Inflammatory dermatoses, infections, and drug eruptions are the most common skin conditions in hospitalized cancer patients Journal Article


Authors: Phillips, G. S.; Freites-Martinez, A.; Hsu, M.; Skripnik Lucas, A.; Barrios, D. M.; Ciccolini, K.; Marchetti, M. A.; Deng, L.; Myskowski, P. L.; Lee, E. H.; Markova, A.; Lacouture, M. E.
Article Title: Inflammatory dermatoses, infections, and drug eruptions are the most common skin conditions in hospitalized cancer patients
Abstract: Background: Dermatologic conditions cause morbidity and mortality among hospitalized cancer patients. An improved understanding is critical for implementing clinical and research programs in inpatient oncodermatology. Objective: To characterize inpatient dermatology consultations at a large comprehensive cancer center. Methods: Retrospective database query of new admissions and medical record review of initial inpatient dermatology consultations comparing inpatients consulted and not consulted during January-December 2015. Results: In total, 412 of 11,533 inpatients received 471 dermatology consultations (54% male, median age 59.5 years). Patients with hematologic cancers were 6 times more likely to receive dermatologic consultations compared with nonhematologic cancers (odds ratio 6.56, 95% confidence interval 5.35-8.05, P <.0001). Patients consulted by a dermatologist had a significantly longer length of stay than inpatients not consulted by dermatology (median 11 vs 5 days, P <.0001). Among the 645 dermatologic conditions diagnosed, the most common categories were inflammatory diseases, infections, and drug reactions; the most frequent conditions were contact dermatitis, herpes zoster, and chemotherapy-induced drug eruptions. Limitations: The study's retrospective nature and single-institution setting are potential limitations. Conclusion: Hematologic malignancies are a significant risk factor for dermatology inpatient consultations. A significantly longer length of stay was associated with dermatology consultations, suggesting high comorbidities in these patients. Increased dermatologic care of these inpatients might improve quality of life, dermatologic health, and ability to receive anticancer agents. © 2017 American Academy of Dermatology, Inc.
Keywords: infection; consultation; adverse event; hematologic; referral; inflammatory; inpatient; cancer; oncodermatology
Journal Title: Journal of the American Academy of Dermatology
Volume: 78
Issue: 6
ISSN: 0190-9622
Publisher: Mosby Elsevier  
Date Published: 2018-06-01
Start Page: 1102
End Page: 1109
Language: English
DOI: 10.1016/j.jaad.2017.12.031
PROVIDER: scopus
PMCID: PMC5951751
PUBMED: 29273489
DOI/URL:
Notes: Article -- Export Date: 1 June 2018 -- Source: Scopus
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MSK Authors
  1. Meier Hsu
    169 Hsu
  2. Mario E Lacouture
    457 Lacouture
  3. Liang Deng
    83 Deng
  4. Erica H Lee
    135 Lee
  5. Patricia Myskowski
    216 Myskowski
  6. Michael Armando Marchetti
    156 Marchetti
  7. Dulce M Barrios
    13 Barrios
  8. Alina Markova
    87 Markova