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Clinical and Experimental Dermatology最新文献

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Successful lanadelumab dose spacing in type I hereditary angioedema. I型遗传性血管性水肿患者成功实现拉那珠单抗剂量间隔。
IF 3.7 4区 医学 Q1 DERMATOLOGY Pub Date : 2024-11-21 DOI: 10.1093/ced/llae501
João Teixeira, Duarte Flor, Joana Xará, Margarida Gonçalo
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引用次数: 0
Two Cases of Drug-Induced Psoriasis from Second Generation Androgen Receptor Blockers. 第二代雄激素受体阻滞剂诱发银屑病的两个病例。
IF 3.7 4区 医学 Q1 DERMATOLOGY Pub Date : 2024-11-21 DOI: 10.1093/ced/llae509
Ben Buttars, Dave Baltazar, Guy Chares, Amber Flaherty, Dathan Hamann, Darren Whittemore, Carsten Hamann
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引用次数: 0
General dermatology and dermatology in primary health care. 普通皮肤病学和初级卫生保健中的皮肤病学。
IF 3.7 4区 医学 Q1 DERMATOLOGY Pub Date : 2024-11-21 DOI: 10.1093/ced/llae512
Dinea Bučić, Gilles Darcis, Majdouline El Moussaoui
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引用次数: 0
A review of consent policies in Dermatological Surgery in the United Kingdom and the impact of leaner pathways and teledermatology on consent. 对英国皮肤外科手术同意政策的审查,以及精简路径和远程皮肤病学对同意的影响。
IF 3.7 4区 医学 Q1 DERMATOLOGY Pub Date : 2024-11-21 DOI: 10.1093/ced/llae500
Aparna Potluru, Daniel Sokol, Aaron Wernham

Obtaining valid consent is an ethical and legal requirement in clinical practice, ensuring patients are adequately informed about their treatments. Recent updates in consent policies, including GMC guidance, the Patterson inquiry report, and key legal rulings like Montgomery, emphasise a shift towards patient-centred care and the importance of a comprehensive patient-clinician dialogue. Budget constraints and increasing NHS demand have led to the adoption of digital solutions and streamlined pathways, such as teledermatology and direct booking to surgery, potentially compromising the consent process. This review examines the current state of informed consent in UK dermatology, particularly in light of the Montgomery ruling, which requires clinicians to ensure patients are aware of all material risks and alternatives associated with their treatments. The two-stage consent process, involving consent at two distinct points, is advocated to allow patients adequate time for reflection and decision-making. However, challenges remain in pathways like one-stop clinics and direct booking for surgery, where limited face-to-face interaction and time constraints can undermine the quality of informed consent. To mitigate these issues, integrating multimedia tools and standardised procedure-specific consent forms can enhance patient comprehension and satisfaction. These tools ensure consistent and clear communication of risks, benefits, and alternatives, maintaining robust informed consent amidst evolving healthcare delivery models. Sustaining a thorough and individualised dialogue throughout the patient care journey is essential for upholding patient autonomy and shared decision-making in dermatological surgery.

获得有效的同意是临床实践中的一项道德和法律要求,可确保患者充分了解自己的治疗。最近对同意政策的更新,包括 GMC 指南、帕特森调查报告以及蒙哥马利等重要法律裁决,都强调了向以患者为中心的护理转变,以及患者与医生全面对话的重要性。预算限制和不断增长的 NHS 需求导致了数字化解决方案和简化路径的采用,如远程皮肤科和直接预约手术,这可能会影响知情同意程序。蒙哥马利案要求临床医生确保患者知晓与治疗相关的所有重大风险和替代方案,本综述对英国皮肤科知情同意的现状进行了研究。我们提倡两阶段同意程序,即在两个不同的时间点进行同意,让患者有足够的时间进行思考并做出决定。然而,在一站式诊所和直接预约手术等途径中仍然存在挑战,因为在这些途径中,有限的面对面交流和时间限制可能会影响知情同意的质量。为了缓解这些问题,整合多媒体工具和标准化的特定手术同意书可以提高患者的理解力和满意度。这些工具可确保对风险、益处和替代方案进行一致而清晰的沟通,从而在不断变化的医疗服务模式中保持强有力的知情同意。在整个患者护理过程中保持全面和个性化的对话,对于维护患者自主权和皮肤外科共同决策至关重要。
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引用次数: 0
Multiple Abscesses and Plaques in an Immunocompetent Patient. 免疫力低下患者的多发性脓肿和斑块
IF 3.7 4区 医学 Q1 DERMATOLOGY Pub Date : 2024-11-21 DOI: 10.1093/ced/llae506
Noah Fanous, Emily Clarke, Khang D Nguyen
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引用次数: 0
Inpatient Dermatology referrals: What is the burden? A retrospective review of 14 years of dermatology inpatient referrals. 皮肤科住院病人转诊:负担是什么?对 14 年来皮肤科住院病人转诊情况的回顾。
IF 3.7 4区 医学 Q1 DERMATOLOGY Pub Date : 2024-11-20 DOI: 10.1093/ced/llae498
Marie-Julie A M Cnudde, Christian Aldridge, Charles Thomas

Background: The lack of dermatological knowledge by non-dermatologists is exposed by the increasing number of requests made for inpatient dermatological consultations. Patients have been commenced on inappropriate treatment because of poor dermatology training.

