Analysis of dermatological referrals (a series of 662 cases from base and army hospital complex)
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ABSTRACT: An analysis of 662 patients from non-dermatological wards and specialist out-patients referred for dermatological opinion is reported. There was a high proportion of referrals of 330 (49.8 percent) cases from internal medicine and allied specialists, followed by 150 (22.7 percent) from surgical disciplines, 65 (9.8 percent) by Paediatricians 30 (4.5 percent) by Otolaryngologists, 24 (3.6 percent) each by Ophthalmologists and specialists in Obstetrics and Gynaecology, 21 (3.2 percent) by dental surgeons and 18 (2.7 percent) from department of Psychiatry. The youngest patient was a new born and the oldest 87 years. 333 (50.3 percent) were in the age group of 21 to 40 years. 505 (76.3 percent) were males. Almost one fourth i.e. 152 (23 percent) presented with cutaneous manifestations of underlying diseases, another 82 (12.4 percent) were drug eruptions and other complications of treatment. The study emphasizes considerable interphase between cutaneous and systemic diseases and the need for close co-operation between dermatology and other specialist medical disciplines.