Knowledge of family physicians on common dermatological diseases and their diagnosis and management trends

Özyurt, Kemal; Sucakli, Mustafa Haki; Çölgeçen, Emine; Çelık, Mustafa

doi:10.4274/turkderm.67689

Cited by 4 publications

(2 citation statements)

References 12 publications

(13 reference statements)

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“…It was remarkable that the patients were followed for such a long time in primary care with the incorrect diagnosis of tinea pedis. These types of cases can be easily misdiagnosed when they are first referred to the family physician [10].…”

Section: Discussionmentioning

confidence: 99%

Localized annular lichen planus on foot mimicking tinea pedis

Temiz¹

2019

Our Dermatol Online

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Lichen Planus (LP) is an inflammatory mucocutaneous disease characterized by typically itchy, pink-purple, polygonal, flat, papules and plaques. The genital region, the oral mucosa, and the flexor surfaces of the extremities are the most common locations of lichen planus. LP usually appears as diffuse lesions. In the literature, single liken planus lesion cases were re ported on the lower lip, esophagus, and breast. Localized foot annular lichen planus is a very rare and extraordinary manifestation of LP. Herein, we present two cases of a single plaque LP on the foot that had been diagnosed as tinea pedis and nummular dermatitis in external family medicine clinics. We want to underline the significance of this uncommon entity in the differential diagnosis of plantar dermatoses in primary care.

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Section: Discussionmentioning

confidence: 99%

Localized annular lichen planus on foot mimicking tinea pedis

Temiz¹

2019

Our Dermatol Online

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“…However, in a previous study, it was found that family physicians had theoretical misconceptions about the etiopathogenesis and management of some skin diseases [3].…”

Section: Main Points;mentioning

confidence: 99%

Comparison of Topical Treatment Preferences of Physicians in Dermatological Diseases

Aksoy,

Aslan Kayıran,

Özger

2023

Eur J Ther

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Objective: Regardless of their specialty, physicians frequently encounter dermatological conditions. We aimed to determine the topical medication choices of physicians for various dermatoses and to identify differences in preferences between dermatologists and non-dermatologist physicians. Methods: Using an online survey, physicians were asked to select three preferred topical antibiotics/antiseptics, antifungals, and corticosteroids when treating a pyoderma, dermatophytosis, or a dermatosis necessitating topical corticosteroid therapy. Statistical analysis was performed using Statistical Package for the Social Sciences v.27. Results: Among 358 physicians, 24.0% were dermatologists, and 76.0% were non-dermatologist physicians. The mean age was 38.40, and the average duration of medical practice was 14.04 years. The most frequently chosen topical antibacterials were fusidic acid (74.3%) and mupirocin (65.9%); topical antifungals were isoconazole nitrate + diflucortolone valerate (56.4%), tioconazole (27.7%), and naftifine (25.1%); and topical corticosteroids were clobetasol propionate (38.5%), methylprednisolone aceponate (36.6%), and mometasone furoate (34.6%). Dermatologists used nitrofurazone and izokonazol nitrate + diflucortolone valerate less frequently compared to non-dermatologists (0% vs. 27.6% and 8.1% vs. 71.7%, respectively; p-values <0.001). Family physicians/general practitioners constituted the largest group selecting clobetasol propionate (28.3%). Conclusion: Physicians in our country predominantly choose fusidic acid and mupirocin as topical antibiotics, aligning with existing literature. However, nitrofurazone, causing contact dermatitis, and corticosteroid-containing antifungals with the potential for complications due to inappropriate use are frequently preferred by non-dermatologist physicians but not by dermatologists. The bold choice of clobetasol propionate, an ultrapotent topical corticosteroid, by family physicians/general practitioners is an important issue to address during medical education and post-graduation.

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Comparison of Physicians’ Perceptions Regarding Dermatological Diseases

AKSOY,

ASLAN KAYIRAN

2024

Genel Tıp Dergisi

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Background/Aims: Physicians frequently encounter skin diseases and provide opinions to their patients regarding dermatology. We aimed to assess the perceptions of physicians regarding skin diseases and to compare dermatologists’ and non-dermatologist physicians’ understanding of specific dermatological issues. Methods: Through an online form, participants were asked to respond to sentences indicating whether skin diseases are related to the liver or food with options such as "almost always," "mostly," "half-and-half," "less often," and "almost never." Similarly, they were asked to respond to sentences related to avoiding isotretinoin treatment and performing allergy tests in acute urticaria with options as "strongly disagree," "disagree," "partly agree," "agree," and "strongly agree." Statistical analysis was performed using Statistical Package for the Social Sciences v.27. Results: The sentences “skin diseases are of liver origin” and “skin diseases are caused by foods/drinks” received responses of “almost never” or “less often” at a rate of 91.8% and 80.9%, respectively. The total proportions of participants who selected “strongly agree,” “agree,” or “partly agree” were 53.9% for the statement restricting isotretinoin use and 45.5% for the statement recommending allergy testing in acute urticaria. While 91.8% of dermatologists disagreed with the statement limiting isotretinoin use, 68.3% of non-dermatologist physicians partially or completely agreed. For the statement recommending allergy testing in acute urticaria, 85.8% of dermatologists disagreed, while 55.7% of non-dermatologist physicians partially or completely agreed. Conclusions: The popular belief that skin diseases are caused by the liver or food has no basis among physicians. However, contrary to the literature, non-dermatologist physicians have expressed opinions that isotretinoin should be used as little as possible due to potential harm to the liver and that allergy tests should be performed in cases of acute urticaria. Giving importance to these topics during medical education will contribute to changing physicians' perspectives and ultimately benefit public health.

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Knowledge of family physicians on common dermatological diseases and their diagnosis and management trends

Cited by 4 publications

References 12 publications

Localized annular lichen planus on foot mimicking tinea pedis

Localized annular lichen planus on foot mimicking tinea pedis

Comparison of Topical Treatment Preferences of Physicians in Dermatological Diseases

Comparison of Physicians’ Perceptions Regarding Dermatological Diseases

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