La dermatoscopía es un método auxiliar para el diagnóstico de las neoformaciones cutáneas, principalmente las melanocíticas, que disminuye el número de biopsias innecesarias. En la actualidad también se utiliza para la evaluación clínica de enfermedades inflamatorias, tricopatías y trastornos ungueales. Las principales barreras para implementar su uso en la práctica clínica son la falta de acceso a programas de capacitación formal y el costo del equipo para los sistemas de salud públicos. El objetivo de esta revisión fue describir y analizar los diferentes métodos de enseñanza-aprendizaje implementados en los programas de formación de médicos generales, residentes y dermatólogos.
Artículo de revisión INTRODUCCIÓNEl vitíligo es la discromía adquirida más frecuente, se considera una leucodermia melanocitopénica, afecta de 0.5 a 2% de la población mundial. 1 El país con la incidencia más alta es India con 8.8%, a éste le siguen México y Japón. 2 En México, el vitíligo ocupa entre el tercero y quinto lugar entre todas las dermatosis. Puede aparecer a cualquier edad; su mayor incidencia está entre los 10 y 30 años de edad, afecta a todas las razas, se presenta por igual en hombres y mujeres. Se caracteriza por presentar manchas acrómicas en la piel
The present work is a current review of the different clinical scales used to evaluate skin aging, a process that is taken with little relevance in the medical field, but that has a significant impact on the quality of life of each patient, besides being one of the main factors that increase the susceptibility for the development of skin cancer. Due to the above described, we suggest to carry out an accurate detection of skin aging individually, to provide the appropriate treatment, improve the prognosis of the pathology, and reduce its progression or complications. This objective is largely limited by the use of scales that do not allow an evaluation of the therapeutic response in routine clinical practice, in addition to the subjective rating issued by the physician and the patient. The objective of this work was to carry out a review of the existing literature on the clinical scales used for the evaluation of skin aging, beginning with its description, its characteristics and clinical importance. Subsequently, the different diagnostic and evaluation scales of the therapeutic response are described, with which a comprehensive analysis can be carried out. The usefulness of the use of dermoscopy and its contribution to said evaluation as a complementary method in the aforementioned assessment is pointed out, and at the end, an evaluation algorithm is proposed in the Mexican population.
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