Consultas dermatológicas en el Servicio de Urgencias: situación previa a la instauración de guardias de la especialidad

Which Dermatological Conditions Present to an Emergency Department in Australia?

“…Cellulitis was the most common condition (36.1%), consistent with previous studies [7, 10]. However, the prevalence of cellulitis may be misleading, as multiple studies have reported high rates of misdiagnosis of cellulitis in ED due the lack of familiarity with more specific dermatological diagnoses such as lipodermatosclerosis and contact dermatitis.…”

“…It also provides data on the burden of dermatological presentations to ED which may guide resource allocation in this setting. The significant nonspecific diagnosis rate amongst dermatological ED presentations supports the development of a dermatological consulting service in the ED, a concept which has been previously described [7]. Whilst this role is traditionally filled by the on-call dermatological registrar, a dedicated service would be mutually beneficial to both the ED and Dermatology units.…”

Urgent Consultations at the Dermatology Department of Basel University Hospital, Switzerland: Characterisation of Patients and Setting - A 12-Month Study with 2,222 Patients Data and Review of the Literature

“…In the literature we found other studies with similar quantities (2-3%) [6,26], but also studies with higher amounts (4.7-8.2%) of hospitalised patients [2,13,15,28]. The main diagnoses leading to hospitalization in our study were eczema and herpes zoster; the data in the literature are quite different, with skin infections, drug reactions and erythroderma as the main causes of hospitalisation [2].…”

“…One reason for the low prevalence of LTD or infections in or study is that most patients with LTD or infections have systemic symptoms that make them go to the ED instead of the DD [8,13]. As a consequence, several dermatology patients are admitted and treated in non-dermatology departments without any information to the DD.…”

“…The exact frequency of dermatologic diseases and characteristics of patients have been studied in limited settings; moreover most published data are heterogeneous [1,2,3,4,5,6,7,8,9]. Reasons for heterogeneity are dissimilarities in studied parameters, such as short-/long-time studies, different referral pattern, in-hospital setting [10], ambulant setting [5,11], urgent setting [1,2,4,5,6,7,8,12,13], non-urgent setting, mixed situations, or children only [14,15,16,17]. In addition, most studies were retrospective.…”