Diagnoses of hospitalized patients with skin abnormalities prompting biopsy by consulting dermatologists: A 3-year review from a tertiary care center

Title

Diagnoses of hospitalized patients with skin abnormalities prompting biopsy by consulting dermatologists: A 3-year review from a tertiary care center

Creator

Ellis Ariana; Billings Steven D; Khanna Urmi; Warren Christine B; Piliang Melissa; Vij Alok; Ko Jennifer S; Bergfeld Wilma F; Fernandez Anthony P

Publisher

Journal of Cutaneous Pathology

Date

2019
2019-12-17

Description

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.

Subject

dermatology hospital consultation; dermatopathology; inpatient dermatology; skin biopsy

Identifier

PMID: 31845375

Format

Journal Article

Search for Full-text

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Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

ISSN

1600-0560

NEOMED College

NEOMED College of Medicine

NEOMED Department

NEOMED Student Publications; NEOMED College of Medicine Student

Update Year & Number

January 2020 Update

Citation

Ellis Ariana; Billings Steven D; Khanna Urmi; Warren Christine B; Piliang Melissa; Vij Alok; Ko Jennifer S; Bergfeld Wilma F; Fernandez Anthony P, “Diagnoses of hospitalized patients with skin abnormalities prompting biopsy by consulting dermatologists: A 3-year review from a tertiary care center,” NEOMED Bibliography Database, accessed January 26, 2021, https://neomed.omeka.net/items/show/10931.

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