Childhood Hypovitaminosis D

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Questions and Answers

Based on the information provided, what can be inferred about the relationship between the onset age of hidradenitis suppurativa (HS) and its severity?

  • Later onset of HS, specifically at age 9 or later, may correlate with more severe forms and increased mortality. (correct)
  • Isolated cutaneous HS, with onset in early childhood, generally indicates increased mortality risk.
  • Earlier onset in childhood is typically associated with more severe variants of HS, including HSLL.
  • Onset age is not a significant factor in determining the severity or prognosis of HS.

Considering the typical resolution of hidradenitis suppurativa (HS) and the differences between genders, which of the following scenarios is most likely?

  • A female experiencing HS onset at age 16 is likely to have a longer duration of the disorder compared to a male with the same onset age.
  • A male experiencing HS onset at age 14 is likely to have a longer duration of the disorder compared to a female with the same onset age. (correct)
  • A male experiencing HS onset at age 12 is likely to have a shorter duration of the disorder compared to a female with the same onset age.
  • Both males and females experiencing HS onset during adolescence will always see the disorder resolve by early adulthood.

If a patient presents with isolated cutaneous hidradenitis suppurativa (HS) that began around age 4, how would this inform the initial assessment compared to a patient whose HS began at age 10?

  • The patient with onset at age 4 likely has a less severe presentation compared to the patient with onset at age 10, warranting different initial assessments. (correct)
  • Both patients should receive identical assessments, as the onset age has no bearing on the potential severity of HS.
  • The patient with onset at age 10 should be assessed for isolated cutaneous HS, as this is typical for that age group.
  • The patient with onset at age 4 should be immediately assessed for severe variants and potential mortality risks.

Considering the prognostic value of onset age in hidradenitis suppurativa (HS), how might a clinician interpret the case of two siblings, one with HS onset at age 6 and the other at age 12?

<p>The sibling with onset at age 12 is at a higher risk for severe variants of HS and potential mortality compared to the sibling with onset at age 6. (B)</p> Signup and view all the answers

How should the documented differences in hidradenitis suppurativa (HS) presentation between males and females influence a clinician's approach to diagnosis and management?

<p>Clinicians should consider that males may present with a later onset and potentially longer duration of HS, influencing long-term management strategies. (B)</p> Signup and view all the answers

Flashcards

Hyperviscosity Syndrome (HV)

This often resolves in adolescence, but may persist into adulthood, with males experiencing later onset and longer duration than females.

Onset Age Significance

The age at which HV begins can indicate how the condition will progress.

Isolated Cutaneous HV

This type typically appears in early childhood, around age 5.

Severe HV Variants

These variants of the disease usually start later, often in the first or second decade of life.

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Late-Onset HV Risk

Onset at age 9 or later is significantly associated with higher death rates.

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Study Notes

  • HV often resolves during adolescence, but can persist into adulthood.
  • Males experience a later onset and longer duration of HV compared to females.
  • The age of onset has prognostic value.
  • Isolated cutaneous HV typically presents in early childhood, around age 5.
  • Severe HV variants and HVLL onset later in the first or second decade of life.
  • Onset at age 9 or later is significantly associated with mortality.

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