Pattern Of Pediatric Dermatoses Research Articles

Clinical Pattern of Pediatric Dermatoses Attending a Multi-Specialty Hospital

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.

TO INVESTIGATE THE PATTERN OF PEDIATRIC DERMATOSES IN DERMATOLOGY CLINIC, HUE UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL

Pediatric dermatoses are common presentations in dermatology clinics. The pattern of pediatric dermatoses depends on ecological characteristics, sanitary conditions, social practices and genetics. The Dermatology Clinic, Hue University of Medicine and Pharmacy Hospital receives a lot of pediatric patients every day. Therefore, we conducted this research with the aim of contributing to a general overview of pediatric dermatology of children visiting this clinic. Materials and methods: A retrospective study was performed of patients under 16 years old, at the Dermatology Clinic from January 1, 2019 to December 30, 2019. Results: There were 1184 visits of children under 16, accounting for 16.8% of general visits. The proportion of male and female was nearly equal and the most common age group was 1-6 (49.7%). June, July, October and November were the months with the highest number of pediatric patients. The three most common skin diseases were dermatitis (35.3%), fungal infections (11.7%) and impetigo (9.4%). Dermatitis was the most common skin disease in all age groups and seasons of the year. Conclusion: Pediatric dermatoses have a diverse pattern, in which the most common group of diseases is dermatitis.

Pattern of pediatric dermatoses at a tertiary care hospital, SIMS, Shivamogga

Introduction: The major health problem in the pediatric age group is skin diseases and is associated with the significant morbidity. Aim: To study the incidence of dermatoses among the pediatric age group at tertiary health care in Shivamogga. Materials and Methods: A prospective study was carried out among the children upto 14 years who came to Dermatology outpatient department. The study was carried out between the month of January to March 2018. Diagnosis was made based on appropriated detailed history, cinical features and investigations. Results: The commonest pediatric dermatoses in our study were the infections and infestations. This was followed by other non-infective dermatoses like insect bite reactions, miliaria, dermatitis and others. Conclusion: Infections are the dermatoses which exceeded in our study and these are potentially controllable and preventable. Hence health care strategies that target infections represent the key to an efficient child health care program. Keywords: Children, Dermatoses, Infections.

Pattern of Pediatric Dermatoses in a Tertiary Referral Centre, Nepal

Introduction: Dermatological problems constitute at least one third of all outpatient visits to a pediatrician and similar number of all visits to a dermatologist involve children.Children are often exposed to climatic and social conditions that make them more likely to develop skin infections and skin injuries.Little is known about the impact of pediatric skin disease on health care systems in developing countries like Nepal. So, data on this study can be useful in monitoring changes in disease trends in children and planning health care programs.
 
 Objectives: To know the current status of disease trends and ethnic distribution of common dermatoses among children (hospital based) in this geographical locality.
 Materials and Methods: All children, 14 years and below, attending the dermatology out-patient department with any dermatoses were enrolled in the study. The diagnosis was made by dermatologists based on detailed history and appropriate investigations. Patients were divided into four different age groups.
 Results: A total of 424 children with skin related symptoms were enrolled in this study. The mean age of this population was 6.30 years and it ranged from 0.05(19 days) to14 years. A total of 146 infective and 278 non-infective dermatoses were encountered as the primary diagnosis. Infections and infestations were the most common group of disorders (34.4%, 146 cases), followed by dermatitis and eczemas (32.5%, 138 cases). Fungal infections were the most common infective conditions (11.6%, 49 cases).
 Conclusion: Infections and infestations were the most common etiologic group of disorders followed by dermatitis and eczemas. Fungal infections were the most common infective conditions followed by pyoderma.

Pattern of pediatric dermatoses and seasonal variations in a tertiary referral center in central India

Background: Skin diseases in the pediatric population are common worldwide, including rural and urban areas. There is a variation in the pattern and presentation of dermatoses, with eczemas being the most common skin disorder in developed countries and infestations in the developing countries. To study pattern, age-gender wise distribution and seasonal variations of various pediatric dermatoses.Methods: All children in the age group of 1-12 years of either sex were recruited in the dermatology outpatient department from November 2014 to October 2016.Results: Infections and Infestations were the most common dermatoses (46.3%), followed by dermatitis and eczema (20.24%). Among, the most common types of infections and infestations were scabies (33.49%), followed by viral (30.4%), and bacterial (23.3%) infections. Impetigo (P<0.001), furunculosis (P=0.025), molluscumcontagiosum (P<0.001), hand foot mouth disease (P=0.004) and atopic dermatitis (P=0.003) were significantly higher in the age group of 1 4 years. We also found a significant association between the seasonal variation and the bacterial infections, pediculosis and varicella.Conclusion: In our study, skin infections and infestations outnumbered other pediatric dermatoses. These are potentially controllable and hence strategies that target infections and infestations may be a key to an efficient child health care program.

