Araştırma Makalesi
BibTex RIS Kaynak Göster

Pediatri Departmanlarından Dermatoloji Polikliniğine yönlendirilen konsültasyon olgularının analizi: Retrospektif Çalışma

Yıl 2019, Cilt: 9 Sayı: 4, 300 - 303, 31.12.2019

Munise Daye Selami Aykut Temız Yasemin Durduran Sukru Balevı Recep Dursun Arzu Ataseven İlkay Ozer

https://doi.org/10.33808/clinexphealthsci.515842
Cited By: 3

Öz

Giriş: Çocuklarda
dermatozlar, diğer sistemik hastalıkların deri tutulumları nadir değildir. Bu
olgular dermatozlarıyla ilk olarak pediatristlere başvurabilmektedirler.
Pediatristlerin çocukluk çağı dermatozlarını tanıması ve gereğinde tanı, tedavi
için uygun dermatolojik konsültasyon istemesi önemlidir.



Amaç: Literatürde
Pediatri Anabilim Dalı'ndan talep edilen dermatoloji konsültasyonları hakkında
birkaç çalışma bulunmaktadır. Bu çalışmada, Çocuk Sağlığı ve Hastalıkları
Anabilim Dalı'ndan Dermatoloji Anabilim Dalı'na başvuran hastaların klinik
özellikleri, ön tanı ve dermatolojik tanılarının değerlendirilmesi ve klinikler
arasındaki farklı yaklaşımların saptanması amaçlanmıştır.



Yöntemler: 1 Eylül
2016- 1 Eylül 2017 tarihleri arasında hastanemiz çocuk sağlığı ve hastalıkları
birimlerinden istenen dermatoloji konsültasyon olguları retrospektif olarak
listelenerek değerlendirildi. Çalışma için etik kurul onayı alındı.



Bulgular: Olguların
yaş ortalaması 7,4±5,3 yıldı. Değerlendirilen 628 olgunun 52,1%’i erkekti.
Olguların 85%’i poliklinik, 15%’i servisten istenenlerdi. Konsültasyonlar en
çok genel pediatri 28,7%, çocuk acil 17,5% birimlerinden istenmekteydi.
Dermatolojide olgular değerlendirildikten sonra en sık konulan tanı grupları
28,2% ile ekzema, 13,2% viral hastalıklar, 8,4% paraziter hastalıklar, 5,4%
mantar hastalıklarıydı. Servisten gelen konsültasyonlarda doğru ön tanı oranı
poliklinik hastalarına göre anlamlı derecede yüksek (p<0.001) olsa da, tüm
olguların 42,7%’si yanlış ön tanı ile dermatoloji polikliniğine
yönlendirilmişti.



Sonuç: Dermatoloji
konsültasyonu istenen olguların yarısına yakınında yanlış dermatolojik ön tanı
ile konsültasyon istendiği saptandı. Pediatristlerin dermatozları tanımakta
zorlandıkları görüldü. Pediatrik Dermatoloji’nin her iki uzmanlık dalı içinde
farkındalığının arttırılması gerektiği düşünüldü.

