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KMID : 0363220140520040215
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Korean Journal of Dermatology
2014 Volume.52 No. 4 p.215 ~ p.221
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Clinical Features of Dermatology-Consulted Inpatients-Focus on the Differences between Individual Departments
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Lyu So-Min
Byun Yeon
Choi You-Won
Choi Hae-Young
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Abstract
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Background: A variety of dermatological disorders develop in hospitalized patients and the need for dermatologicalconsultations is on the rise.
Objective: We analyzed 2 years of dermatological consultation data from a tertiary medical center in Korea andcompared dermatological problems among individual departments. Methods: We reviewed 3,102 dermatological inpatient consultations by performing a retrospective chart review.
Results: Contact dermatitis (11.4%), drug eruption (9.6%), tinea pedis (5.5%), xerotic eczema (5.3%), and seborrheicdermatitis (5.2%) were the 5 dermatological disorders that were most commonly referred to dermatologists. Patientsin the allergy and pulmonology departments had higher rates of drug eruptions. Endocrinology-admitted patients,especially diabetic patients, frequently complained of foot dermatitis. The cardiology, gastroenterology, and hematooncologydepartments referred many patients with purpuric dermatosis to dermatologists. Patients from the surgicaldepartments consulted more frequently consulted contact dermatitis and drug eruptions. The neurology and rehabilitationmedicine departments referred more seborrheic dermatitis patients than other departments. Pediatric patientscommonly consulted for atopic dermatitis, viral exanthemata, and seborrheic dermatitis. Regardless of department,patients who suffered from severe illness and underwent major surgery developed herpes zoster and cutaneous fungalinfections more frequently than other patients. Personal hygiene was closely related to the development of folliculardisorders.
Conclusion: Dermatologists should be familiar with the diverse dermatological complaints of patients admitted tovarious departments and be actively involved in the diagnosis, treatment, and education of doctors and patients toimprove the quality of inpatient care.
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KEYWORD
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Consultation, Contact dermatitis, Drug eruption, Inpatient dermatology, Tinea pedis
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