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1
Gjersvik, Petter. "Dermatologi uten professor." Tidsskrift for Den norske legeforening 129, no. 11 (2009): 1122. http://dx.doi.org/10.4045/tidsskr.09.0359.
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Sari, Fesdia, and Satya Wydya Yenny. "Antihistamin terbaru dibidang dermatologi." Jurnal Kesehatan Andalas 7 (December 31, 2018): 61. http://dx.doi.org/10.25077/jka.v7i0.924.
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Antihistamin merupakan obat yang sering dipakai dibidang dermatologi, terutama untuk kelainan kronik dan rekuren. Antihistamin adalah zat yang dapat mengurangi atau menghalangi efek histamin terhadap tubuh dengan jalan memblok reseptor histamin. Bilastine dan rupatadine merupakan dua buah antihistamin terbaru yang dipakai dibidang dermatologi. Bilastin termasuk antagonis reseptor H1 generasi kedua terbaru yang paling aman dan tidak memiliki efek terhadap kardiovaskuler. Rupatadin adalah antihistamin H1 generasi kedua terbaru selain memiliki efek terhadap histamin juga memiliki efek terhadap platelet activating factor.
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Rahma, Elina, and Dwi Indria Anggraini. "Penggunaan Ester Asam Fumarat Oral Dalam Pengobatan Kasus Dermatologi." JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia 8, no. 2 (August 22, 2020): 50–59. http://dx.doi.org/10.53366/jimki.v8i2.138.
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Pendahulan: Ester asam fumarat oral (FAE) merupakan senyawa yang menarik dalam bidang dermatologi. FAE bekerja pada sel kulit dan jaringan sitokin. Sejauh ini hanya campuran dimethylfumarate (DMF) dan monoethylfumarate (MEF) yang telah mendapatkan persetujuan untuk perawatan oral psoriasis jenis plak sedang hingga parah.
Tujuan: Untuk mengetahui penggunaan Ester asam fumarat oral (FAE) dalam tatalaksana di bidang dermatologi
Metode: Artikel disusun menggunakan metode literature review, melibatkan 34 literatur bersumber dari buku dan jurnal.
Hasil: DMF tampaknya menjadi komponen aktif utama. Penting untuk menekankan perbedaan antara asam fumarat dan ester asam fumarat. Formulasi asam fumarat tersedia sebagai suplemen kesehatan dan sering dipasarkan sebagai obat alternatif alami untuk mengobati psoriasis. Namun buruk diserap oleh usus dan diekskresikan melalui urin tanpa memiliki efek terapi apa pun.
Pembahasan: Meskipun mode aksi FAE dan mekanisme kerja dalam terapi psoriasis masih belum jelas, bukti menunjukkan bahwa itu tidak ada hubungannya dengan siklus Krebs dan senyawa aktif utama DMF.Ada bukti bahwa FAE tidak hanya efektif dan aman pada psoriasis tetapi juga penyakit non-infeksi granulomatosa seperti granuloma annulare, necrobiosis lipoidica, dan sarkoidosis. Penelitian in vitro dan hewan menunjukkan beberapa aktivitas dalam melanoma ganas juga.
Simpulan: Ester asam fumarat oral (FAE) banyak digunakan dalam beberapa kasus dermatologi
Kata kunci: Asam fumarat, dermatologi, psoriasis, sarkoidosis
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Gjersvik, Petter. "Dermatologi med og uten professor." Tidsskrift for Den norske legeforening 131, no. 2 (2011): 114. http://dx.doi.org/10.4045/tidsskr.10.1281.
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Koblenzer, Caroline S. "Cutaneous Manifestations of Psychiatric Disease That Commonly Present to the Dermatologist—Diagnosis and Treatment." International Journal of Psychiatry in Medicine 22, no. 1 (March 1992): 47–63. http://dx.doi.org/10.2190/jmlb-uutj-40pn-kq3l.
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Patients whose psychopathology is expressed in cutaneous lesions often consult a dermatologist rather than a psychiatrist. Dermatologists may not be interested in working with these difficult patients. The need for liaison dermatology is becoming more widely recognized. This article discusses the place of psychiatric consultation in the dermatology setting, and describes the common dermatologic presentations of psychopathology: cutaneous delusions, obsessive-compulsive symptoms, expressions of depression, and dermatitis-artefacta. Diagnostic criteria for these conditions are outlined and a treatment approach, within the competence of the interested dermatologist, is offered.
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Fauzia, Dina. "Aspek Farmakologi Retinoid pada Kosmeseutikal." Jurnal Kesehatan Melayu 1, no. 1 (September 19, 2017): 35. http://dx.doi.org/10.26891/jkm.v1i1.2017.35-40.
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Retinoid merupakan salah satu senyawa aktif yang paling luas penggunaannya di bidang dermatologi, yaitu sebagai anti-akne, anti-aging dan depigmenting agent. Penggunaan retinoid dapat menimbulkan iritasi pada kulit yang dapat diminimalkan dengan cara pemakaian konsentrasi dan frekuensi yang dinaikkan bertahap. Selain itu, retinoid memiliki potensi teratogenik sehingga harus dihindari penggunaannya pada wanita hamil dan usia produktif.
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Fauzia, Dina. "Aspek Farmakologi Retinoid pada Kosmeseutikal." Jurnal Kesehatan Melayu 1, no. 1 (September 19, 2017): 35. http://dx.doi.org/10.26891/jkm.v1i1.24.
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Retinoid merupakan salah satu senyawa aktif yang paling luas penggunaannya di bidang dermatologi, yaitu sebagai anti-akne, anti-aging dan depigmenting agent. Penggunaan retinoid dapat menimbulkan iritasi pada kulit yang dapat diminimalkan dengan cara pemakaian konsentrasi dan frekuensi yang dinaikkan bertahap. Selain itu, retinoid memiliki potensi teratogenik sehingga harus dihindari penggunaannya pada wanita hamil dan usia produktif.
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Fauzia, Dina. "Aspek Farmakologi Retinoid pada Kosmeseutikal." Jurnal Kesehatan Melayu 1, no. 1 (September 19, 2017): 35. http://dx.doi.org/10.26891/jkm.v1i1.24.35-40.
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Retinoid merupakan salah satu senyawa aktif yang paling luas penggunaannya di bidang dermatologi, yaitu sebagai anti-akne, anti-aging dan depigmenting agent. Penggunaan retinoid dapat menimbulkan iritasi pada kulit yang dapat diminimalkan dengan cara pemakaian konsentrasi dan frekuensi yang dinaikkan bertahap. Selain itu, retinoid memiliki potensi teratogenik sehingga harus dihindari penggunaannya pada wanita hamil dan usia produktif.
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Scott, Brian L., Blake Barker, Reeni Abraham, and Heather W. Wickless. "Integration of Dermatology-Focused Physical Diagnosis Rounds and Case-Based Learning within the Internal Medicine Medical Student Clerkship." Journal of Medical Education and Curricular Development 3 (January 2016): JMECD.S40417. http://dx.doi.org/10.4137/jmecd.s40417.
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Background Over half of dermatologic conditions are seen by nondermatologists, yet medical students receive little dermatology education. Medical students in the clinical years of training at our institution felt insecure in their physical diagnosis skills for dermatologic conditions. Objective The objective of this study was to implement dermatology-focused curricula within the Internal Medicine (IM) Core Clerkship to increase student confidence in diagnosing skin diseases. Methods Two dermatology-focused sessions were integrated into the IM Clerkship. A faculty dermatologist leads students on a dermatology-focused physical diagnosis “Skin Rounds”, where patients are seen at the bedside and students practice describing skin lesions and forming a differential diagnosis. Students also participate in a case-based active learning session. A dermatologist selects images of common skin conditions that students describe utilizing appropriate terminology and offer a differential diagnosis. The impact of these sessions was assessed through survey-based student feedback and by comparing the results from the IM Shelf Exam before and after intervention. Results A total of 74 students completed the skin rounds survey (32% response rate). About 99% ( n = 73) of students felt that skin rounds were effective and useful, and 92% ( n = 68) of students reported that they felt more confident in describing skin lesions afterward. A total of 43 students completed the case-based learning session survey (37% response rate), and 98% ( n = 42) of students strongly agreed or agreed that the session was effective and useful. Performance on the dermatologic questions of the IM Shelf Exam was analyzed. While not statistically significant at P < 0.05, students improved from an average of 77% correct responses before intervention to 79% afterward ( P = 0.60). Conclusions Our case-based and bedside teaching interventions were met with high satisfaction from medical students and increased their confidence in describing skin lesions. This intervention can serve as a model to improve dermatology education and can be adapted to utilize the IM clerkship to address curriculum inadequacies at other institutions.
