Skin Conditions in Crisis Areas

Author(s):  
Marcia Glass ◽  
Carrie Kovarik ◽  
Mara Haseltine ◽  
Sandra L. Freiwald ◽  
Susan Barbour

This chapter describes the most common and urgent skin issues facing palliative-medicine providers working in conflict zones, epidemics, and natural disasters. The first section focuses on exposure-related skin conditions, including burns, firearm injuries, frostbite, and snake bites. The second section describes lethal bacteria commonly found in floodwaters. The third section explores common skin conditions facing terminally and severely ill patients in crisis areas. The fourth section explains noninfectious yet potentially life-threatening skin diseases in these settings. The final section describes the opportunistic infections which could target patients with HIV anywhere.

Author(s):  
Gemma Simcox

Skin disease has a serious impact on an individual’s quality of life. It is well recognized that conditions such as psoriasis may have a similar impact on a patient’s quality of life to chronic diseases such as diabetes, hypertension, and depression. Skin problems account for approximately 20% of all patient consultations in primary care in the UK. It is important that clinicians are able to diagnose common skin diseases such as acne, eczema, psoriasis, and cutaneous malignancies and initiate an appropriate management plan. This requires the ability to take a full history and conduct a complete examination. A complete dermatological examination involves examination of the entire skin, mucous membranes, hair, and nails. The description of cutaneous pathologies should include the location and distribution of lesions. The morphology of a lesion or each component of a generalized eruption should be noted. Other organ systems may also need to be examined. The questions in this chapter will test your knowledge of the skin problems that are frequently encountered in non-specialist clinical practice. Other more rare skin disorders are also covered, either because they are potentially life-threatening or because they are a sign of systemic disease. The questions are designed to improve your ability to recognize the morphology and distribution of cutaneous physical signs. Hopefully you will find these questions stimulating and an aid to improving your knowledge of skin disease.


Author(s):  
M. Vijaya Bharathi ◽  
Neetha L. ◽  
S. Murugan ◽  
S. Rajagopal ◽  
J. Nivin Simon

<p class="abstract"><strong>Background:</strong> Skin diseases are common contributors to disease morbidity worldwide, particularly among adolescents. Although skin diseases are rarely lethal, they can have a significant impact in terms of treatment cost, absence from school, and psychological distress. Verruca vulgaris (cutaneous warts) is a common skin problem in adolescents that commonly affects the hands and feet. The aim of the study was to determine the prevalence of warts among nursing students.</p><p class="abstract"><strong>Methods: </strong>Three hundred and twenty eight undergraduate degree students of nursing college were examined for skin conditions after an unprecedented sporadic visitors form the nursing college with palmo-plantar warts. The study was conducted at Sree Mookambika Institute of Medical Sciences, Kulasekharam, Kanyakumari district during the period of 20 March 2019 to 25 March 2019.</p><p class="abstract"><strong>Results: </strong>Among the 328 students, 102 students (31%) remained healthy dermatologically. Seborrheic dermatitis was found among 145 students (4.4%), pediculosis was found in 40 students (12%). 34 students were having palmoplantar warts (10.4%). Among these, nearly 30 were having palmar warts and only 4 were having plantar and palmar warts. 83 first year students were not having any warts in their hands or foot, whereas 11 among 2nd year, 16 among 3rd year students and 7 among 4th year students were having viral warts. Prevalence was more among 2nd and 3rd year students.</p><p class="abstract"><strong>Conclusions: </strong>Screening of hostel students should also include for the presence of viral skin disease like herpes simplex, Herpes zoster and HPV infections and they should be treated then and there to break the chain of transmission.</p>


2020 ◽  
Vol 12 (548) ◽  
pp. eabc8946
Author(s):  
James Ankrum

Deep learning outperforms general practitioners in diagnosing 26 common skin conditions.


