{"title":"Correction to “Dermatological Manifestations in the Intensive Care Unit of a Third-Level Hospital”","authors":"","doi":"10.1002/jvc2.70072","DOIUrl":null,"url":null,"abstract":"<p>S. Méndez-Flores, C. A. Mireles-Alvarez, A. Barrera-Godinez, and J. Dominguez-Cherit, “Dermatological Manifestations in the Intensive Care Unit of a Third-Level Hospital,” <i>JEADV Clinical Practice</i> 3, no. 2 (2024): 521-527, https://doi.org/10.1002/jvc2.334.</p><p>Concerns were raised by a third party regarding the high level of similarity between the abstracts of this and a previously published article [1]. The authors acknowledged their mistake, apologized for the inappropriate textual overlap and revised the wording of the abstract accordingly, as follows.</p><p><b>Abstract</b></p><p><b>Background</b>Critically ill patients frequently develop dermatological complications related to immobility, polypharmacy, and impaired tissue perfusion.</p><p><b>Objectives</b>To evaluate the prevalence, incidence, and clinical characteristics of dermatological disorders in a tertiary-level intensive care unit (ICU), and to explore their potential association with disease severity.</p><p><b>Methods</b>A prospective, observational, single-center study conducted over an 8-month period in the medical ICU of a tertiary referral hospital. Cutaneous findings were categorized as: (1) dermatologic condition as the primary reason for ICU admission; (2) pre-existing skin diseases exacerbated during hospitalization; and (3) de novo dermatologic conditions acquired during the ICU stay. Clinical severity was assessed using the APACHE II score. Non-parametric statistical tests were used for group comparisons.</p><p><b>Results</b>Among 447 patients evaluated, 105 (23.5%) presented with at least one dermatologic diagnosis, totaling 137 cutaneous conditions (ranging from 1 to 4 per patient). In 7 cases (6.7%), the skin condition was the primary reason for ICU admission; 17 patients (16.2%) had pre-existing dermatoses that worsened during their stay; and 81 patients (77.1%) developed de novo dermatoses. The most frequent diagnoses were contact dermatitis (16% of patients), skin infections (15.3%), pressure ulcers (11.7%), soft tissue edema (11%), adverse drug reactions (8.8%), cutaneous vasculitis (4.4%), and occlusive vasculopathy (4.4%). Patients with cutaneous findings had higher APACHE II scores and a greater mortality rate.</p><p><b>Conclusions</b>Dermatologic manifestations are frequent in critically ill patients and may reflect both systemic disease severity and iatrogenic complications. Most conditions developed during the ICU stay, whereas severe infections and drug-induced dermatologic reactions were notable causes of ICU admission. The presence of skin lesions correlated with greater clinical severity. Integrating dermatology into the multidisciplinary care of ICU patients facilitates the timely diagnosis and management of potentially life-threatening dermatoses, improving patient outcomes and care quality.</p><p><b>Reference</b></p><p>[1] A. Srivastava, A. D. Mathur, and S. Agarwal, “Dermatological Disorders in the Intensive Care Unit: A Descriptive Study at a Tertiary Care Centre,” <i>Journal of the Association of Physicians of India</i> 69, no. 11 (2021): 11–12.</p>","PeriodicalId":94325,"journal":{"name":"JEADV clinical practice","volume":"4 4","pages":""},"PeriodicalIF":0.5000,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jvc2.70072","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"JEADV clinical practice","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/jvc2.70072","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
S. Méndez-Flores, C. A. Mireles-Alvarez, A. Barrera-Godinez, and J. Dominguez-Cherit, “Dermatological Manifestations in the Intensive Care Unit of a Third-Level Hospital,” JEADV Clinical Practice 3, no. 2 (2024): 521-527, https://doi.org/10.1002/jvc2.334.
Concerns were raised by a third party regarding the high level of similarity between the abstracts of this and a previously published article [1]. The authors acknowledged their mistake, apologized for the inappropriate textual overlap and revised the wording of the abstract accordingly, as follows.
Abstract
BackgroundCritically ill patients frequently develop dermatological complications related to immobility, polypharmacy, and impaired tissue perfusion.
ObjectivesTo evaluate the prevalence, incidence, and clinical characteristics of dermatological disorders in a tertiary-level intensive care unit (ICU), and to explore their potential association with disease severity.
