Publications by authors named "Sidharth Chand"

Article Synopsis
  • Patients with calciphylaxis face diagnostic delays, especially those with nonnephrogenic forms and finger lesions, while those with arm and genitalia involvement have shorter delays.
  • *The study found that complications per patient have decreased over time, particularly relating to wound infections and hospitalizations.
  • *Updated mortality rates show improvements, with one-year mortality at 36.70% for nephrogenic and 30.77% for nonnephrogenic calciphylaxis, underscoring the need for better awareness for early diagnosis.*
View Article and Find Full Text PDF

Objective: To assess cellulitis in the neonatal intensive care unit (NICU) setting and identify risk factors for its disease severity and whether cellulitis influences length of stay (LOS).

Study Design: In this retrospective study, patients with cellulitis were identified using the electronic health record while admitted to the NICU at Massachusetts General for Children from January 2007 to December 2020. Demographic and clinical data were extracted from patient records.

View Article and Find Full Text PDF

Cellulitis is an infection of the skin and skin-associated structures with many clinical mimickers known collectively as pseudocellulitis. Dermatology or infectious disease consultation is considered the gold standard for diagnosis. We evaluated a prospective cohort of adult patients presenting to the emergency department (ED) with concern for lower extremity cellulitis who received dermatology consultation with conferral of a final diagnosis.

View Article and Find Full Text PDF

The clinical features of 588 pediatric inpatients admitted with a diagnosis of cellulitis were reviewed with attention to diagnostic accuracy of true cellulitis (95.1%) versus pseudocellulitis (4.9%) and utilization of specialist consultations (28.

View Article and Find Full Text PDF

Calciphylaxis is a rare and devastating condition with important systemic ramifications. This second-part of our CME aims to educate the practicing dermatologist on the current standard of care once a diagnosis of calciphylaxis is confirmed or highly suspected. The key pathologic findings, as well as the role and limitations of biopsy, are reviewed.

View Article and Find Full Text PDF

Cellulitis is frequently misdiagnosed owing to its clinical mimickers, collectively known as pseudocellulitis. This study investigated diffuse reflectance spectroscopy (DRS) alone and in combination with infrared thermography (IRT) for the differentiation of cellulitis from pseudocellulitis. A prospective cohort study at an urban academic hospital was conducted from March 2017 to March 2018.

View Article and Find Full Text PDF

Cellulitis is a common skin infection resulting in increasing hospitalizations and health care costs. There is no gold standard diagnostic test, making cellulitis a potentially challenging condition to distinguish from other mimickers. Physical examination typically demonstrates poorly demarcated unilateral erythema with warmth and tenderness.

View Article and Find Full Text PDF

Background: Calciphylaxis is a rare thrombotic vasculopathy characterized by high morbidity and mortality. There is a paucity of studies examining longitudinal outcomes.

Objective: To assess mortality, days spent in the hospital, and amputations in patients with calciphylaxis.

View Article and Find Full Text PDF