Hall A P, Marks R
Royal Melbourne Hospital, Victoria.
Aust Fam Physician. 1999 Oct;28(10):1021-4.
Red scaly rashes often provide difficulties for GPs leading to a 'try and see' approach which, although successful on many occasions, may delay adequate treatment when there is lack of a correct diagnosis.
A study of 61 GPs' knowledge of the diagnosis and treatment of a number of red scaly rashes, was undertaken with the use of photographs and clinical history. The study highlighted areas of uncertainty particularly in diagnosis, but also in treatment of common red scaly rashes. On the basis of their responses, practical tips have been suggested to overcome them.
Simple diagnostic procedures that can be done within the general practice setting include biopsy, skin scrapings and fungal microscopy. They have been highlighted as an important component of the approach to diagnosis of common red scaly rashes. While the study showed a substantial proportion of correct treatment being recommended, there was still an area of need, particularly in diagnosis, which could be enhanced by learning these simple techniques.
红色鳞屑性皮疹常常给全科医生带来困难，导致采取“先试试看”的方法，这种方法虽然在很多情况下是成功的，但在缺乏正确诊断时可能会延误适当的治疗。
通过使用照片和临床病史，对61名全科医生关于多种红色鳞屑性皮疹的诊断和治疗知识进行了一项研究。该研究突出了不确定性领域，尤其是在常见红色鳞屑性皮疹的诊断方面，也包括治疗方面。根据他们的回答，提出了实用的建议以克服这些问题。
可在全科医疗环境中进行的简单诊断程序包括活检、皮肤刮屑和真菌显微镜检查。它们已被强调为常见红色鳞屑性皮疹诊断方法的重要组成部分。虽然该研究表明推荐的正确治疗比例相当大，但仍有需要改进的领域，特别是在诊断方面，通过学习这些简单技术可以得到加强。
