Dermatology Assessment


Approximately one in three Americans of any age has at least one recognizable skin disorder at any time. The most common cutaneous diseases encountered in community settings are dermatophytosis, acne vulgaris, seborrheic dermatitis, atopic dermatitis (eczema), verrucae (warts), tumors, psoriasis, vitiligo, and infections such as herpes simplex and impetigo. The most common diagnoses in children attending pediatric dermatology clinics include atopic dermatitis, seborrheic dermatitis, impetigo, tinea capitis, acne vulgaris, verrucae vulgaris, and molluscum contagiosum.

History

The age of the patient, onset, duration, progression, associated cutaneous symptoms (pain, pruritus), previous treatments, and associated systemic signs or symptoms (fever, malaise, weight loss) are important clues. Obtaining an accurate description of the original lesion improves diagnostic accuracy. Patients often do not consider over-the-counter remedies, especially topical medications, as treatment, so it is important to probe about these specifically as they may alter the appearance of a rash. Other important information includes a history of allergies, environmental exposure, travel history, previous treatment, affected contacts, and family history.

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