| 词条 | Dermatology |
| 释义 |
| title = Dermatology | subdivisions = | image = | caption = Dermatology | system = Skin | diseases = Skin cancer, Skin infections, eczemas | tests = Skin biopsy | specialist = Dermatologist }}Dermatology is the branch of medicine dealing with the skin, nails, hair ( functions & structures ) and its diseases.[1][2] It is a specialty with both medical and surgical aspects.[3][4][5] A dermatologist is specialist doctor that manages diseases, in the widest sense, and some cosmetic problems of the skin, hair and nails.[2][6] EtymologyAttested in English in 1819, the word dermatology derives from the Greek δέρματος (dermatos), genitive of δέρμα (derma), "skin"[7] (itself from δέρω dero, "to flay"[8]) and -λογία -logia. History{{Main|History of dermatology}}Readily visible alterations of the skin surface have been recognized since the dawn of history, with some being treated, and some not.{{Citation needed|date=February 2011}} In 1801 the first great school of dermatology became a reality at the famous Hôpital Saint-Louis in Paris, while the first textbooks (Willan's, 1798–1808) and atlases (Alibert's, 1806–1814) appeared in print during the same period of time.[9] Training{{Infobox Occupation| name = Dermatologist | image = | caption = | official_names = Doctor, Medical Specialist | type = Specialty | activity_sector = Medicine | competencies = | formation = Doctor of Medicine (M.D.) or {{nowrap|Doctor of Osteopathic Medicine (D.O.)}} or {{nowrap|Bachelor of Medicine, Bachelor of Surgery}} | employment_field = Hospitals, Clinics | related_occupation= }}{{globalize/West|date=November 2012}} United StatesAfter earning a medical degree (M.D. or D.O.), the length of training in the United States for a general dermatologist to be eligible for Board Certification by the American Academy of Dermatology, American Board of Dermatology or the American Osteopathic Board of Dermatology is a total of four years. This training consists of an initial medical, transitional, surgical, or pediatric intern year followed by a three-year dermatology residency.[2][10][11] Following this training, one- or two- year post-residency fellowships are available in immunodermatology, phototherapy, laser medicine, Mohs micrographic surgery, cosmetic surgery, dermatopathology, or pediatric dermatology. For the past several years, dermatology residency positions in the United States have been one of the most competitive to obtain.[12][13][14] United KingdomIn the UK, a dermatologist is a medically qualified practitioner who has gone on to specialize in medicine and then sub-specialize in dermatology. This involves:
Upon successful completion of the four-year training period, the doctor becomes an accredited dermatologist and is able to apply for a consultant hospital post as a consultant dermatologist. FieldsCosmetic dermatologyDermatologists have been leaders in the field of cosmetic surgery.[15] Some dermatologists complete fellowships in surgical dermatology. Many are trained in their residency on the use of botulinum toxin, fillers, and laser surgery. Some dermatologists perform cosmetic procedures including liposuction, blepharoplasty, and face lifts.[16][17] Most dermatologists limit their cosmetic practice to minimally invasive procedures. Despite an absence of formal guidelines from the American Board of Dermatology, many cosmetic fellowships are offered in both surgery and laser medicine.[18] DermatopathologyA dermatolopathologist is a pathologist or dermatologist who specializes in the pathology of the skin.[19] This field is shared by dermatologists and pathologists. Usually a dermatologist or pathologist will complete one year of dermatopathology fellowship. This usually includes six months of general pathology, and six months of dermatopathology.