Evaluation of dermatology consultations requested for inpatients in a tertiary institution from Türkiye

Pelin Hizli, Mehmet Enes Sevgi̇li̇, A. Kiliç
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Abstract

Objective: To investigate and present the features of the consultations requested for inpatients in a tertiary institution retrospectively. Method: Archive of our tertiary institution located in the South Marmara Region of Turkiye was reviewed and every single consultation responded by Dermatology Department was investigated. Results: The mean age of the 421 consulted patients (191 females, 230 males) was 62 ± 17 (1-95) years. The most frequently consultation requesting departments were Cardiology (18.8%), Neurology (11.4%) and Physical medicine and Rehabilitation (8.3%). The most common lesions resulting in consultation were rashes (22.3%), erythematous lesions (14.5%) and wounds (14%). The most common dermatologic diagnoses were contact dermatitis (10.7%), tinea pedis (8%) and cellulitis (5.2%). Among 421 patients, 62 (14.7%) patients required a histopathologic diagnosis and underwent biopsy. Most frequent histopathologic diagnoses were non-specific findings 14 (22.6%), basal cell carcinoma (12.9%), maculopapular drug reaction (12.9%) and contact dermatitis (9.7%). Conclusion: The perspective of interdisciplinary approach leads physicians request dermatology consultations frequently for inpatients particularly having systemic diseases and reviewing and reporting the features of consulted patients periodically might provide a satisfactory contribution to the current literature.
评估皮肤科咨询要求住院患者在三级机构从 rkiye
目的:回顾性调查并介绍某高等教育机构住院患者会诊的特点。方法:查阅我院位于土耳其南马尔马拉地区的高等教育机构的档案,并对皮肤科的每一次会诊进行调查。结果:421例患者(女191例,男230例)的平均年龄为62±17(1-95)岁。问诊频率最高的科室为心内科(18.8%)、神经内科(11.4%)和物理医学与康复科(8.3%)。导致会诊的最常见病变是皮疹(22.3%)、红斑性病变(14.5%)和伤口(14%)。最常见的皮肤病诊断为接触性皮炎(10.7%)、足癣(8%)和蜂窝织炎(5.2%)。在421例患者中,62例(14.7%)患者需要组织病理学诊断并行活检。最常见的组织病理学诊断为非特异性发现14例(22.6%),基底细胞癌(12.9%),黄斑丘疹药物反应(12.9%)和接触性皮炎(9.7%)。结论:从跨学科的角度来看,医生经常要求住院患者进行皮肤科会诊,特别是有全身性疾病的住院患者,定期回顾和报告会诊患者的特征可能会对目前的文献做出令人满意的贡献。
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