关键词: Military medicine dermatological conditions military personnel operational dermatology skin diseases

Mesh : Humans United States / epidemiology Military Personnel Ultraviolet Rays Skin Diseases / diagnosis epidemiology etiology

来  源:   DOI:10.1080/07853890.2023.2267425   PDF(Pubmed)

Abstract:
Introduction: Military soldiers comprised 1,195 million United States active-duty members and 778,000 reserve members in 9/2021. Soldiers are often exposed to drastic climates, environments, and living conditions which may make them more susceptible to cutaneous diseases.Methods: A PubMed search of studies published between 1/1/2002 - 8/30/2022, using MeSH terms: (((\"Military Personnel\"[Majr]) OR \"Military Hygiene\"[Majr])) OR \"Military Medicine\"[Majr]) AND \"Skin Diseases\"[Majr]), the reference lists of select articles, and other applicable sources were reviewed to identify articles on skin conditions affecting military soldiers and treatment options.Discussion: In this article, we review skin conditions that affect military soldiers in both the deployed and non-deployed settings including infectious diseases, arthropod associated diseases, sexually transmitted infections, ultraviolet radiation related skin disease, acne, diseases of hair and hair follicles, dermatitis, onychocryptosis, and conditions caused by extreme weather conditions and occupational exposures. We also discuss treatment options and prevention methods as they relate to military settings.Conclusion: Dermatological conditions can considerably impact soldiers\' wellbeing and military performance, often lead to evacuation of military personnel, and are associated with high financial costs. Cutaneous disease is one of most common reasons for soldiers to seek medical care and may cause significant morbidity. Serving in the military often impacts and limits treatment options.
Military soldiers are a unique population exposed to crowded living conditions, reduced opportunity for personal hygiene, environmental contamination, strict grooming practices, and skin injury which may contribute to infectious and arthropod associated skin, hair, and nail diseases in soldiers.Treatment options for skin diseases that are commonly used in the general population may have implications for military duties that should be considered before treatment initiation in soldiers.
摘要:
在2021年9月,军事士兵包括11.95亿美国现役成员和77.8万名预备役成员。士兵们经常暴露在剧烈的气候中,环境,以及可能使他们更容易患皮肤病的生活条件。方法:PubMed搜索2002年1月1日至2022年8月30日之间发表的研究,使用MeSH术语:(((\“军事人员\”[Majr])或\“军事卫生\”[Majr])或\“军事医学\”[Majr])和\“皮肤病\”[Majr]),精选文章的参考列表,和其他适用的来源进行了审查,以确定有关影响军人和治疗方案的皮肤状况的文章。讨论:在这篇文章中,我们审查了在部署和非部署环境中影响军人的皮肤状况,包括传染病,节肢动物相关疾病,性传播感染,紫外线辐射相关的皮肤病,痤疮,头发和毛囊的疾病,皮炎,甲癣,以及极端天气条件和职业暴露造成的条件。我们还讨论了与军事环境有关的治疗选择和预防方法。结论:皮肤病可以显著影响士兵的健康和军事表现,经常导致军事人员撤离,并与高昂的财务成本有关。皮肤病是士兵寻求医疗的最常见原因之一,并可能导致严重的发病率。在军队服役往往会影响和限制治疗选择。
军人是一个独特的人口暴露在拥挤的生活条件下,减少了个人卫生的机会,环境污染,严格的梳理实践,以及可能导致感染和节肢动物相关皮肤的皮肤损伤,头发,和士兵的指甲疾病。一般人群中常用的皮肤病的治疗方案可能会对军事职责产生影响,在士兵开始治疗之前应考虑。
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