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皮肤科与风湿病联合门诊的经验:一项回顾性研究。

Experiences From a Combined Dermatology and Rheumatology Clinic: A Retrospective Review.

作者信息

Samycia Michael, McCourt Collette, Shojania Kam, Au Sheila

机构信息

Department of Dermatology and Skin Science, University of British Columbia, Vancouver, Canada

Department of Dermatology, Royal Victoria Hospital, Belfast Health and Social Care Trust, Belfast, Northern Ireland.

出版信息

J Cutan Med Surg. 2016 Sep;20(5):486-9. doi: 10.1177/1203475416649138. Epub 2016 May 4.

Abstract

BACKGROUND

The Dermatology and Rheumatology Treatment Clinic is a novel multidisciplinary clinic where patients are concomitantly assessed by a rheumatologist and dermatologist.

OBJECTIVES

To determine the number of patients seen in clinic, patient demographics, and most common diagnoses.

METHOD

A retrospective review was performed over a 2-year period. Data collected included patient age, sex, dermatologic diagnosis, rheumatologic diagnosis, biopsies performed, and number of follow-up visits.

RESULTS

A total of 320 patients were seen (78% female, 22% male). The most common rheumatologic diagnoses were systemic lupus erythematosus (18%), rheumatoid arthritis (15%), psoriatic arthritis (13%), and undifferentiated connective tissue disease (8%). The most common dermatologic diagnoses were dermatitis (17%), psoriasis (11%), cutaneous lupus (7%), various types of alopecia (6%), and infections (5%).

CONCLUSIONS

Skin diagnoses were often unrelated to the underlying rheumatologic diagnosis. Rheumatologists and dermatologists can both benefit from being aware of the dermatologic conditions that rheumatologic patients are experiencing.

摘要

背景

皮肤科与风湿病治疗诊所是一家新型的多学科诊所,患者在此会同时接受风湿病学家和皮肤科医生的评估。

目的

确定诊所接待的患者数量、患者人口统计学特征以及最常见的诊断。

方法

进行了为期2年的回顾性研究。收集的数据包括患者年龄、性别、皮肤病诊断、风湿病诊断、所做的活检以及随访次数。

结果

共接待了320名患者(78%为女性,22%为男性)。最常见的风湿病诊断为系统性红斑狼疮(18%)、类风湿关节炎(15%)、银屑病关节炎(13%)和未分化结缔组织病(8%)。最常见的皮肤病诊断为皮炎(17%)、银屑病(11%)、皮肤狼疮(7%)、各种类型的脱发(6%)和感染(5%)。

结论

皮肤诊断通常与潜在的风湿病诊断无关。风湿病学家和皮肤科医生都可以从了解风湿病患者所患的皮肤病状况中受益。

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