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2019/2020

Cutaneous Manifestations of Systemic Diseases

Code: 103614 ECTS Credits: 3
Degree Type Year Semester
2502442 Medicine OT 5 0
2502442 Medicine OT 6 0

Contact

Name:
Maria Isabel Bielsa Marsol
Email:
MariaIsabel.Bielsa@uab.cat

Use of Languages

Principal working language:
catalan (cat)
Some groups entirely in English:
No
Some groups entirely in Catalan:
No
Some groups entirely in Spanish:
No

Teachers

Carlos Ferrándiz Foraster
Vicente García-Patos Briones
Miguel Ribera Pibernat
María Josefa Fuente González
Luis Puig Sanz
Maria Pilar Garcia Muret
Jorge Romani de Gabriel
Ingrid Lopez Lerma
Adrià Plana Pla
Julio Bassas Vila
Maria Gloria Aparicio Espanyol
Esther Roe Crespo
Jorge Mollet Sánchez
Aram Boada Garcia
Carla Ferrandiz Pulido
Manel Carrascosa Carrillo

External teachers

Ane Jaka Moreno

Prerequisites

It is advisable to have previously reached basic competences in cellular and molecular Biology, Genetics and Immunology. 
It is convenient to have sufficient knowledge in Physiopathology, and Clinical Semiology and Internal Medicine. 
It is essential to have achieved a general knowledge in Dermatology, the elementary lesions and the most frequent diseases.

The student will acquire the commitment to preserving the confidentiality and professional secrecy of the data to which
 he / she may have access because of their learning performance in the assistance services. The student is committet to maintaining 
an attitude of professional ethics in all his/her actions.
 
 

Objectives and Contextualisation

This is an optional subject linked to the Mention in Medical Clinic. It is taught in the fifth year of the Degree in Medicine, once the fundamental knowledge in General Dermatology 
has been achieved and basic knowledge about the different medical and surgical pathologies has been obtain as well.
The general objective is the study of the skin manifestations of all those diseases that affect other organs and systems and that cause skin disease at the same time.
The knowledge of these manifestations will allow students to deepen their study of Dermatology, and to better understand the relationship of the skin with internal diseases.
In addition, and above all, they will be able to recognize those skin lesions that may indicate severity or that will act as a sign of a systemic disease, a malignancy, or an hereditary disease.
This subject reflects the importance of understanding the skin as an integral part of the human body and global health.

Competences

    Medicine
  • Establish a diagnostic approach and a well thought-out strategy for action, taking account of the results of the anamnesis and the physical examination, and the results of the appropriate complementary tests carried out subsequently.
  • Indicate the basic diagnosis techniques and procedures and analyse and interpret the results so as to better pinpoint the nature of the problems.
  • Maintain and sharpen one's professional competence, in particular by independently learning new material and techniques and by focusing on quality.
  • Obtain and prepare a patient record that contains all important information and is structured and patient-centred, taking into account all age and gender groups and cultural, social and ethnic factors.
  • Recognise and take action in life-threatening situations and others that require an immediate response.

Learning Outcomes

  1. Enumerate the necessary complementary explorations that can lead to accurate diagnosis in a case of dermatosis, including laboratory studies and serological, immunological, microbiological and dermatopathological studies.
  2. Establish a diagnostic and therapeutic approach in emergencies.
  3. Establish clear and effective communication with patients and their family-members.
  4. Identify skin diseases that can be the expression of a systemic illness.
  5. Identify skin injuries from possible life-threatening processes.
  6. Identify the major skin injuries and describe them appropriately.
  7. Justify the complementary examinations that can lead to the diagnosis of a systemic disease from the visualisation, diagnostic suspicion and confirmation of a particular dermatosis.
  8. Maintain and sharpen one's professional competence, in particular by independently learning new material and techniques and by focusing on quality.
  9. Put forward a clinical differential diagnosis based on skin injuries.

Content

It is an optional subject linked to the Mention in Medical Clinic. It is taught in the fifth year of the Degree in Medicine, once the fundamental knowledge in General Dermatology 
has been achieved and basic knowledge about the different medical and surgical pathologies has been obtain
The general objective is the study of skin manifestations of all those diseases that affect other organs and systems and that cause skin disease at the same time.
The knowledge of these manifestations will allow students to deepen the study of Dermatology, understand the relationship of the skin with internal diseases and, above all,
recognize skin lesions that may indicate severity or be a sign of a systemic disease, a neoplasia or an hereditary disease
This subject reflects the importance of understanding the skin as an integral part of the human body and global health.

