Email this article Violation of diagnostic algorithms for providing medical care for autoimmune pemphigus and their consequences
- Authors: Kuznetsova T.G.1, Tlish M.M.1, Naatyzh Z.Y.1, Inyukhina E.A.2, Usykova A.G.2
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Affiliations:
- Federal State Budgetary Educational Institution of Higher Education “Kuban State Medical University” of the Ministry of Healthcare of the Russian Federation
- Regional Clinical Skin and Venereal Diseases Dispensary of the Ministry of Health of Krasnodar Region
- Section: DERMATOLOGY
- Submitted: 28.03.2025
- Accepted: 14.06.2025
- Published: 27.07.2025
- URL: https://rjsvd.com/1560-9588/article/view/677768
- DOI: https://doi.org/10.17816/dv677768
- ID: 677768
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Abstract
Patient safety is a fundamental principle in the provision of medical care. In the Russian Federation, work is regularly carried out to reduce the number of adverse incidents, including through a systematic analysis of errors and adverse events. To illustrate these problems, the article presents four clinical cases of patients with various forms of acantholytic pemphigus. Defects in the provision of medical care in the form of a violation of the differential diagnostic algorithm, interdisciplinary continuity and therapy tactics are considered. Emphasis is placed on the fact that diagnostic and tactical errors lead to aggravation of the course of dermatosis, transformation of one form of pemphigus into another. Attention is focused on the young age of patients, features of the clinical course of its individual forms. The conclusion emphasizes the need to comply with clinical recommendations, increase awareness of doctors of related specialties about the modern features of the course of bullous dermatoses and improve the coordination of the work of specialists of various profiles. Solving these problems will improve the quality of medical care and patient safety.
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About the authors
Taisiya G. Kuznetsova
Federal State Budgetary Educational Institution of Higher Education “Kuban State Medical University” of the Ministry of Healthcare of the Russian Federation
Author for correspondence.
Email: taya1504@mail.ru
ORCID iD: 0000-0002-0426-5167
SPIN-code: 1315-2363
Cand. Sci. (Med.), Assoc. Prof., Assoc. Prof. of the Department of Dermatovenerology
Russian Federation, 4, Sedina Street, Krasnodar, Russian FederationMarina M. Tlish
Federal State Budgetary Educational Institution of Higher Education “Kuban State Medical University” of the Ministry of Healthcare of the Russian Federation
Email: tlish_mm@mail.ru
ORCID iD: 0000-0001-9323-4604
SPIN-code: 8452-4062
Dr. Sci. (Med.), Prof., Head of the Chair of Dermatovenerology
Russian Federation, 4, Sedina Street, Krasnodar, Russian FederationZhanna Yu. Naatyzh
Federal State Budgetary Educational Institution of Higher Education “Kuban State Medical University” of the Ministry of Healthcare of the Russian Federation
Email: nzhannau@mail.ru
ORCID iD: 0000-0001-9754-5063
SPIN-code: 3680-1603
Cand. Sci. (Med.), Assoc. Prof., Assoc. Prof. of the Department of Dermatovenerology
Russian Federation, 4, Sedina Street, Krasnodar, Russian FederationEkaterina A. Inyukhina
Regional Clinical Skin and Venereal Diseases Dispensary of the Ministry of Health of Krasnodar Region
Email: chernenko_ea@mail.ru
ORCID iD: 0000-0003-0919-1184
SPIN-code: 7616-5864
Head of the Department of Dermatovenereology №1, Dermatovenerologist
Russian Federation, 4, Rashpilevskaya Street, Krasnodar, Russian FederationAnastasia G. Usykova
Regional Clinical Skin and Venereal Diseases Dispensary of the Ministry of Health of Krasnodar Region
Email: usikova1992@mail.ru
ORCID iD: 0000-0003-1547-931X
Dermatovenerologist
Russian Federation, 4, Rashpilevskaya Street, Krasnodar, Russian FederationReferences
- Resolution of the Government of the Russian Federation of December 27, 2024 No. 1940 “On the Program of State Guarantees for Free Provision of Medical Care to Citizens for 2025 and for the Planning Period of 2026 and 2027. (Electronic resource.) URL: http://publication.pravo.gov.ru/document/0001202412290002 (date of access: 29.12.2024).
- Tlish M.M., Kuznetsova T.G., Naatyzh Zh.Yu., Sycheva N.L. Differential diagnostic search in dermatologic practice and its effect on quality of medical care: Clinical cases. Kuban Scientific Medical Bulletin. 2023;30(6):89-101. (In Russ.) https://doi.org/10.25207/1608-6228-2023-30-6-89-101
- Tlish M.M., Kuznetsova T.G., Naatyzh Zh.Yu. Clinical analysis of iatrogenic diseases in the provision of medical care to patients with psoriasis // Vrach. – 2018; 29 (11): 82-88. (in Russ.) https://doi.org/10.29296/25877305-2018-11-19
- Tlish M.M., Kuznetsova T.G., Naatyzh Zh.Yu. et al. Clinical guidelines determine the quality of medical care in dermatovenerology. Russian Medical Inquiry. 2020;4(10):637–641. doi: 10.32364/2587-6821-2020-4-10-637-641.
- Letter of the Ministry of Health of the Russian Federation dated January 21, 2025 No. 17-1/3003770-2772. (Electronic resource.) URL: file:///C:/Users/user/Downloads/pismo_minzdrava_rossii_ot_21_01_2025_n_17_1_3003770_2772_1.pdf/ (date of access: 29.12.2024).
- Teplyuk N.P., Kolesova Y.V., Mak D.V., Lepekhova A.A., Toshchakov S.V., Fedotcheva T.A. Pemphigus: New approaches to diagnosis and disease severity assessment // Russian Journal of Skin and Venereal Diseases. - 2023. - Vol. 26. - N. 5. - P. 515-526. doi: 10.17816/dv492306
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