Quiroz-Vergara José Carlos, Morales-Sánchez Martha Alejandra, Castillo-Rojas Gonzalo, López-Vidal Yolanda, Peralta-Pedrero María Luisa, Jurado-Santa Cruz Fermín, Ponce de León-Rosales Samuel
División de Investigación, Facultad de Medicina, Universidad Nacional Autónoma de México, Ciudad de México, México.
Programa de Inmunología Molecular Microbiana, Facultad de Medicina, Universidad Nacional Autónoma de México, Ciudad de México, México.
Gac Med Mex. 2017 May-Jun;153(3):335-343.
Psoriasis is an autoimmune skin disease that may be associated with articular manifestations, and the most common clinical presentation is the variety "in plaques". In Mexico, in the Centro Dermatológico Pascua, it is the eighth leading cause of consultation. The aim of this study was to determine the diagnostic process of patients in a reference center for diseases of the skin.
Performing an analytical cross-sectional study that included 100 patients where the diagnostic process was questioned, clinimetric scales were applied and evaluated anthropometric.
It was found that 70% of patients had taken over a month to get medical care (median: 3 months; IQR: 11 months), having consulted in 61% to a general physician as a doctor of first contact and 89% being diagnosed by a dermatologist. Eighty-eight percent of the patients were overweight or obese. We found as a factor of delay, a partnership with the variable of having an Institutional Medical Service (p = 0.019; U = 695.5).
it is necessary to design a system to shorten the diagnostic process, not only in psoriasis, in addition to emphasizing dermatological education.
银屑病是一种自身免疫性皮肤病，可能伴有关节表现，最常见的临床表现是“斑块状”。在墨西哥，在帕斯夸皮肤病中心，它是第八大就诊原因。本研究的目的是确定一家皮肤疾病参考中心患者的诊断过程。
进行一项分析性横断面研究，纳入100例对诊断过程有疑问的患者，应用临床计量量表并评估人体测量学指标。
发现70%的患者就医时间超过一个月（中位数：3个月；四分位间距：11个月），61%的患者首先咨询全科医生作为首诊医生，89%的患者由皮肤科医生诊断。88%的患者超重或肥胖。我们发现与拥有机构医疗服务这一变量相关是延误因素（p = 0.019；U = 695.5）。
有必要设计一个系统来缩短诊断过程，不仅针对银屑病，还要强调皮肤病学教育。