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Adaskevich, V. P. "IZVESTNYE BELORUSSKIE DERMATOLOGI - VYPUSKNIKI ROSSIYSKIKh MEDITsINSKIKh AKADEMIY I UNIVERSITETOV." Russian Journal of Skin and Venereal Diseases 20, no. 2 (April 15, 2017): 73–74. http://dx.doi.org/10.17816/dv37197.
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Bakhtar, Niyati, Kirit Pandey, Neha Pandey, Nikhil Bakhtar, and Vijay Bakhtar. "Study of cross-referrals to the dermatology department in an inpatient setting at a tertiary care centre." International Journal of Research in Medical Sciences 8, no. 2 (January 27, 2020): 647. http://dx.doi.org/10.18203/2320-6012.ijrms20200250.
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Background: Till recently, dermatology was primarily being considered to be an outpatient focused discipline. However, several inpatient admissions to other specialties require dermatologic consultation for optimum management. This study was conducted to analyse the incidence and indications for inpatient dermatology referrals and the impact of dermatology consultation on patient management.Methods: A cross-sectional study was undertaken by analyzing the records of 243 patients referred to dermatology department over a 2-year period. Descriptive analysis was conducted in the form of study of presumptive diagnoses by the referring clinicians, causes of referral, distribution of referrals across specialties and the dermatological opinions with respect to diagnosis and management etc.Results: Clinically significant change was documented in the course of skin lesions management of almost two-thirds of referred patients. Maximum referrals were from the department of general medicine with “skin rash” being the most common cause for seeking 2nd opinion. Concordance for diagnosis between the referring clinician and the dermatologist was observed in only 30.2% of the cases.Conclusions: Dermatologic referral does lead to improved patient care. But there is need for better training of non-dermatologists enabling them to recognize and treat common skin lesions.
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Wulandari, Ayu, and Dwi Indria Anggraini. "Tatalaksana Oral Non-Antimikroba Pada Pasien Akne Vulgaris." JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia 8, no. 2 (August 22, 2020): 95–102. http://dx.doi.org/10.53366/jimki.v8i2.117.
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Pendahulan: Akne vulgaris (jerawat) merupakan kondisi kulit non-infeksi yang sangat umum terjadi dan sering datang dalam praktik dermatologis. Karena akne seringkali munculnya kronis dan dapat bertahan selama bertahun-tahun, terapi jangka panjang yang aman dan efektif sangat diperlukan. Mengingat semakin seringnya bakteri resisten antibiotik dan beratnya konsekuensi jika terjadi resisten, maka diperlukan dermatologis untuk memaksimalkan penggunaan terapi non-antimikroba ketika merawat pasien dengan jerawat.
Tujuan: Untuk mengetahui obat oral non-antibiotik apa saja yang dapat untuk menjadi terapi akne vulgaris
Metode: Artikel disusun menggunakan metode literature review, melibatkan 32 literatur bersumber dari buku dan jurnal.
Hasil: Munculnya dan potensi transfer resistensi antibiotik dalam mikroorganisme kulit menjadi perhatian saat ini dalam pengobatan terutama dalam konteks dermatologi di mana pengobatan jangka panjang dengan antibiotik. Hebatnya, terapi non-antibiotik dalam bentuk isotretinoin - retinoid non-antimikroba efektif dalam mengurangi atau memberantas anaerob Propionibacterium acnes yang secara kausal terlibat dalam patogenesis kompleks Akne vulgaris.
Pembahasan: Dalam ulasan literatur ini kami menyajikan data mengenai efek dari penggunaan yang tepat terapi non-antimikroba untuk jerawat. Ada berbagai pilihan pengobatan topikal dan oral yang dapat digunakan secara bertahap sesuai dengan tingkat keparahan dan respons terapeutik pasien. Perawatan non-antimikroba bisa sangat baik dalam mengendalikan jerawat, terutama ketika digunakan sebagai terapi pemeliharaan. Sementara antibiotik memiliki peran dalam pengobatan jerawat, mereka tidak boleh digunakan sebagai monoterapi, dan penggunaan antibiotik yang lama tidak dianjurkan.
Simpulan: Beberapa obat yang mekanismenya hormonal dapat menjadi obat oral non-antimikroba pada tatalaksana akne vulgaris.
Kata kunci: Akne, Antibiotik, Isotretinoin, Spironolakton, Subantimikrobial
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Samycia, Michael, Collette McCourt, Kam Shojania, and Sheila Au. "Experiences From a Combined Dermatology and Rheumatology Clinic." Journal of Cutaneous Medicine and Surgery 20, no. 5 (July 8, 2016): 486–89. http://dx.doi.org/10.1177/1203475416649138.
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Background: The Dermatology and Rheumatology Treatment Clinic is a novel multidisciplinary clinic where patients are concomitantly assessed by a rheumatologist and dermatologist. Objectives: To determine the number of patients seen in clinic, patient demographics, and most common diagnoses. Method: A retrospective review was performed over a 2-year period. Data collected included patient age, sex, dermatologic diagnosis, rheumatologic diagnosis, biopsies performed, and number of follow-up visits. Results: A total of 320 patients were seen (78% female, 22% male). The most common rheumatologic diagnoses were systemic lupus erythematosus (18%), rheumatoid arthritis (15%), psoriatic arthritis (13%), and undifferentiated connective tissue disease (8%). The most common dermatologic diagnoses were dermatitis (17%), psoriasis (11%), cutaneous lupus (7%), various types of alopecia (6%), and infections (5%). Conclusions: Skin diagnoses were often unrelated to the underlying rheumatologic diagnosis. Rheumatologists and dermatologists can both benefit from being aware of the dermatologic conditions that rheumatologic patients are experiencing.
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Abate, Mallory S., Laura R. Battle, Ashley N. Emerson, Jerad M. Gardner, and Sara C. Shalin. "Dermatologic Urgencies and Emergencies: What Every Pathologist Should Know." Archives of Pathology & Laboratory Medicine 143, no. 8 (February 20, 2019): 919–42. http://dx.doi.org/10.5858/arpa.2018-0239-ra.
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Context.— Fatal dermatologic diseases and ones with high morbidity can occur in the inpatient setting. In such cases, prompt and accurate assessment of a bedside skin biopsy is required. This may be challenging for many pathologists who are not familiar with the complexity of skin pathology and skin terminology within the fields of dermatopathology and dermatology. Objective.— To provide the pathologist with a practical, up-to-date, and “must-know” reference guide on dermatologic urgencies and emergencies from a real-world perspective, highlighting diagnostic pearls, diagnostic pitfalls, and commonly encountered practice gaps. This review will focus on key diseases with which every pathologist should be familiar, including angioinvasive fungal infections, Stevens-Johnson syndrome/toxic epidermal necrolysis, staph-scalded-skin syndrome, acute graft-versus-host disease, bullous pemphigoid, calciphylaxis, Sweet syndrome and its histiocytoid variant, pyoderma gangrenosum, and leukocytoclastic vasculitis, as well as those in their clinical and histopathologic differential. Data Sources.— This review is based on peer-reviewed literature and our personal experiences with these diseases at major academic institutions, including one where a large number of stem cell transplants are performed. This review is unique as it represents collaborative expert opinion from both a dermatopathology and a dermatology standpoint. Conclusions.— This review outlines the critical role that the pathologist plays in the outcomes of patients with dermatologic urgencies and emergencies. Improved patient care will result from prompt and accurate histopathologic diagnoses as well as an open line of communication with the dermatologist.
