Inpatient dermatology consultations during COVID 19 pandemic in a tertiary referral center

Abstract

Since the COVID‐19 infection first appeared in December 2019, patient profile of outpatient and inpatient clinics have changed. Various cutaneous findings associated with COVID‐19 have been reported in the literature. The main objective of this study was to describe and analyze the profile of the consultations requested from dermatology department during the COVID pandemic. Retrospective, cohort study In this study we observed the dermatology consultations of the hospitalized patients over a period of 2 months, corresponding to the peak of COVID outbreak in a tertiary care hospital in Turkey. We reviewed the inpatient dermatology consult database retrospectively. Both pediatric and adult dermatology inpatient consultations were evaluated. A total of 166 inpatient dermatology consultations were requested from dermatology department during March‐May, 2020. The mean age of the patients was 53,12 (1‐89) years. Almost 32,5% (n = 54) of dermatology consultations were requested from the COVID wards and the COVID intensive care unit. The second most common consultations were requested from internal medicine departments (n = 46, 27,7%). The most common indications for the consultations were cutaneous infections (36%), followed by inflammatory disorders (32%), and urticaria (11%). Dermatology consultations have an essential role on the management of hospitalized patients, especially at that pandemic time. Careful dermatological examination improves diagnostic accuracy in skin disorders and skin manifestations of COVID‐19 infection that provides an early diagnosis and treatment, helps to improve the quality of the patient care and management. This article is protected by copyright. All rights reserved.

Quality of Life of Infants, Toddlers and Preschoolers with Seborrhoeic, Allergic Contact and Atopic Dermatitis Before and During COVID-19 Pandemic

“…The COVID-19 pandemic has led to a significant decrease of paediatric dermatology consultations [ 17 ] and HRQoL in patients with skin diseases was found to worsen significantly compared to prepandemic studies [ 18 ].…”

Impact of COVID‐19 on inpatient dermatology consults in an Australian tertiary hospital

“…It is more prevalent in adolescents and may be associated with postural orthostatic tachycardia syndrome (POTS) and other forms of orthostatic intolerance (OI). [1][2][3][4] We report two new cases of BASCULE syndrome in adolescent males emphasising its frequency in this age group and its possible association with disorders of the autonomic nervous system. A healthy, 13-year-old boy presented with a 6-month history of a bluish discoloration of his lower limbs associated with cramps and trembling.…”

“…1 As such the experience of dermatology departments in Australia has differed from those reported in Europe and the United States. 2 , 3 , 4 , 5 , 6 …”

Dermatology in a multidisciplinary approach with infectious disease and obstetric medicine against COVID-19

“…Taken in their totality, we see that due to the multi-system effects of COVID-19, a multidisciplinary approach is often needed in order to optimize care. In fact, COVID-19 patients can make up a significant portion of inpatient dermatology consults – one study found that over 30% of dermatology consults at a tertiary care hospital were for COVID-19 patients and over 40% of all dermatology consults were done via telemedicine ( Trinidad et al, 2020 ; Uzuncakmak et al, 2020 ; Bhargava et al, 2021a ).…”