Kaliyadan Feroze, Ashique Karalikkattil T, Jagadeesan Soumya
Department of Dermatology, College of Medicine, King Faisal University, Hofuf, Saudi Arabia.
Department of Dermatology, KIMS AL Shifa Super Speciality Hospital, Perinthalmanna, Kerala, India.
Indian J Dermatol Venereol Leprol. 2018 Jan-Feb;84(1):120. doi: 10.4103/ijdvl.IJDVL_122_17.
Dermoscopy is being increasingly used for improving dermatological diagnosis. Use of dermoscopy in the early recognition of skin malignancies, especially melanoma, is well established. Of late, its use in general clinical dermatology is growing with the recognition of new and specific patterns in conditions such as hair disorders, inflammatory disorders, and infections/infestations. This cross-sectional survey aims to assess the common patterns of dermoscopy use by Indian dermatologists.
This was across-sectional survey. An online questionnaire was used to collect data. The questionnaire focused on the frequency of dermoscopy use by Indian dermatologists, reasons for using it or not, and the training they had received on dermoscopy.
Of the total 150 valid responses, eighty two (54.7%) participants reported that they were using dermoscopy routinely in their clinical practice. Lack of familiarity and lack of proper training were the important reasons cited for not using dermoscopy regularly. Among the dermatologists using dermoscopy, consensus on effectiveness was highest for hair disorders.
Dermoscopy use by dermatologists in India is mainly in the context of inflammatory dermatosis and hair disorders rather than skin tumors. Lack of familiarity with the technique appears to be main factor limiting the use of dermoscopy in India.
Small sample size is the major limitation of this study. It is possible that a large number of dermatologists who do not use dermoscopy might not have responded to the survey, there by affecting the results and their interpretation.
皮肤镜检查在改善皮肤病诊断方面的应用越来越广泛。皮肤镜检查在皮肤恶性肿瘤尤其是黑色素瘤的早期识别中的应用已得到充分证实。近来,随着在毛发疾病、炎症性疾病以及感染/寄生虫感染等病症中发现新的特定模式,其在普通临床皮肤科中的应用也在不断增加。这项横断面调查旨在评估印度皮肤科医生使用皮肤镜检查的常见模式。
这是一项横断面调查。通过在线问卷收集数据。问卷重点关注印度皮肤科医生使用皮肤镜检查的频率、使用或不使用的原因以及他们接受的皮肤镜检查培训。
在总共150份有效回复中,八十二名(54.7%)参与者报告称他们在临床实践中常规使用皮肤镜检查。不熟悉和缺乏适当培训是未定期使用皮肤镜检查的重要原因。在使用皮肤镜检查的皮肤科医生中,对毛发疾病有效性的共识最高。
印度皮肤科医生使用皮肤镜检查主要是在炎症性皮肤病和毛发疾病方面,而非皮肤肿瘤方面。对该技术的不熟悉似乎是限制印度皮肤镜检查使用的主要因素。
样本量小是本研究的主要局限性。可能有大量不使用皮肤镜检查的皮肤科医生未对调查做出回应,从而影响结果及其解读。