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Pathipati, Akhilesh S., and Justin M. Ko. "Implementation and evaluation of Stanford Health Care direct-care teledermatology program." SAGE Open Medicine 4 (January 1, 2016): 205031211665908. http://dx.doi.org/10.1177/2050312116659089.
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Introduction: Teledermatology has proven to be an effective means of providing dermatologic care. The existing research has primarily evaluated its usefulness in a consultative model. Few academic centers have evaluated a patient-initiated model, and direct-to-consumer services remain the subject of controversy. Stanford Health Care recently launched a direct-care, patient-initiated teledermatology pilot program. This article evaluates the viability and patient satisfaction with this service. Materials and Methods: During the pilot period, patients were able to seek remote dermatologic care using an eVisit tool in their MyHealth account. Patients initiated the consultation, answered questions regarding their complaint, and uploaded a picture if relevant. A Stanford dermatologist reviewed each eVisit and responded with an assessment and plan. The dermatologist noted whether they were able to make a diagnosis and their level of confidence in it. After the study, 10 patients participated in a focus group to provide feedback on the service. Results: In all, 38 patients sought care during the pilot period. A dermatologist was able to make a diagnosis in 36 of 38 (95%) cases, with an average confidence level of 7.9 of 10. The average time to consultation was 0.8 days. Patients indicated high levels of satisfaction with the service although they had suggestions for improvement. Discussion: Patients provided clinically useful images and information in a direct-care teledermatology model. Such services allow dermatology providers to increase access while maintaining high-quality care in an academic medical center. Further research is needed on standalone services that cannot integrate encounters with the patient’s existing medical record.
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Kim, Grace E., Olga K. Afanasiev, Chris O’Dell, Christopher Sharp, and Justin M. Ko. "Implementation and evaluation of Stanford Health Care store-and-forward teledermatology consultation workflow built within an existing electronic health record system." Journal of Telemedicine and Telecare 26, no. 3 (October 9, 2018): 125–31. http://dx.doi.org/10.1177/1357633x18799805.
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Introduction Teledermatology services that function separately from patients’ primary electronic health record (EHR) can lead to fragmented care, poor provider communication, privacy concerns and billing challenges. This study addresses these challenges by developing PhotoCareMD, a store-and-forward (SAF) teledermatology consultation workflow built entirely within an existing Epic-based EHR. Methods Thirty-six primary care physicians (PCPs) from eight outpatient clinics submitted 215 electronic consults (eConsults) for 211 patients to a Stanford Health Care dermatologist via PhotoCareMD. Comparisons were made with in-person referrals for this same dermatologist prior to initiation of PhotoCareMD. Results Compared to traditional in-person dermatology clinic visits, eConsults decreased the time to diagnosis and treatment from 23 days to 16 hours. The majority (73%) of eConsults were resolved electronically. In-person referrals from PhotoCareMD (27%) had a 50% lower cancellation rate compared with traditional referrals (11% versus 22%). The average in-person visit and documentation was 25 minutes compared with 8 minutes for an eConsult. PhotoCareMD saved 13 additional clinic hours to be made available to the dermatologist over the course of the pilot. At four patients per hour, this opens 52 dermatology clinic slots. Over 96% of patients had a favourable experience and 95% felt this service saved them time. Among PCPs, 100% would recommend PhotoCareMD to their colleagues and 95% said PhotoCareMD was a helpful educational tool. Discussion An internal SAF teledermatology workflow can be effectively implemented to increase access to and quality of dermatologic care. Our workflow can serve as a successful model for other hospitals and specialties.
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Levy, N., H. Matz, N. Maharshak, and A. Waizbard. "P609 An IBD dermatology multidisciplinary clinic: A single tertiary centre experience." Journal of Crohn's and Colitis 14, Supplement_1 (January 2020): S508—S509. http://dx.doi.org/10.1093/ecco-jcc/jjz203.737.
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Abstract Background Dermatologic manifestations of inflammatory bowel disease (IBD) are common and cause a significant burden on patients’ quality of life. More than 10% of IBD patients present cutaneous manifestation at the time of diagnosis; however, less than one in 10 IBD patients seeks dermatologic care. In up to 30% of cases, intense skin reactions mandate treatment discontinuation. There is growing evidence that the treatment of IBD patients improves when given by a multidisciplinary team yet data on combined IBD dermatology clinics is scarce. The aim was to describe our experience in this approach. Methods A retrospective descriptive study of a 2-year multidisciplinary IBD-dermatology clinic in a tertiary hospital in Israel, performed by an IBD expert and a senior dermatologist. Results Eighty-six visits (52 patients, of whom 50% males) were documented. Patients included Crohn’s disease (n = 41) and ulcerative colitis (n = 11) at an average age of 43.1 ±16.1 years. Rash was the most common referral aetiology, accounting for 60.4% (52/86) of clinic visits. A preexisting skin disorder occurred in 65.3% (34/52) of patients. Psoriasis, the most common diagnosis, was diagnosed in 19 patients. Additional extra-intestinal manifestations occurred in 38.4% of patients (20/52). Majority of patients, 92.3% (48/52), were under medical treatment: 77% (40/52) of the cohort received biologic therapy, mostly (61.5%) anti-TNFα agents Visits included preventive measures (mole assessment), diagnostic tests (skin biopsy) and therapeutic procedures (needle cauterisation, phototherapy). In 65.1% (56/86) of visits– topical treatment was advised. Among 21 re-visits, skin improvement was observed in 57.1%. Treatment-related skin symptoms were suspected in 34.6% of patients (18/52): in 38.8% (7/18), biological treatment was changed and in 13 patients, topical therapy was added, resulting in dermatologic improvement in 12 patients. Conclusion The IBD-dermatology clinic appears to improve IBD patient care. This clinic sets a new standard of treatment for IBD patients with dermatological issues
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Hool, Kristina, Kimberly Lowe, Tamer Garawin, Rachel Bergstresser, George Kafatos, Michelle McNamara, Seth Collins, and Bruce A. Bach. "Regional and practice setting differences in the management of EGFR rash among mCRC patients treated with panitumumab: Results of a national survey in the United States." Journal of Clinical Oncology 35, no. 15_suppl (May 20, 2017): e15170-e15170. http://dx.doi.org/10.1200/jco.2017.35.15_suppl.e15170.
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e15170 Background: Skin toxicity can be a limiting factor for the use of anti-EGFR therapies, such as panitumumab, and there are currently no standard practice guidelines for rash management in the United States (U.S.). This study aimed to evaluate if there were regional or practice setting differences in strategies used among oncologists to manage EGFR rash, including utilization of dermatologic and nursing support. Methods: 250 practicing oncologists who had treated at least three mCRC patients with panitumumab in the last year completed an online survey to report their opinions and perceptions regarding skin toxicity management strategies. Participants reported if they were affiliated with an academic/university or a community-based practice. Participants were stratified into years of practice post-fellowship ( < 10 and > 10 years) and geographic region of primary practice (West, Midwest, Northeast, Southern U.S.). Results: Oncologists surveyed did not consistently utilize dermatology support. 40% (n = 99) of practicing oncologists surveyed reported consulting a dermatologist “occasionally.” Less than 5% reported “always” consulting dermatology and 6% reported “never” utilizing dermatology support. Utilization of dermatology support varied significantly by region. In the Southern US more oncologists reported “never” consulting dermatology while in the Midwest more oncologists reported “always” utilizing dermatology support (p = 0.05). While dermatology was inconsistently utilized, oncologists frequently utilized nursing support to minimize and manage anti-EGFR skin toxicity. 73% (n = 182) of oncologists engaged nursing support to “monitor skin toxicity during treatment” and 70% (n = 175) of oncologists had nursing support to “educate on skin toxicity prior to starting treatment.” Conclusions: While nursing support is consistently utilized by oncologists in the management of EGFR rash in mCRC patients treated with panitumumab, use of dermatology support was inconsistent and varied significantly by region. This lack of consistency in toxicity management strategies highlights the need for increased physician education.