Anahtar Kelimeler

Pediatrik dermatoloji dermatoloji konsültasyonu dermatoloji

Kaynakça

  • Referans1. Sacchidanand S, Sahana MS, Asha GS, Shilpa K. Pattern of pediatric dermatosis at a referral centre. Indian J Pediatr. 2014;81(4),375-380.
  • Referans2. Thappa DM. Common skin problems in children. Indian J Pediatr. 2002;69(8),701-706.
  • Referans3. Fofana Y, Traore B, Dicko A, Faye O, Berthe S, Cisse L, et al. Epidemio-clinical profile of dermatoses in children receiving dermatological consultation in the Department of Dermatology at the National Center for Disease Control in Bamako. Pan Afr Med J. 2016;25,238-238.
  • Referans4. Srinivas SM, Hiremagalore R, Venkataramaiah LD, Premalatha R. Pediatric dermatology inpatient consultations: a retrospective study. Indian J Pediatr. 2015;82(6):541-4.
  • Referans5. McMahon P, Goddard D, Frieden IJ. Pediatric dermatology inpatient consultations: a retrospective study of 427 cases. J Am Acad Dermatol. 2013;68(6):926-31.
  • Referans6. Bauer J, Maroon M. Dermatology inpatient consultations: a retrospective study. J Am Acad Dermatol. 2010;62(3),518-519.
  • Referans7. Adışen E, Ünal S, Gürer MA. Dermatology Consultations. TURKDERM-Archieves of The Turkish Dermatology and Venerology 2006;40(4),126-129.
  • Referans8. Gupta S, Sandhu K, Kumar B. Evaluation of emergency dermatological consultations in a tertiary care centre in North India. J Eur Acad Dermatol Venereol. 2003;17(3):303-5.
  • Referans9. Falanga V, Schachner LA, Rae V, Ceballos PI, Gonzalez A, Liang G, et al. Dermatologic consultations in the hospital setting. Arch Dermatol. 1994;130(8),1022-1025.
  • Referans10. Penate Y, Guillermo N, Melwani P, Martel R, Borrego L. Dermatologists in hospital wards: an 8-year study of dermatology consultations. Dermatology. 2009;219(3),225-231.
  • Referans11. Afsar FS. Analysis of pediatric dermatology inpatient consultations in a pediatric teaching hospital. Arch Argent Pediatr. 2017;115(6),377-84.
  • Referans12. Storan ER, McEvoy MT, Wetter DA, el‐Azhary RA, Hand JL, Davis DM, et al. Pediatric hospital dermatology: experience with inpatient and consult services at the Mayo Clinic. Pediatr Dermatol. 2013;30(4):433-7.
  • Referans13. Moon AT, Castelo-Soccio L, Yan AC. Emergency department utilization of pediatric dermatology (PD) consultations. J Am Acad Dermatol. 2016;74(6):1173-7.
  • Referans14. Auvin S, Imiela A, Catteau B, Hue V, Martinot A. Pediatric skin disorders encountered in an emergency hospital facility: a prospective study. Acta Derm Venereol. 2004;84(6):451-454.
  • Referans15. Yerebakan Ö, Altunay İ, Köslü A. Evaluation of the consultations requested from the dermatology clinic. The Medical Bulletin of Sisli Etfal Hospital. 1995;29:47-50.
  • Referans16. Hon KL, Leung TF, Wong Y, Ma KC, Fok TF. Skin diseases in Chinese children at a pediatric dermatology center. Pediatr Dermatol. 2004;21(2):109-12.
  • Referans17. Köse O. Emergency in pediatric dermatology. Turkiye Klinikleri J Surg Med Sci 2006;2(3):60-4.
  • Referans18. Sarkar R, Basu S, Patwari AK, Sharma RC, Dutta AK, Sardana K. An appraisal of pediatric dermatological emergencies. Indian Pediatrics. 2000;37(4):425-430.
  • Referans19. Srinivas SM, Hiremagalore R, Venkataramaiah LD, Premalatha R. Pediatric Dermatology Inpatient Consultations: A Retrospective Study. Indian J Pediatr. 2015;82(6),541-544.
  • Referans20. Chen TS, Goldyne ME, Mathes EF, Frieden IJ, Gilliam AE. Pediatric teledermatology: observations based on 429 consults. J Am Acad Dermatol. 2010;62(1):61-6.

Analysis of Consultation Cases Referred from Pediatrics Department to Dermatology Outpatient Clinic: Retrospective Study

Yıl 2019, Cilt: 9 Sayı: 4, 300 - 303, 31.12.2019

Munise Daye Selami Aykut Temız Yasemin Durduran Sukru Balevı Recep Dursun Arzu Ataseven İlkay Ozer

https://doi.org/10.33808/clinexphealthsci.515842
Cited By: 3

Öz

Objective: There are a few studies in the literature about dermatology consultations requested from Pediatrics Department. In the present study, it was aimed to assess the clinical features, pre-diagnosis and dermatologic diagnosis of patients consulted to the Dermatology Department from Pediatrics Department, and also to detect possible different approaches between the clinics.
Methods: The list of dermatology consultations requested from Pediatrics Department between 1 September 2016 and 1 September 2017 were retrospectively evaluated by means of pre-diagnosis, dermatological diagnosis and unit consultations.
Results: The mean age of patients was 7.4±5.3 years. Of the 628 patients, 52.1% were males, and 85% of the consultations were requested from outpatient clinics and 15% were from the inpatient clinics. Among all consultations 28.7% general pediatrics unit and 17.5% pediatric emergency unit required consultations. The most common diagnosis reported from Dermatology Department were eczema (28.2%), viral diseases (13.2%), parasitic diseases (8.4%) and fungal diseases (5.4%). Although, the ratio of an accurate pre-diagnosis was significantly higher in consultations requested from the inpatient clinics than those from outpatient clinics(p<0.001), 42.7% of the patients were referred to Dermatology Outpatient Clinic with an incorrect pre-diagnosis.
Conclusion: Almost half of the patients, who were referred to Dermatology consultation, were diagnosed with incorrect pre-diagnosis. It was seen that pediatricians were difficult to recognize dermatoses. The awareness of Pediatric Dermatology Department should be raised for both specialties.

