Article Text

WHAT PAEDIATRICIANS AND PRIMARY CARE PHYSICIANS DON'T KNOW ABOUT PAEDIATRIC DERMATOLOGY
  1. C AlmeidaFernandes1,
  2. A Fernandes2,
  3. A S Campos3,
  4. A Tome4,
  5. A Morgado5
  1. 1Pediatrics Department, Centro Hospitalar de Setubal, EPE, Setubal, Portugal
  2. 2Pediatrics Department, Hospital Nossa Sra Rosario, EPE, Barreiro, Portugal
  3. 3Primary Care Department, Fernão Ferro Primary HealthCare Center, Fernao Ferro, Portugal
  4. 4Pediatrics Department, Montijo Primary HealthCare Center, Montijo, Portugal
  5. 5Dermatology Department, Hospital Nossa Sra Rosario, EPE, Barreiro, Portugal

Abstract

Introduction and Aims Although dermatology makes up part of paediatricians and primary health care providers’ residency training, the truth is that referral to paediatric dermatology consultation is often unnecessary and most situations should be ruled out in primary care setting and specialty consultations reserved for more severe situations.

Study and Design Registration of demographic data (age, mean age, sex distribution) and motive of referral from paediatrician and primary care physician for paediatric dermatology consultation during a period of 6 months.

Results A total of 166 children and adolescents were observed. 52% male and the average age 7.7 years. 61% corresponded to first consultation. With a frequency of 17.5% atopic dermatitis was the most frequent diagnosis, followed by warts (16.9%) and molluscum contagiosum (10.2%), pigmented nevi (9.6%) and acne vulgaris (8.4%).

1.2% had no disease.

Conclusions We emphasize that dermatologic education of medical students, primary care physicians, and pediatricians should focus on allergic skin diseases, skin infections and pigmentary disorders.

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