Pattern Of Skin Diseases Research Articles

THE PATTERN OF SKIN DISEASES OF PATIENTS ATTENDING THE OUT PATIENTS DEPARTMENT IN A MEDICAL COLLEGE IN A DISTRICT IN WEST BENGAL

Objective: The objective of the study was to find out the pattern of skin diseases among the patients attending the Dermatology outdoor of a Medical College located in a district in West Bengal. Methods: This is an observational study. Patients attending the dermatology outdoor were included following the inclusion and exclusion criteria. Results: In this study, we found that infective diseases (51.09%) were more than non-infective diseases (44.31%). Among the infective diseases dermatophyte infection (15.22%) and Scabies (12.31%) were the highest. Eczema (11.68%) and contact dermatitis (10.07%) were the highest among the non-infective diseases. Conclusion: This study shows the pattern of skin diseases among the patients attending the dermatology outdoor. This gives a good idea about the skin diseases prevalent in this region. This knowledge will help to formulate policies regarding healthcare. It will also help to have an idea about the medicines and human resources required to deliver service to the people.

Skin disorders in patients with type 2 diabetes mellitus in Khartoum Dermatology and Venereology Teaching Hospital

Background: Diabetes is a chronic, metabolic disease characterized by elevated levels of blood glucose, which leads over time to serious damage to the heart, blood vessels, eyes, kidneys and nerves. The most common is type 2 diabetes, usually in adults, which occurs when the body becomes resistant to insulin or doesn't make enough insulin. About 1 in 11 adults worldwide now have diabetes mellitus (DM), 90% of whom have type 2 DM (T2DM). One of the most common manifestations of diabetes are skin complications, such as dryness of the skin, bacterial and fungal infections. Objectives were to study the frequency and pattern of skin disorders in patients with T2DM at Khartoum dermatology and venereology teaching hospital (KDVTH) in Khartoum, Sudan during August 2016 to December 2016. Methods: This was prospective, observation descriptive, cross-sectional hospital-based study used a quantities method. A total convenient sample technique enrolled 100 points during the study period. Results: One hundred diabetic patients (64% male and 36% female) were included in the study. The age group varies between (25 and >70 years), the commonest cutaneous manifestations were xerosis which was found in 45 patients (45%), fungal infection found in 36 patients (36%). Serum HbA1c level was done for each case. Conclusions: The study concluded that the most prevalent cutaneous diseases among patients were xerosis fungal infection, eczema, bacterial infections, and scabies respectively. A significant relationship between duration of DM and level of HB A1C and the presence of cutaneous manifestations was observed.

Novel trends of frequency, demographics and clinical presentation of skin disorders in only public hospital in south of Lahore: A Descriptive observational study over 1 year.

Objective: To study the pattern of skin diseases in our population with respect to different age groups, gender and seasonal variations. Study Design: Observational Retrospective study. Setting: Department of Dermatology, Lahore General Hospital, a tertiary care referral hospital situated in second big city of Pakistan i.e Lahore. Period: July 2021 to June 2022. Methods: A total of 65284 patients presenting to skin OPD were studied. Demographic details were noted and diagnosis was made after detailed history, examination and appropriate investigations like scraping or smears. Data was analyzed for various age groups, gender distribution and effect of variables on diagnosis. Results: Out of 65284 patients, 38 %were male & 62% were female. Most of the patients (43%) were in age group of 21-40 years. Scabies was the most prevalent dermatosis and affected 27% of study population. Three most common dermatosis were tinea, scabies and acne. The maximum number of dermatosis was seen in the months of summer. Conclusion: Infectious diseases pose a major burden to skin health of most of the population suffering from dermatological problem. Fungal infections and scabies are treatable but very common diseases contributing in burden of dermatological disorder in population presenting to hospitals.

Pattern of Skin Diseases among the Outpatients of a Tertiary Care Hospital, Chattogram

Pattern of Skin Diseases among the Outpatients of a Tertiary Care Hospital, Chattogram

Prevalence, Pattern of Skin Diseases and Associated Risk Factors among Students of a Public Secondary School in Ekiti State, South-West Nigeria

Prevalence, Pattern of Skin Diseases and Associated Risk Factors among Students of a Public Secondary School in Ekiti State, South-West Nigeria

Pattern of Skin Diseases at a Dermatology Center: A Retrospective Study.

