To study and improve the quality of care for patients, we need accurate measures of the outcomes of skin diseases and their treatment. But health outcomes are especially problematic for dermatology. Traditional patient based outcomes, such as mortality, length of hospital stay, surgical complications, or tumor recurrence rates, are not relevant to many dermatological diseases. The vast majority of our patients are ambulatory, and most of them have chronic diseases that do not impair survival. The number of diseases affecting skin is much more than affecting any other organ. Besides these long term treatment is required and special care should be taken by the patient during the treatment. So skin diseases is to be taken very seriously and should be treated as any relevant symptoms appears.

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