Department of Dermatology, University of California at San Francisco School of Medicine, 1701 Divisadero Street, San Francisco, CA 94143-0316, USA.
Clin Dermatol. 2012 Sep-Oct;30(5):496-500. doi: 10.1016/j.clindermatol.2011.06.019.
Ethical issues commonly arise in inpatient dermatology consultations. We describe the case of an inpatient suffering from a severe, undiagnosable skin condition that raises key principles of medical ethics. The four principles include autonomy, nonmaleficence, beneficence, and justice. Ethical situations faced by inpatient dermatologists are similar to those experienced by medicine hospitalists, as compared with outpatient dermatologists, given the unique clinical setting in which inpatient dermatology is practiced. Other inpatient services, colleagues, and ethics committees are useful resources for inpatient dermatologists faced with difficult ethical situations.
住院皮肤科会诊中常会出现伦理问题。我们描述了一位患有严重、无法诊断的皮肤病患者的案例，该病例提出了医学伦理学的关键原则。这四个原则包括自主性、不伤害、有益和公正。与门诊皮肤科医生相比，住院皮肤科医生面临的伦理情况与内科医院医生相似，因为住院皮肤科的临床环境独特。其他住院服务、同事和伦理委员会是住院皮肤科医生在面临困难的伦理情况时的有用资源。
