title: Patterns of skin disease in a sample of the federal prison population: a retrospective chart review.
abstract: BACKGROUND
  Dermatology in vulnerable populations is under-researched. Our objective was to analyze the most commonly referred skin diseases affecting the Correctional Service Canada inmates in Ontario.
  
  
  METHODS
  An observational, cross-sectional, retrospective chart review of inmate patients seen from 2008 until 2013 was performed. Two groups of patients were included in the analysis: those assessed in-person, and those evaluated by e-consult.
  
  
  RESULTS
  In the in-person patient group, the 3 most common diagnoses were acne, psoriasis and other superficial mycoses. For the e-consult group, the 3 most frequent diagnoses were acne, psoriasis and rosacea. There was a clear bias toward more inmates being seen in-person where the service was provided (Collins Bay Institution) than from other correctional institutions in Eastern Ontario.
  
  
  CONCLUSIONS
  Most of the skin diseases that affected the incarcerated population studied were common afflictions, similar to those affecting the general population, which is in agreement with other studies. Future studies investigating skin diseases in male and female inmates across Canada would bestow more generalizable data.
authors.affiliation: Division of Dermatology (Gavigan, McEvoy, Walker), Department of Medicine, University of Ottawa; Division of Dermatology (Gavigan, McEvoy, Walker), Department of Medicine, Ottawa Hospital Research Institute, Ottawa, Ont.
authors.forename: Geneviève
authors.initials: G
authors.lastname: Gavigan
authors.affiliation: Division of Dermatology (Gavigan, McEvoy, Walker), Department of Medicine, University of Ottawa; Division of Dermatology (Gavigan, McEvoy, Walker), Department of Medicine, Ottawa Hospital Research Institute, Ottawa, Ont.
authors.forename: Alana
authors.initials: A
authors.lastname: McEvoy
authors.affiliation: Division of Dermatology (Gavigan, McEvoy, Walker), Department of Medicine, University of Ottawa; Division of Dermatology (Gavigan, McEvoy, Walker), Department of Medicine, Ottawa Hospital Research Institute, Ottawa, Ont.
authors.forename: James
authors.initials: J
authors.lastname: Walker