METHODOLOGY

ACTIVITIES (TYPE)

ACTIVITY

TITLE

 
MATERIAL RESOURCES

Dirigida

Lecture

 
Cutaneous manifestations of
autoimmune connective tissue diseases
 
Computer and projection, 1 hour

 

Lecture

Vasculitis and pseudovasculitis

 
Computer and projection, 1 hour

 

Lecture

 
Genodermatosis with malignancy predisposition
 
Computer and projection, 1 hour

 

Lecture

 
Clinical and genetic diagnosis of neurocutaneous diseases
 
Computer and projection, 1 hour

 

Lecture

 
Cutaneous manifestations of endocrine and metabolic diseases
 
Computer and projection, 1 hour

 

Lecture

 
Cutaneous lesions in immunosuppressed states
 
Computer and projection, 1 hour

 

Lecture

 
Cutaneous manifestations in gastrointestinal tract diseases
 
Computer and projection, 1 hour

 

Lecture

 
Cutaneous signs of diagnostic value in the Emergency Unit
 
Computer and projection, 1 hour

 

Lecture

 
Vascular anomalies of childhood: hemangiomas and vascular malformations
 
Computerand projection, 1 hour

 

Lecture

Drug cutaneous reactions

 
Computer and projection, 1 hour

 

Clinical case seminars

Clinical cases

5 hours

Supervised

Care practicum without guidelines

 
Assistance 3 hours a day 
in the Dermatology outpatient 
for 1 week (5 days)

OPTIONAL

AUTÓNOMOUS ACTIVITIES

 

 

 

 
Self-study and realization of schemes, 
summaries and conceptual assimilation

 

 

 

Total: 41 hours

 

 

 

 

Methodology

DOCENT METHODOLOGY

  • Directed  (~20% (15 hours) theory, classroom practices, clinical case seminars and clinical care practices)
    • Theory: 10 lectures of 1 hour of duration per lecture.
    • 5 hours of classroom practices that will be distributed in the form of ½ hour after each master class 

  • SUPERVISED (~20-25%. Care practicum without guidelines, supervised practices, virtual calsses)

    • CARE PRACTICUM WITHOUT GUIDELINES
      Assistance 3 hours each day to the Dermatology outpatient, during 1 week (5 days). It will be an optional activity

    • TUTORIALS
      The tutorials will not count as face-to-face hours, but they can be programmed and carried out individually or in groups,
      in the teachers' office, in teaching spaces or using ICTs. The student must be informed about the hours of attention of the teaching staff

  • AUTONOMOUS
    Comprehensive reading of texts and articles, study and realization of schemes

  • EVALUACIÓN (5% total 3,75 hours):
    Continuous evaluation through assistance and work in class

Activities

Title Hours ECTS Learning Outcomes
Type: Directed      
CLASSROOM PRACTICES 5 0.2 2, 4, 5, 6, 9, 1
THEORY 10 0.4 2, 4, 5, 6, 8, 9, 1
Type: Supervised      
CARE PRACTICUM WITHOUTH GUIDELINES 15 0.6 3, 4, 6, 9, 7, 1
Type: Autonomous      
PERSONAL STUDY / READING OF ARTICLES / REPORTS OF INTEREST 41 1.64 8

Assessment

Assessment activity Weight
 Class attendance  30%
 Objective test of multiple choice 40%
 Clinical case seminars  30%

Assessment Activities

Title Weighting Hours ECTS Learning Outcomes
Assistance and active participation in classes and seminars 30% 0 0 3, 2, 4, 5, 6, 9, 7, 1
Evaluation through case studies and problem solving 30% 3 0.12 3, 2, 4, 5, 6, 8, 9, 7, 1
Written evaluation through objective tests: multiple response items 40% 1 0.04 4, 6, 9

Bibliography

Bielsa I. Ferrándiz, Dermatología clínica. 5 ª ed. Barcelona: ed. Elsevier, S.A.; 2019

Jean L Bolognia, Julie V Schaffer, Lorenzo Cerroni. Jean L Bolognia, Dermatology. Fourth Edition. Elsevier 2017

Christopher Griffiths, Jonathan Baker, Tanya Bleiker, Robert Chalmers, Daniel Creamer. Rook'sTextbook of dermatology. Ninth edition, Wiley Blackwell 2016

Internet resources

Wainwright BD. Clinically Relevant Dermatology Resources and the Internet: An Introductory Guide for Practicing Physicians. Dermatology Online Journal 5(2): 8 (http://dermatology.cblib.org/DOJdesk/desj.html)

ADES: Advanced Dermatology Education Server (http://ades.tmc.edu.tw/english/default.htm).

Dermatology Image Bank at the University of Utah School of Medicine (http://www-medlib.med.utah.edu/kw/derm/)

Dermatology Online Image Atlas (DOIA) (http://dermis.net/bilddb/index_e.htm)

University of Iowa, Department of Dermatology Home Page (http://tray.dermatology.uiowa.edu/home.html)