Expert system (doctor)

Author: Prof. Dr. med. Peter Altmeyer

All authors of this article

Last updated on: 29.10.2020

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Definition
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Pathogen
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  1. bacterial infectious diseases of the skin

  2. Virus infections of the skin

  3. Fungal diseases (mycoses)

  4. Infections through actinomycetes

  5. Protozoan diseases of the skin

  6. Infections through worms

Classification
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  1. Papulo-squamous and eczematous diseases (lichen planus, psoriasis and eczema)

  2. Exanthema and purpura (urticaria, erythema exsudativum multiforme)

  3. Vesiculo- bullous diseases (pemphigoids etc)

  4. Diseases of the skin appendages (adnexal diseases)

  5. Rheumatological diseases (autoimmune diseases)

  6. Metabolic and systemic diseases (mucinoses, amyloidoses)

  7. Genodermatoses (ichthyoses)

  8. Diseases of the pigment system (vitiligo, hyperpigmentation)

  9. Hair diseases (effluvium, alopecia)

  10. Diseases of the nails

  11. Diseases of the mucous membranes

  12. Infectious diseases (bacteria, viruses, fungal diseases)

  13. Epizoonoses (fleas, bugs, ticks)

  14. Physical and chemical skin damage (thermal skin damage, UV damage, etc.)

  15. Atrophy and diseases of the dermal connective tissue (Ehlers Danlos, Keloids, GvHD)

  16. Diseases of the subcutaneous fatty tissue

  17. diseases of the superficial and deep vascular system (capillaries, veins, arteries)

  18. Neoplasms of the skin (epithelial, melanocytic, histiocytic, vascular, neurogenic, fibrous, myogenic neoplasms ec.)

  19. lymphomas of the skin (B cell lymphomas, T cell lymphomas of the skin)

Manifestation
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Age of the patient:

  1. <1J
  2. 1-10J
  3. 10-20J
  4. 20-50J
  5. 50-70J
  6. >70 J

Duration and onset of the disease:

  1. congenital
  2. acute: since a few hours/days
  3. subacute < 6 weeks
  4. chronic> 6 weeks
  5. 6 months - 1 year
  6. >1 year

symptom activity

  1. always/continuous
  2. again and again (intermittent thrust)
  3. intermittent

symptoms influenced by events?

  1. Cold
  2. Heat
  3. Water (shower/bath)
  4. Stress
  5. in best. Seasons occurring
    1. Winter
    2. Spring
    3. Summer

Efflorescence(s)
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Localization
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  1. Head
    1. Capillitium (scalp hairy)
      1. Hair shafts (the hair as such)
    2. Scalp (face)
      1. Forehead
      2. Eyelids
      3. Eye region
      4. Temples
      5. Nose
      6. Earlobes

      7. Cheeks

      8. Lip region

        1. Lip skin

        2. Lip red

        3. Lip mucosa

      9. Chin region

      10. Oral mucosa

        1. Tongue

          1. Tongue surface

          2. Lower surface of the tongue

        2. Cheek mucosa

        3. Gingiva (gums)

  2. Neck
  3. Neck
  4. Body trunk
    1. Body trunk, front
      1. Upper body complete

      2. Décolleté

      3. Breast region (complete)
      4. Armpits
      5. Breast region (mammae, nipple)
      6. groin region
      7. Genital region

        1. Male< >scrotum< >penis shaft< > foreskin< >glans penis< >
        2. Female< >large labia (external)< >large labia (mucous membrane area)< >small labia
  5. Body trunk, back
    1. Upper body (complete)

    2. Shoulder region

    3. interscapular

    4. Lumbar area

    5. Buttocks

      1. Buttocks (skin area)

      2. Anal region (around the anus)

  6. arms/hands

    1. Upper arm

      1. Stretch side (outside)
      2. Bending side (inside)
    2. Elbows
    3. Forearm
      1. Stretch side(outside)
      2. Bending side (inside)
    4. Hands
      1. Back of the hand
      2. Palm
      3. Finger
      4. Finger space
      5. Nails (indicate number of affected nails)
        1. 1-5
        2. all
    5. legs/feet
      1. Thigh
        1. Stretch side (outside)
        2. Bending side (back)
      2. Knee
        1. hollow of the knee
        2. Knee (front)
      3. Lower leg
        1. Stretch side (outside)
        2. Bending side (back)
      4. Feet
        1. Back of the foot
        2. sole of foot
        3. Toes
        4. Toe Space
        5. Nails (specify number)
          1. 1-5
          2. all

Laboratory
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Histology
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Direct Immunofluorescence
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Indirect immunofluorescence
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Diagnosis
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Differential diagnosis
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Complication(s)
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Diet/life habits
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Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

Authors

Last updated on: 29.10.2020