Dermatological diseases in immigrants with Fitzpatrick skin types 5-6 evaluated in a tertiary health center
Yıl: 2022 Cilt: 56 Sayı: 4 Sayfa Aralığı: 172 - 177 Metin Dili: İngilizce DOI: 10.4274/turkderm.galenos.2022.82084 İndeks Tarihi: 12-05-2023
Dermatological diseases in immigrants with Fitzpatrick skin types 5-6 evaluated in a tertiary health center
Öz: Background and Design: Dermatologists have limited experience with dermatological diseases seen in immigrants with Fitzpatrick skin types 5-6 in Turkey, which can cause difficulties in diagnosis. This study aimed to examine the clinical and demographic characteristics of this patient population evaluated in a tertiary health center. Materials and Methods: All patients with Fitzpatrick skin types 5-6 who applied to our dermatology outpatient clinic between June 1, 2018, and July 15, 2021, were included in this single-center, retrospective study. All data were obtained from the electronic database. Results: The study included 65 patients with Fitzpatrick skin types 5-6 from 14 countries. Overall, 37 of the patients were female and 28 were male, and the mean age was 30.7±15.54 years. The patients were most commonly from East Africa (76.9%), and 38 (58.5%) patients were from Somalia. The most common diagnoses were acne (21.5%), infections (20.0%), dermatitis (12.3%), pigmentation disorders (9.2%), and xerosis cutis (9.2%). Biopsy was taken from 6 (9.2%) patients. As regards treatment, only topical treatment was recommended in 55.4%, topical and systemic treatment in 26.1%, systemic treatment in 4.6%, cryotherapy/surgical methods in 6.1%, and further examination in 7.7% of the cases. Conclusion: Acne, dermatitis, pigmentation disorders, and alopecia, which are common diagnoses in our study, are consistent with the diagnoses reported most frequently in patients with Fitzpatrick skin type 5-6. The finding that infections (20.0%) were among the most common diagnoses in our study may be related to the difficult living conditions of this patient population as they are immigrants. Thus, physicians should recognize common dermatological diseases in individuals with Fitzpatrick skin types 5-6. Our results may guide further studies in determining the medical needs of this patient group and planning dermatological care appropriately.
Anahtar Kelime: Üçüncü basamak bir sağlık merkezinde değerlendirilen Fitzpatrick deri tipi 5-6 olan göçmenlerdeki dermatolojik hastalıklar
Öz: Amaç: Ülkemizde Fitzpatrick deri tipi 5-6 olan göçmenlerde görülen dermatolojik hastalıklara ilişkin dermatologların sınırlı deneyimi olup bu durum zaman zaman tanıda güçlüklere neden olabilmektedir. Çalışmanın amacı üçüncü basamak bir sağlık merkezinde değerlendirilen bu hasta popülasyonunun klinik ve demografik özelliklerinin incelenmesidir. Gereç ve Yöntem: Çalışmamız tek merkezli ve retrospektif olup 1 Haziran 2018-15 Temmuz 2021 tarihleri arasında dermatoloji polikliniğimize başvuran, Fitzpatrick deri tipi 5-6 olan tüm hastalar çalışmaya dahil edilmiştir. Tüm veriler elektronik veri tabanından elde edilmiştir. Bulgular: Çalışmaya Fitzpatrick deri tipi 5-6 olan 14 ülkeden 65 hasta dahil edilmiştir. Hastaların 37’si kadın, 28’i erkektir ve yaş ortalaması 30,7±15,54’tür. Hastalar en sık Doğu Afrika’dan (%76,9) olup, 38 hasta (%58,5) Somali kökenlidir. En sık karşılaşılan dermatolojik tanılar akne (%21,5), enfeksiyonlar (%20,0), dermatitler (%12,3), pigmentasyon bozuklukları (%9,2) ve kserozis kutis’dir (%9,2). Toplamda 6 hastadan (%9,2) biyopsi alınmıştır. Uygulanan tedavi modaliteleri değerlendirildiğinde hastaların %55,4’üne yalnızca topikal, %26,1’ine topikal ve sistemik, %4,6’sına yalnızca sistemik tedavi, %6,1’ine kriyoterapi/cerrahi yöntemler ve %7,7’sine ileri inceleme önerilmiştir. Sonuç: Çalışmamızda sık görülen tanılardan akne, dermatitler, pigmentasyon bozuklukları ve alopesiler, literatürde Fitzpatrick deri tipi 5-6 hastalarda en sık görüldüğü bildirilen tanılar ile uyumludur. Çalışmamızda enfeksiyonların en sık rastlanan tanılardan biri olması bu hasta popülasyonunun göçmen olması nedeniyle ülkemizde sahip olduğu zor yaşam koşullarıyla ilişkili olabilir. Fitzpatrick deri tipi 5-6 olan bireylerde yaygın görülen dermatolojik hastalıkların hekimler tarafından iyi tanınması önemlidir, bu nedenle çalışmamızın sonuçları uygun dermatolojik bakımın planlanması için bu hasta grubunun tıbbi ihtiyaçlarının belirlenmesinde daha sonraki çalışmalar için yol gösterici olabilir
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Gupta V, Sharma VK: Skin typing: Fitzpatrick grading and others. Clin Dermatol 2019;37:430-6.
