Diagnoses of hospitalized patients with skin abnormalities prompting biopsy by consulting dermatologists: A 3‐year review from a tertiary care center
| Autor: | Jennifer S. Ko, Wilma F. Bergfeld, Christine B. Warren, Melissa Piliang, Urmi Khanna, Ariana Ellis, Anthony P. Fernandez, Steven D. Billings, Alok Vij |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Pathology Histology Dermatology Disease Skin Diseases Pathology and Forensic Medicine Tertiary Care Centers Young Adult 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Biopsy medicine Humans Medical diagnosis Child Referral and Consultation Aged Retrospective Studies Skin Aged 80 and over Calciphylaxis medicine.diagnostic_test business.industry Infant Newborn Infant Middle Aged medicine.disease Connective tissue disease Child Preschool 030220 oncology & carcinogenesis Skin biopsy Female Dermatopathology Skin cancer business Dermatologists |
| Zdroj: | Journal of Cutaneous Pathology. 47:346-356 |
| ISSN: | 1600-0560 0303-6987 |
| Popis: | Background Dermatologists play an important role in diagnosing and managing hospitalized patients with cutaneous abnormalities. Skin biopsies remain an indispensable tool for aiding dermatologists in accurate diagnosis and treatment. We aimed to determine the range of conditions, and the most common conditions, prompting skin biopsy by dermatology hospital consultation (HCON) services to aid in evaluation of hospitalized patients. Methods All hospitalized patients seen by a single tertiary care center dermatology HCON service between 2015 and 2018 who had associated skin biopsies were identified. Histologic features and clinical diagnoses of each patient were classified into 13 histologic reaction pattern categories. Results Eight hundred and thirty one inpatients evaluated by our dermatology HCON service had 914 skin biopsies. The most frequent diagnostic categories prompting biopsy were vasculopathic (17.6%), interface dermatitis (16.5%), infectious (12.6%), and spongiotic dermatitis (10.9%). The most frequent diagnostic categories included drug reaction (13.2%), leukocytoclastic vasculitis (8.5%), skin cancer (5.4%), graft-vs-host disease (3.5%), connective tissue disease (3.3%), and calciphylaxis (3.0%). Conclusion Our study suggests a variety of serious diseases affecting inpatients prompts biopsy by dermatology consultation services. Educational curricula for dermatology and pathology residents, fellows, and staff designed with these data may enhance knowledge that improves the quality of inpatient dermatology care. |
| Databáze: | OpenAIRE |
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