Factors such as location, climate, dietary habits, and socioeconomic status as well as age and gender all directly influence the development of certain skin disorders. Whilst the pattern of skin diseases has been studied in the Middle East region previously, data on the incidence of these conditions in the United Arab Emirates (UAE) is lacking. This retrospective study aims to identify the types and frequency of dermatological disorders encountered at a dermatology outpatient clinic in Dubai, UAE. Electronic medical records obtained from the outpatient clinic of the Dermatology Department at Rashid Hospital, from January 1, 2021, to January 1, 2022, were retrospectively assessed. We only included new patients who visited the clinic for the first time. Patient data was analyzed based on their clinical diagnosis and were then grouped as per age, gender, and diagnosis. A total of 5969 new patient encounters were recorded in 12 months, a majority of which were female patients, 3526 visits (n=3526, 59.1%). The frequency of visits made by male patients was 2443 (n=2443, 40.9%). The 10 most frequently encountered conditions were the following: acne (17.6%), unspecified dermatitis (9.9%), atopic dermatitis (5.5%), viral warts (4.5%), seborrheic dermatitis (4.3%), psoriasis (4.2%), dermatophytosis (3.5%), xerosis cutis (3.1%), non-scarring hair loss (2.1%), rash and other non-specific skin eruption (2.1%). Acne was the most prevalent skin condition seen in the clinic year-round, followed by dermatitis. The pattern of skin diseases can be a good indicator for community health and in planning preventative and therapeutic strategies. Involving primary care physicians in the management of these conditions can lead to an earlier diagnosis and management, thereby improving the quality of patients' lives.

Frequency and pattern of Skin Disorders in Adolescents in a School of Kathmandu

Introduction: Skin disorders are one of the major causes of morbidity in Nepal. The objectives of this study are to determine the relative frequency and pattern of skin disorders in a cohort of adolescents 9-18 years of age. Methods: The study was conducted in a residential school of Kathmandu. A detailed information about the study was given to the student members of a school club and they in turn, informed all the other students of the dermatologic health camp, which was conducted subsequently. All students appearing at the camp were examined by a dermatologist and information regarding age, gender, school grade and diagnosis were recorded in a pre-validated format. Results: In the school there were a total of 950 students (627 m, 323 f). Of them 242 (116 m, 126 f) had skin disorder with a point prevalence of 25.5%. Female students had significantly higher prevalence (29%) than male (18.5%). The most common skin disorders were acne, eczemas and urticaria, and the 10 most frequent diagnoses comprised 87% of all skin conditions. Conclusion: This study demonstrates that 1/4 of the students had one or more identifiable skin disorders. Despite the wide range of dermatoses, only a few of them accounted for a major proportion of the skin disorders. This study provides data for targeting health care programs for prevention and treatment of skin disorders in this age group.

Patterns of Skin Disease among Prisoners in Central Prison in Nepal: A Descriptive Cross-sectional Study.

Skin diseases pose a significant health challenge globally, especially within prison settings where overcrowding and inadequate sanitation create a breeding ground for infections. Prisons, as part of society, exist in a dynamic equilibrium, serving as potential sources of infections that can spread beyond their confines. Despite facing similar challenges, there is a dearth of research focusing on skin diseases among inmates in Nepal. This study aims to assess patterns of skin diseases among prisoners. This was a descriptive cross-sectional study at the central prison, Kathmandu from December 2023 to March 2024. All patients with skin disease visiting the consultant Dermatologist and giving consent were included in this study. Ethical approval was obtained from the Nepal Health Research Council. Data were entered in Microsoft Excel 2010 and analysis was done by the Statistical Package for the Social Sciences software. Data were presented in the form of frequency and percentage. A total of 253 patients visited the consultant Dermatologist for skin conditions. Out of which, eczema was 67 (26.50%), fungal infections 57 (22.50%), and bacterial infections 51 (20.10%). The mean age of the respondents was 34.21±12 years. The fungal and bacterial infections were common among the prisoners.