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Ulman, Catherine A., Stephen Bruce Binder, and Nicole J. Borges. "Assessment of medical students’ proficiency in dermatology: Are medical students adequately prepared to diagnose and treat common dermatologic conditions in the United States?" Journal of Educational Evaluation for Health Professions 12 (May 17, 2015): 18. http://dx.doi.org/10.3352/jeehp.2015.12.18.
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This study assessed whether a current medical school curriculum is adequately preparing medical students to diagnose and treat common dermatologic conditions. A 15-item anonymous multiple choice quiz covering fifteen diseases was developed to test students’ ability to diagnose and treat common dermatologic conditions. The quiz also contained five items that assessed students’ confidence in their ability to diagnose common dermatologic conditions, their perception of whether they were receiving adequate training in dermatology, and their preferences for additional training in dermatology. The survey was performed in 2014, and was completed by 85 students (79.4%). Many students (87.6%) felt that they received inadequate training in dermatology during medical school. On average, students scored 46.6% on the 15-item quiz. Proficiency at the medical school where the study was performed is considered an overall score of greater than or equal to 70.0%. Students received an average score of 49.9% on the diagnostic items and an average score of 43.2% on the treatment items. The findings of this study suggest that United States medical schools should consider testing their students and assessing whether they are being adequately trained in dermatology. Then schools can decide if they need to re-evaluate the timing and delivery of their current dermatology curriculum, or whether additional curriculum hours or clinical rotations should be assigned for dermatologic training.
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Laggis, Caroline W., Aaron M. Secrest, Martin Agyei, Sam Simister, Andrea N. Davis, Ty Dickerson, and Jamie LW Rhoads. "The Impact of Skin Disease on Quality of Life in Rural Communities of Ghana." SKIN The Journal of Cutaneous Medicine 4, no. 5 (August 26, 2020): 417–23. http://dx.doi.org/10.25251/skin.4.5.4.
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Background: Skin disease is the fourth-leading cause of non-fatal disability worldwide. Granular data are limited on the skin disease burden in underserved populations. Objectives: To describe the skin disease burden among adults in rural Ghana. Methods: In this observational study, 230 adults in rural Ghana were surveyed using the Dermatology Life Quality Index (DLQI). For those reporting a skin problem in the previous week (n=117) and who had skin examination performed by a dermatology resident and/or local dermatologist (n=98), prevalences and univariate comparisons were calculated. Results: 51% (117/230) of participants reported a skin problem in the previous week with 36% (42/117) reporting at least a moderate impact on quality of life (QoL). Factors associated with a higher QoL impact included female gender (p=0.01) and living further from the city center (p=0.02). The most common dermatologic diagnoses for those with skin examination performed included acne, bacterial infection, and pruritus. QoL was most impacted (highest average DLQI scores) for those with scabies. Diagnoses were categorized by the level of treatment or medical expertise that would be required had the participant presented to a clinic. 80% (78/98) of diagnoses rendered were potentially manageable with counseling or topical medication. Limitations: The studied cohort was obtained via convenience sampling. The DLQI has not yet been validated in this population. Conclusions: Much of the QoL impact from skin disease among adults in rural Ghana resulted from diagnoses that are manageable with counseling and topical medication. Better access to basic health care and more dermatologic education among community health providers would address much of the skin disease burden in these communities. Future studies should examine best practices for addressing unmet dermatologic needs of this and other comparable populations in underserved communities.
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Drucker, Aaron M., Rodrigo B. Cavalcanti, Brian M. Wong, and Scott R. A. Walsh. "Teaching Dermatology to Internal Medicine Residents: Needs Assessment Survey and Possible Directions." Journal of Cutaneous Medicine and Surgery 17, no. 1 (January 2013): 39–45. http://dx.doi.org/10.2310/7750.2012.12016.
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Background: Internal medicine trainees receive limited teaching and training in dermatology and may feel inadequately prepared to assess and manage patients with dermatologic complaints. No study to date has assessed the needs of internal medicine trainees in Canada with regard to dermatology teaching. Objective: To determine internal medicine residents' comfort in assessing and managing dermatologic issues and their educational needs in dermatology. Methods: An electronic survey was conducted of first-, second-, and third-year internal medicine residents at the University of Toronto. Results: Fifty-four of 186 internal medicine trainees responded to our survey (response rate = 29%). Each respondent did not answer every question. Residents were generally uncomfortable or very uncomfortable assessing and managing dermatologic issues in the emergency department (40 of 47, 85%), ward or intensive care unit (39 of 47, 83%), and ambulatory clinic (40 of 47, 85%). Residents thought that various clinical and didactic dermatology exposures would be useful to their training as internists. Case-based teaching and ambulatory clinical rotations were felt to be particularly valuable. Additionally, 38 of 46 (83%) respondents wanted to learn how to perform punch biopsies. Conclusions: An effort should be made to increase the availability of relevant dermatology teaching and clinical exposures for internal medicine residents.
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Castrow, Fred F. "Dermatology in dermatologic surgery." Journal of the American Academy of Dermatology 13, no. 6 (December 1985): 1059. http://dx.doi.org/10.1016/s0190-9622(85)80506-5.
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Worley, Brandon, Luvneet Verma, and Jillian Macdonald. "Aesthetic Dermatologic Surgery Training in Canadian Residency Programs." Journal of Cutaneous Medicine and Surgery 23, no. 2 (November 16, 2018): 164–73. http://dx.doi.org/10.1177/1203475418814228.
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Background: The public and other physicians expect dermatologists to be experts on aesthetic dermatology services. In Canada, current challenges may limit residents from achieving competency in aesthetic dermatology during their training. This may adversely affect patient safety, create medicolegal risks, and deter graduates from offering aesthetic procedures. Objectives: The objective of this article is to characterize the curriculum, hands-on learning opportunities, and perceptions of aesthetic dermatologic training in Canadian dermatology residency training programs. Methods: An online survey of faculty and residents within Canadian dermatology residency programs was performed. The main outcome measures were the hours of formal aesthetic dermatology teaching, the frequency of hands-on dermatology resident training with injectables and devices, and comparing faculty and resident perspectives regarding resident aesthetic dermatology training. Results: Thirty-six faculty members (40%) and 47 residents (34%) responded to the survey. Lasers, fillers, neuromodulators, and mole removal were most commonly taught in the 10 hours or fewer of formal instruction. Residents commonly observed rather than performed procedures. High dissatisfaction among residents was reported with the quality and quantity of aesthetic dermatology training. Faculty and resident respondents supported increasing aesthetic dermatology education, and approximately 70% of residents plan to offer aesthetic services. Discounted pricing or resident-led clinics were felt to be ways to increase resident hands-on experience. Conclusions: The standardization of core competencies in aesthetic dermatologic procedures is essential to ensure patient safety and practitioner competence. At present, formal aesthetic dermatology training in residency may be insufficient for hands-on training. The majority of dermatology faculty and resident respondents support increasing aesthetic dermatology training.
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Lanzini, Rosilene Canzi, Robyn S. Fallen, Judy Wismer, and Hermenio C. Lima. "Impact of the Number of Dermatologists on Dermatology Biomedical Research: A Canadian Study." Journal of Cutaneous Medicine and Surgery 16, no. 3 (May 2012): 174–79. http://dx.doi.org/10.1177/120347541201600307.
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Background: Fewer dermatologists than other clinical specialists are entering and being retained as physicians in the Canadian medical workforce. Studies suggest that dermatologist numbers may influence skin disease outcomes. No study has questioned whether the number of clinical dermatologists can influence academic productivity. Objective: To quantify the correlation of the number of dermatologists with biomedical scientific production in this field from 1996 to 2008 in Canada. Methods: Canadian dermatology biomedical scientific production from SCImago Journal & Country Rank (SJR) were merged with Canadian Medical Association (CMA) dermatologist demographic data. Linear regression analyses were used to model the relationships. Results: The low growth of dermatologist numbers by 8.16% in Canada from 1996 to 2008 correlates with a small increase in articles by 7.59% published in this subject area during this period. This has reduced the scientific importance of Canadian dermatology in the world. Conclusion: The number of dermatologists was a significant predictor of biomedical research production in the field of dermatology. This suggests that specialist availability may be one factor influencing dermatology research and publications.
