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2023年土耳其和叙利亚地震后的皮肤病学症状演变:来自受灾地区的见解

Evolving dermatological complaints following the 2023 Turkey and Syria earthquake: insights from a disaster-affected region.

作者信息

Yucesoy Sera Nur, Temiz Koray, Ak Tumay

机构信息

Department of Dermatology, Hassa State Hospital, Hatay, Turkey.

Department of Plastic Reconstructive and Aesthetic Surgery, Iskenderun State Hospital, Hatay, Turkey.

出版信息

Arch Dermatol Res. 2025 Apr 7;317(1):682. doi: 10.1007/s00403-025-04195-x.

DOI:10.1007/s00403-025-04195-x
PMID:40195136
Abstract

Natural disasters, such as earthquakes, significantly impact public health, including dermatological conditions. This study aimed to evaluate the dermatological complaints of patients who presented to the dermatology outpatient clinic of Hatay Hassa State Hospital following the February 2023 Turkey and Syria earthquake. This retrospective descriptive study analyzed dermatological complaints between April 2023 and January 2024. Patients were categorized into three time periods: Group 1 (April-June 2023), Group 2 (July-September 2023), and Group 3 (October 2023-January 2024). Complaints were classified into 17 groups, and temporal trends were analyzed. A total of 5103 patients were included, with a female predominance (60.7%) and a median age of 26 years (IQR: 18-43). Infections and infestations (Group 1) were the most frequent complaints throughout the study, peaking immediately after the earthquake (38%). Acne (Group 2) and neurocutaneous disorders showed temporal declines, while hair disorders (Group 14) and disorders due to physical agents (Group 13) exhibited seasonal peaks. Hygiene challenges, communal living, and stress were identified as contributing factors to the observed trends. Scabies outbreaks were notable, underscoring the importance of treatment algorithms and national guidelines in managing infectious skin diseases. Dermatological complaints in post-disaster settings evolve over time, reflecting the interplay of environmental, psychological, and seasonal factors. Integrating hygiene interventions and evidence-based dermatological care into disaster response strategies is critical for addressing both acute and chronic conditions. Future research should explore the psychological dimensions of dermatological health in disaster-affected populations.

摘要

地震等自然灾害对公众健康有重大影响,包括皮肤病方面。本研究旨在评估2023年2月土耳其和叙利亚地震后前往哈塔伊哈萨州立医院皮肤科门诊就诊患者的皮肤问题。这项回顾性描述性研究分析了2023年4月至2024年1月期间的皮肤问题。患者被分为三个时间段:第1组(2023年4月至6月)、第2组(2023年7月至9月)和第3组(2023年10月至2024年1月)。皮肤问题被分为17组,并分析了时间趋势。共纳入5103名患者,女性占多数(60.7%),中位年龄为26岁(四分位间距:18 - 43岁)。感染和寄生虫病(第1组)是整个研究中最常见的问题,在地震后立即达到峰值(38%)。痤疮(第2组)和神经皮肤疾病呈时间性下降,而毛发疾病(第14组)和物理因素导致的疾病(第13组)出现季节性峰值。卫生挑战、集体生活和压力被确定为导致观察到的趋势的因素。疥疮爆发值得关注,凸显了治疗算法和国家指南在管理感染性皮肤病方面的重要性。灾后环境中的皮肤问题随时间演变,反映了环境、心理和季节因素的相互作用。将卫生干预措施和循证皮肤病护理纳入灾害应对策略对于解决急性和慢性疾病至关重要。未来的研究应探索受灾人群皮肤健康的心理层面。

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