Chandy Navina P, Kaimal Resmi S
Department of Family Medicine, Lourdes Hospital, Kochi, Kerala, India.
J Family Med Prim Care. 2020 Sep 30;9(9):5066-5069. doi: 10.4103/jfmpc.jfmpc_761_20. eCollection 2020 Sep.
Dermatology is an area that appears at the top of general practitioners (GPs)' educational needs. Our curriculum in undergraduate classes is inadequate to equip us for the real clinical scenarios. Pediatric skin conditions pose a special dilemma to primary care practitioners. On the one hand, dermatologic problems are so common in childhood that the primary care physician is forced to become involved with many of them. On the other hand, the scope of dermatologic conditions found in children is so broad as to be beyond the skills of most primary care physicians. The secret to managing dermatologic problems in children within a primary care setting is to recognize that a relatively small group of conditions encompass the vast majority of reasons for which a primary care physician will be consulted. By recognizing those conditions and becoming expert in the treatment of these well-defined areas, the primary care physician can manage these better. Diagnosing pediatric skin conditions and recognizing the importance of early referral of the cases that fall outside one's expertise is an important measure of the primary care physician's competence as seen by patients and their families. In this article, I would like to highlight few pediatric dermatological cases that came to our family medicine clinic, where correct diagnosis and treatment led to good outcomes.
皮肤病学是全科医生（GP）教育需求中排在首位的领域。我们本科课程不足以让我们应对实际临床情况。儿科皮肤疾病给初级保健医生带来了特殊困境。一方面，皮肤病问题在儿童时期非常常见，以至于初级保健医生不得不处理其中许多问题。另一方面，儿童中发现的皮肤病范围非常广泛，超出了大多数初级保健医生的技能范围。在初级保健环境中管理儿童皮肤病问题的秘诀是认识到相对少数的病症涵盖了初级保健医生会被咨询的绝大多数原因。通过识别这些病症并成为这些明确领域治疗的专家，初级保健医生可以更好地管理这些问题。诊断儿科皮肤疾病并认识到将超出个人专业知识范围的病例尽早转诊的重要性，是患者及其家属眼中衡量初级保健医生能力的一项重要指标。在本文中，我想重点介绍一些到我们家庭医学诊所就诊的儿科皮肤病病例，在这些病例中，正确的诊断和治疗带来了良好的结果。
