Patient case (clinical description): A 2-year-old boy is brought to the office by his parents due to a rash that started 1 week ago.  A similar red, itchy rash on the cheeks, trunk, and arms has occurred intermittently since infancy.  The patient has had a few upper respiratory infections but no major illnesses.  Vaccinations are up to date, and he takes no medications. He is on a balanced diet, and he is healthy in appearance.  Vital signs and milestone examination are within normal limits.  Similar findings are observed on the cheeks and proximal upper extremities.  The diaper area is clear, and no mucosal lesions are present.

Patient's own account: I just brought my two-year-old son to the doctor's office because he had a rash for like one week. His rash was on the cheeks, the trunk, and his arms. He already had this before, and it keeps coming back from time to time to time. In the past, he had some respiratory infections but he has never been this sick. His vaccinations are up to date, and he doesn't take any medication. He's healthy with a nice diet. The doctor told me his vitals and milestone examinations were normal. The doctor also said there was a rash around the cheek and the upper part of his arms. The diaper area is okay, and there are no lesions.

Clinical trial: Photograph Quality Rating Scale Study ("PQRS Study")

Eligibility criteria:
Inclusion Criteria:

          1. Must be a new patient/parent dyad arrived at the main pediatric dermatology clinic

          2. Patient must be under the age of 18.

          3. Consenting parent or guardian must be present and able to speak English to
             participate.

          4. Patients are either already enrolled in MyCHOP (MyChart) or are willing to enroll
             during the encounter.

          5. Parent or legal guardian has a mobile phone with the capability to download the free
             MyChart app.

          6. Parents have a data plan that allows them to download the MyChart app (if not already
             downloaded) and upload pictures, and are willing to accept any potential data charges
             incurred with these activities.

          7. Patient has active skin lesion or rash that can be photographed during the clinic
             visit.

        Exclusion Criteria:

          1. Patient is over the age of 18.

          2. Parent or guardian is not present or not able to speak English.

          3. Parent or guardian is not able to enroll in MyCHOP (MyChart).

          4. Parent or guardian does not have a mobile phone capable of downloading the MyChart
             app.

          5. Photographs are not able to be taken (phone battery dies, phone/app does not work,
             patient is not cooperative, participant does not have time).

          6. If there are no active skin lesions to photograph the patient/parent will not be
             enrolled (e.g. hives that are inactive, hyperhidrosis [excessive sweating], itching
             without a rash, resolved skin lesions [e.g. warts, molluscum]).

          7. Patients presenting for a general full body skin exam will be excluded, as this would
             require full body photography, which is too time consuming. (Note: this does not
             include evaluation of one individual mole [nevus], which can be included in the
             study).
No condition on gender to be admitted to the trial.
Accepts Healthy Volunteers

Subject must be at most 17 Years

Eligibility (NLI label): Entailment