Pendlebury Gehan A, Oro Peter, Ludlow Kerstyn, Merideth Drew, Haynes William, Shrivastava Vikas
Dermatology, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Davie, USA.
Internal Medicine, School of Osteopathic Medicine in Arizona, A.T. Still University, Mesa, USA.
Cureus. 2023 Jan 2;15(1):e33274. doi: 10.7759/cureus.33274. eCollection 2023 Jan.
Despite skin being the largest and most exposed organ of the human body, skin issues can be challenging to diagnose in deployed military service members. Common reasons deployed soldiers seek dermatological evaluation include infections, inflammatory skin conditions, and skin growth. Due to limited access to specialized care in deployed settings, dermatological conditions are undertreated and underdiagnosed. As a result, dermatological conditions are a leading contributor to decreased combat effectiveness among deployed medical forces. To lessen the burden of dermatological diseases, military providers should promptly identify operational skin diseases and alleviate modifiable barriers faced by service members. In a post-pandemic era with novel Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and monkeypox infections, the duty to effectively treat operational skin lesions is ever important. The need for military dermatologists continues to rise as the global landscape continues to evolve with unprecedented infections and increased bioterrorism threats. Teledermatology offers many solutions to mitigate the high demand for dermatologists during pandemics. Dermatological consultations account for the highest number of telemedicine visits in the US Military Health System (MHS). As such, increased utilization of teledermatology will reduce infection-related dermatological sequelae and prevent the medical evacuation of service members from military operations. This review collates and categorizes relevant dermatological conditions encountered among deployed personnel. This report outlines the standard of care and modified treatments recommended according to potential barriers faced in operational settings.
尽管皮肤是人体最大且暴露最多的器官,但在部署的军事人员中,皮肤问题可能难以诊断。部署士兵寻求皮肤科评估的常见原因包括感染、炎症性皮肤病和皮肤增生。由于在部署环境中获得专科护理的机会有限,皮肤病往往治疗不足且诊断不足。因此,皮肤病是导致部署的医疗部队战斗力下降的主要因素。为减轻皮肤病负担,军事医疗人员应及时识别作战性皮肤病,并消除军人面临的可改变的障碍。在新型严重急性呼吸综合征冠状病毒2(SARS-CoV-2)和猴痘感染的大流行后时代,有效治疗作战性皮肤损伤的责任变得尤为重要。随着全球形势因前所未有的感染和生物恐怖主义威胁增加而不断演变,对军事皮肤科医生的需求持续上升。远程皮肤病学提供了许多解决方案,以缓解大流行期间对皮肤科医生的高需求。皮肤科会诊在美国军事卫生系统(MHS)的远程医疗就诊中占比最高。因此,增加远程皮肤病学的应用将减少与感染相关的皮肤病后遗症,并防止军人因皮肤病而从军事行动中后送。本综述对部署人员中遇到的相关皮肤病情况进行了整理和分类。本报告概述了根据作战环境中面临的潜在障碍推荐的护理标准和改良治疗方法。