- 2. Thong HY, Jee SH, Sun CC, Boissy RE: The patterns of melanosome distribution in keratinocytes of human skin as one determining factor of skin colour. Br J Dermatol 2003;149:498-505.
- 3. Taylor SC: Skin of color: biology, structure, function, and implications for dermatologic disease. J Am Acad Dermatol 2002;46:41-62.
- 4. Alexis AF, Sergay AB, Taylor SC: Common dermatologic disorders in skin of color: a comparative practice survey. Cutis 2007;80:387-94.
- 5. Halder RM, Grimes PE, McLaurin CI, Kress MA, Kenney JA Jr: Incidence of common dermatoses in a predominantly black dermatologic practice. Cutis 1983;32:388-90.
- 6. Dunwell P, Rose A: Study of the skin disease spectrum occurring in an AfroCaribbean population. Int J Dermatol 2003;42:287-9.
- 7. Wilmer EN, Gustafson CJ, Ahn CS, Davis SA, Feldman SR, Huang WW: Most common dermatologic conditions encountered by dermatologists and nondermatologists. Cutis 2014;94:285-92.
- 8. UNHCR: Figures at a Glance. Access date 30 September, 2021. Available from: https://www.unhcr.org/en-us/figures-at-a-glance.html
- 9. Trovato A, Reid A, Takarinda KC, et al.: Dangerous crossing: demographic and clinical features of rescued sea migrants seen in 2014 at an outpatient clinic at Augusta Harbor, Italy. Confl Health 2016;10:14.
- 10. Inci R, Öztürk P, Mülayım MM, et al.: Dermatological face of Syrian civil war. Turkderm - Arch Turk Dermatol Venerology 2016;50:145-9.
- 11. Elyas A, Svensson Å, Wallin E, Dalgard FJ: Migration dermatology: an issue to consider? J Eur Acad Dermatol Venereol 2018;32:e86-7.
- 12. Padovese V, Egidi AM, Fenech TM, et al.: Migration and determinants of health: clinical epidemiological characteristics of migrants in Malta (2010- 11). J Public Health (Oxf) 2014;36:368-74.
- 13. Di Meco E, Di Napoli A, Amato LM, et al.: Infectious and dermatological diseases among arriving migrants on the Italian coasts. Eur J Public Health 2018;28:910-6.
- 14. Padovese V, Knapp A: Challenges of managing skin diseases in refugees and migrants. Dermatol Clin 2021;39:101-15.
- 15. Souliotis K, Saridi M, Banou K, et al.: Health and health needs of migrants in detention in Greece: shedding light to an unknown reality. Global Health 2019;15:4.
- 16. Norman FF, Comeche B, Chamorro S, López-Vélez R: Overcoming challenges in the diagnosis and treatment of parasitic infectious diseases in migrants. Expert Rev Anti Infect Ther 2020;18:127-43.
- 17. Castelli F, Sulis G: Migration and infectious diseases. Clin Microbiol Infect 2017;23:283-9.
- 18. Adışen E Afacan E, Gürer MA: Not the pandemic but telemedicine will prevent dermatology patients from overloading the healthcare system. Dermatol Ther 2020;33:e14302.
- 19. Kompaore F, Marty JP, Dupont C: In vivo Evaluation of the Stratum corneum Barrier Function in Blacks, Caucasians and Asians with Two Noninvasive Methods. Skin Pharmacol 1993;6:200-7.
- 20. Grimes PE, Stockton T: Pigmentary disorders in blacks. Dermatol Clin 1988;6:271-81.
- 21. Coley MK, Alexis AF: Managing common dermatoses in skin of color. Semin Cutan Med Surg 2009;28:63-70.