2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Roushan Jahan ◽  
Shreedhar Khanal ◽  
Shraddha Shrestha ◽  
Niraj Parajuli

The skin diseases of pediatric population are varied which change according to age and season. There is a rarity of studies on pediatric skin conditions from Nepal. This observational study from the only tertiary care referral pediatric center of the country highlighted the burden of pediatric skin diseases in Nepalese population. All new cases of pediatric patients less than 14 years of age consulting the pediatric dermatological OPD of Kanti Children’s Hospital from January 2017 to December 2017 were included in this study. Demographic details of all the patients such as age and sex were recorded. The diagnosis was made clinically in most instances and appropriate laboratory and histopathological examination were performed wherever necessary. A total of 7683 pediatric patients were included in the study. Among these, there were 4574 (59.53%) males and 3109 (40.47%) females. The most common skin condition was infections among 2463 (32.12%) followed by eczematous conditions in 1711(22.27%) and hypersensitivity reactions in 1510 (19.65%). Infections were more common during the summer months. Overall, both infectious and noninfectious skin diseases were significantly more common during the warmer (summer and spring) months as compared to colder (autumn and winter) months ( p < 0.001 ). This study shows that the pediatric dermatoses are common in Nepalese population.


2022 ◽  
Vol 13 (1) ◽  
pp. 22-27
Author(s):  
Kavita Kavita ◽  
Hitaishi Mehta ◽  
Sandhya Ghai ◽  
Aarti Garg ◽  
Tarun Narang

Background: The high burden of skin diseases and the shortage of dermatologists are significant challenges in providing care to millions of people with skin diseases. Task shifting to nurses is a viable option for the delivery of dermatologic care in resource-poor settings. Satisfactory knowledge and a positive attitude are crucial for nurses to undertake the task of managing common skin diseases. This study aimed to investigate the knowledge of registered nurses and their attitude toward common skin conditions. Methods: In this descriptive, cross-sectional study, a total of 187 nurses were included from a nurses training institute by total enumeration sampling. A knowledge questionnaire and five-point Likert type-attitude scale were developed, validated, and employed to collect data. Written informed consent was obtained from the participants after approval from the institute ethics committee. Results: The mean of the knowledge scores were 10.7 ± 2.2. Nearly two thirds (62%) of the subjects demonstrated a low level of knowledge, while the remaining 38% showed a moderate level. There was no participant in the high-knowledge category. A majority of the nurses demonstrated a favorable attitude toward learning and undertaking the task of managing common skin conditions. Conclusion: We observed a low level of knowledge on diagnosing and managing common skin conditions. We recommend incorporating the relevant concepts of common skin conditions in the nursing curriculum with an emphasis on continuing education.


Author(s):  
Christophe Trivalle ◽  
Daniel Wallach

In this chapter, we briefly survey the more common skin diseases seen in older adults. All elderly people have cutaneous lesions, and knowledge of the principles of dermatology is needed for their management, because some of these lesions have potentially severe and lethal consequences. Older people are rarely free from skin problems and a certain degree of dermatological expertise is required to distinguish between benign consequences of ageing, dermatitis requiring intervention, and life-threatening dermatoses. Older people do not usually have easy access to dermatologists. Preliminary experiments of telemedicine showed that for specific situations, such as leg ulcers or for an expert advice, remote consultations can be useful. Meanwhile, close attention and early referral may be needed to avoid unnecessary suffering.


Author(s):  
Steven J. Ersser

The aim of this chapter is to provide nurses with the knowledge to be able to assess, manage, and care for people with skin conditions in an evidence-based and person-centred way. The chapter will provide a comprehensive overview of the commonest skin diseases and their causes before exploring best practice to assess and help patients to manage skin conditions. Nursing priorities are highlighted throughout, and the nursing management of the symptoms and common health problems associated with skin conditions can be found in Chapters 19, 20, 21, 24, 27, and 28 on skin care and the maintenance of skin hygiene, skin barrier integrity, the prevention of skin breakdown, and wound management, respectively. Skin care is a fundamental area of nursing responsibility. The skin, or integumentary system, is the largest organ of the body and has significant protective and thermoregulatory functions. Skin disease is common, accounting for approximately 24% of GP visits (Schofield et al., 2009). It may have a major psychosocial impact on a person’s quality of life through its influence on appearance, body image, and self-esteem. This chapter introduces you to the common skin diseases that you are likely to encounter when caring for adult patients and outlines the nursing problems that you will need to manage. The cause or aetiology of common skin conditions lies with the interaction between genetic and environmental factors. For example, a child’s eczema is influenced by his or her genotype and his or her exposure to environmental allergens. Within the UK population, 23–25% have a skin problem at some time in their lives that can benefit from medical care (Schofield et al., 2009). Skin problems are the commonest reason for consulting a GP, with 6% referred for specialist advice. As such, all registered nurses should have the knowledge and skills to manage the common conditions. The commonest skin conditions in the Western hemisphere are chronic inflammatory skin diseases (CISDs), such as eczema. In developing countries, the common conditions are infections and infestations. The quality-of-life impact of CISDs can exceed that for life-threatening conditions such as cancer (Rapp et al., 1999; Kingman, 2005).


