Interconsultas dermatológicas en pacientes hospitalizados en un hospital terciario en España: un estudio retrospectivo de 750 pacientes / Inpatient dermatology consultations in a tertiary care hospital in Spain: a retrospective study of 750 patients

OBJETIVO: La interconsulta médica es una labor asistencial generalmente poco valorada y estudiada. El principal objetivo ha sido describir y analizar las interconsultas solicitadas a Dermatología y los aspectos que inciden en su resolución. PACIENTES Y MÉTODOS: Estudio observacional retrospectivo en el que se recogieron las interconsultas de los pacientes ingresados durante 36 meses. Se analizaron variables con relación al manejo de los pacientes y a la calidad asistencial. RESULTADOS: Se incluyó a 750 pacientes, con una edad media de 64,85 ± 20,23 años. Los servicios médicos fueron los más solicitantes y, principalmente, Medicina Interna (37,9%). Destacaron las dermatosis inflamatorias (36,2%). El diagnóstico individual más frecuente correspondió al exantema medicamentoso (8,1%). CONCLUSIONES: La actividad consultora conlleva un importante impacto en el manejo de los pacientes ingresados, implica una mejora en la calidad asistencial y una reducción del coste sanitario, y conforma un valor formativo para los médicos residentes

OBJECTIVE: Medical consultations are a healthcare task that is generally undervalued and understudied. The main objective of this study was to describe and analyse the consultations requested of dermatology departments and the aspects that are involve in resolving the consultations. PATIENTS AND METHODS: We conducted an observational retrospective study that collected the consultations for patients hospitalised over a period of 36 months. We analysed variables related to the management of patients and the quality of the care. RESULTS: The study included 750 patients with a mean age of 64.85 (±20.23) years. The medical departments requested the most consultations, mainly internal medicine departments (37.9%). The most common topic for the consultations was inflammatory dermatoses (36.2%). The most common individual diagnosis was drug rash (8.1%). CONCLUSIONS: Consultation activities have a significant impact on the management of hospitalised patients, resulting in improved quality of care and reduced healthcare costs. These activities are also of training value for resident physicians

Ectropión en cirugía dermatológica: exploración y técnicas reconstructivas / Ectropion in Dermatologic Surgery: Exploration and Reconstruction Techniques

El ectropión o eversión del párpado, es la malposición palpebral más frecuente. Al alterar la función protectora palpebral puede causar epífora, lagoftalmos, queratinización, irritación crónica, dolor o ulceración. Se distinguen 5 tipos de ectropión en función de su mecanismo causal: congénito, paralítico, involutivo, cicatricial y mecánico. Lo más habitual en dermatología, es la presencia de ectropión de tipo mixto, con elementos involutivos y mecánico-traccionales. Existen varias técnicas reparadoras de ectropión cuya indicación dependerá del componente patogénico principal. Revisamos la anatomía básica palpebral y exponemos la técnica exploratoria que nos permitirá analizar el riesgo de ectropión para prevenir su aparición o determinar la patogenia del ectropión ya establecido para definir la técnica reparadora más apropiada

Ectropion, or eyelid eversion, is the most common form of eyelid malposition. By impairing the eyelid's protective function, ectropion can cause epiphora, lagophthalmos, keratinization, chronic irritation, pain, and ulceration. There are 5 types of ectropion, each with a different cause: congenital, paralytic, involutional, cicatricial, and mechanical. The most common presentation in dermatology is involutional eversion with a mechanical or tractional element. Several options exist for the surgical repair of ectropion and choice of technique will depend on the main pathogenic component. We review the basic anatomy of the eyelid and describe examination techniques for assessing risk and preventing ectropion and for identifying the main pathogenic component in order to select the most suitable repair technique

Ectropion in Dermatologic Surgery: Exploration and Reconstruction Techniques. / Ectropión en cirugía dermatológica: exploración y técnicas reconstructivas.

Ectropion, or eyelid eversion, is the most common form of eyelid malposition. By impairing the eyelid's protective function, ectropion can cause epiphora, lagophthalmos, keratinization, chronic irritation, pain, and ulceration. There are 5 types of ectropion, each with a different cause: congenital, paralytic, involutional, cicatricial, and mechanical. The most common presentation in dermatology is involutional eversion with a mechanical or tractional element. Several options exist for the surgical repair of ectropion and choice of technique will depend on the main pathogenic component. We review the basic anatomy of the eyelid and describe examination techniques for assessing risk and preventing ectropion and for identifying the main pathogenic component in order to select the most suitable repair technique.

ASIA (Autoimmune/Inflammatory Syndrome Induced by Adjuvants): ¿un nuevo caso? / ASIA (Autoimmune/Inflammatory Syndrome Induced by Adjuvants): a new case?

No disponible

Inpatient dermatology consultations in a tertiary care hospital in Spain: A retrospective study of 750 patients. / Interconsultas dermatológicas en pacientes hospitalizados en un hospital terciario en España: un estudio retrospectivo de 750 pacientes.

OBJECTIVE: Medical consultations are a healthcare task that is generally undervalued and understudied. The main objective of this study was to describe and analyse the consultations requested of dermatology departments and the aspects that are involve in resolving the consultations. PATIENTS AND METHODS: We conducted an observational retrospective study that collected the consultations for patients hospitalised over a period of 36 months. We analysed variables related to the management of patients and the quality of the care. RESULTS: The study included 750 patients with a mean age of 64.85 (±20.23) years. The medical departments requested the most consultations, mainly internal medicine departments (37.9%). The most common topic for the consultations was inflammatory dermatoses (36.2%). The most common individual diagnosis was drug rash (8.1%). CONCLUSIONS: Consultation activities have a significant impact on the management of hospitalised patients, resulting in improved quality of care and reduced healthcare costs. These activities are also of training value for resident physicians.

Tumoración occipital de rápido crecimiento / Fast-Growing Occipital Tumor

No disponible

Reconstrucción del ala nasal mediante injerto condrocutáneo / Chondrocutaneous Graft for Reconstruction of the Ala Nasi

No disponible

Fístula cutánea submandibular / Submandibular Cutaneous Fistula

No disponible