Anahtar Kelimeler

Pediatric dermatology dermatology consultation dermatology

Kaynakça

  • Referans1. Sacchidanand S, Sahana MS, Asha GS, Shilpa K. Pattern of pediatric dermatosis at a referral centre. Indian J Pediatr. 2014;81(4),375-380.
  • Referans2. Thappa DM. Common skin problems in children. Indian J Pediatr. 2002;69(8),701-706.
  • Referans3. Fofana Y, Traore B, Dicko A, Faye O, Berthe S, Cisse L, et al. Epidemio-clinical profile of dermatoses in children receiving dermatological consultation in the Department of Dermatology at the National Center for Disease Control in Bamako. Pan Afr Med J. 2016;25,238-238.
  • Referans4. Srinivas SM, Hiremagalore R, Venkataramaiah LD, Premalatha R. Pediatric dermatology inpatient consultations: a retrospective study. Indian J Pediatr. 2015;82(6):541-4.
  • Referans5. McMahon P, Goddard D, Frieden IJ. Pediatric dermatology inpatient consultations: a retrospective study of 427 cases. J Am Acad Dermatol. 2013;68(6):926-31.
  • Referans6. Bauer J, Maroon M. Dermatology inpatient consultations: a retrospective study. J Am Acad Dermatol. 2010;62(3),518-519.
  • Referans7. Adışen E, Ünal S, Gürer MA. Dermatology Consultations. TURKDERM-Archieves of The Turkish Dermatology and Venerology 2006;40(4),126-129.
  • Referans8. Gupta S, Sandhu K, Kumar B. Evaluation of emergency dermatological consultations in a tertiary care centre in North India. J Eur Acad Dermatol Venereol. 2003;17(3):303-5.
  • Referans9. Falanga V, Schachner LA, Rae V, Ceballos PI, Gonzalez A, Liang G, et al. Dermatologic consultations in the hospital setting. Arch Dermatol. 1994;130(8),1022-1025.
  • Referans10. Penate Y, Guillermo N, Melwani P, Martel R, Borrego L. Dermatologists in hospital wards: an 8-year study of dermatology consultations. Dermatology. 2009;219(3),225-231.
  • Referans11. Afsar FS. Analysis of pediatric dermatology inpatient consultations in a pediatric teaching hospital. Arch Argent Pediatr. 2017;115(6),377-84.
  • Referans12. Storan ER, McEvoy MT, Wetter DA, el‐Azhary RA, Hand JL, Davis DM, et al. Pediatric hospital dermatology: experience with inpatient and consult services at the Mayo Clinic. Pediatr Dermatol. 2013;30(4):433-7.
  • Referans13. Moon AT, Castelo-Soccio L, Yan AC. Emergency department utilization of pediatric dermatology (PD) consultations. J Am Acad Dermatol. 2016;74(6):1173-7.
  • Referans14. Auvin S, Imiela A, Catteau B, Hue V, Martinot A. Pediatric skin disorders encountered in an emergency hospital facility: a prospective study. Acta Derm Venereol. 2004;84(6):451-454.
  • Referans15. Yerebakan Ö, Altunay İ, Köslü A. Evaluation of the consultations requested from the dermatology clinic. The Medical Bulletin of Sisli Etfal Hospital. 1995;29:47-50.
  • Referans16. Hon KL, Leung TF, Wong Y, Ma KC, Fok TF. Skin diseases in Chinese children at a pediatric dermatology center. Pediatr Dermatol. 2004;21(2):109-12.
  • Referans17. Köse O. Emergency in pediatric dermatology. Turkiye Klinikleri J Surg Med Sci 2006;2(3):60-4.
  • Referans18. Sarkar R, Basu S, Patwari AK, Sharma RC, Dutta AK, Sardana K. An appraisal of pediatric dermatological emergencies. Indian Pediatrics. 2000;37(4):425-430.
  • Referans19. Srinivas SM, Hiremagalore R, Venkataramaiah LD, Premalatha R. Pediatric Dermatology Inpatient Consultations: A Retrospective Study. Indian J Pediatr. 2015;82(6),541-544.
  • Referans20. Chen TS, Goldyne ME, Mathes EF, Frieden IJ, Gilliam AE. Pediatric teledermatology: observations based on 429 consults. J Am Acad Dermatol. 2010;62(1):61-6.
Toplam 20 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Articles
Yazarlar

