Original Research ArticleAwareness, knowledge and behavior of medical personnel regarding skin cancer, sun-related hazards and sunscreen utilization at ABSTRACT Background: Worldwide, skin cancer is a major public health concern. It is a common malignancy in Saudi Arabia. The three most prevalent types of skin cancer are basal cell carcinoma, squamous cell carcinoma and melanoma. Exposure to ultraviolet (UV) radiation is the most common modifiable risk factor to lower the risk of the leading types of skin cancer. Practicing protective measures can aid in decreasing the risk of developing skin malignancies. Methods: Data collection took place at King Abdul-Aziz University Hospital, Jeddah, Saudi Arabia. This crosssectional study was conducted via a structured self-administered questionnaire among medical personnel. Results: The majority (81.9%) of the sample participants were Saudi citizens. Moreover, medical students of 4th year, 5th year and 6th year represented half of the sample. Mean±SD values for the knowledge, behavior, and awareness scores were 6.85±3.31, 8.57±5.00, and 17.75±7.05 respectively. There was no statistically significant difference in mean awareness score for the various categories of demographic variables. One-way-ANOVA revealed statistically significant difference among the different job titles in terms of awareness score with a p value <0.001. Conclusions:The results of this study have shown that the knowledge regarding skin cancer and behavior towards sun exposure is inadequate. Therefore, increasing the knowledge in the form of awareness campaigns is highly recommended.

BACKGROUND Previous studies have investigated the pattern of dermatological diseases in some regions of Saudi Arabia, but studies on the prevalence of skin diseases in Jeddah are lacking. OBJECTIVES Assess the pattern of skin diseases in Jeddah based on age and sex differences and compare the results with those of previous studies conducted in other regions of Saudi Arabia and the Middle East. DESIGN A cross-sectional prevalence study, retrospective. SETTING Dermatology clinic of King Abdulaziz University hospital. PATIENTS AND METHODS Data obtained from electronic medical records were summarized and analyzed. We only included new patients, who first visited the clinic in 2017. MAIN OUTCOME MEASURES Descriptive epidemiological data and statistical comparisons. SAMPLE SIZE 1244. RESULTS Among 3458 patients who attended the dermatology clinic, 1244 were new patients. There were 365 (29.3%) men and 879 (70.7%) women for a male-to-female ratio of 1:2.4. The mean (SD) age of the total population was 35 (3.8) years. The most common dermatological disease was dermatitis (n=266, 21.4%), followed by acne (n=195, 15.7%) and fungal infection (n=136, 10.9%). Atopic dermatitis was the most prevalent dermatome in children (41.7%), while acne was the most prevalent disease in adults (19.5%). The chi-square test indicated a significant difference between acne and sex ( P =.007), with adult women being more commonly affected (79%) and for alopecia and sex ( P <.001), with women being more commonly affected (91.2%). CONCLUSIONS There are slight differences in the prevalence of dermatological diseases in Jeddah, as shown in this study and other studies from other regions in Saudi Arabia and the Middle East. We recommend initiating awareness campaigns to increase knowledge about skin diseases, particularly in men, and improving dermatology-related training programs for primary health care physicians. A population-based study is warranted to clarify the prevalence of skin diseases in Saudi Arabia. LIMITATIONS The inclusion of patients who visited the dermatology clinic only in 2017 and data collection from only registration records.

Context: Depression in patients with a skin condition can lead to severe consequences that affect the quality of life. To our knowledge, the estimated prevalence of depression in patients who visited dermatological clinics in Jeddah remains unknown. Aims: To assess the prevalence of depression among patients with dermatological conditions and evaluate the association between clinical and demographic characteristics and depressive symptoms. Settings and Design: A cross-sectional study was conducted among dermatological patients at King Abdulaziz University Hospital in Jeddah, Saudi Arabia. Materials and Methods: The Patient Health Questionnaire-9 (PHQ-9) was used for screening depression. Statistical Analysis Used: Chi-square test and odds ratios (ORs) were used to determine the association among variables. Results: The study included 273 participants. More than two-thirds (194) of the participants were women (71.1%). Depressive symptoms were prevalent in 43 (15.8%) participants. Depression was the most prevalent among patients with psoriasis (39.5%, P < 0.001), followed by those with acne (30.2% P = 0.04). Conclusion: Psychosocial assessment should be addressed when evaluating and treating dermatological diseases. Screening tools, including PHQ-9, can facilitate the early detection of depressive symptoms and improve clinical outcomes. Addressing psychosocial aspects of skin conditions may help in reducing exacerbation of symptoms, mainly for conditions aggravated by stress, including dermatitis and psoriasis.

Background Hydroxychloroquine (HCQ) has been used to manage many inflammatory skin conditions. Nevertheless, retinopathy continues to be its most significant adverse effect. The American Academy of Ophthalmology (AAO) recommends baseline ophthalmologic screening in the first year of HCQ treatment. However, a recent study found an inadequate awareness of the recommendations. Furthermore, limited data are available regarding the implementation of the recommendations among dermatologists. Objective The aim of this study was to assess dermatologists’ adherence to recommendations pertaining to their current practice regarding HCQ toxicity detection. Methods A self-administrated questionnaire was distributed between February 2 and May 4, 2018, among members of the Saudi Society of Dermatology. The questionnaire comprised demographic-related questions and questions pertaining to each physician’s routine practice about the follow-up of HCQ-treated patients. Results A total of 76 dermatologists completed the questionnaire. We achieved a response rate of 62.54%. More than half (43/76, 56%) of the dermatologists were male. Furthermore, more than half (41/76, 53%) of them reported treating 1 to 3 patients with HCQ during the last year. Furthermore, two-thirds (47/76, 61%) of them reported screening patients before initiating HCQ treatment. Regarding follow-up recommendations, 59% (45/76) of dermatologists reported yearly after starting treatment for no-risk patients, whereas 94% (72/76) reported “yearly within 5 years of treatment” for at-risk patients. Data were considered significant at P<.05. All analyses were performed using SPSS, version 20 (IBM). Conclusions Dermatologists in Saudi Arabia are not well informed about some aspects of the latest recommendations regarding screening for HCQ toxicity in terms of tests, follow-up timing, cessation of the drug, and causative agents. Therefore, we recommend conducting more studies in Saudi Arabia to determine the adherence of more physicians to the AAO recommendations. Furthermore, patient education regarding HCQ toxicity and increased patient awareness are recommended for effective and safe HCQ use.