Objectives: To determine the burden and accuracy of inpatient dermatology referrals.

Methods: A retrospective cohort study using paper inpatient dermatology referrals from one Health Board between June 2007 and July 2021. Data analysis included timing of referrals; referring speciality; diagnosis and treatment. Descriptive statistics, using Excel, were used for analyses.

Results: The average number of referrals per year was 106 (79-166). The most frequent day of referral was Monday (26%). Most referrals were from medical teams (73%).Differential diagnosis was suggested by the referring team in 59% of referrals. In only 29% of referrals the dermatology team agreed with the differential diagnosis. There was discrepancy in the correctness of diagnosis in all categories, however the paediatricians were most likely to offer a correct differential (44%). In 44% of referrals treatment was commenced by the referring team, most commonly antibiotics.

Conclusions: There is an extra burden on dermatology teams to cover inpatients. Our figures highlight two important issues - the need for better dermatological education in medical schools to improve diagnosis accuracy and management of conditions as well as the need to recognise the need for an inpatient dermatology service to review inpatient referrals and advise in diagnosis and management of dermatology cases on the wards, and to protect the service from being uncoupled from the main hospital.

背景:越来越多的住院病人要求皮肤科会诊,这暴露出非皮肤科医生缺乏皮肤科知识。由于皮肤科培训不足,患者开始接受不适当的治疗:确定皮肤科住院病人转诊的负担和准确性:一项回顾性队列研究使用了一个卫生局在2007年6月至2021年7月期间的纸质皮肤科住院转诊病例。数据分析包括转诊时间、转诊专科、诊断和治疗。使用 Excel 进行描述性统计分析:每年的平均转诊次数为 106(79-166)次。最常见的转诊日是周一(26%)。大多数转诊病例来自医疗团队(73%)。在 59% 的转诊病例中,转诊团队建议进行鉴别诊断。只有 29% 的转诊病人的皮肤科团队同意鉴别诊断。各类诊断的正确性存在差异,但儿科医生最有可能提供正确的鉴别诊断(44%)。44%的转诊病例由转诊团队开始治疗,其中最常见的是抗生素治疗:结论:皮肤科团队在为住院病人提供服务方面承受着额外的负担。我们的数据凸显了两个重要问题:医学院需要加强皮肤病学教育,以提高诊断准确性和病情管理水平;需要认识到住院病人皮肤病学服务的必要性,以审查住院病人转诊病例,为病房皮肤病病例的诊断和管理提供建议,并保护该服务不与主医院脱节。
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引用次数: 0
A unique case of steroid-resistant, giant cellulitis-like Sweet syndrome mimicking alpha-1-antitrypsin deficiency-associated panniculitis: successful treatment with dapsone. 一例模仿α-1-抗胰蛋白酶缺乏症相关泛发炎的类固醇耐药、巨大蜂窝织炎样斯威特综合征的独特病例:用达帕松治疗成功。
IF 3.7 4区 医学 Q1 DERMATOLOGY Pub Date : 2024-11-20 DOI: 10.1093/ced/llae499
Carlo Alberto Maronese, Giorgio Alberto Croci, Federica Derlino, Italo Francesco Aromolo, Chiara Moltrasio, Angelo Valerio Marzano
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引用次数: 0
Mobile Subcutaneous Tumor on the Trapezius. 斜方肌上的移动性皮下肿瘤
IF 3.7 4区 医学 Q1 DERMATOLOGY Pub Date : 2024-11-20 DOI: 10.1093/ced/llae505
Hailey Konisky, Esperanza Villanueva-Siles, Kseniya Kobets
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引用次数: 0
3-dimensional stereophotogrammetry: an effective tool for detecting disease progression in lupus erythematosus panniculitis. 三维立体摄影测量:检测红斑狼疮泛发性皮肤炎病情进展的有效工具。
IF 3.7 4区 医学 Q1 DERMATOLOGY Pub Date : 2024-11-20 DOI: 10.1093/ced/llae504
Kimberly B Hashemi, Laura I Ortiz-López, Karla M Santiago-Soltero, Tyler T Nguyen, Rochelle L Castillo, Fatma Dedeoglu, Ingrid M Ganske, Katharina S Shaw, Ruth Ann Vleugels
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引用次数: 0
Correction to: Treatment of Behçet disease with oral roflumilast: an observational study. 更正:口服罗氟司特治疗贝赫切特病:一项观察性研究。
IF 3.7 4区 医学 Q1 DERMATOLOGY Pub Date : 2024-11-19 DOI: 10.1093/ced/llae490
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引用次数: 0
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Clinical and Experimental Dermatology
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