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Sharif, Shawana, Muhammad Amer Saleem, Nauman Nisar, and Abdul Quddus Butt. "Effect of COVID-19 on Clinical Spectrum of patients presenting to the Dermatology Outpatient Department of a Tertiary Care Hospital in Rawalpindi." Journal of Rawalpindi Medical College 24, Supp-1 (August 6, 2020): 26–31. http://dx.doi.org/10.37939/jrmc.v24isupp-1.1421.
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Introduction: COVID-19 has significantly decreased the influx of patients presenting with dermatologic diseases at hospitals due to lockdown and restrictions pertaining to stop the spread of COVID-19.
Objective: To describe the effect of changes of COVID-19 on the clinical spectrum of patients presenting in dermatology OPD at a tertiary care unit in Rawalpindi, Pakistan.
Method: A comparison of the census of the dermatology outpatient department of three corresponding months before and after COVID-19 was done. During the pandemic year (2020) a significant decrease in patients visiting the dermatology outpatient department was observed.
Results: This reduction was much more prominent for the extreme of ages i.e. children and elderly. Infections and infestations were the predominant causes of presentation of patients at our dermatology outpatient department in pre-COVID-19 as well as during the pandemic. Patients with serious dermatologic conditions (e.g., pemphigus vulgaris, erythroderma, and cellulitis), however, had significantly fewer visits during the pandemic as compared to Pre COVID-19 era. In contrast, patients suffering from eczema constituted a significantly higher rate of outpatient visits during the pandemic.
Conclusion: Patients with serious dermatologic conditions (e.g., pemphigus vulgaris, erythroderma, and cellulitis), had significantly fewer visits during the pandemic as compared to the Pre COVID-19 era. In contrast, patients suffering from eczema constituted a significantly higher rate of outpatient visits during the pandemic.
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Kaczmarczyk, Robert, Felix King, Tilo Biedermann, and Alexander Zink. "What’s driving dermatology? Contribution title analysis of the largest German Dermatology Congress 2019." DIGITAL HEALTH 7 (January 2021): 205520762110121. http://dx.doi.org/10.1177/20552076211012138.
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Background Every two years, German-speaking dermatologic specialist groups gather in Berlin to share the latest developments at Germanýs largest dermatologic conference, the Annual Meeting of the Germany Society of Dermatology (DDG). Because this conference has a lasting effect on dermatologic practice and research, understanding what is moving the specialist groups means understanding what is driving dermatology in Germany. Methods We used word network analysis to compile and visualize the information embedded in the contribution titles to the DDG Annual Meeting in 2019. We extracted words, contributing cities and inter-connections. The data was standardized, visualized using network graphs and analyzed using common network analysis parameters. Results A total of 5509 words were extracted from 1150 contribution titles. The most frequently used words were “therapy”, “patients”, and “psoriasis”. The highest number of contributions came from Hamburg, Berlin and Munich. High diversity in research topics was found, as well as a well-connected research network. Conclusions Focus of the well-connected German-speaking dermatology community meeting 2019 was patient and therapy centered and lies especially on the diseases psoriasis and melanoma. Network graph analysis can provide helpful insights and help planning future congresses. It can facilitate the choice which contributors to include as imbalances become apparent. Moreover, it can help distributing the topics more evenly across the whole dermatologic spectrum.
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Kombaté, Koussake, Julienne Noude Técléssou, Bayaki Saka, Abla Sefako Akakpo, Koudjouka Odette Tchangai, Abas Mouhari-Toure, Garba Mahamadou, Waguena Gnassingbé, Aurel Abilogun-Chokki, and Palokinam Pitché. "Prevalence and Factors Associated with Self-Medication in Dermatology in Togo." Dermatology Research and Practice 2017 (2017): 1–5. http://dx.doi.org/10.1155/2017/7521831.
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Objective. This study aimed to determine the prevalence of and factors associated with self-medication in dermatology in Lomé, Togo.Methods. We conducted an analytical cross-sectional study from February to April 2016 in 2 dermatology departments in Lomé. Univariate and multivariate logistic regression models were carried out to identify possible factors associated with self-medication.Results. A total of 711 patients were included in the study. The mean age (±SD) of the patients was26.6±6.9years and the sex ratio (male/female) was 0.6. The main dermatologic diseases recorded were immunoallergic dermatoses (39.7%) and infectious skin diseases (22.6%). Two-thirds (481/711; 66.7%) of the patients had practiced self-medication before consultation in dermatology units. In multivariate analysis, factors associated with self-medication were female sex (aOR = 1.44; 95% CI =[1.01, 2.05]), duration of dermatologic disease more than one year (aOR = 1.79; IC =[1.19, 2.68]), adnexal dermatoses (aOR = 2.31; 95% IC =[1.03–5.21]), keratinization disorders (aOR = 4.23; 95% CI =[1.36–13.13]), and fungal skin infections (aOR = 5.43; 95% CI =[2.20, 13.38]).Conclusion. Our study confirms that self-medication practice is very common among patients with dermatologic diseases in Lomé and has identified associated factors.
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Wilson, Britney N., Mary Sun, Mario E. Lacouture, and Sarah Noor. "Dermatologic diagnoses in oncology patients of color on anticancer therapy: Five-year retrospective review of outpatient dermatology consultations." Journal of Clinical Oncology 39, no. 15_suppl (May 20, 2021): 12084. http://dx.doi.org/10.1200/jco.2021.39.15_suppl.12084.
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12084 Background: Dermatologic toxicities from cancer treatments affecting patients from racial and ethnic minority backgrounds or skin of color (SOC) patients is an understudied area of research. These patients are also significantly underrepresented in therapeutic clinical trials, limiting complete understanding of toxicities associated with cancer therapies. Current treatment algorithms for dermatological adverse events (dAE) also do not take into account possible biologic differences in different skin types affecting toxicity presentation and treatment response. In this study we summarize the demographic, clinical, and treatment characteristics of oncology patients from racial and ethnic minority backgrounds who developed dermatologic adverse events related to cancer therapies. Methods: We performed a retrospective review of all SOC patients (Asian, Black, Hispanic) on active cancer therapy who received outpatient dermatology consultation at Memorial Sloan Kettering Cancer Center from January 1, 2014 to December 31, 2019. Electronic health record information for 2917 patients was obtained. A computational keyword-based text analysis of medical chart text, developed in consultation with a board-certified dermatologist, was performed to determine dermatologic diagnoses categories for each patient. All analyses were conducted using R statistical programming software, version 4.2.06. Results: There were 2917 outpatient dermatology consultations. Our population consisted of 1992 (68.29%) females and 925 (31.71%) males with a mean age of 53 (range 0-97). There were 35.55% Black, 41.28% Asian, 1.02% (30) Native American or Alaskan Native, 0.17% (5) Native Hawaiian or Other Pacific Islander. 729 were Hispanic ethnicity of which 641 were Caucasian. A total of 4,026 dermatologic diagnoses occurred in the study population. Bacterial infections were the most commonly observed, occurring in 15% of patients. Nail disorders were the second most common dAE, occurring in 14% of the study population, followed by eczema/eczematous reactions at 9%. In all racial groups, eczema/eczematous reactions, nail disorders, and dermatomyositis were in the top five most common observed dAEs. Asian patients made up the largest proportion of those who had morbilliform rash dAEs (55%) while Black patients made up the largest proportion of those with hyperpigmentation dAEs (54%) and vascular insufficiency dAEs (47%). Conclusions: The findings from our study indicate that pigmentary changes, bacterial infections, eczema/eczematous reactions, and nail disorders are the most common dAE types that occurred in our group of SOC patients. We hope to use this information to aid in the development of specific management strategies within the field of supportive oncodermatology to meet the needs of minority patient populations.