Author(s):  
Ashis Banerjee ◽  
Clara Oliver

Dermatology encompasses a large number of conditions including both primary skin diseases as well as multisystem disease. This chapter covers the pertinent areas of dermatology required for the Intermediate FRCEM examination. It is highly possible that skin conditions could appear in the short-answer question (SAQ) paper and therefore this chapter provides candidates with the tools to describe a rash in terms of nomenclature as well as constructing a differential diagnosis and management plan. This chapter covers the common life-threatening rashes such as Steven-Johnson syndrome, as well as rashes associated with multisystem disease such as erythema nodosum and primary skin conditions.


PeerJ ◽  
2016 ◽  
Vol 4 ◽  
pp. e2028
Author(s):  
Mateusz Cybulski ◽  
Elzbieta Krajewska-Kulak

Skin diseases constitute an essential health and aesthetic problem in the elderly. The aim of the study was to evaluate the knowledge of the elderly residents of public nursing homes and participants of the University of the Third Age in Bialystok, Poland surrounding the factors influencing skin ageing, the awareness of skin conditions in agening skin, and the impact of skin ageing on the volunteers. The study was performed from April to June 2015 in Bialystok, in two groups: among 100 public nursing home residents (PNH) and 100 members of University of the Third Age (U3A), (all over 60 years old). The study made use of a diagnostic survey conducted via a questionnaire prepared by the authors. Nearly half of those surveyed (42.5%;n= 85) sunbathed in the past, while 28.0% (n= 56) of those surveyed now take part in this type of leisure activity. More than half of respondents (53.0%;n= 106) protected their skin using special protective preparations. A majority of Bialystok inhabitants surveyed (80.5%;n= 161) noticed the features of skin ageing. They reported birthmarks, fungal infections and bedsores as the main skin problems of the old age. Nearly half (40%) of respondents assessed their knowledge as average and 26.0% as poor. The study showed some statistical differences in the knowledge and awareness between the residents of public nursing homes and the students of the University of the Third Age, e.g., the use of the Internet by the U3A group for finding out information. There is a desire to receive education in the field of the agening skin conditions/diseases among the elderly because their level of knowledge is relatively poor. Education of seniors in this area can increase their awareness of the basic principles of skin care and prevention marking of skin ageing. The benefits of greater knowledge of seniors about the conditions of agening skin can help reduce the medical burden and reduce the incidence on certain skin diseases. Furthermore, there is a need for educating of the younger population on the factors of skin ageing to prevent certain skin conditions as they become older. Seniors should be professionally educated by qualified specialists; for example, dermatologists or cosmeticians, so that the information they receive is in line with evidence-based medicine.


Author(s):  
Chiara Vari ◽  
Patrizia Velotti ◽  
Alessandro Crisi ◽  
Silvana Carlesimo ◽  
Antonio G. Richetta ◽  
...  

Abstract. A broad range of literature reported higher rates of psychopathology and personality disorders among patients affected by skin conditions. Specifically, depression, anxiety, and suicidal ideations are more frequently reported by patients affected by skin diseases. This study aimed to examine psychopathology and personality in a group of patients affected by psoriasis by means of a self-report measure (Millon Clinical Multiaxial Inventory – MCMI-III) and a performance-based technique (Wartegg Drawing Completion Test [WDCT], CWS). Study results showed a higher rate of passive-aggressiveness and paranoia among psoriatic patients (MCMI-III). When assessing patients through the performance-based technique (WDCT, CWS), a higher rate of global rejection (GR) – linked by previous literature to suicidal ideation – and a lower affective quality of the drawings emerged. We discuss the clinical importance of detecting psychological issues in dermatology patients by means of a multimethod assessment that goes beyond patients’ self-evaluation of their symptoms and emotions.


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