Munise Daye Bu kişi benim 0000-0002-6614-1821

Selami Aykut Temız 0000-0003-4878-0045

Yasemin Durduran 0000-0003-0455-0627

Sukru Balevı Bu kişi benim 0000-0002-8013-8098

Recep Dursun 0000-0002-1279-574X

Arzu Ataseven 0000-0001-5372-0712

İlkay Ozer Bu kişi benim 0000-0001-6170-0930

Yayımlanma Tarihi 31 Aralık 2019
Gönderilme Tarihi 21 Ocak 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 9 Sayı: 4

Kaynak Göster

APA Daye, M., Temız, S. A., Durduran, Y., Balevı, S., vd. (2019). Analysis of Consultation Cases Referred from Pediatrics Department to Dermatology Outpatient Clinic: Retrospective Study. Clinical and Experimental Health Sciences, 9(4), 300-303. https://doi.org/10.33808/clinexphealthsci.515842
AMA Daye M, Temız SA, Durduran Y, Balevı S, Dursun R, Ataseven A, Ozer İ. Analysis of Consultation Cases Referred from Pediatrics Department to Dermatology Outpatient Clinic: Retrospective Study. Clinical and Experimental Health Sciences. Aralık 2019;9(4):300-303. doi:10.33808/clinexphealthsci.515842
Chicago Daye, Munise, Selami Aykut Temız, Yasemin Durduran, Sukru Balevı, Recep Dursun, Arzu Ataseven, ve İlkay Ozer. “Analysis of Consultation Cases Referred from Pediatrics Department to Dermatology Outpatient Clinic: Retrospective Study”. Clinical and Experimental Health Sciences 9, sy. 4 (Aralık 2019): 300-303. https://doi.org/10.33808/clinexphealthsci.515842.
EndNote Daye M, Temız SA, Durduran Y, Balevı S, Dursun R, Ataseven A, Ozer İ (01 Aralık 2019) Analysis of Consultation Cases Referred from Pediatrics Department to Dermatology Outpatient Clinic: Retrospective Study. Clinical and Experimental Health Sciences 9 4 300–303.
IEEE M. Daye, “Analysis of Consultation Cases Referred from Pediatrics Department to Dermatology Outpatient Clinic: Retrospective Study”, Clinical and Experimental Health Sciences, c. 9, sy. 4, ss. 300–303, 2019, doi: 10.33808/clinexphealthsci.515842.
ISNAD Daye, Munise vd. “Analysis of Consultation Cases Referred from Pediatrics Department to Dermatology Outpatient Clinic: Retrospective Study”. Clinical and Experimental Health Sciences 9/4 (Aralık 2019), 300-303. https://doi.org/10.33808/clinexphealthsci.515842.
JAMA Daye M, Temız SA, Durduran Y, Balevı S, Dursun R, Ataseven A, Ozer İ. Analysis of Consultation Cases Referred from Pediatrics Department to Dermatology Outpatient Clinic: Retrospective Study. Clinical and Experimental Health Sciences. 2019;9:300–303.
MLA Daye, Munise vd. “Analysis of Consultation Cases Referred from Pediatrics Department to Dermatology Outpatient Clinic: Retrospective Study”. Clinical and Experimental Health Sciences, c. 9, sy. 4, 2019, ss. 300-3, doi:10.33808/clinexphealthsci.515842.
Vancouver Daye M, Temız SA, Durduran Y, Balevı S, Dursun R, Ataseven A, Ozer İ. Analysis of Consultation Cases Referred from Pediatrics Department to Dermatology Outpatient Clinic: Retrospective Study. Clinical and Experimental Health Sciences. 2019;9(4):300-3.

Cited By

Evaluation of dermatology consultations in the era of COVID‐19
Dermatologic Therapy
https://doi.org/10.1111/dth.13642
Hospital Dermatology: analysis of dermatological consultations in a tertiary teaching hospital
Anais Brasileiros de Dermatologia
https://doi.org/10.1016/j.abd.2022.08.010
Evaluation of Dermatology Consultations Requested from the Pediatric Clinic
Genel Tıp Dergisi
https://doi.org/10.54005/geneltip.1031265
 Kapak Resmi İndir

14639   14640