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Freiman, Anatoli, Sunil Kalia, and Elizabeth A. O'Brien. "Dermatologic Signs." Journal of Cutaneous Medicine and Surgery 10, no. 4 (July 2006): 175–82. http://dx.doi.org/10.2310/7750.2006.00042.
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Background: Dermatology signs serve as important clues to primary skin disorders and internal conditions. Objective and Methods: To highlight major cutaneous signs based on a MEDLINE literature search from 1966 to March 2006. Results and Conclusions: A multitude of signs exist in dermatology. Appreciation and knowledge of cutaneous signs will enhance the care of patients with dermatologic manifestations.
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Melski, John W. "Dermatologic Clinics: Computers in Dermatology." Archives of Dermatology 123, no. 11 (November 1, 1987): 1570. http://dx.doi.org/10.1001/archderm.1987.01660350187039.
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Sterry, W. "Perspectives in dermatology: dermatologic oncology." Journal of Dermatological Treatment 11, no. 1 (January 2000): s3—s8. http://dx.doi.org/10.1080/09546630050517603.
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Saurat, J. H. "From Dermatologica to Dermatology." Dermatology 184, no. 1 (1992): 1. http://dx.doi.org/10.1159/000247488.
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Jackson, Robert. "Jean Darier and His Précis." Journal of Cutaneous Medicine and Surgery 11, no. 4 (July 2007): 150–55. http://dx.doi.org/10.2310/7750.2007.00008.
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Background: Many dermatologists know the name Jean Darier. Few are familiar with his accomplishments. The contemporary dermatology scene, with its emphasis on surgery and laser, is in danger of forgetting its roots in living gross pathology. Objective: To describe in summary form Darier's excellent dermatology text, Precis de Dermatologie, with particular emphasis on its organization and morphologic approach to skin disease. Conclusion: Knowledge in some areas of dermatology has increased manyfold since Darier's Précis was first published. This does not apply to current clinical descriptions of disease found in many current texts and journal articles. A study of Darier's Précis would be an excellent start to reinvigorate morphologic knowledge in dermatology.
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Giesey, Rachel, Doria Narively, Eliot Mostow, and Chanda Mullen. "DERM: A Four-Step Dermatology Education Digital Tool Kit for Nondermatologists." Family Medicine 50, no. 7 (July 2, 2018): 539–43. http://dx.doi.org/10.22454/fammed.2018.504756.
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Background and Objectives: Dermatology is often an overlooked and underemphasized area of training in postgraduate primary care medical education, with an abundance of dermatological educational resources available, but no clear guidelines on how to best take advantage of them. The objective of this study was to develop a dermatology digital tool kit designed to describe, evaluate, recognize, and manage (DERM) common dermatological conditions in primary care residency education and to evaluate potential improvement in clinical confidence. Methods: A total of 14 family medicine (FM) and 33 internal medicine (IM) residents were given the DERM tool kit to complete over 7 weeks. Effects on residents’ self-reported comfort with dermatology and resources used were measured by voluntary anonymous surveys distributed before and after DERM completion. Results: A response rate of 100% (14/14) for FM residents and 52% (17/33) for IM residents was achieved. The majority of residents (61%) recalled minimal dermatology education—less than 2 weeks—in medical school and 71% agreed that there is not enough dermatology in their residency curriculum. A statistically significant increase in resident comfort with describing (P=0.002), recognizing and diagnosing (P<0.001), and managing (P=0.001) dermatologic conditions was observed postcompletion. Residents reported they would recommend this tool to other primary care residents. Conclusions: Implementing the DERM digital tool kit is feasible with primary care residents and appears to improve comfort with describing, recognizing and diagnosing, and managing dermatologic conditions.
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Mofid, Mitra, Thomas Nesbitt, and Robin Knuttel. "The other side of teledermatology: patient preferences." Journal of Telemedicine and Telecare 13, no. 5 (July 1, 2007): 246–50. http://dx.doi.org/10.1258/135763307781458967.
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We studied patient preferences for a real-time teledermatology consultation or a conventional dermatology consultation. Dermatology patients were given the option of being seen by a dermatologist at their outlying primary care site via telemedicine or of being examined face-to-face by the same dermatologist at the primary care site. The same dermatologist provided the teleconsultations and the conventional consultations. During a 16-month study period, 52 patients were evaluated via telemedicine and 46 patients were seen face-to-face. The demographics for both study groups were similar. Those patients who selected telemedicine were more likely to have seen a dermatologist fewer than twice during the previous year, more likely to self-describe themselves in excellent health and more likely to choose a face-to-face evaluation when presenting with a possible skin cancer or a mole. Patients aged 56 years or less tended to be more likely to be seen via telemedicine, although the association with age was not significant ( P = 0.06). This information may help providers to devise strategies to direct patients to telemedicine if and when it is appropriate.
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Jansen, G. T. "Dermatologic surgery. Its influence on dermatology." Archives of Dermatology 130, no. 9 (September 1, 1994): 1122–24. http://dx.doi.org/10.1001/archderm.130.9.1122.
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Kirshen, Carly, Ilya Shoimer, Judy Wismer, Jean-Pierre DesGroseilliers, and Harvey Lui. "Teaching Dermatology to Canadian Undergraduate Medical Students." Journal of Cutaneous Medicine and Surgery 15, no. 3 (May 2011): 150–54. http://dx.doi.org/10.2310/7750.2011.10021.
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Background: The Canadian dermatology undergraduate curriculum was reviewed in 1983, 1987, and 1996. All surveys revealed the limited amount of time dedicated to dermatology in the undergraduate curriculum. Objective: This survey was designed to obtain current information regarding undergraduate dermatology teaching in Canadian medical schools. Methods: A survey was sent electronically to all undergraduate dermatology curriculum coordinators at each of the 17 Canadian medical schools. Results: Between 1996 and 2008, the average number of hours of dermatology teaching has increased by 7 hours to 20.5 ± 17.2 hours. Again, most of the teaching is performed in the preclinical years. The majority of schools would like to have more time dedicated to dermatology teaching; however, many schools cited a restriction in the number of dermatology faculty members, with an average of 7.8 ± 7 dermatologists, as a barrier to education delivery. Conclusion: It is important to have dermatology included throughout the undergraduate medical curriculum because most dermatologic problems are seen by nondermatologists. Respondents at each school believed that there may be value in moving toward a national strategy for dermatology curriculum changes, and this can ensure both uniformity and consistency within Canada.
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Marks, Robin. "Dermatology for the non‐dermatologist." Medical Journal of Australia 164, no. 7 (April 1996): 430. http://dx.doi.org/10.5694/j.1326-5377.1996.tb122094.x.
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Elsner, P., W. Pfister, and S. Schliemann. "Zertifizierung: „Impfen für Dermatologen (DDA)“." Aktuelle Dermatologie 46, no. 03 (September 13, 2019): 83–86. http://dx.doi.org/10.1055/a-0986-6481.
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ZusammenfassungDas Fachgebiet der Dermatologie umfasst die Vorbeugung, Erkennung, konservative und operative Behandlung, die Nachsorge und Rehabilitation von Krankheiten der Haut sowie von Geschlechtskrankheiten. Historisch war die Dermatologie stark durch infektiöse Hautkrankheiten und sexuell übertragbare Infektionen geprägt wie Tuberkulose und Lepra, Syphilis und Gonorrhoe, aber auch virale Hautkrankheiten wie Pocken-, Herpesvirus- und HPV-Infektionen. Nicht nur die Diagnostik und Therapie von Infektionskrankheiten der Haut gehören zum Fachgebiet der Dermatologie, sondern auch deren spezifische Prävention, für die sich in den vergangenen Jahren neue Möglichkeiten durch die Verfügbarkeit von Impfstoffen ergeben haben.Die Deutsche Dermatologische Akademie (DDA) hat daher mit dem Zertifikat „Impfen für Dermatologen (DDA)“ ein wichtiges Fortbildungsangebot auf diesem zunehmend wichtigen Teilgebiet der Dermatologie geschaffen.Die Fortbildungsinhalte für die Zertifizierung „Impfen für Dermatologen (DDA)“ werden in einem ganztägigen Modul (8 Stunden) vermittelt; auch eine Aufteilung in Halbtage im Rahmen größerer Fortbildungsveranstaltungen ist möglich.Die Seminare sind interaktiv; bestimmend ist die praxisorientierte Präsentation des Wissens und die kollegiale Diskussion mit ausgewiesenen Experten. Zum Erhalt des Zertifikats ist einmal alle 5 Jahre die Teilnahme an einem Qualitätszirkel (2 Stunden) vorgesehen, in dem aktuelle Entwicklungen komprimiert dargestellt und anhand von Falldiskussionen thematisiert werden.