MethodsA prospective, observational, single-center study conducted over an 8-month period in the medical ICU of a tertiary referral hospital. Cutaneous findings were categorized as: (1) dermatologic condition as the primary reason for ICU admission; (2) pre-existing skin diseases exacerbated during hospitalization; and (3) de novo dermatologic conditions acquired during the ICU stay. Clinical severity was assessed using the APACHE II score. Non-parametric statistical tests were used for group comparisons.
ResultsAmong 447 patients evaluated, 105 (23.5%) presented with at least one dermatologic diagnosis, totaling 137 cutaneous conditions (ranging from 1 to 4 per patient). In 7 cases (6.7%), the skin condition was the primary reason for ICU admission; 17 patients (16.2%) had pre-existing dermatoses that worsened during their stay; and 81 patients (77.1%) developed de novo dermatoses. The most frequent diagnoses were contact dermatitis (16% of patients), skin infections (15.3%), pressure ulcers (11.7%), soft tissue edema (11%), adverse drug reactions (8.8%), cutaneous vasculitis (4.4%), and occlusive vasculopathy (4.4%). Patients with cutaneous findings had higher APACHE II scores and a greater mortality rate.
ConclusionsDermatologic manifestations are frequent in critically ill patients and may reflect both systemic disease severity and iatrogenic complications. Most conditions developed during the ICU stay, whereas severe infections and drug-induced dermatologic reactions were notable causes of ICU admission. The presence of skin lesions correlated with greater clinical severity. Integrating dermatology into the multidisciplinary care of ICU patients facilitates the timely diagnosis and management of potentially life-threatening dermatoses, improving patient outcomes and care quality.
Reference
[1] A. Srivastava, A. D. Mathur, and S. Agarwal, “Dermatological Disorders in the Intensive Care Unit: A Descriptive Study at a Tertiary Care Centre,” Journal of the Association of Physicians of India 69, no. 11 (2021): 11–12.
S. msamudez - flores， C. a . Mireles-Alvarez, a . Barrera-Godinez和J. Dominguez-Cherit，“三级医院重症监护病房的皮肤病学表现”，《JEADV临床实践》第3期。2 (2024): 521-527, https://doi.org/10.1002/jvc2.334.Concerns是由第三方提出的，关于这篇文章的摘要与先前发表的文章[1]之间的高度相似性。作者承认了他们的错误，为不适当的文本重叠道歉，并相应地修改了摘要的措辞，如下所示。摘要背景：危重病人经常出现与不活动、多药和组织灌注受损有关的皮肤并发症。目的评价三级重症监护病房（ICU）皮肤科疾病的患病率、发病率和临床特征，并探讨其与疾病严重程度的潜在关联。方法在某三级转诊医院内科ICU进行为期8个月的前瞻性、观察性、单中心研究。皮肤检查结果分为：(1)皮肤疾病是ICU住院的主要原因；(2)住院期间已有皮肤病加重的；(3)在ICU住院期间获得的新生皮肤病。使用APACHE II评分评估临床严重程度。组间比较采用非参数统计检验。结果在447例患者中，105例（23.5%）表现出至少一种皮肤病诊断，共计137种皮肤病（每位患者1 - 4种）。7例（6.7%）患者因皮肤状况入院；17例（16.2%）患者已有皮肤病，在住院期间病情加重；81例（77.1%）患者发生新发皮肤病。最常见的诊断是接触性皮炎（16%）、皮肤感染（15.3%）、压疮（11.7%）、软组织水肿（11%）、药物不良反应（8.8%）、皮肤血管炎（4.4%）和闭塞性血管病变（4.4%）。有皮肤病变的患者有较高的APACHE II评分和较高的死亡率。结论皮肤病学表现在危重患者中较为常见，可反映全身性疾病的严重程度和医源性并发症。大多数情况是在ICU住院期间发生的，而严重感染和药物引起的皮肤反应是ICU住院的主要原因。皮肤病变的存在与临床严重程度相关。将皮肤科纳入ICU患者的多学科护理有助于及时诊断和管理可能危及生命的皮肤病，改善患者预后和护理质量。参考文献bbb A. Srivastava， A. D. Mathur和S. Agarwal，“重症监护病房的皮肤病：三级护理中心的描述性研究”，《印度医师协会杂志》69，第2期。11(2021): 11 - 12。
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