01863nas a2200253 4500000000100000008004100001260001300042653002100055653001100076653001800087653002900105653001200134653002300146653001200169653003000181653001900211100001400230245005800244300001000302490000800312050001600320520125900336022001401595 2013 d c2013 Sep10aBites and Stings10aHumans10aLarva Migrans10aLeishmaniasis, Cutaneous10aleprosy10aMilitary Personnel10aMyiasis10aSkin Diseases, Infectious10aUnited Kingdom1 aBailey MS00aTropical skin diseases in British military personnel. a224-80 v159 aBAILEY 20133 a

Skin complaints are common in travellers to foreign countries and are responsible for up to 25% of medical consultations by military personnel during deployments in the tropics. They also have relatively high rates of field hospital admission, medical evacuation and referral to UK Role 4 healthcare facilities. Non-infectious tropical skin diseases include sunburn, heat rash, arthropod bites, venomous bites, contact dermatitis and phytophotodermatitis. During tropical deployments skin infections that commonly occur in military personnel may become more frequent, severe and difficult to treat. Several systemic tropical infections have cutaneous features that can be useful in making early diagnoses. Tropical skin infections such as cutaneous larva migrans, cutaneous myiasis, cutaneous leishmaniasis and leprosy do occur in British troops and require specialist clinical management. This illustrated review focuses on the most significant tropical skin diseases that have occurred in British military personnel in recent years. Clinical management of these conditions on deployments would be improved and medical evacuations could be reduced if a military dermatology 'reach-back' service (including a telemedicine facility) was available.

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