Adolescent Gluteal Cleft Pathologies Not Due to Pilonidal Disease: A Case Series and Diagnostic Algorithm.
Background: Problems of the gluteal cleft are often due to pilonidal disease, but at times need to be distinguished from other diseases. We reported a series of adolescent patients with non-pilonidal gluteal cleft pathologies. Methods: We performed a retrospective review of all patients who presente...
| Publicado en: | Clinical Medicine Insights: Pediatrics Vol. 19; pp. 1 - 9 |
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| Autores principales: | , , |
| Formato: | algorithm diagnostic images pictorial research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
8/22/2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=188155920&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 188155920 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11795565 B3KV jtl: Clinical Medicine Insights: Pediatrics issn: 11795565 maglogo: Y pubinfo: dt: 8/22/2025 vid: 19 pid: 20732 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 188155920 188155920 188155920 10.1177/11795565251366775 188155920 ppf: 1 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Adolescent Gluteal Cleft Pathologies Not Due to Pilonidal Disease: A Case Series and Diagnostic Algorithm. aug: au: Emengo, Pamela Abrajano, Claire Chiu, Bill affil: Division of Pediatric Surgery, Department of Surgery, Stanford University, CA, USA sug: subj: Buttocks Pathology Diagnosis, Differential Algorithms Diagnostic Errors Prevention and Control Human Retrospective Design Record Review Hospitals, Pediatric Wounds and Injuries Immobility Inflammation Pain Erythema Neurilemmoma Diagnosis Intervertebral Disk Displacement Diagnosis Arachnoid Cysts Diagnosis Peripheral Nervous System Diseases Diagnosis Folliculitis Diagnosis Skin Diseases Diagnosis Inflammatory Bowel Diseases Diagnosis Pressure Ulcer Diagnosis Decision Trees Decision Making, Clinical Magnetic Resonance Imaging Colonoscopy Vignettes Child Adolescence Young Adult Braden Scale for Predicting Pressure Sore Risk Scales Infliximab Therapeutic Use Surgery, Operative Hair Removal Laser Therapy Wound Care Case Studies Male Female Funding Source Child: 6-12 years Adolescent: 13-18 years Male Female ab: Background: Problems of the gluteal cleft are often due to pilonidal disease, but at times need to be distinguished from other diseases. We reported a series of adolescent patients with non-pilonidal gluteal cleft pathologies. Methods: We performed a retrospective review of all patients who presented to our pediatric Pilonidal Clinic from 1/2019 to 12/2023. Patients who received a work-up for diseases separate from pilonidal disease were included in our study. Patient demographics, clinical work-up, and treatment outcomes were recorded. Results: We identified 21 patients who had diagnoses other than pilonidal disease: 4 patients had neurological diseases (schwannoma, central disk protrusion, arachnoid cyst, Tarlov cyst); 7 patients had dermatological diseases (folliculitis, moisture-associated skin damage); 5 patients had inflammatory bowel disease; 4 patients had sacral dimples; and 1 patient had a sacral pressure ulcer. Diagnostic decisions were based on the presence and location of an open wound, history of immobility, presence of gluteal cleft swelling or pit, clinical symptoms of pain or erythema, and other similar lesions on the body. These characteristics were utilized to differentiate the diagnoses and construct a diagnostic algorithm. Conclusions: We developed a practical diagnostic algorithm for differentiating gluteal cleft pathologies in adolescents, including dermatologic, colorectal, neurologic, and traumatic causes. pubtype: Academic Journal doctype: algorithm diagnostic images pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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