Pattern of pediatric dermatoses in Northeast India

Background: The prevalence of pediatric skin diseases varies worldwide. Pediatric dermatoses require a separate view from adult dermatoses as there are important differences in clinical presentation, treatment, and prognosis. Aims and Objectives: To study the clinical and etiological presentation of dermatoses in the pediatric population in Northeast India. Materials and Methods: The study was carried out at a tertiary care center in Northeast region for 18 months (from December 2012 to May 2014). Cases under the age of 12 years were selected based on purposive sampling method. Results: Infections (36.25%) were the most common cause of skin diseases in the study group comprising 400 patients. Eczematous diseases (14.5%), pigmentary disorders (14.25%), and infestations (13.25%) were the other common causes. Varicella (6%), impetigo contagiosum (5%), and candidiasis (4.5%) were the most common viral, bacterial, and fungal diseases, respectively. Scabies (12.25%) was the most common individual disease in the present study. The prevalence of hand, foot, and mouth disease was high constituting 4% of the study group. Dyshidrotic eczema (6.5%), pityriasis alba (7.5%), and vitiligo (3.5%) were also common. Miliarial dermatitis and polymorphic light eruption also contributed significantly (5.25%) reflecting the typical pattern of the tropical skin diseases. Atopic dermatitis, genetic disorders, and nutritional deficiency disorders had a very low prevalence. Conclusion: The study finding that the majority of the diseases could be grouped into fewer than 8 disease categories may help in more accurate diagnosis. Significant proportions of the dermatoses are infections followed by eczematous and pigmentary diseases. Age, sex, locality, the income of the parents, family history, and season of presentation have an influential role in the pattern of distribution of the pediatric skin diseases.

Spectrum and pattern of pediatric dermatoses in under five population in a tertiary care centre

&lt;p class="abstract"&gt;&lt;strong&gt;Background:&lt;/strong&gt; &lt;span lang="EN-IN"&gt;Pediatric dermatoses vary vastly from adult dermatoses in terms of clinical presentation, treatment and prognosis, thereby generating special interest in this field. The present study was carried to find out the spectrum, pattern and incidence of various skin disorders in infants and preschool children (upto 5 years), to correlate their prevalence with age, sex and rural/urban residential status.&lt;/span&gt;&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Methods:&lt;/strong&gt; 1000 children under five years age , were evaluated for the presence of skin disease to study the pattern and incidence of these disorders and establish their relationship with age, sex and residential status (rural/urban).Skin disorders were described in detail and classified into groups like bacterial, fungal, parasitic, viral, eczematous, allergic, papulosquamous, pigmentary, miscellaneous.&lt;strong&gt;&lt;/strong&gt;&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Results:&lt;/strong&gt; &lt;span lang="EN-IN"&gt;Maximum number of children belonged to age group of less than 1 year (31.6%). Male patients (56.6%) out-numbered female patients (43.4%). 56.8% children belonged to urban area while 43.2% children were from rural area. Maximum incidence was of infections (41.1%). Of these infections, bacterial infections (14.5%) were the predominant followed by parasitic infections (10.9%). Eczematous skin disorders were the next common entity after infections seen in 35.1 % children followed by that of allergic disorders seen in 5.9% children. &lt;/span&gt;&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Conclusions:&lt;/strong&gt; &lt;span lang="EN-IN"&gt;There is preponderance of infectious dermatoses among the under five population followed by eczematous and hypersensitivity disorders. The role of poverty, overcrowding, poor personal hygiene and low level of health education, undernutrition and consequent poor immunity are emphasized by these preventable diseases.&lt;/span&gt;&lt;/p&gt;

