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皮肤病学的三重困境

A Triad of Dermatologic Dilemmas.

作者信息

Griffith R Stephen

机构信息

R. Stephen Griffith, MD, MSMA meber since 2011, is Associate Professor, University of Missouri - Kansas City, Department of community of family Medicine and Truman Medical Center-Lakewood.

出版信息

Mo Med. 2016 Jul-Aug;113(4):288-292.

PMID:30228480
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6139919/
Abstract

The U.S. health care system relies on primary care physicians to provide the majority of the dermatologic care-dermatologists see an estimated 30-40% of patients with dermatologic issues.1 Issues related to skin and mucous membrane conditions account for an estimated 8% of all visits to Family Physicians.2 Thus the primary care physician must be prepared to assess patients' with conditions benign or malignant, cosmetic or grave, irritants or harbingers of systemic illness, pathological or normal variant. In this article, three commonly seen and difficult to treat conditions will be reviewed.

摘要

美国医疗保健系统依赖初级保健医生提供大部分皮肤科护理——皮肤科医生诊治的皮肤病患者估计占30%-40%。1 皮肤和黏膜疾病相关问题估计占家庭医生所有诊疗病例的8%。2 因此,初级保健医生必须准备好评估患有良性或恶性、美容或严重、刺激性或全身性疾病先兆、病理性或正常变异疾病的患者。本文将对三种常见且难以治疗的疾病进行综述。

相似文献

1
A Triad of Dermatologic Dilemmas.皮肤病学的三重困境
Mo Med. 2016 Jul-Aug;113(4):288-292.
2
Diagnosis of skin disease by nondermatologists.非皮肤科医生对皮肤病的诊断。
Am J Manag Care. 2000 Oct;6(10):1149-56.
3
Only 33% of visits for skin disease in the US in 1995 were to dermatologists: is decreasing the number of dermatologists the appropriate response?1995年在美国,因皮肤病就诊的患者中只有33%是去看皮肤科医生的:减少皮肤科医生的数量是合适的应对措施吗?
Dermatol Online J. 1998 Oct;4(1):3.
4
Top dermatologic conditions in patients of color: an analysis of nationally representative data.有色人种患者的常见皮肤病:基于全国代表性数据的分析
J Drugs Dermatol. 2012 Apr;11(4):466-73.
5
6
Top dermatologic diagnoses by age.按年龄划分的顶级皮肤病诊断。
Dermatol Online J. 2014 Apr 16;20(4):22368.
7
Dermatologic disease in family medicine.家庭医学中的皮肤病
Fam Med. 2008 Jul-Aug;40(7):507-11.
8
Current issues in dermatologic office-based surgery. The American Academy of Dermatology Joint AAD/ASDS Liaison Committee.
Dermatol Surg. 1999 Oct;25(10):806-15.
9
Dermatologists and office-based care of dermatologic disease in the 21st century.21世纪皮肤科医生与皮肤科疾病的门诊护理
J Investig Dermatol Symp Proc. 2004 Mar;9(2):126-30. doi: 10.1046/j.1087-0024.2003.09108.x.
10
The most common dermatologic problems identified by family physicians, 1990-1994.1990 - 1994年家庭医生所诊断出的最常见皮肤病问题。
Fam Med. 1997 Oct;29(9):648-52.

本文引用的文献

1
Common anorectal conditions: evaluation and treatment.常见肛肠疾病:评估与治疗
Curr Gastroenterol Rep. 2014 Oct;16(10):408. doi: 10.1007/s11894-014-0408-y.
2
Significant association of deficiencies of hemoglobin, iron, vitamin B12, and folic acid and high homocysteine level with recurrent aphthous stomatitis.血红蛋白、铁、维生素B12和叶酸缺乏以及高同型半胱氨酸水平与复发性阿弗他口炎显著相关。
J Oral Pathol Med. 2015 Apr;44(4):300-5. doi: 10.1111/jop.12241. Epub 2014 Jul 22.
3
Recurrent aphthous stomatitis.复发性阿弗他口炎
Dent Clin North Am. 2014 Apr;58(2):281-97. doi: 10.1016/j.cden.2013.12.002. Epub 2014 Jan 21.
4
Clinical assessment of disease severity in recurrent aphthous stomatitis.复发性阿弗他口腔溃疡疾病严重程度的临床评估。
J Oral Pathol Med. 2013 Sep;42(8):635-41. doi: 10.1111/jop.12059. Epub 2013 Mar 19.
5
Evaluation and management of common anorectal conditions.常见肛肠疾病的评估与处理。
Am Fam Physician. 2012 Mar 15;85(6):624-30.
6
Recurrent aphthous stomatitis: a review.复发性阿弗他口炎:综述。
J Oral Pathol Med. 2012 Sep;41(8):577-83. doi: 10.1111/j.1600-0714.2012.01134.x. Epub 2012 Mar 13.
7
Angular cheilitis, part 2: nutritional, systemic, and drug-related causes and treatment.口角炎,第二部分:营养、全身及药物相关病因与治疗
Cutis. 2011 Jul;88(1):27-32.
8
Angular cheilitis, part 1: local etiologies.
Cutis. 2011 Jun;87(6):289-95.
9
Pruritus ani: etiology and management.肛门瘙痒症:病因与治疗。
Surg Clin North Am. 2010 Feb;90(1):125-35, Table of Contents. doi: 10.1016/j.suc.2009.09.007.
10
Dermatologic disease in family medicine.家庭医学中的皮肤病
Fam Med. 2008 Jul-Aug;40(7):507-11.