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Most common dermatologic problems identified by internists, 1990-1994

S R Feldman1, A B Fleischer, R C McConnell

  • 1Department of Dermatology, Wake Forest University School of Medicine, Winston-Salem, NC 27157-1071, USA. sfeldman@wfubmc.edu

Archives of Internal Medicine
|April 29, 1998
PubMed
Summary
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Internal medicine physicians most frequently diagnose dermatitis and bacterial skin infections. Understanding these common skin conditions is crucial for effective internal medicine residency training in dermatology.

Area of Science:

  • Dermatology
  • Internal Medicine
  • Medical Education

Background:

  • Internists encounter numerous patients with skin conditions, highlighting the need for robust dermatology education.
  • Identifying prevalent dermatologic issues in internal medicine practices is essential for curriculum development.

Purpose of the Study:

  • To ascertain the most frequent dermatologic problems diagnosed by internal medicine physicians.
  • To compare the diagnostic patterns of internists with those of dermatologists.

Main Methods:

  • Analysis of National Ambulatory Medical Care Survey data from 1990-1994.
  • Comparison of dermatologic diagnoses made by internists (including subspecialties) versus dermatologists and other physicians.

Main Results:

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  • Dermatitis (15.8%) and bacterial skin infections (14.0%) were the most common diagnoses by internists.
  • Infections (bacterial, fungal, viral) comprised 28.3% of internists' dermatologic diagnoses.
  • Internists more frequently diagnosed bacterial infections, herpes, exanthem, urticaria, and insect bites compared to dermatologists.

Conclusions:

  • Significant differences exist between dermatologic conditions diagnosed by internists and dermatologists.
  • Dermatology training for internal medicine residents should emphasize conditions most commonly encountered by internists.
  • Conditions like psoriasis and melanoma, though less common in internal medicine diagnoses, warrant attention in training programs.