Sharif Jennifer, McMullen Emma
Dermatology Speciality Trainee, Department of Dermatology, Salford Royal NHS Foundation Trust, Salford M6 8HD.
Dermatology Consultant, Department of Dermatology, Salford Royal NHS Foundation Trust, Salford.
Br J Hosp Med (Lond). 2018 Jul 2;79(7):378-383. doi: 10.12968/hmed.2018.79.7.378.
This article will help the general physician recognize and manage acute dermatology presentations. This can be challenging for non-dermatology doctors owing partly to the difficulty in providing an extensive dermatology undergraduate education and the lack of exposure to dermatology patients. The problem is further compounded at many hospital trusts because of the lack of on-site dermatology 'on-call'. The general physician must be able to recognize dermatology emergencies in order to provide initial management and maintain appropriate referrals to acute dermatology services. The emergency presentations discussed are erythroderma, life-threatening drug eruptions, cutaneous vasculitis, eczema herpeticum and bullous disorders.
本文将帮助普通内科医生识别和处理急性皮肤科病症。对于非皮肤科医生而言,这可能具有挑战性,部分原因在于提供广泛的皮肤科本科教育存在困难,且接触皮肤科患者的机会有限。由于许多医院信托机构缺乏现场皮肤科“随叫随到”服务,这个问题进一步恶化。普通内科医生必须能够识别皮肤科急症,以便进行初步处理并将患者适当地转诊至急性皮肤科服务部门。文中讨论的急症表现包括红皮病、危及生命的药物疹、皮肤血管炎、疱疹样湿疹和大疱性疾病。