Pattern of Pediatric Dermatoses in a Tertiary Care Hospital of Western Nepal

Pediatric dermatoses are one of the most common presentations in a dermatology clinic and reflect the health and hygiene status of children. The incidence and severity of these skin lesions are influenced by geographical area, seasonal and cultural factors, and socioeconomic status. This study was done to show the prevalence of different pediatric dermatoses in a tertiary care hospital of Western Nepal. Chart reviews of children aged one day to 17 years, presenting to Universal Medical College Teaching Hospital, Nepal, from 1 September 2014 to 30 august 2015, were done. Descriptive analysis and two-sided chi-square test were done. Among 23992 patients visiting the dermatology outpatient department (OPD), 5398 (22.5%) were of pediatric age groups (male/female: 1.2/1); most of them belonged to young teens and teenagers (n = 3308; 61.3%). Three most common dermatoses were fungal infections (18.5%), eczema (14.4%), and acne (10.1%). Fungal infections (n = 653; 65.4%) and acne (n = 284; 51.9%) were common in males, whereas eczema (n = 402; 51.7%) was more common in females. Fungal infection (P < 0.001), eczema (P < 0.001), pigmentation disorders (P < 0.001), and acne (P < 0.01) were significantly more during summer, while scabies was more in winter (P < 0.001). Dermatophytosis, pyoderma, and warts comprised frequently occurring fungal, bacterial, and viral infections, respectively.

Clinical pattern of cutaneous infections and infestations in pediatric age

Introduction: Skin disorders are major health problem in the pediatric age group and are associated with significant morbidity. The pattern of pediatric dermatoses has varied in different studies. The majority of dermatoses belonged to infection and infestation group followed by eczematous and hypersensitivity groups. Objective: To study the clinical pattern of infection and infestation in pediatric age group. Materials and Methods: All children 0–12 year of either sex, attending Dermatology Outpatient Department between January 2014 and July 2014 are recruited in this study. A detailed history, complete dermatological examination, along with routine investigations wherever required are recorded in predesigned proforma. Results: The study comprised of 120 patients. A total of 127 cases of infection and infestation were noted. Seven patients were having both. Total of 69.1% infections and 36.7% infestations were noted. Among the various infections and infestations, the most common were bacterial infection 37.5%, fungal infection 15% and viral infection 16.7% and scabies 29.2%, pediculosis 9%. Conclusion: The dermatoses such as infections and infestations in the pediatric age group are common including rural and urban areas.

Pattern of Pediatric Dermatoses in a Tertiary Care Referral Centre in Andhra Pradesh

Pattern of Pediatric Dermatoses in a Tertiary Care Referral Centre in Andhra Pradesh

Pattern of Pediatric Dermatoses at a Referral Centre

To determine the pattern of skin disorders seen among children attending a Medical College Hospital, Bangalore All children 18 y and below attending the Pediatric Dermatology OPD with skin diseases between the period of January 2011 and June 2011 were included in the study. A total of 1,090 new cases (boys 589; girls 501) with 1,118 dermatoses were recorded during this period. Twenty eight children had more than one dermatoses. Most of the disorders were seen between 5 and 11 y age group. The most common dermatoses was infections and infestations (32.47 %) followed by eczematous eruptions and dermatitis (20.66 %), papulosquamous and related disorders (6.08 %) and pigmentary disorders (5.81 %). Insect bite reactions and papular urticaria formed 5.1 %. Acne was seen in 5.28 % of children followed by urticaria (3.67 %), photodermatoses 2.5 % and genetic disorders (3.04 %). In the present setting bacterial infections and scabies still remained the most common pediatric dermatoses followed by molluscum contagiosum and atopic dermatitis. Childhood psoriasis contributed to major part of the study among papulosquamous disorders.

Pattern of pediatric dermatoses in a tertiary care centre of South West Rajasthan

Background:The evaluation for skin disorders forms an important component of primary health care practice for all including children. The prevalence of certain skin diseases in children can reflect status of health, hygiene, and personal cleanliness of a community.Aims:This study was planned to evaluate the magnitude of skin diseases, pattern of various dermatoses, factors contributing to these dermatoses and concurrent systemic disease among children up to five years of age.Materials and Methods:Consecutive 1000 children, aged up to five years, attending the Dermatology OPD of RNT Medical College and MB Government Hospital, Udaipur were the subjects of this study. A detailed general, systemic and cutaneous examination followed by relevant investigations were carried out. The findings were recorded in a proforma for analysis and interpretation of data.Results:One thousand twenty seven (1027) diagnoses were made in 1000 children. Etiological analysis revealed that majority (417; 40.60%) of dermatoses belonged to infection and infestation group followed by eczematous (358; 34.86%) and hypersensitivity (105; 10.22%) groups. Of the infection and infestation group, bacterial infection (141; 13.72%) was the most common entity followed by scabies (107; 10.42%), fungal (67; 6.52%), and viral infection (35; 3.40%).Conclusion:This study provides a preliminary baseline data for future clinical research. It might also help to assess the changing trends of pediatric dermatoses.