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Skin Diseases and Disorders

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Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
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Skin disorders at sea.

Ray Lucas¹, Keith Boniface, Michael Hite

¹Maritime Medical Access, The George Washington University, USA. rlucas@mfa.gwu.edu

International Maritime Health

|May 25, 2010

Summary

This study analyzed skin disorders in sailors, finding infections like abscesses and cellulitis were most common. Digital photos assisted diagnosis for these acute maritime dermatological issues.

Area of Science:

Maritime Medicine
Dermatology
Telemedicine

Background:

Skin conditions are common health issues at sea.
Access to dermatological care is limited for seafarers.
Acute skin disorders require prompt diagnosis and treatment.

Purpose of the Study:

To characterize the types of skin disorders requiring acute treatment among seafarers.
To analyze the prevalence of different dermatological conditions encountered at sea.
To evaluate the utility of telemedicine in diagnosing maritime skin conditions.

Main Methods:

Retrospective review of case logs from a telemedicine service for US flagged ships.
Data collected from March 1, 2006, to March 1, 2009.
Analysis of 1844 total cases, focusing on the 183 skin disorder cases.

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Main Results:

Skin disorders accounted for 10% (183/1844) of total telemedicine cases.
Infections were the most prevalent category (68%, 125/183), primarily cutaneous abscesses and cellulitis (84 cases).
Inflammatory (14%), environmental (7%), and non-specific rashes (11%) were also identified; digital photography aided diagnosis in 81 cases.

Conclusions:

Infectious skin conditions, particularly abscesses and cellulitis, are the most frequent acute dermatological problems faced by seafarers.
Telemedicine, supported by digital imaging, is a valuable tool for managing skin disorders at sea.
Understanding the spectrum of maritime skin disorders is crucial for effective healthcare provision to seafarers.