Schaefer I, Rustenbach S J, Zimmer L, Augustin M
Department of Dermatology, German Center for Health Services Research in Dermatology, University Clinics of Hamburg, Hamburg, Germany.
Dermatology. 2008;217(2):169-72. doi: 10.1159/000136656. Epub 2008 Jun 5.
Epidemiological data are important for planning medical care. Thus far, only few prevalence data for skin diseases have been published in Germany, most of them not population based.
Estimation of prevalences of common skin diseases in a sample of employees of German companies.
Whole-body examinations were performed by trained dermatologists in 150 companies as part of skin cancer screenings. Using a standardized and computerized data entry, all clinical dermatological findings were documented. Explicitly skin lesions requiring current treatment were noted. The retrospective evaluation of the data was descriptive, using the diagnoses defined a priori in the data entry mask.
48,665 persons (52.8% male) with a mean age of 43.2 years were examined. The following frequencies of chronic and acute inflammatory skin diseases were observed: contact eczema 8.9%, acne 4.2%, seborrhoeic eczema 3.4%, rosacea 2.2%, psoriasis vulgaris 2.1%, atopic eczema 1.4% and lichen ruber 0.07%. In total, dermatological findings needing treatment were observed in 19% of the study cohort; 1.3% of the participants presented a suspicious finding requiring diagnostics for skin malignoma.
There is a high frequency of chronic inflammatory skin diseases in the general working population and a high need for dermatological treatment.
流行病学数据对医疗规划很重要。到目前为止，德国仅发表了少数皮肤病患病率数据，其中大多数并非基于人群。
估计德国公司员工样本中常见皮肤病的患病率。
作为皮肤癌筛查的一部分，由训练有素的皮肤科医生在150家公司对员工进行全身检查。使用标准化的计算机化数据录入方式记录所有临床皮肤科检查结果。特别记录了需要当前治疗的皮肤病变。使用数据录入模板中预先定义的诊断对数据进行回顾性描述性评估。
共检查了48,665人（男性占52.8%），平均年龄43.2岁。观察到以下慢性和急性炎症性皮肤病的发病率：接触性湿疹8.9%，痤疮4.2%，脂溢性皮炎3.4%，酒渣鼻2.2%，寻常型银屑病2.1%，特应性皮炎1.4%，红皮病0.07%。在研究队列中，总共19%的人有需要治疗的皮肤科检查结果；1.3%的参与者有可疑发现，需要对皮肤恶性肿瘤进行诊断。
普通劳动人群中慢性炎症性皮肤病的发病率很高，对皮肤科治疗的需求也很高。
