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Published on: July 11, 2013
Experiences From a Combined Dermatology and Rheumatology Clinic: A Retrospective Review
Michael Samycia1, Collette McCourt2, Kam Shojania3
1Department of Dermatology and Skin Science, University of British Columbia, Vancouver, Canada michaelsamycia@gmail.com.
Background:
The Dermatology and Rheumatology Treatment Clinic is a novel multidisciplinary clinic where patients are concomitantly assessed by a rheumatologist and dermatologist.
Objectives:
To determine the number of patients seen in clinic, patient demographics, and most common diagnoses.
Method:
A retrospective review was performed over a 2-year period. Data collected included patient age, sex, dermatologic diagnosis, rheumatologic diagnosis, biopsies performed, and number of follow-up visits.
Results:
A total of 320 patients were seen (78% female, 22% male). The most common rheumatologic diagnoses were systemic lupus erythematosus (18%), rheumatoid arthritis (15%), psoriatic arthritis (13%), and undifferentiated connective tissue disease (8%). The most common dermatologic diagnoses were dermatitis (17%), psoriasis (11%), cutaneous lupus (7%), various types of alopecia (6%), and infections (5%).
Conclusions:
Skin diagnoses were often unrelated to the underlying rheumatologic diagnosis. Rheumatologists and dermatologists can both benefit from being aware of the dermatologic conditions that rheumatologic patients are experiencing.
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