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Text
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URL Address
<a href="http://doi.org/10.1111/cup.13628" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/cup.13628</a>
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ISSN
1600-0560
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Update Year & Number
January 2020 Update
NEOMED College
NEOMED College of Medicine
NEOMED Department
NEOMED Student Publications; NEOMED College of Medicine Student
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Title
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Diagnoses of hospitalized patients with skin abnormalities prompting biopsy by consulting dermatologists: A 3-year review from a tertiary care center
Publisher
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Journal of Cutaneous Pathology
Date
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2019
2019-12-17
Subject
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dermatology hospital consultation; dermatopathology; inpatient dermatology; skin biopsy
Creator
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Ellis Ariana; Billings Steven D; Khanna Urmi; Warren Christine B; Piliang Melissa; Vij Alok; Ko Jennifer S; Bergfeld Wilma F; Fernandez Anthony P
Description
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BACKGROUND: Dermatologists play an important role in diagnosing and managing hospitalized patients with cutaneous abnormalities. Skin biopsies remain an indispensable tool for aiding dermatologists in accurate diagnosis and treatment. We aimed to determine the range of conditions, and the most common conditions, prompting skin biopsy by dermatology hospital consultation (HCON) services to aid in evaluation of hospitalized patients. METHODS: All hospitalized patients seen by a single tertiary care center dermatology HCON service between 2015 and 2018 who had associated skin biopsies were identified. Histologic features and clinical diagnoses of each patient were classified into 13 histologic reaction pattern categories. RESULTS: Eight hundred and thirty one inpatients evaluated by our dermatology HCON service had 914 skin biopsies. The most frequent diagnostic categories prompting biopsy were vasculopathic (17.6%), interface dermatitis (16.5%), infectious (12.6%), and spongiotic dermatitis (10.9%). The most frequent diagnostic categories included drug reaction (13.2%), leukocytoclastic vasculitis (8.5%), skin cancer (5.4%), graft-vs-host disease (3.5%), connective tissue disease (3.3%), and calciphylaxis (3.0%). CONCLUSION: Our study suggests a variety of serious diseases affecting inpatients prompts biopsy by dermatology consultation services. Educational curricula for dermatology and pathology residents, fellows, and staff designed with these data may enhance knowledge that improves the quality of inpatient dermatology care.
Identifier
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<a href="http://doi.org/10.1111/cup.13628" target="_blank" rel="noreferrer noopener">10.1111/cup.13628</a>
PMID: 31845375
Format
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Journal Article
2019
Bergfeld Wilma F
Billings Steven D
dermatology hospital consultation
dermatopathology
Ellis Ariana
Fernandez Anthony P
inpatient dermatology
January 2020 Update
Journal Article
Journal of cutaneous pathology
Khanna Urmi
Ko Jennifer S
NEOMED College of Medicine Student
NEOMED Student Publications
Piliang Melissa
skin biopsy
Vij Alok
Warren Christine B