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Background/Objectives: Many patients with epidermolysis bullosa (EB) require

Hidradenitis suppurativa (HS) is a chronic, recurrent, inflammatory skin disease, characterized by painful, suppurating abscesses in apocrine gland-rich sites. Studies have demonstrated an increased prevalence of inflammatory bowel disease (IBD) (3.3%) in adults with HS compared with the general population (0.41%-0.74%). 1-3 It is unknown whether the same association exists in pediatric patients. However, a recent case series described seven pediatric patients with HS associated with Crohn disease, suggesting a similar pattern may exist. 4 If there is an increased prevalence of IBD in this population, data on how best to screen for this potential association are lacking. While endoscopic evaluation with biopsies is the gold standard for

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Congenital melanocytic nevi (CMN) are common birthmarks with 20% occurring on the limbs. We describe 4 patients with acral CMN with a “biker‐glove” distribution with sparing of the distal digits, as has previously been described in acral infantile hemangiomas (IH). The existence of the biker‐glove pattern suggests that CMN arise from early mutations in melanocyte precursors and supports the recently described Kinsler‐Larue hypothesis of mesenchymal distribution of melanocyte migration occurring in a circular field from a central point. Developmental errors in mesenchymal precursors with similar migration patterns may explain this shared pattern among CMN and IH.

Background/Objectives: The COVID-19 pandemic prompted a rapid expansion in the use of telemedicine. This study aimed to assess the experiences of hemangioma specialists utilizing telemedicine during the COVID-19 pandemic to evaluate and manage infantile hemangiomas (IH), including perceived effectiveness of different modalities and barriers to care delivery.Methods: Multicenter cross-sectional study asking providers to describe their experiences using telemedicine for initial evaluation of IH from March to September 2020.Results: The study included 281 patients from 15 medical centers internationally.Median time from referral to evaluation was 17 days. Median physician confidence in performing evaluations via telemedicine was 95.0 (IQR 90.0-100.0). Most evaluations were performed via video communication with photographs or audio communication with photographs; when not initially available, photographs were requested in 51.4%. Providers preferred follow-up modalities that included photographs.Conclusions: Physicians with extensive expertise in managing IH are confident in their abilities to assess and manage IH via telemedicine including initiating treatment in patients without risk factors for beta-blocker therapy. There was a preference for hybrid modalities that included photographs. The data suggest that telemedicine can be effective for managing IH and may decrease wait times and improve specialist reach to underserved areas.