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在牙买加一家三级学术医疗中心所见到的皮肤病谱。

The spectrum of skin diseases seen in a Jamaican tertiary academic medical center.

作者信息

East-Innis Althea D C, Chung-Stanley Maxine M, McNish Alicia J S, Fitz-Henley Michael S A

机构信息

Dermatology Unit, Department of Medicine, University of the West Indies, Mona, Jamaica.

出版信息

JAAD Int. 2021 Jul 30;4:59-64. doi: 10.1016/j.jdin.2021.06.003. eCollection 2021 Sep.

Abstract

BACKGROUND

The diversity of skin diseases seen in a dermatology clinic varies with the composition of the population.

OBJECTIVE

The aim was to document the spectrum of cutaneous disorders seen and the variation with sex, age, and seasons.

METHODS

This was a retrospective study on new patients attending an academic dermatology clinic in Jamaica during 2018. Disease frequencies and prevalence by sex, seasons, and age group were recorded.

RESULTS

There were 547 new patients with 329 females (60%) and 218 males (40%). The mean age was 36.8 years, ranging from 2 weeks old to 103 years old. The largest number of patients were in the third decade (20-29 years) (n = 139). More patients presented in the dry season and in spring and summer. The most common diagnoses were: seborrheic dermatitis (n = 65, 11.9%), acne (n = 56, 10.2%), and contact dermatitis (n = 38, 6.9%). The most common disease groups were dermatitis (n = 161, 29.4%), infections (n = 130, 23.8%), and inflammatory disorders (n = 129, 23.6%).

LIMITATIONS

The generalizability of our findings may be limited, and selection bias may play a role in patients choosing to attend an academic dermatology clinic.

CONCLUSIONS

Skin diseases varied with age, sex, and season with seborrheic dermatitis being most common.

摘要

背景

皮肤科诊所中所见皮肤病的多样性随人群构成而变化。

目的

旨在记录所见皮肤疾病的范围以及性别、年龄和季节的差异。

方法

这是一项对2018年牙买加一家学术性皮肤科诊所新患者的回顾性研究。记录了按性别、季节和年龄组划分的疾病频率和患病率。

结果

共有547名新患者,其中女性329名(60%),男性218名(40%)。平均年龄为36.8岁,年龄范围从2周大至103岁。患者人数最多的是第三个十年(20 - 29岁)(n = 139)。更多患者在旱季以及春季和夏季就诊。最常见的诊断为:脂溢性皮炎(n = 65,11.9%)、痤疮(n = 56,10.2%)和接触性皮炎(n = 38,6.9%)。最常见的疾病类别为皮炎(n = 161,29.4%)、感染(n = 130,23.8%)和炎症性疾病(n = 129,23.6%)。

局限性

我们研究结果的可推广性可能有限,选择偏倚可能在患者选择前往学术性皮肤科诊所就诊中起作用。

结论

皮肤病随年龄、性别和季节而变化,脂溢性皮炎最为常见。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8916/8361907/6a99af8c4d1a/gr1.jpg

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