[20] Alumni of both specialties can qualify as dermatopathologists. At the completion of a standard residency in dermatology, many dermatologists are also competent at dermatopathology. Some dermatopathologists qualify to sit for their examinations by completing a residency in dermatology and one in pathology. ImmunodermatologyThis field specializes in the treatment of immune-mediated skin diseases such as lupus, bullous pemphigoid, pemphigus vulgaris, and other immune-mediated skin disorders.[21] Specialists in this field often run their own immunopathology labs.{{Citation needed|date=January 2009}}Immunodermatology testing is essential for the correct diagnosis and treatment of many diseases affecting epithelial organs including skin, mucous membranes, gastrointestinal and respiratory tracts.The various diseases often overlap in clinical and histological presentation and, although the diseases themselves are not common, may present with features of common skin disorders such as urticaria, eczema and chronic itch. Therefore, the diagnosis of an immunodermatological disease is often delayed.Tests are performed on blood and tissues that are sent to various laboratories from medical facilities and referring physicians across the United States. Mohs surgery{{Main|Mohs surgery}}The dermatologic subspecialty called Mohs surgery focuses on the excision of skin cancers using a tissue-sparing technique that allows intraoperative assessment of 100% of the peripheral and deep tumor margins developed in the 1930s by Dr. Frederic E. Mohs. The procedure is defined as a type of CCPDMA processing. Physicians trained in this technique must be comfortable with both pathology and surgery, and dermatologists receive extensive training in both during their residency. Physicians who perform Mohs surgery can receive training in this specialized technique during their dermatology residency, but many will seek additional training either through preceptorships to join the American Society for Mohs Surgery[22] or through formal one to two years Mohs surgery fellowship training programs administered by the American College of Mohs Surgery.[23] This technique requires the integration of the same doctor in two different capacities: surgeon as well as pathologist. In case either of the two responsibilities is assigned to another doctor or qualified health care professional, it will not be considered to be Mohs surgery. Pediatric dermatologyPhysicians can qualify for this specialization by completing both a pediatric residency and a dermatology residency. Or they might elect to complete a post-residency fellowship.[24] This field encompasses the complex diseases of the neonates, hereditary skin diseases or genodermatoses, and the many difficulties of working with the pediatric population.[25] Teledermatology{{Main|Teledermatology}}Teledermatology is a form of dermatology where telecommunication technologies are used to exchange medical information via all kinds of media (audio, visual and also data communication, but typically photos of dermatologic conditions) usually made by non-dermatologists for evaluation off-site by dermatologists).[26][27]This subspecialty deals with options to view skin conditions over a large distance to provide knowledge exchange,[28] to establish second-opinion services for experts[29] or to use this for follow-up of individuals with chronic skin conditions.[30][31] Teledermatology can reduce wait times by allowing dermatologists to treat minor conditions online while serious conditions requiring immediate care are given priority for appointments.[32] DermatoepidemiologyDermatoepidemiology is the study of skin disease at the population level.[33] One aspect of dermatoepidemiology is the determination of the global burden of skin diseases [34][35] From 1990 to 2013, skin disease constituted approximately 2% of total global disease disability [36] as measured in disability adjusted life years (DALYS).[37] TherapiesTherapies provided by dermatologists include, but are not restricted to the following:
Most dermatologic pharmacology can be categorized based on the Anatomical Therapeutic Chemical Classification System, specifically the ATC code D. See also{{col div|colwidth=30em}}
