Häufige Hautbefunde in der Praxis

Abstract

Diseases of the skin are the cause of approximately one fifth of outpatient visits to general practitioners (GPs) in Germany. GPs are expected to be competent in both knowledge and skills required to manage dermatological diseases, but making the correct diagnosis can be challenging facing the broad clinical spectrum of dermatological disorders. Knowledge of morphological characteristics is essential in the accurate diagnosis of a dermatological condition and to ensure optimal patient care. The objective of this dossier is to provide an overview of common dermatological diseases in daily routine, with a focus on acute and chronic-inflammatory dermatoses. The most important dermatological diseases were sorted by three anatomic regions (face, trunk and lower leg), and an overview on the respective differential diagnoses is provided.

Ungefähr jeder fünfte Patient stellt sich in Deutschland mit einer Hauterkrankung bei einem Allgemeinmediziner vor. Kann dieser aber immer mit der korrekten Diagnose aufwarten, zumal das klinische Spektrum der Dermatologie sehr breit gefächert ist? Dieser Beitrag beschreibt die typischen Charakteristika der häufigsten akuten und chronisch-entzündlichen Dermatosen von Gesicht, Körperstamm und Unterschenkeln.

Schlüsselwörter

häufige Hauterkrankungen - atopische Dermatitis - Akne vulgaris - Psoriasis - Allgemeinmediziner

Key words

common skin diseases - atopic dermatitis - acne vulgaris - psoriasis - general practitioner

• Literatur

• 1 Werfel T, Heratizadeh A, Aberer W. et al. S2k guideline on diagnosis and treatment of atopic dermatitis--short version. J Dtsch Dermatol Ges 2016; 14: 92-106
• 2 Sticherling M. Psoriasis capitis and seborrhoic eczema of scalp diseases. Hautarzt 2017; 68: 457-465
• 3 Tan CH, Rasool S, Johnston GA. Contact dermatitis: allergic and irritant. Clin Dermatol 2014; 32: 116-124
• 4 Feser A, Mahler V. Periorbital dermatitis: causes, differential diagnoses and therapy. J Dtsch Dermatol Ges 2010; 8: 159-166
• 5 Degitz K, Ochsendorf F. Acne. J Dtsch Dermatol Ges 2017; 15: 709-722
• 6 Reinholz M, Ruzicka T, Steinhoff M. et al. Pathogenesis and clinical presentation of rosacea as a key for a symptom-oriented therapy. J Dtsch Dermatol Ges 2016; 14 (06) 4-15
• 7 Kuhn A, Aberer E, Bata-Csörgő Z. et al. S2k guideline for treatment of cutaneous lupus erythematosus – guided by the European Dermatology Forum (EDF) in cooperation with the European Academy of Dermatology and Venereology (EADV). J Eur Acad Dermatol Venereol 2017; 31: 389-404
• 8 John AR, Canaday DH. Herpes Zoster in the Older Adult. Infect Dis Clin North Am 2017; 31: 811-826
• 9 Nast A, Amelunxen L, Augustin M. et al. S3 Guideline for the treatment of psoriasis vulgaris, update – Short version part 2 – Special patient populations and treatment situations. J Dtsch Dermatol Ges 2018; 16: 806-813
• 10 Wagner G, Rose C, Sachse MM. Clinical variants of lichen planus. J Dtsch Dermatol Ges 2013; 11: 309-319
• 11 Piette EW, Rosenbach M. Granuloma anulare: Clinical and histologic variants, epidemiology, and genetics. J Am Acad Dermatol 2016; 75: 457-465
• 12 Mockenhaupt M. Acute life-threatening drug reactions of the skin. Hautarzt 2018; 69: 364-375
• 13 Wedi B, Wieczorek D, Raap U. et al. Urticaria. J Dtsch Dermatol Ges 2014; 12: 997-1007
• 14 Hall LD, Eminger LA, Hesterman KS. et al. Epstein-Barr virus: dermatologic associations and implications: part I. Mucocutaneous manifestations of Epstein-Barr virus and nonmalignant disorders. J Am Acad Dermatol 2015; 72: 1-19
• 15 Swartz MN. Clinical practice. Cellulitis. N Engl J Med 2004; 350: 904-912
• 16 Böer-Auer A. Differential diagnosis of panniculitides. Hautarzt 2016; 67: 555-569
• 17 Sunderkötter C. Skin manifestations of different forms of vasculitis. Z Rheumatol 2013; 72: 436-444
• 18 Sundaresan S, Migden MR, Silapunt S. Stasis Dermatitis: Pathophysiology, Evaluation, and Management. Am J Clin Dermatol 2017; 18: 383-390