Manuelyan Karen L, Bogdanov Ivan A, Darlenski Razvigor B
Department of Dermatology and Venereology, Prof. Dr. Stoyan Kirkovich University Hospital, Faculty of Medicine, Trakia University, Stara Zagora, Bulgaria.
Department of Dermatology and Venereology, Tokuda Hospital, Acibadem City Clinic, Sofia, Bulgaria.
G Ital Dermatol Venereol. 2017 Oct;152(5):489-499. doi: 10.23736/S0392-0488.17.05719-4. Epub 2017 Jul 26.
In recent years, emphasis on the physical examination has made way for a plethora of laboratory tests and sophisticated imaging diagnostic techniques. In addition, we are witnessing an underestimation of dermatology as a specialty around the world, which is accepted as an ambulatory specialty on the border of cosmetology and beautification. However, recognizing specific cutaneous clinical signs can facilitate timely diagnosis of various systemic infections and neoplastic diseases. Thus, a skilled dermatologist can play an essential role in the multidisciplinary team, involved in the care for systemically ill patients. In this article, we will focus on some life threatening systemic infections in which the skin changes can be a major clue for the diagnosis. Recent deadly epidemics will also be focused. Classic examples of paraneoplastic skin conditions will also be provided.
近年来，对体格检查的重视已被大量的实验室检查和先进的影像诊断技术所取代。此外，我们目睹了全球范围内皮肤科作为一门专科被低估的情况，皮肤科被视为处于美容和美化边缘的门诊专科。然而，识别特定的皮肤临床体征有助于及时诊断各种全身感染和肿瘤性疾病。因此，技术娴熟的皮肤科医生在参与系统疾病患者护理的多学科团队中可以发挥重要作用。在本文中，我们将重点关注一些危及生命的全身感染，其中皮肤变化可能是诊断的主要线索。近期的致命流行病也将被重点关注。还将提供副肿瘤性皮肤疾病的典型例子。
