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[基层医疗中的粉色糠疹。46例病例回顾]

[Pink pityriasis in primary care. Review of 46 cases].

作者信息

Castell Alcalá M V, Borbujo Martínez J, Olmos Carrasco O, De Antonio García M P, Toribio Dapena R, Casado Jiménez M

机构信息

Centro de Salud V Centenario, San Sebastián de los Reyes, Madrid.

出版信息

Aten Primaria. 1992 May 15;9(8):413-6.

PMID:1498231
Abstract

OBJECTIVE

We pretend to improve the knowledge and management of pityriasis rosea by family practitioners.

DESIGN

A retrospective qualitative study by the review of the registry in a outpatient Dermatology clinic.

SETTING

This work is made in the Dermatology clinic attending to San Sebastián de los Reyes population (Madrid) that's situated in the V Centenario Center.

MEASUREMENTS AND MAIN RESULTS

46 patients (28 females) were diagnosticated (mean age 25 +/- 13). Incidence was 85/100,000 hab; 12 patients were derivated urgently; 38 cases showed herald patch (82.6%). Lesions had characteristical distribution in 36 patients (78.3%); 43 cases had a clinic diagnosis (93.5%). Treatment wasn't necessary in 20 patients (43.5%). Most usual General Practitioner's presumption diagnosis was pityriasis rosea (21.7%); there was no diagnosis in 36.9%.

CONCLUSIONS

We find inexperience in general practitioners about pityriasis rosea. It's necessary a correct knowledge and management of this pathology in Primary Care.

摘要

目的

我们旨在提高家庭医生对玫瑰糠疹的认识和管理水平。

设计

通过回顾一家皮肤科门诊登记册进行的回顾性定性研究。

地点

这项工作在位于马德里圣塞瓦斯蒂安-德洛斯雷耶斯地区的V Centenario中心的皮肤科门诊进行。

测量与主要结果

共诊断出46例患者(28名女性)(平均年龄25±13岁)。发病率为85/10万居民;12例患者被紧急转诊;38例出现先驱斑(82.6%)。36例患者(78.3%)的皮损有特征性分布;43例有临床诊断(93.5%)。20例患者(43.5%)无需治疗。全科医生最常推测的诊断是玫瑰糠疹(21.7%);36.9%的病例未做出诊断。

结论

我们发现全科医生对玫瑰糠疹缺乏经验。初级保健中需要对这种疾病有正确的认识和管理。

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