- 22. Kundu RV, Patterson S: Dermatologic conditions in skin of color: Part I. Special considerations for common skin disorders. Am Fam Physician 2012;87:850- 6.
| APA | AFACAN YILDIRIM E, Edek Y, adisen e (2022). Dermatological diseases in immigrants with Fitzpatrick skin types 5-6 evaluated in a tertiary health center. , 172 - 177. 10.4274/turkderm.galenos.2022.82084 |
| Chicago | AFACAN YILDIRIM ELİF,Edek Yusuf Can,adisen esra Dermatological diseases in immigrants with Fitzpatrick skin types 5-6 evaluated in a tertiary health center. (2022): 172 - 177. 10.4274/turkderm.galenos.2022.82084 |
| MLA | AFACAN YILDIRIM ELİF,Edek Yusuf Can,adisen esra Dermatological diseases in immigrants with Fitzpatrick skin types 5-6 evaluated in a tertiary health center. , 2022, ss.172 - 177. 10.4274/turkderm.galenos.2022.82084 |
| AMA | AFACAN YILDIRIM E,Edek Y,adisen e Dermatological diseases in immigrants with Fitzpatrick skin types 5-6 evaluated in a tertiary health center. . 2022; 172 - 177. 10.4274/turkderm.galenos.2022.82084 |
| Vancouver | AFACAN YILDIRIM E,Edek Y,adisen e Dermatological diseases in immigrants with Fitzpatrick skin types 5-6 evaluated in a tertiary health center. . 2022; 172 - 177. 10.4274/turkderm.galenos.2022.82084 |
| IEEE | AFACAN YILDIRIM E,Edek Y,adisen e "Dermatological diseases in immigrants with Fitzpatrick skin types 5-6 evaluated in a tertiary health center." , ss.172 - 177, 2022. 10.4274/turkderm.galenos.2022.82084 |
| ISNAD | AFACAN YILDIRIM, ELİF vd. "Dermatological diseases in immigrants with Fitzpatrick skin types 5-6 evaluated in a tertiary health center". (2022), 172-177. https://doi.org/10.4274/turkderm.galenos.2022.82084 |
| APA | AFACAN YILDIRIM E, Edek Y, adisen e (2022). Dermatological diseases in immigrants with Fitzpatrick skin types 5-6 evaluated in a tertiary health center. Türkderm Türk deri hastalıkları ve frengi arşivi, 56(4), 172 - 177. 10.4274/turkderm.galenos.2022.82084 |
| Chicago | AFACAN YILDIRIM ELİF,Edek Yusuf Can,adisen esra Dermatological diseases in immigrants with Fitzpatrick skin types 5-6 evaluated in a tertiary health center. Türkderm Türk deri hastalıkları ve frengi arşivi 56, no.4 (2022): 172 - 177. 10.4274/turkderm.galenos.2022.82084 |
| MLA | AFACAN YILDIRIM ELİF,Edek Yusuf Can,adisen esra Dermatological diseases in immigrants with Fitzpatrick skin types 5-6 evaluated in a tertiary health center. Türkderm Türk deri hastalıkları ve frengi arşivi, vol.56, no.4, 2022, ss.172 - 177. 10.4274/turkderm.galenos.2022.82084 |
| AMA | AFACAN YILDIRIM E,Edek Y,adisen e Dermatological diseases in immigrants with Fitzpatrick skin types 5-6 evaluated in a tertiary health center. Türkderm Türk deri hastalıkları ve frengi arşivi. 2022; 56(4): 172 - 177. 10.4274/turkderm.galenos.2022.82084 |
| Vancouver | AFACAN YILDIRIM E,Edek Y,adisen e Dermatological diseases in immigrants with Fitzpatrick skin types 5-6 evaluated in a tertiary health center. Türkderm Türk deri hastalıkları ve frengi arşivi. 2022; 56(4): 172 - 177. 10.4274/turkderm.galenos.2022.82084 |
| IEEE | AFACAN YILDIRIM E,Edek Y,adisen e "Dermatological diseases in immigrants with Fitzpatrick skin types 5-6 evaluated in a tertiary health center." Türkderm Türk deri hastalıkları ve frengi arşivi, 56, ss.172 - 177, 2022. 10.4274/turkderm.galenos.2022.82084 |
| ISNAD | AFACAN YILDIRIM, ELİF vd. "Dermatological diseases in immigrants with Fitzpatrick skin types 5-6 evaluated in a tertiary health center". Türkderm Türk deri hastalıkları ve frengi arşivi 56/4 (2022), 172-177. https://doi.org/10.4274/turkderm.galenos.2022.82084 |
