Department of Radiology, Pontificia Universidad Católica de Chile, 367 Marcoleta, 8330024, Santiago, Chile.
Department of Dermatology, Institute for Diagnostic Imaging and Research of the Skin and Soft Tissues, Pontificia Universidad Católica de Chile, Santiago, Chile.
Pediatr Radiol. 2022 Aug;52(9):1687-1705. doi: 10.1007/s00247-022-05434-3. Epub 2022 Jul 12.
Skin lesions are not uncommon in children, and most of them are benign. However, they can be a matter of concern. Although in most cases the diagnosis can be suspected based on clinical history and physical examination, in some cases clinical findings are nonspecific. High-frequency color Doppler US is a noninvasive technique that can play a relevant role in these cases and give important anatomical information for final clinical management. US can be helpful to avoid unnecessary surgery, plan a surgical excision and avoid advanced imaging studies such as MRI and CT, which have a lower resolution for the skin. Different lesions can look similar on US, and clinical correlation is always important. The purpose of this article is to show a variety of skin lesions that occur in children, emphasizing clinical-sonographic correlation, and to familiarize pediatric radiologists with the US technique and sonographic appearance of common skin lesions in children.
皮肤病变在儿童中并不罕见,其中大多数是良性的。然而,它们也可能成为一个值得关注的问题。尽管在大多数情况下,基于临床病史和体格检查就可以怀疑诊断,但在某些情况下,临床发现是非特异性的。高频彩色多普勒超声是一种非侵入性技术,在这些情况下可以发挥相关作用,并为最终的临床管理提供重要的解剖学信息。超声有助于避免不必要的手术,规划手术切除,并避免进行分辨率较低的皮肤磁共振成像(MRI)和计算机断层扫描(CT)等高级影像学研究。不同的病变在超声上可能看起来相似,因此临床相关性始终很重要。本文的目的是展示在儿童中发生的各种皮肤病变,强调临床-超声相关性,并使儿科放射科医生熟悉儿童常见皮肤病变的超声技术和超声表现。