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Wahidiyat, Pustika Amalia, Elida Marpaung, and Stephen Diah Iskandar. "Characteristics of Acute Transfusion Reactions and its related factors in Cipto Mangunkusumo Hospital Jakarta, Indonesia." Health Science Journal of Indonesia 10, no. 1 (July 26, 2019): 15–20. http://dx.doi.org/10.22435/hsji.v10i1.1847.
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Latar belakang: Reaksi transfusi akut (RTA) merupakan sekelompok kejadian yang tidak diinginkan akibat pemberian transfusi darah. Manifestasi dari RTA bervariasi dari yang ringan hingga mengancam nyawa. Saat ini, data mengenai reaksi transfusi di Indonesia masih sangat terbatas. Dalam studi ini, kami bertujuan untuk memberikan gambaran mengenai karakteristik RTA dan faktor-faktor yang mempengaruhinya.
Metode: Studi ini merupakan studi retrospektif yang melibatkan 288 subyek dengan RTA. Studi dilakukan di Rumah Sakit Dr. Cipto Mangunkusumo, dimulai sejak Januari hingga Desember 2017. RTA dikelompokkan berdasarkan sistem tubuh yang mengalami manifestasi, serta derajat manifestasinya.
Hasil: Sel darah merah merupakan produk darah utama yang ditransfusikan ke subyek, diikuti dengan konsentrat trombosit, plasma segar beku, dan kriopresipitat. Lima gejala utama dari RTA adalah gatal, demam/kenaikan suhu tubuh, menggigil, urtikaria, dan angioedema. Berdasarkan sistem tubuh yang terkena, umumnya RTA bermanifestasi sebagai gejala pada kulit (56.6%). Berdasarkan derajat manifestasinya, RTA umumnya dikategorikan dalam derajat ringan (55.9%). Anak-anak cenderung mengalami manifestasi yang ringan (64.8%) dan utamanya bermanifestasi pada kulit (65.4%). Riwayat transfusi mempengaruhi derajat RTA secara signifikan. RTA derajat sedang dan gejala konstitusional lebih banyak ditemukan pada subyek yang mendapat PRC dibanding produk darah lainnya.
Kesimpulan: Umumnya RTA bermanifestasi sebagai gejala dermatologi. Hanya sedikit kasus RTA yang disebabkan oleh reaksi inkompatibilitas. Manifestasi dan derajat RTA juga dipengaruhi oleh umur, riwayat transfusi, dan jenis komponen darah.
Kata kunci: Transfusi darah, reaksi transfusi akut, riwayat transfuse, usia
Abstract
Background: Acute transfusion reactions (ATRs) are a group of adverse events caused by blood transfusions. Manifestations of ATRs vary from mild to life threatening. At present, data about transfusion reactions in Indonesia are still limited. In this study, we aim to determine the characteristics of ATRs and its related factors.
Methods: This was a retrospective study of 288 subjects with ATRs. The study was conducted in Cipto Mangunkusumo Hospital, started from January to December 2017. ATRs were categorized based on the body systems affected and degree of manifestations.
Results: Packed red cells (PRC) was the predominant blood product (51.4%) which was transfused to subjects, followed by thrombocyte concentrate (TC), fresh frozen plasma (FFP), and cryoprecipitate. Five most common predominant symptoms of ATRs were pruritus/itch, febrile/increased temperature, chills, transient urticaria, and angioedema. Based on the affected body systems, the majority of ATRs manifested as dermatologic symptoms (56.6%). Based on the degree of manifestations, the majority of ATRs were categorized as mild degree (55.9%). Children tended to have milder symptoms (64.8%), which mostly manifested as dermatologic symptoms (65.4%). History of transfusion affected the degree of ATR significantly. Moderate degree of ATRs and constitutional symptoms were found more common in subjects who received PRC than other blood products.
Conclusion: Most of ATRs manifest as dermatologic symptoms, which represent allergic reactions. Only a small portion of ATRs are caused by incompatibility reactions. The manifestation and degree of ATRs are also affected by age, history of transfusion, and type of blood components.
Keywords: Blood transfusion, acute transfusion reaction, transfusion history, age
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De, Dipankar, Tarun Narang, Sunil Dogra, and Amrinder J. Kanwar. "Asymptomatic Palmar Pits: Clinical Evaluation of Six Cases and Review of the Literature." Journal of Cutaneous Medicine and Surgery 12, no. 4 (July 2008): 198–202. http://dx.doi.org/10.2310/7750.2008.07022.
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Background: Palmar pits are intriguing and are found in association with diverse dermatologic conditions. Some are innocuous, whereas others have sinister implications. Objective: Six cases of asymptomatic palmar pits are described, and the literature is reviewed in brief. Method and Results: Of the six patients, five were male and one was female, with a mean age of 63.5 years. In all six patients, the palmar pits were noticed incidentally during a cutaneous examination for some other unrelated dermatoses, except in one in whom the pits were the reason for visiting a dermatologist. The number of pits varied from one to nine. Dupuytren contracture was observed in five patients. Sole involvement was seen in only one patient. None had overlying hyperkeratosis or associated symptoms relating to palmar pits. Conclusions: Palmar pits may have sinister implications in conditions such as nevoid basal cell carcinoma syndrome or Cowden syndrome. The association of palmar pits and Dupuytren contracture seems to be common but is underreported. Palmar pits may be the clinical cutaneous sign of systemic diseases and may sometimes provide a diagnostic clue to other dermatoses. This report emphasizes the significance of the art of clinical observation in dermatology.
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Grether, Thomas. "Chronische Wunden: Die Haut ist ein Spiegel der Seele." kma - Klinik Management aktuell 23, no. 11 (November 2018): 122–24. http://dx.doi.org/10.1055/s-0036-1595540.
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Gäbe es mehr psychosomatische Dermatologen, würde in vielen Fällen die Haut schneller und besser heilen. kma sprach dazu mit Prof. Dr. med. Uwe Gieler – er ist psychosomatischer Dermatologe an der Universitätsklinik in Gießen.
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O'Brien, Timothy J. "2004 Yearbook of Dermatology and Dermatologic Surgery." Australasian Journal of Dermatology 46, no. 2 (May 2005): 126. http://dx.doi.org/10.1111/j.1440-0960.2005.00159.x.
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Seebacher, Claus. "Candida in der Dermatologie: Candida in dermatology." Mycoses 42, S1 (April 1999): 63–67. http://dx.doi.org/10.1111/j.1439-0507.1999.tb04530.x.
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Day, William G., Vikas Shrivastava, and John W. Roman. "Synchronous Teledermoscopy in Military Treatment Facilities." Military Medicine 185, no. 7-8 (April 20, 2020): e1334-e1337. http://dx.doi.org/10.1093/milmed/usz479.
