Dermatological Referred Consultations from Various Departments of Baghdad Medical City to Baghdad Center of Dermatology and Venereology | |||
Iraqi Postgraduate Medical Journal | |||
Article 7, Volume 21, Issue 3, July 2022, Pages 293-299 PDF (227.46 K) | |||
DOI: 10.52573/ipmj.2021.175789 | |||
Authors | |||
Mustafa Jawad Askar; Ihsan Alturfi | |||
Center of Dermatology and Venereology, Baghdad Teaching Hospital, Medical City, Baghdad, Iraq. | |||
Abstract | |||
BACKGROUND: Dermatological problems are common in patients with other medical problems, they may provide clue to the diagnosis of medical diseases. AIM OF THE STUDY: To study consultations from different departments of Baghdad Medical City to Baghdad Center of Dermatology and Venereology regarding frequency causes of referral and final dermatological diagnosis, and to design a typical consultation form. PATIENTS AND METHODS: This is a cross – sectional observation study, it was conducted at Baghdad Center of Dermatology and Venereology, Baghdad Medical City, Iraq from October 2018 to January 2020 (15 months). All consultations from other departments of Baghdad Medical City to dermatological department were included in the study. RESULTS: A total number of 998 consultations out of 39540 patients attended dermatological department during the same period of study (3% from total patients that consulted the department during this period), 694 (69.5%) patients were outpatients while 304 (30.5%) patients were inpatients. The age range was from 1day to 86 years old with a median age of 26. The most common consultations were referred from pediatric department with total number 256 (25.6%) patients, rheumatology department 220 (22%) patients followed by hematological department 157 (15.7%) patients. The most common dermatological disease group that was diagnosed by dermatologists was eczematous disorders 107 (10.7%) patients, viral infections 106 (10.6%) patients followed by parasitic infestation 87 (8.7%) patients. Scabies represents the most common disease that was referred to dermatological department (8.3% of all consultations). CONCLUSION: Consultations were referred from 23 different departments; the most common ones were from pediatric department. Dermatological opinion helped to reach the final dermatological diagnosis among referred patients. | |||
Keywords | |||
consultation; dermatology; eczematous; viral; parasitic | |||
References | |||
10. Fernandes IC, Velho G, Selores M. Dermatology inpatient consultation in a Portuguese university hospital. Dermatol Online J. 2012;18:16.
11. Cho-Vega JH, et al. Leukemia cutis. Am J Clin Pathol 2008;129:130–42.
12. Balai M, Gupta LK, Khare AK, Mittal A, Mehta S, Bharti G. Pattern of inpatient referrals to dermatology at a tertiary care centre of South Rajasthan. Indian Dermatol Online J. 2017;8:25-28.
13. Trott AT. Hamilton GC, Sanders A, Strange GS, et al, eds. Emergency Medicine: An Approach to Clinical Problem-Solving. 2nd ed. Philadelphia, PA: Saunders. 2003; 185–206.
14. Bolognia JL,Schaffer JV,Cerroni L.Dermatology. 4th edition. China: Elsevier.2018.
15. Itin PH. Dermatologic Consultations in the Hospital Ward: The Skin, an Interdisciplinary Organ. Dermatology .2009;219:193‑94.
16. Arora PN, Aggarwal SK, Ramakrishnan SK. Analysis of dermatological referrals (a series of 662 cases from Base and Army Hospital complex). Indian J Dermatol. 1989;34:1-8.
17. Al-Hamamy H, Mohammed ZH. Pediatric Consultations to the Center of Dermatology and Venereology. Medical City Teaching Hospital During the Period from February 2017 till April 2018. Iraqi Academic Scientific Journal. 2019;18(2):141-7.
18. Hardwick N, Saxe N. Patterns of dermatology referrals in a general hospital. Br J Dermatol. 1986;115:167-76.
19. Falanga V, Schachner LA, Rae V, Ceballos PI, Gonzalez A, Liang G, et al. Dermatologic consultations in the hospital setting. Arch Dermatol. 1994;130:1022-5.
20. Itin PH. Impact of a department of dermatology within the global concept of a large hospital setting - analysis of 594 consultations requested by non-dermatologists. Dermatology. 1999;199:79.
21. Fischer m, Bergert H, Marsch WC. The dermatologic consultation. Hautarzt. 2004;55:543-8 .
22. Mancusi S, Festa Neto C. Inpatient dermatological consultations in a university hospital. Clinics. 2010;65:851-5.
Antic M, Conen D, Itin PH. Teaching effects of dermatological consultations on non-dermatologists in the field of internal medicine. A study of 1.290 inpatients. Dermatology. 2004;208:32-7.
23. De Koning MN, Ter Schegget J, Eekhof JA, et al. Evaluation of a novel broad-spectrum PCR-multiplex genotyping assay for identification of cutaneous wart-associated human papillomavirus types. J Clin Microbiol. 2010;48:1706–11.
24. Saleh R, Nada E, Hamed AF, Hussien WM. Epidemiologic Trends of Viral Skin Infections in Egypt: A Cross-Sectional Hospital-Based Study. Dermatology research and practice. 2019;2019:4.
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