Evaluation of dermatology consultations requested for inpatients in a tertiary institution from Türkiye

Year 2023, , 69 - 73, 31.08.2023

Pelin Hızlı , Mehmet Enes Sevgili , Arzu Kılıç

https://doi.org/10.17944/interdiscip.1320530

Abstract

Objective: To investigate and present the features of the consultations requested for inpatients in a tertiary institution retrospectively.

Method: Archive of our tertiary institution located in the South Marmara Region of Turkiye was reviewed and every single consultation responded by Dermatology Department was investigated.

Results: The mean age of the 421 consulted patients (191 females, 230 males) was 62 ± 17 (1-95) years. The most frequently consultation requesting departments were Cardiology (18.8%), Neurology (11.4%) and Physical medicine and Rehabilitation (8.3%). The most common lesions resulting in consultation were rashes (22.3%), erythematous lesions (14.5%) and wounds (14%). The most common dermatologic diagnoses were contact dermatitis (10.7%), tinea pedis (8%) and cellulitis (5.2%). Among 421 patients, 62 (14.7%) patients required a histopathologic diagnosis and underwent biopsy. Most frequent histopathologic diagnoses were non-specific findings 14 (22.6%), basal cell carcinoma (12.9%), maculopapular drug reaction (12.9%) and contact dermatitis (9.7%).

Conclusion: The perspective of interdisciplinary approach leads physicians request dermatology consultations frequently for inpatients particularly having systemic diseases and reviewing and reporting the features of consulted patients periodically might provide a satisfactory contribution to the current literature.

Keywords

Dermatology, Consultation, Interdisciplinary, Inpatient, Rash, Contact Dermatitis

References

• Mancusi S, Festa Neto C. Inpatient dermatological consultations in a university hospital. Clinics (Sao Pau-lo). 2010;65(9):851-5. https://doi.org/10.1590/s1807-59322010000900007
• Gul U, Gonul M, Kulcu Cakmak S, Soylu S, A. K. Dermatology Consultations in the Hospital Setting. Turki-ye Klinikleri J Dermatol. 2007;17:160-5.
• Taşçı G. Bir Şehir Hastanesinde İstenilen Psikiyatri Konsültasyonlarının Değerlendirilmesi: 2019 Yılı Verile-ri. Genel Tıp Dergisi. 2021;31(3):257-61. https://doi.org/10.54005/geneltip.996791
• Kayabaşı S, Fatih G. Causes and consequences of consultation to ear nose throat physicians: a retros-pective analysis. Journal of Harran University Medical Faculty. 2019;16(1):143-7.
• Walia NS, Deb S. Dermatology referrals in the hospital setting. Indian J Dermatol Venereol Leprol. 2004;70(5):285-7.
• Fernandes IC, Velho G, Selores M. Dermatology inpatient consultation in a Portuguese university hospi-tal. Dermatology online journal. 2012;18(6). https://doi.org/10.5070/D37zd1w6cc
• Joseph J, Truong K, Smith A, Fernandez-Penas P. Dermatology inpatient consultations in a tertiary hospi-tal – a retrospective analysis. International Journal of Dermatology. 2022;61(1):48-53. https://doi.org/10.1111/ijd.15724
• Bauer J, Maroon M. Dermatology inpatient consultations: a retrospective study. Journal of the American Academy of Dermatology. 2010;62(3):518-9. https://doi.org/10.1016/j.jaad.2009.06.030
• 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):1022-5. https://doi.org/10.1001/archderm.1994.01690080088013
• Chojer P, Malhotra SK, Kaur A. To study the relevance of inpatient dermatology referrals in a Teaching Hospital of North India. clinician. 2018;6:7-11. https://doi.org/10.7241/ourd.20183.5
• Çiçek D. Dermatoloji Konsültasyonlarının Değerlendirilmesi. Fırat Tıp Dergisi. 2007;12(3):181-3.