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澳大利亚维多利亚州中部成年人常见非恶性皮肤病的发病率。

The frequency of common nonmalignant skin conditions in adults in central Victoria, Australia.

作者信息

Plunkett A, Merlin K, Gill D, Zuo Y, Jolley D, Marks R

机构信息

University of Melbourne, Department of Medicine, St Vincent's Hospital,Victoria, Australia.

出版信息

Int J Dermatol. 1999 Dec;38(12):901-8. doi: 10.1046/j.1365-4362.1999.00856.x.

Abstract

BACKGROUND

Nonmalignant skin conditions are believed to be common in adults, although there are very few community-based studies to determine their exact frequency.

OBJECTIVE

To record the prevalence of common, nonmalignant skin conditions in adults in central Victoria, Australia.

METHODS

A total of 1457 respondents from a random selection of adults aged 20 years and over from Maryborough, central Victoria, were given a total body examination by a dermatologist or dermatology trainee. People with any nail or skin signs suggestive of tinea had scrapings taken for fungal culture.

RESULTS

The age- and sex-adjusted prevalence of warts was 7.1% (95% confidence interval (CI), 5.8-8.4%), acne 12.8% (95% CI, 11.0-14.5%), atopic dermatitis 6.9% (95% CI, 5.6-8.3%), seborrheic dermatitis 9. 7% (95% CI, 8.2-11.2%), asteatotic dermatitis 8.6% (95% CI, 7.1-10. 0%), psoriasis 6.6% (95% CI, 5.7-7.9%), culture-positive tinea 12% (95% CI, 10.3-13.6%), seborrheic keratoses 58.2% (95% CI, 55.6-60. 7%), and Campbell de Morgan spots (cherry angiomas) 54.4% (95% CI, 51.9-57.0%). There was variation in the prevalence of many of these conditions with age.

CONCLUSIONS

This study demonstrates that nonmalignant skin conditions are common in adults in Australia. Their diagnosis and management represent a considerable burden not only to those suffering from the conditions, but also to the health system which provides for their care.

摘要

背景

尽管基于社区的研究很少能确定非恶性皮肤病在成年人中的准确发病率,但普遍认为其在成年人中很常见。

目的

记录澳大利亚维多利亚州中部成年人常见非恶性皮肤病的患病率。

方法

从维多利亚州中部的玛丽伯勒随机选取了1457名20岁及以上的成年人,由皮肤科医生或皮肤科实习医生进行全身检查。有任何提示癣的指甲或皮肤体征的人进行刮屑以进行真菌培养。

结果

经年龄和性别调整后的疣患病率为7.1%(95%置信区间(CI),5.8 - 8.4%),痤疮为12.8%(95%CI,11.0 - 14.5%),特应性皮炎为6.9%(95%CI,5.6 - 8.3%),脂溢性皮炎为9.7%(95%CI,8.2 - 11.2%),乏脂性皮炎为8.6%(95%CI,7.1 - 10.0%),银屑病为6.6%(95%CI,5.7 - 7.9%),培养阳性癣为12%(95%CI,10.3 - 13.6%),脂溢性角化病为58.2%(95%CI,55.6 - 60.7%),以及坎贝尔·德摩根斑(樱桃状血管瘤)为54.4%(95%CI,51.9 - 57.0%)。其中许多疾病的患病率随年龄有所变化。

结论

本研究表明非恶性皮肤病在澳大利亚成年人中很常见。它们的诊断和管理不仅给患者带来相当大的负担,也给提供护理的卫生系统带来负担。

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