia and served as a guide for cutaneous biopsy. Patient 5: Eleven-month-old girl with a 1.5 cm diameter scalp mass diagnosed as an aseptic nodule of the scalp. CDU showed moderate hypoechoic 10.3 9 6.4 mm lesion. Doppler mode revealed increased intralesional flow. CDU was useful for follow up. Conclusion: These cases demonstrate the utility of CDU in pediatric pathologies. CDU allows us to describe pathologies not previously reported.