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Differences between family doctors and dermatologists in the diagnosis of potentially transmissible skin diseases among pool swimmers


Journal of Dermatology & Cosmetology
Papadopoulos Iordanis 

Abstract

1.1 Introduction: Due to the difficult financial conditions in Greece, most of the prospective swimmers do not go to the dermatologist for their medical report regarding transmissible dermatological diseases. They receive this report from their family doctors. The purpose of this study was the evaluation of the ability of other specialties on recognizing and diagnosing transmissible dermatological diseases of swimmers. 
1.2 Methods: A total of 1090 people were examined. The first group consisted of 479 people who were examined for the first time in the medical office of the swimming pool and had no medical report about a transmissible dermatological disease. The second group consisted of the remaining 611 people, who had a recent medical report from a family doctor certifying that they did not suffer from a transmissible dermatological disease. 
1.3 Results: The 11.7% of the first group had some potentially transmissible dermatological disease, while the corresponding percentage of the second group was 5.7%. Virtually one in two swimmers of the second group suffered from a potentially transmissible dermatological disease and had been diagnosed as healthy by a family doctor. 
1.4 Conclusions: There are issues with the diagnosis of dermatological diseases by non-dermatologists, since some lesions might not be recognized by General Practitioners or family doctors. The reason for that might be the difficulty in the diagnoses of the dermatological diseases, the training of other specialties in dermatological lesions and the financial status of the people examined. 
 
1.2 Methods: A total of 1090 people were examined. The first group consisted of 479 people who were examined for the first time in the medical office of the swimming pool and had no medical report about a transmissible dermatological disease. The second group consisted of the remaining 611 people, who had a recent medical report from a family doctor certifying that they did not suffer from a transmissible dermatological disease. 
1.3 Results: The 11.7% of the first group had some potentially transmissible dermatological disease, while the corresponding percentage of the second group was 5.7%. Virtually one in two swimmers of the second group suffered from a potentially transmissible dermatological disease and had been diagnosed as healthy by a family doctor. 
1.4 Conclusions: There are issues with the diagnosis of dermatological diseases by non-dermatologists, since some lesions might not be recognized by General Practitioners or family doctors. The reason for that might be the difficulty in the diagnoses of the dermatological diseases, the training of other specialties in dermatological lesions and the financial status of the people examined. 

Keywords

dermatology, swimming pools, public health, mycoses, warts, family doctors

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