Journals / Gülhane Tıp Dergisi / 2022 / Cilt: 64 - Sayı: 1

Dermatology consultations in patients with hematological and solid organ malignancies

Pages
19–26
Publication Date
2022-10-17
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

A successful evaluation of skin manifestations in these patients may improve the quality of care in this vulnerable population.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aims: Patients with hematological or solid organ malignancies are susceptible to various skin disorders.
📊
Key Findings & Data:Methods: In this retrospective study with a cross-sectional analysis, we examined the medical records of inpatients with hematologic or solid organ malignancy who consulted the dermatology department from January 2018 through March 2021.
💡
Conclusion & Impact:A successful evaluation of skin manifestations in these patients may improve the quality of care in this vulnerable population.
🔬Design:Research Article
📍Scope:2018 Verileri
⚙️Variables:Domain Parameters

Abstract

Aims: Patients with hematological or solid organ malignancies are susceptible to various skin disorders. This study described the cutaneous problems related to the underlying diseases or their management in hematology and oncology inpatients. Methods: In this retrospective study with a cross-sectional analysis, we examined the medical records of inpatients with hematologic or solid organ malignancy who consulted the dermatology department from January 2018 through March 2021. Sociodemographic characteristics, medical history and comorbidities, cancer type, and dermatological findings and diagnoses were noted. Patients who have consulted the outpatient clinic and those with inadequate medical records were excluded. Results: The study included 200 patients (age, mean±standard deviation, minimum-maximum: 51.4±18.2, 18-89 years; female 51%). Most of the consultations were from the internal medicine clinic (26.4%), followed by the hematology and oncology clinics (12.5%). A quarter of the patients had acute myeloid leukemia, the most frequent disease among hematological malignancies. Breast cancer (7%) and testis cancer (7%) were the most common solid organ malignancies. The most common dermatological diagnoses were cutaneous infections (33.5%) and drug reactions (13.5%). Skin biopsies were performed in 19.5% (n=39) of the patients. The evaluation of the patient by a dermatologist for a cutaneous symptom or finding led to modifications of disease management in 67 patients (33.7%). Conclusions: Dermatology consultations are frequently required in hematological or solid organ malignancies. A successful evaluation of skin manifestations in these patients may improve the quality of care in this vulnerable population.

🔖

Cite This Article

ÇOBAN, S. N., AKOĞLU, G., EŞME, P. (2022). Dermatology consultations in patients with hematological and solid organ malignancies. Gülhane Tıp Dergisi, Cilt: 64 - Sayı: 1, 19–26. https://ajindex.com/articles/526739

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Biesbroeck LK, Shinohara MM. Inpatient Consultative Dermatology. Med Clin North Am. 2015;99:1349-1364
  2. Falanga V, Schachner LA, Rae V, et al. Dermatologic consultations in the hospital setting. Arch Dermatol. 1994;130:1022-1025
  3. Storan ER, McEvoy MT, Wetter DA, et al. Experience of a year of adult hospital dermatology consultations. Int J Dermatol. 2015;54:1150-1156
  4. Galimberti F, Guren L, Fernandez AP, Sood A. Dermatology consultations significantly contribute quality to care of hospitalized patients: a prospective study of dermatology inpatient consults at a tertiary care center. Int J Dermatol. 2016;55:547-551
  5. Milani-Nejad N, Zhang M, Kaffenberger BH. Association of Dermatology Consultations With Patient Care Outcomes in Hospitalized Patients With Inflammatory Skin Diseases. JAMA Dermatol. 2017;153:523-528
  6. Williams A, Bhatia A, Kanish B, Chaudhary PR, Samuel CJ. Pattern of Inpatient Dermatology Consultations in a Tertiary Care Centre from Northern India. J Clin Diagn Res. 2016;10:7- 10
  7. Hoffman M, Smith RJ, Micheletti RG, Rosenbach M. Dermatologic support for oncology: Quantifying the consultative services received by hospitalized oncology patients. J Am Acad Dermatol. 2021;85:1367-1368
  8. Uksal U, Ozturk P, Colgecen E, et al. Dermatological Findings in Turkish Paediatric Haematology-Oncology Patients. Eurasian J Med. 2016;48:107-111
  9. Hines A, Hazim A, Wetter DA, et al. Retrospective analysis of 578 inpatient dermatology consultations in hematology and hematopoietic stem cell transplant patients. Int J Dermatol. 2021;60:1385-1391
  10. Chen ST, Molina GE, Lo JA, et al. Dermatology consultation reduces interruption of oncologic management among hospitalized patients with immune-related adverse events: A retrospective cohort study. J Am Acad Dermatol. 2020;82:994- 996
  11. Alasmari AA, Hakeem AH, Bin Saleh FS, et al. Pattern of Dermatological Disease Encountered in a Hematology Ward: A Retrospective Analysis of Dermatology Consultation in a Hematology Ward in a Tertiary Care Center in Saudi Arabia. Dermatol Res Pract. 2019;2019:9891270
  12. Tracey EH, Forrestel A, Rosenbach M, Micheletti RG. Inpatient dermatology consultation in patients with hematologic malignancies. J Am Acad Dermatol. 2016;75:835-836
  13. Chren MM, Lazarus HM, Bickers DR, Landefeld CS. Rashes in immunocompromised cancer patients. The diagnostic yield of skin biopsy and its effects on therapy. Arch Dermatol. 1993;129:175-181
  14. Hepburn MJ, Dooley DP, Ellis MW