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骨科疾病的皮肤科表现:诊断与治疗综述。

Dermatologic presentations of orthopedic pathologies: a review of diagnosis and treatment.

机构信息

Department of Urology, Georgetown University Hospital, Georgetown, Washington, DC, USA.

出版信息

Am J Clin Dermatol. 2012 Oct 1;13(5):293-310. doi: 10.2165/11595880-000000000-00000.

Abstract

Dermatologic presentations of orthopedic diseases are commonly encountered in the dermatology clinic. These disorders often necessitate prompt recognition in order to properly refer for definitive treatment as well as to avoid unnecessary diagnostic procedures. As such, the presentations of these diseases as well as the treatments available deserve special attention. This review aims to identify orthopedic diseases with dermatologic presentations and discuss the diagnosis and treatment of these pathologies. In conducting this review, a comprehensive literature search was conducted. Our inquiry was limited to conditions with a unitary orthopedic etiology. By excluding syndromic dysfunctions with both orthopedic and dermatologic manifestations, we were able to create a consistent approach to the review. At the same time, such exclusions created an omission of many important disease processes that require the cooperation of orthopedists and dermatologists. In all, 19 orthopedic disorders and disorder classes with dermatologic findings were identified and carefully examined. The orthopedic pathologies identified require varying diagnostic and therapeutic approaches. While some do not warrant further work-up or referral, the disease course of certain pathologies is drastically altered by timely recognition, cautious diagnostic interrogation, and prompt referral.

摘要

骨科疾病的皮肤表现在皮肤科诊所中很常见。这些疾病通常需要及时识别,以便正确转介进行明确治疗,并避免不必要的诊断程序。因此,这些疾病的表现以及可用的治疗方法值得特别关注。本综述旨在确定具有皮肤表现的骨科疾病,并讨论这些病理的诊断和治疗。进行这项综述时,我们进行了全面的文献检索。我们的查询仅限于具有单一骨科病因的病症。通过排除具有骨科和皮肤科表现的综合征性功能障碍,我们能够为综述创建一致的方法。同时,这种排除也遗漏了许多需要骨科医生和皮肤科医生合作的重要疾病过程。总共确定并仔细检查了 19 种具有皮肤表现的骨科疾病和疾病类别。所确定的骨科病理需要不同的诊断和治疗方法。虽然有些疾病不需要进一步的检查或转介,但某些病理的病程会因及时识别、谨慎的诊断询问和及时转介而发生明显改变。

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