Department of Dermatology and Allergology, Specialized Hospital Bad Bentheim, Bad Bentheim, Germany.
J Dtsch Dermatol Ges. 2021 Feb;19(2):248-262. doi: 10.1111/ddg.14428. Epub 2021 Feb 3.
The therapy of chronic skin diseases is challenging for both the dermatologist and the patient. Current standards of therapy and individual circumstances of the patient have to be considered. Furthermore, chronic skin diseases are often associated with comorbidities that require treatment adapted to the individual. Therefore, optimal education of the patient and a holistic concept of therapy are needed, in many cases in collaboration with various medical disciplines. In this case, rehabilitation provides an opportunity to address important aspects such as comorbidities, psychosocial burden and limitations at work, in addition to treating the underlying disease. This article describes the differences between acute and rehabilitation health care in dermatology, and illustrates the importance of rehabilitation in dermatology, based on examples of chronic inflammatory skin diseases, chronic pruritus and dermato-oncological diseases.
慢性皮肤病的治疗对皮肤科医生和患者都是一个挑战。需要考虑当前的治疗标准和患者的个体情况。此外，慢性皮肤病常伴有需要根据个体情况进行治疗的合并症。因此，需要对患者进行最佳的教育，并采取整体治疗方案，在许多情况下需要与多个医学学科合作。在这种情况下，康复治疗除了治疗基础疾病外，还为解决合并症、心理社会负担和工作限制等重要方面提供了机会。本文通过慢性炎症性皮肤病、慢性瘙痒和皮肤肿瘤性疾病的例子，描述了皮肤科中急性保健和康复保健之间的差异，并说明了康复在皮肤科中的重要性。
