Neloska Lenche, Damevska Katerina, Kuzmanova Andjelka, Pavleska Lidija, Kostov Milenko, Zovic Biljana Petreska
Gerontology Institute "13 November", Skopje, Republic of Macedonia.
Department of Dermatology, Medical Faculty, University "Ss Cyrilius and Methodius", Skopje, Republic of Macedonia.
J Dtsch Dermatol Ges. 2017 Jun;15(6):621-627. doi: 10.1111/ddg.13236. Epub 2017 May 17.
Numerous risk factors place palliative care patients at an increased risk of skin infections, dermatitis, and pressure sores. Furthermore, worsening of chronic skin disorders can be expected, as well as the development of treatment-induced and malignancy-related dermatoses. The objective of the present study was to investigate the prevalence and treatment of dermatological conditions in patients receiving hospital-based palliative care.
Two hundred seventy-one palliative patients were enrolled. All assessments were conducted by dermatologists. Skin lesions were classified into seven categories: infections, skin tumors, dermatitis, chronic wounds, nail and hair disorders, pruritus, and other unclassified conditions. Treatment modalities were classified as topical only or systemic.
Overall, 1,267 dermatological conditions were recorded, 49 % of which were hospital-acquired. All patients had at least one dermatological condition, and more than 50 different dermatological disorders were noted. The most common group of skin disorders was dermatitis (18.3 % of all dermatological conditions), followed by nail and hair disorders (17.5 %). Almost 16 % of dermatological conditions were treated systemically.
Dermatological conditions are a common and clinically significant problem for palliative patients. The inclusion of dermatologists in multidisciplinary palliative teams should prove helpful in the management of these patients.
众多风险因素使姑息治疗患者发生皮肤感染、皮炎和压疮的风险增加。此外，慢性皮肤病可能会恶化，治疗引起的皮肤病以及与恶性肿瘤相关的皮肤病也可能会出现。本研究的目的是调查接受住院姑息治疗患者的皮肤病患病率及治疗情况。
招募了271名姑息治疗患者。所有评估均由皮肤科医生进行。皮肤病变分为七类：感染、皮肤肿瘤、皮炎、慢性伤口、指甲和毛发疾病、瘙痒症以及其他未分类的情况。治疗方式分为仅局部治疗或全身治疗。
总体而言，共记录了1267例皮肤病，其中49%是医院获得性的。所有患者至少有一种皮肤病，共记录了50多种不同的皮肤病。最常见的皮肤疾病类型是皮炎（占所有皮肤病的18.3%），其次是指甲和毛发疾病（17.5%）。近16%的皮肤病采用全身治疗。
皮肤病是姑息治疗患者常见且具有临床意义的问题。将皮肤科医生纳入多学科姑息治疗团队对这些患者的管理应会有所帮助。
