Turkiye Klinikleri Journal of Dermatology

.: ORIGINAL RESEARCH
Hastanede Yatan Çocuk Hastalarda Dermatoloji Konsültasyonlarının Değerlendirilmesi: Tek Merkez Deneyimi
Evaluation of Dermatology Consultations in Hospitalized Pediatric Patients: Single Center Experience
Selçuk UZUNERa , Feyza USTABAŞ KAHRAMANa, Anıl Gülsel BAHALIb, Özlem SUb
aBezmiâlem Vakıf Üniversitesi Hastanesi, Çocuk Sağlığı ve Hastalıkları, ABD, İstanbul, TÜRKİYE
bBezmiâlem Vakıf Üniversitesi Hastanesi, Deri ve Zührevi Hastalıkları, ABD, İstanbul, TÜRKİYE
Turkiye Klinikleri J Dermatol. 2021;31(1):14-9
doi: 10.5336/dermato.2020-80576
Article Language: TR
Full Text
ÖZET
 Amaç: Hastanede yatan hastalarda, dermatolojik şikâyetler sık görülebilmektedir. Yatışları sırasında, yeni dermatolojik lezyonlar gelişebileceği gibi daha önceden bilinen dermatolojik hastalıkları alevlenebilmektedir. Literatürde, çocuk hastaların yatışları sırasında istenen, dermatoloji konsültasyonlarını değerlendiren sınırlı sayıda çalışma vardır. Çalışmamızın amacı, hastanede yatan çocuk hastalarda dermatoloji konsültasyonlarını tanımlamaktır. Gereç ve Yöntemler: Pediatri servisinden, 4 yıl içinde dermatoloji kliniğine konsülte edilen toplam 137 hasta bu çalışmaya dâhil edilmiştir. Veriler geriye dönük olarak kayıtlardan elde edilmiştir. Bulgular: Konsültasyonlar genel pediatri servisinden istendi. Yatarak tedavi gören çocuk hastaların, en sık birincil tanısı akciğer hastalığıydı. Yüz otuz yedi hastada en sık görülen dermatolojik tanı, alerjik hastalık ve ardından deri enfeksiyonlarıydı. Dermatoloji tarafından tanıya yardımcı olmak için 28 hastaya deri biyopsisi yapıldı. Konsültasyon öncesinde, kliniğimiz ön tanısı ile konsültasyon sonrasında dermatoloji tanısı arasında uyum varlığının değerlendirilmesinde ise 32 hasta farklı tanı almıştı. Sonuç: Pediatristler, hasta izlemlerinde cilt lezyonlarıyla sık karşılaşmaktadır. Aynı zamanda dermatologların da hasta grubunun önemli bir kısmını çocuk hastalar oluşturmaktadır. Bu nedenle 2 kliniğin, dermatolojik şikâyeti olan çocuk hastalar söz konusu olduğunda, gerektiğinde iş birliği yapabilmeleri doğru bir yaklaşımdır. Pediatri ve dermatoloji klinikleri arasında, karşılıklı eğitime de katkı sağlayan konsültasyon muayeneleri, bu iş birliğine verilebilecek örneklerden biridir

Anahtar Kelimeler: Yatan çocuk hasta; dermatoloji; konsültasyon
ABSTRACT
 Objective: Dermatological complaints can be seen frequently in hospitalized patients. During their inpatient, new dermatological lesions may develop, as well as exacerbate dermatological diseases that known before. Thus, the importance of inpatient consultations is increasingly. There are a limited studies in the literature that evaluating the dermatology consultations requested during hospitalization of pediatric patients. The purpose of our study was to describe the dermatology consultations in hospitalized pediatric patients. Material and Methods: A total of 137 patients consulted to dermatology clinic from the pediatric service over a period of four years were included in this study. The data were collected retrospectively from records. Results: Consultations were requested from general pediatric service. The most common primary diagnosis of inpatient pediatric patients was lung disease. The most common dermatological diagnosis in 137 patients were allergic disease followed by skin infections. Skin biopsy was performed on 28 patients by dermatology to aid for diagnosis. In evaluating the consistency between the pre-diagnosis of our clinic before the consultation and the dermatology diagnosis after the consultation, 32 patients were diagnosed differently. Conclusion: Skin lesions are frequently encountered in patient follow-up by pediatric health and disease specialists. At the same time, a significant part of the patient group of dermatologists is pediatric patients. Therefore, the cooperation of the two clinics is important in terms of diagnosis and treatment efficiency. One of the ways to create a working environment and cooperation that contributes to education between pediatrics and dermatology clinics is request a consultation.

Keywords: Hospitalized child patients; dermatology; consultation
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