Asunto(s)

Asunto(s)

RESUMEN

Introducción: Los dermatólogos somos demandados a diario, en nuestro centro de trabajo, por pacientes sin cita reglada (acompañantes de pacientes, médicos de otras especialidades, trabajadores del centro, etc.). Objetivos: Descripción de los pacientes demandantes, los motivos de consulta, la gravedad de la patología consultada, la actitud diagnóstico-terapéutica y asistencial de los profesionales demandados. Resultados: El paciente modelo sería una mujer enfermera de mediana edad que consulta por primera vez por una lesión tumoral melanocítica benigna. En general el dermatólogo tomará una actitud terapéutica empírica o informadora y considera que la atención prestada es similar a un paciente con cita reglada. Conclusiones: Las consultas no regladas, aunque suelen ser por patología banal, suponen una carga asistencial en la práctica diaria (AU)

Background: Dermatologists are regularly consulted in their place of work by patients without an official appointment (individuals accompanying other patients, doctors from other specialties, hospital workers, etc). Objectives: To describe the characteristics of consulting patients, reasons for consultation, severity of complaint, diagnostic and therapeutic approach taken, and level of care provided by the consulted professionals. Results: The typical patient would be a middle-aged female nurse consulting for the first time for a benign melanocytic lesion. In general, the dermatologist will take an empirical or informative therapeutic approach and consider the care provided to be similar to that offered to patients with an official appointment. Conclusions: Unofficial appointments, although commonly for trivial complaints, represent an additional workload in daily clinical practice (AU)

Asunto(s)

Asunto(s)

RESUMEN

BACKGROUND: Dermatologists are regularly consulted in their place of work by patients without an official appointment (individuals accompanying other patients, doctors from other specialties, hospital workers, etc). OBJECTIVES: To describe the characteristics of consulting patients, reasons for consultation, severity of complaint, diagnostic and therapeutic approach taken, and level of care provided by the consulted professionals. RESULTS: The typical patient would be a middle-aged female nurse consulting for the first time for a benign melanocytic lesion. In general, the dermatologist will take an empirical or informative therapeutic approach and consider the care provided to be similar to that offered to patients with an official appointment. CONCLUSIONS: Unofficial appointments, although commonly for trivial complaints, represent an additional workload in daily clinical practice.

Asunto(s)

Asunto(s)

Asunto(s)

RESUMEN

INTRODUCTION: Every year, health expenditure in Spain increases and, with it, the resources dedicated to cancer treatment. Cutaneous melanoma is the skin cancer with the highest morbidity and mortality. OBJECTIVES: We performed a descriptive study of the costs, based on a theoretical model, to determine the healthcare expenditure for patients with cutaneous melanoma; the objective was to define the overall costs (direct and indirect) of the diagnostic and treatment process of cutaneous melanoma, divided into different stages or diagnostic-therapeutic steps, and the possible variations in these costs. MATERIAL AND METHODS: For this purpose, we used the Andalusian analytical accountancy program of hospitals and districts (COAN-hyd) and the total costs module of the COAN for 2007, applied to the protocol we use in the melanoma unit of our hospital. CONCLUSIONS: The most important conclusions were that the greatest health care expenditure was observed inpatients with more advanced melanomas, with a poor prognosis. Management of the diagnostic-therapeutic process by dermatologists, the appropriate use of complementary tests, and operations performed by dermatologists reduce costs.

Asunto(s)

Asunto(s)

RESUMEN

La Elastosis Perforante Serpiginosa pertenece al grupo de enfermedades perforantes, es una patología poco frecuente que aparece en edades tempranas,infancia o edad adulta precoz. Casi la mitad de los casos se relacionan con diferentes alteraciones genéticas o tratamientos prolongados con penicilamina.Las lesiones son pápulas queratósicas de 2-5mm que se disponen con un patrón serpiginoso o anular, siendo el cuello y flexuras las localizaciones másfrecuentes. Las principales características anatomopatológicas son la hiperplasia y la eliminación transepidérmica de tejido elástico.Presentamos una paciente de 48 años, con Enfermedad de Wilson en tratamiento con D-penicilamina, que consultó por lesiones anulares de repeticióny resolución espontánea (AU)

Elastosis Perforans Serpiginosa belongs to perforating diseases of the skin. It is a rare condition that appears in early ages, childhood or early adult age.Almost half of the cases are related to different genetic alterations or prolonged treatments with penicillamine.The lesions are queratotic papules of 2-5mm with serpiginous or annular pattern, and the neck and the flexures are the most frequent locations. Theprincipal anatomopathologic characteristics are hiperplasic and transepidermal elimination of elastic fiber.We show a patient with 48 years old, with Wilson’s disease in treatment with D-penicillamine, who consulted by annular repetitive lesions and spontaneousresolution (AU)

Asunto(s)

Asunto(s)

Asunto(s)