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皮肤科门诊患者日光性角化病的患病率。

Prevalence of actinic keratosis in patients attending the dermatology outpatient clinic.

作者信息

Yaldiz Mahizer

机构信息

Department of Dermatology, Sakarya Training and ResearchHospital, Sakarya, Turkey.

出版信息

Medicine (Baltimore). 2019 Jul;98(28):e16465. doi: 10.1097/MD.0000000000016465.

Abstract

Actinic keratoses (AKs) are precancerous epidermal lesions that develop on sensitive, frequently sun-exposed skin surfaces. There are very little data regarding AK prevalance. The aim of this study was to investigate the prevalence of AK and related conditions among patients in a dermatology outpatient clinic.Patients attending our dermatology outpatient clinic between January 1, 2015 and December 31, 2017 were evaluated retrospectively usingan automated system. A total of 54,786 patients aged ≥30 years attending the dermatology outpatient clinic were included in the study. We identified 1375 patients diagnosed with AK.In our study, the AK prevalence was 0.01% for patients between 30 and 39 years of age, 0.45% for patients between 40 and 49 years of age, 1.77% for patients between 50 and 59 years of age, 4.61% for patients between 60 and 69 years of age, 9.38% for patients between 70 and 79 years of age, and 14.57% for patients ≥80 years. AK prevalence was 2.50% among patients of all ages.The exposure to sunlight is excessive due to the geographical location of our country. Due to the tendency of AKs to convert to malignancies, the identification of patients at high risk for AK development and the identification of high-risk anatomical regions are important to establish the basis of effective screening programs to support public health.

摘要

光化性角化病(AK)是发生在敏感且经常暴露于阳光下的皮肤表面的癌前表皮病变。关于AK患病率的数据非常少。本研究的目的是调查皮肤科门诊患者中AK及相关病症的患病率。使用自动化系统对2015年1月1日至2017年12月31日期间在我们皮肤科门诊就诊的患者进行回顾性评估。共有54786名年龄≥30岁的皮肤科门诊患者纳入本研究。我们确定了1375名被诊断为AK的患者。在我们的研究中,30至39岁患者的AK患病率为0.01%,40至49岁患者为0.45%,50至59岁患者为1.77%,60至69岁患者为4.61%,70至79岁患者为9.38%,80岁及以上患者为14.57%。所有年龄段患者的AK患病率为2.50%。由于我国的地理位置,阳光照射过度。由于AK有转变为恶性肿瘤的倾向,识别AK发生的高危患者以及识别高危解剖区域对于建立支持公共卫生的有效筛查计划的基础很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59a5/6641668/b37db4cc7ea5/medi-98-e16465-g002.jpg

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