Abstract
Introduction: Pediatric dermatoses deal with skin disease in children from birth to 18 years. This age group comprises significant physiological changes, and hence the pattern of disease including skin disease is unique to them. Skin diseases are influenced by the local climatic factor and socio-economic status which differ in different geographic areas including within the country.
 Objective: The objective of the study was to analyze the clinical spectrum of skin disease in children from 1 day to 18 years of age and to find any seasonal influence on the disease pattern.
 Methodology: The study was conducted retrospectively in a multi- specialty hospital from May 2014 to April 2015. Data of children from 1 day to 18 years of age were analyzed. Demographic details like age, sex, ethnicity was noted. The month and season of the presentation were also recorded. Patient with a confirmed clinical diagnosis and adequate data was included in the study. Patients were divided into 5 age groups; neonate (0 days to 1 month), infant (1 month to 2 years), young child (2-6 years), child (6-12 years), and adolescent (12-18 years). Data were entered in Microsoft excel and analysis was done with SPSS version 22 along with the Chi-square test.
 Result: There were 20.65% of pediatric patients out of 3292 patients visiting skin OPD. The male to female ratio was 1.63:1. The majority of the cases (47.8%) were in the adolescent age group. Infection and infestation were the predominant diagnosis (56.02%), followed by eczema (15.88%) and urticaria (6.47%). Among infection, fungal infection was seen as the majority (26.17%).Papular urticaria and urticaria were significantly (p-value <0.05) more common in summer, while scabies was more common in the spring season (p-value <0.05).
 Conclusion: Infection and infestation followed by eczema/dermatitis and urticaria were the three most common groups of dermatoses. There was a seasonal influence on a few common dermatoses like scabies, urticaria and papular urticaria.
Highlights
Nepal is a country with 40% of the young popula on below 18 years of age.[1]
There was a seasonal influence on a few common dermatoses like scabies, ur caria and papular ur caria
Skin disease is a common problem in the pediatric age group
Summary
Nepal is a country with 40% of the young popula on below 18 years of age.[1] Skin disease is a common problem in the pediatric age group. The clinical spectrum of disease may be different in the world, region, country and even within the country. It becomes important to iden fy the most prevalent disease, so that adequate planning, research and resource mobiliza on can be done to manage it effec vely. Most studies in Nepal have included children up to 14 years of age, while the pediatric age group is considered from birth to 18 years of age.[2] In the best of knowledge, this may be the first study in children in the men oned age group from Nepal
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