References1. ^Random House Webster's Unabridged Dictionary. Random House, Inc. 2001. Page 537. {{ISBN|0-375-72026-X}}. 2. ^1 2 {{cite web |url=http://www.aad.org/public/specialty/what.html |title=Archived copy |accessdate=2008-11-27 |deadurl=yes |archiveurl=https://web.archive.org/web/20081216054753/http://www.aad.org/public/specialty/what.html |archivedate=2008-12-16 |df= }} 3. ^{{cite web|url=https://www.aocd.org/page/DermProcedures|title=Dermatology Procedures - American Osteopathic College of Dermatology (AOCD)|website=www.aocd.org}} 4. ^{{cite web|url=http://dermnetnz.org/dermatologist.html |title=What is a dermatologist; what is dermatology. DermNet NZ |publisher=Dermnetnz.org |date=2009-06-15 |accessdate=2012-10-28}} 5. ^{{cite web |url=http://www.dermcoll.asn.au/public/what_is_a_dermatologist.asp |title=What is a Dermatologist |publisher=Dermcoll.asn.au |accessdate=2012-10-28 |deadurl=yes |archiveurl=https://archive.is/20120525085929/http://www.dermcoll.asn.au/public/what_is_a_dermatologist.asp |archivedate=2012-05-25 |df= }} 6. ^{{cite web|url=https://www.aad.org/|title=American Academy of Dermatology - American Academy of Dermatology|website=www.aad.org}} 7. ^δέρμα, Henry George Liddell, Robert Scott, A Greek-English Lexicon, on Perseus 8. ^δέρω, Henry George Liddell, Robert Scott, A Greek-English Lexicon, on Perseus Digital Library 9. ^Freedberg, et al. (2003). Fitzpatrick's Dermatology in General Medicine. (6th ed.). McGraw-Hill Professional. Page 3. {{ISBN|0-07-138076-0}}. 10. ^{{cite web |url=http://www.abderm.org/residency.html |title=American Board of Dermatology |publisher=Abderm.org |accessdate=2012-10-28 |archive-url=https://web.archive.org/web/20130610234130/http://www.abderm.org/residency.html |archive-date=2013-06-10 |dead-url=yes |df= }} 11. ^{{cite web |author=Creative Innovations |url=http://www.aocd.org/qualify/board_certification.html |title=American Osteopathic College of Dermatology - Qualifications Overview |publisher=Aocd.org |accessdate=2012-10-28 |archive-url=https://web.archive.org/web/20121015061926/http://www.aocd.org/qualify/board_certification.html |archive-date=2012-10-15 |dead-url=yes |df= }} 12. ^{{cite web|url=http://dermatology.cdlib.org/93/editorial/residency/wu2.html|title="...has been the most competitive of all specialties for at least the last 5-6 years." This is confirmed by data from the electronic residency application service (ERAS).|author=Wu JJ|author2=Tyring SK|accessdate=2006-06-23}} 13. ^{{cite web|url=http://archderm.ama-assn.org/cgi/content/full/142/7/845|title="Dermatology continues to be the most competitive residency to enter..." Arch Dermatol. 2006;142:845-850.|author=Wu JJ|author2=Ramirez CC|author3=Alonso CA|accessdate=2007-06-25|display-authors=etal}} 14. ^{{cite news|url=https://www.nytimes.com/2008/03/19/fashion/19beauty.html?_r=1&hp=&pagewanted=print&oref=slogin|title=For Top Medical Students, an Attractive Field | work=The New York Times | first=Natasha | last=Singer | date=2008-03-19 | accessdate=2010-05-01}} 15. ^James, William; Berger, Timothy; Elston, Dirk (2005). Andrews' Diseases of the Skin: Clinical Dermatology (10th ed.). Saunders. Page 895. {{ISBN|0-7216-2921-0}}. 16. ^{{cite web |url=http://www.daytonskinsurgery.org/fellowship.html |title=Dayton Skin Care Specialists: Fellowship Information |publisher=Daytonskinsurgery.org |accessdate=2012-10-28 |deadurl=yes |archiveurl=https://web.archive.org/web/20120928023900/http://www.daytonskinsurgery.org/fellowship.html |archivedate=2012-09-28 |df= }} 17. ^{{cite web|author=UC Davis Health System, Department of Dermatology |url=http://www.ucdmc.ucdavis.edu/dermatology/education/fellowship.html |title=ACGMC Procedural Dermatology Fellow |publisher=Ucdmc.ucdavis.edu |date=2010-04-21 |accessdate=2012-10-28}} 18. ^{{cite web|title=Best Hair Growth Oil|url=http://www.mb103.com/lnk.asp?o=12367&c=119019&a=293904&l=12644|accessdate= 24 Feb 2018}} 19. ^{{Cite web|url=https://medschool.ucla.edu/body.cfm?id=1158&action=detail&ref=838|title=What is dermatopathology? Diagnosing disorders of the skin - David Geffen School of Medicine - Los Angeles, CA|website=medschool.ucla.edu|access-date=2018-09-06}} 20. ^{{cite web|url=http://uwpathology.org/academics/residency/fellowship/DermGoals.pdf |title=DRAFT |accessdate=2012-10-28}} 21. ^{{Cite web|url=http://medicine.utah.edu/dermatology/labservices/immunodermatology/services/disease-list.php|title=Disease List - U of U School of Medicine - {{!