Publications by authors named "Juliana R Gruver"
Representation of diverse skin tones in Nelson's Textbook of Pediatrics.
Arch Dermatol Res
November 2024
Article Synopsis
- The study aimed to evaluate whether the images of dermatologic conditions in a popular pediatric textbook accurately represent diverse skin tones, as pediatricians need to diagnose on various skin types.
- Analysis of 515 figures showed that 93.6% depicted light skin tones, while only 6.4% showcased dark skin tones, which does not align with the demographic distribution of the US population.
- The researchers found that specific skin conditions were predominantly illustrated on either light or dark skin, suggesting a potential bias in the textbook’s visual representation of pediatric dermatology that may affect diagnosis and treatment.
Purpose Of Review: Provide an overview of recent findings and recommendations for the presentation, diagnosis, and management of pediatric dermatologic emergencies.
Recent Findings: Updated information on optimal diagnosis and treatments for pediatric dermatologic emergencies because of infection, reactive infectious mucocutaneous eruption, and serious cutaneous adverse reactions are covered.
Summary: Pediatric dermatologic emergencies require prompt diagnosis and management.
Article Synopsis
- - Spindle cell rhabdomyosarcoma (RMS) is a rare cancer variant in infants, linked with gene fusions but less studied for treatment outcomes compared to older patients with different genetic profiles.
- - A study of 40 infants treated for spindle cell RMS from 1997 to 2018 revealed a high success rate, with 95% achieving complete remission through a combination of surgery, chemotherapy, and sometimes radiotherapy.
- - Overall survival rates for these infants were promising: 86% event-free and 91% overall at five years, although one case of metastatic disease resulted in a poor outcome despite treatment.