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Abstract Sustained demand for dermatologic care throughout military medicine, in conjunction with increasing dermatologic provider shortages, has led to increase use of teledermatology in military treatment facilities (MTFs). Initially used to aid in the differentiation of suspicious melanocytic lesions, dermoscopy has found increasing clinical utility in an expanding realm of general dermatologic conditions. We demonstrate the use of synchronous teledermoscopy within a remote MTF by repurposing webcam technology already available at most MTFs. Two patients were seen in clinic at a remote naval primary care clinic with limited subspecialties. Once written consent was retrieved, an on-site dermatologist evaluated each patient and performed a history and skin exam with dermoscopy. Synchronous consultations were conducted with the Global Med Cart (GlobalMed(R) Clinical Access Station with TotalExam(R) 3 HDUSB camera), and Cisco webcam video jabber (Cisco TelePresence PrecisionHD USB Camera part number TTC8-03). The patients then underwent individual synchronous teledermatology consultations with an off-site U.S. Navy dermatologist located in the continental United States. The methodology for the consultation involved the use of a standard dermatoscope and jabber webcam. Two synchronous teledermatology consultations were completed successfully on patients in MTFs with limited subspecialty capabilities. Both cases, with two lesions of concern per case, had 100% concordance between the on-site and teleconsulted dermatologist. Through observing inter-rater agreements between the on-site and remote dermatologists, this small study demonstrates a novel application of technology readily available at most MTFs.
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Van, Thuong Nguyen, Michael Tirant, Phuong Pham Thi Minh, Francesca Satolli, Claudio Feliciani, and Torello Lotti. "Vietnamese Dermatology." Open Access Macedonian Journal of Medical Sciences 7, no. 2 (January 28, 2019): 179–80. http://dx.doi.org/10.3889/oamjms.2019.131.
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BACKGROUND: The World Health Academy of Dermatology, the Vitiligo Research Foundation, the University of Parma-Italy and the University of Rome Guglielmo Marconi, Rome-Italy have successfully joined Vietnamese Dermatology Community in the ambitious project of positionìng Vietnam in the Dermatologic Olympus.
AIM: The aim of our special issue is to present some pearls of the Vietnamese Dermatology devoted to the description of the national and hopefully international declining of traditional therapies.
METHODS: We present 36 contributions from all academic hospitals of Vietnam reflecting the therapeutic strategies and every day's dermato-venereology practice in Vietnam.
RESULTS: This special issue show the efficacy and safety of our Vietnamese approach continuously embracing the concept that "old and traditional is beautiful when safe, effective and cheap".
CONCLUSION: Vietnamese Dermatology is deeply concerned with any possible marketing orientated lucrative therapies, thus emphasising the risk/benefits ratio of "old-traditional" versus "new" therapeutic strategies.
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Lester, Jenna, and Martin A. Weinstock. "Teletriage for Provision of Dermatologic Care." Journal of Cutaneous Medicine and Surgery 18, no. 3 (May 2014): 170–73. http://dx.doi.org/10.2310/7750.2013.13086.
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Background: The scarcity of dermatologists has prompted the creation of innovative methods for delivering dermatologic care. Methods: Teletriage is a method used in teledermatology to efficiently assess skin complaints in patients who do not have prompt access to conventional dermatologic care. Their primary care clinicians are provided with management recommendations, reassured that the lesion of concern is benign, or recommended to send their patient for a face-to-face dermatology visit. The Providence VA Medical Center conducted a pilot program testing the utility of teletriage for patients with skin complaints from June 2011 to August 2011. Results: The pilot program revealed that with the teletriage protocol, face-to-face visits were reduced by 38%. This program suggests that teletriage could be a useful tool for providing efficient dermatologic care, and has led to broader implementation. Conclusion: Teletriage is a potentially useful approach for efficiently addressing specific dermatologic complaints and improving access to care for those complaints.
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de la Garza-Castro, Oscar, Sandra Sánchez-González, Oscar DeLaGarza-Pineda, Abraham Espinosa-Uribe, Alejandro Quiroga-Garza, Rodrigo Elizondo-Omaña, and Santos Guzmán-López. "Dermatology Surgery Training in a Live Animal Model." Journal of Morphological Sciences 35, no. 03 (August 31, 2018): 187–90. http://dx.doi.org/10.1055/s-0038-1669904.
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Background Surgical technique is an important part of resident training, which is the reason why various models have been implemented to acquire this skill. Animal models have been useful in teaching dermatologic suturing techniques. With the advancements in technology, simulators have been developed for these exercises, but at a very high cost. The use of pig heads and freshly killed animals have proven to be effective and low-cost. However, they do not reproduce skin pathologies with accuracy. Objective To evaluate the effectiveness of a live anesthetized rat model to simulate skin pathologies requiring surgical excision in a dermatologic suture workshop for residents. Methods We analyze the outcome of a theoretical and practical suturing workshop using live Wistar rats with 13 dermatology residents. Results The residents showed an improvement in surgical maneuvers, suturing techniques, and in the use of surgical instruments (p < 0.01). Conclusion The model proposed in the present study was economic, easy to obtain and to manage, and it portrays live and accurate skin response to manipulation. Therefore, it is effective for conducting surgical training sessions in dermatology.
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Glazer MD, Alex M., Aaron S. Farberg, Stephen Donohue, and Darrell S. Rigel. "Analysis of Dermatologic Disorders Occurring in Major League Baseball Players." SKIN The Journal of Cutaneous Medicine 1, no. 2 (August 31, 2017): 83. http://dx.doi.org/10.25251/10.25251/skin.1.2.4.
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Objective: To determine distribution of dermatologic disease among major league baseball (MLB) players and compare the distribution to that seen in the general population.Design: Cross Sectional SurveySetting: Data was collected via anonymous, online, randomized survey in January 2017.Participants: Head athletic trainers for 25 MLB teamsMain Outcome Measures: The distribution of dermatologic disease encountered by MLB athletic trainers for players versus non-player personnel.Results: The 3 most commonly encountered dermatologic conditions for MLB trainers among baseball players were blisters, contact dermatitis, and nail problems including onychomycosis. In contrast, the 3 most common dermatoses seen among the non-player personnel control group were rash, tinea, and concerning skin lesion which more closely resembled the distribution of skin diseases among the general population.Conclusions: MLB players experienced a different mix with a greater proportion of mechanical, infectious, and contact related skin conditions likely due to the baseball-related activities that impact on these athletes’ skin on a day-to-day basis. The prevalence of the dermatologic disorders noted in the study reinforces the importance of focused dermatologic education for trainers to enhance player care. Keywords: baseball; MLB; dermatology; disease distribution; blisters; contact dermatitis; mechanical skin injury; elite athletes
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Bellicoso, Emily, Sofia Oke Quick, Kennedy Otieno Ayoo, Renée A. Beach, Marissa Joseph, and Erin Dahlke. "Diversity in Dermatology? An Assessment of Undergraduate Medical Education." Journal of Cutaneous Medicine and Surgery 25, no. 4 (April 13, 2021): 409–17. http://dx.doi.org/10.1177/12034754211007430.
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Background A lack of representation of skin of color (SoC) in dermatology curricula is well-documented across North American medical schools and may present a barrier to equitable and comprehensive undergraduate medical education. Objectives This study aims to examine representation in dermatologic educational materials and appreciate a link between bias in dermatologic education and student diagnostic ability and self-rated confidence. Design The University of Toronto Dermatology Undergraduate Medical Education curriculum was examined for the percentage photographic representation of SoC. A survey of 10 multiple-choice questions was administered to first- and third-year medical students at the University of Toronto to assess diagnostic accuracy and self-rated confidence in diagnosis of 5 common skin lesions in Fitzpatrick skin phototypes (SPT) I-III (white skin) and VI-VI (SoC). Results The curriculum audit showed that <7% of all images of skin disease were in SoC. Diagnostic accuracy was fair for both first- (77.8% and 85.9%) and third-year (71.3% and 72.4%) cohorts in white skin and SoC, respectively. Students’ overall self-rated confidence was significantly greater in white skin when compared to SoC, in both first- (18.75/25 and 17.78/25, respectively) and third-year students (17.75/25 and 15.79/25, respectively) ( P = .0002). Conclusions This preliminary assessment identified a lack of confidence in diagnosing dermatologic conditions in SoC, a finding which may impact health outcomes of patients with SoC. This project is an important first step in diversifying curricular materials to provide comprehensive medical education.