}} University of Utah|website=medicine.utah.edu|language=en|access-date=2017-02-05}} 22. ^{{cite web| title=About ASMS|publisher=American Society for Mohs Surgery| url=http://www.mohssurgery.org/about-asms/}} 23. ^{{cite web|url=http://www.mohscollege.org/acms/difference.php |title=The Mohs College Difference |publisher=Mohscollege.org |accessdate=2012-10-28}} 24. ^{{cite web |url=http://www.abderm.org/subspecialties/pediatric.html |title=Subspecialty Certification in Pediatric Dermatology |author= |website=The American Board of Dermatology |accessdate=October 30, 2014}} 25. ^{{cite web |url=https://www.medscape.com/resource/pediatric-dermatology |title=Pediatric Dermatology |author= |website=Medscape |accessdate=June 22, 2018}} 26. ^Burg G, Soyer H.P, Chimenti S. (2005): Teledermatology In: Frisch P, Burgdorf W.: EDF White Book, Skin Diseases in Europe. Berlin, 130-133 27. ^Douglas A. Perednia, M.D., Nancy A. Brown, M.L.S., OregonHealthSciencesUniversity Teledermatology: one application of telemedicine 28. ^{{cite web|url=https://www.dermnetnz.org/|title=DermNet NZ – All about the skin - DermNet NZ|website=www.dermnetnz.org}} 29. ^{{cite web|url=http://www.telederm.org/|title=telederm.org - dermatological advice on a click!|website=www.telederm.org}} 30. ^Ebner et al. 2006 e&i 31. ^H. Peter Soyer, Rainer Hofmann-Wellenhof, Cesare Massone, Gerald Gabler, Huiting Dong, Fezal Ozdemir, Giuseppe Argenziano telederm.org: Freely Available Online Consultations in Dermatology 32. ^{{cite web |publisher=Agency for Healthcare Research and Quality | url=https://innovations.ahrq.gov/profiles/online-visits-dermatologists-enhance-access-care-patients-minor-and-serious-skin-conditions |title=Online Visits With Dermatologists Enhance Access to Care for Patients With Minor and Serious Skin Conditions, Boost Physician Productivity |date=2013-11-06 | accessdate=2013-11-06}} 33. ^{{cite journal|last1=Barzilai|first1=DA|last2=Freiman|first2=A|last3=Dellavalle|first3=RP|last4=Weinstock|first4=MA|last5=Mostow|first5=EN|title=Dermatoepidemiology.|journal=Journal of the American Academy of Dermatology|date=Apr 2005|volume=52|issue=4|pages=559–73; quiz 574–8|pmid=15793504|doi=10.1016/j.jaad.2004.09.019}} 34. ^{{cite web |url=http://www.healthdata.org/research-article/global-burden-skin-disease-2010-analysis-prevalence-and-impact-skin-conditions |title=The global burden of skin disease in 2010: an analysis of the prevalence and impact of skin conditions |author= |date=1 November 2013 |website= IHME|publisher= |access-date=31 January 2017 |quote=}} 35. ^{{cite web|url=http://www.who.int/topics/global_burden_of_disease/en/|title=Global Burden of Disease|website=W.H.O. Global Burden of Disease/en/|accessdate=7 October 2015}} 36. ^{{cite web|title=IHME Data Visualization: Compare|url=http://www.healthdata.org/data-visualization/gbd-compare|accessdate=7 October 2015}} 37. ^{{cite journal|last1=Murray|first1=CJ|title=Quantifying the burden of disease: the technical basis for disability-adjusted life years.|journal=Bulletin of the World Health Organization|date=1994|volume=72|issue=3|pages=429–45|pmid=8062401|pmc=2486718}} 38. ^{{cite web |url=http://inventors.about.com/od/lstartinventions/a/liposuction.htm |archive-url=http://webarchive.loc.gov/all/20081107040140/http://inventors.about.com/od/lstartinventions/a/liposuction.htm |dead-url=yes |archive-date=2008-11-07 |title=Liposuction - Who Invented Liposuction? |publisher=Inventors.about.com |date=2012-04-09 |accessdate=2012-10-28 }} External links{{Commons category|Dermatology}}{{Medicine}}{{Authority control}} 1 : Dermatology |
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