Pattern of Skin Diseases in Children Attending the Dermatology Clinic in Al-Gamhoria Teaching Hospital, Aden, Southern Yemen

Background: Skin diseases constitute a major health problem affecting a large proportion of the population including children causing distress and disability. This study aimed to determine the pattern and frequency of skin diseases. Methods: A retrospective hospital-based, cross-sectional study of all children up to 14 years old who attending dermatology clinic of Al-Gamhoria teaching hospital, Aden Yemen from January to December 2022. Results: Out of 3,184 patients, pediatric patients constituted 191 (6%),56.5% were boys and 43.5 were girls. Maximum number of patients were in the age group of >1-5 years. Majority of dermatoses belonged to infections (45.1%), followed by eczema (20.9%) Bacterial infections (19.9 %) were the most common infections followed by fungal (17.3%), viral (7.9 %) and infestation constituted (13.1%). The majority of patients had one disease, (95.3%) while the rest had two diseases (4.7%). Conclusions: in the present study, infections and eczema were the most common dermatological conditions. This study provides insight about the pattern of various dermatoses among children in urban setting. Keywords: Pattern, skin disorders, children, hospital –based

Prescription pattern of antibiotics in dermatology: A Profile from a tertiary care teaching hospital, Kerala

Background: Antibiotics are commonly used in dermatology for infectious and inflammatory diseases. A study on the pattern of prescriptions will help in establishing fundamental data to enhance the utilization pattern of medications, elevate the standard of treatment, and enable prescribers to identify issues associated with drug usage, including adverse drug reactions, antibiotic resistance, drug interactions, and polypharmacy. Aim and Objective: The aim of the study was to describe the prescription pattern of antibiotics given to inpatients with dermatological disorders. Materials and Methods: This was a record-based descriptive study where the case records of 240 inpatients of the dermatology department of a tertiary care teaching hospital during the period from January 2019 to January 2022 were studied. The demographic profile, pattern of skin diseases reported, and pattern in antibiotic drugs usage were recorded with the help of a predesigned pro forma. Results: The mean age of the study population was 52.04 ± 16.91 years with male to female ratio 2.62:1. The most common skin disease diagnosed was Psoriasis (17.91%). Out of the 518 antibiotics prescribed to the patients in the study, the most preferred route of antibiotic administration was oral (48.84%). The most common oral antibiotic was cloxacillin (37.94%) while the most common parenteral antibiotic prescribed was cefotaxime (83%). Fusidic acid (78%) and mupirocin (16%) were commonly prescribed among the topical antibiotics. Amoxicillin-clavulanic acid combination (76%) was commonly prescribed among the fixed drug combinations. Among the topical antibiotics, 8.78% were prescribed as fixed-dose combination with steroids. Antibiotics (29%) constitute the major class of drugs among prescriptions followed by steroids (14%) and antacids (11%). Most of the prescribed antibiotics belonged to the Access group of antibiotics according to AWaRe classification of antibiotics (63.2%). Conclusion: The most common class of antibiotics prescribed was beta-lactam group of antibiotics. The study will help in formulating guidelines for rational prescription of antibiotics with special reference to dermatological cases and create awareness among physicians for effective therapeutic outcome. This will avoid the burden of antimicrobial resistance and pave pathway for the strengthening of economy.

Patterns of Skin Diseases in Qassim Province, Saudi Arabia.

Objective Dermatological complaints are one of the most common reasons to see a physician. Identifying the incidence and prevalence of different skin conditions is essential to improve health outcomes. Only a few studies regarding the pattern of skin diseases have been conducted in Saudi Arabia, especially in the Qassim region. This study aims to identify, evaluate, and compare the pattern of skin conditions in the Qassim region regarding age and sex, and to compare the results with previous studies. Methods A retrospective record-based study included all Saudi patients who attended the dermatology clinics at Qassim University Medical City, for 12 months, from 2021/08/26 to 2022/07/1. Data were collected from the electronic medical records. Results The study included 2775 Saudi patients comprising 1654 (59.6%) females and 1121 (40.4%%) males, with a male-to-female ratio of 1: 1.475. Around 75% of patients were between 15 and 34 years of age. The top most common diagnoses were pilosebaceous disorders (49.2%), with acne vulgaris being the predominant condition, followed by hair disorders (15.6%), dermatitis (9.2%), pigmentary disorders (7.2%), infections (3.9%), and papulosquamous disorders (3%). The prevalence of dermatological conditions was significantly higher in females than males for pilosebaceous disorders (P=.01) and hair disorders (P=.02). Conclusion There is a changing trend in the prevalence of skin disorders in the Qassim province of Saudi Arabia. Pilosebaceous disorders are being diagnosed more frequently compared to previous years and females visit dermatology clinics more than males. Due to its hospital-based setting, this study only gives a rough estimate of the pattern of skin diseases, and extensive epidemiological studies are needed to estimate the prevalence accurately.

Pattern of Skin Diseases in Patients Attending the Dermatology Outpatient of a Tertiary Care Hospital

Objective: To know the pattern of skin disorders amongst patients reporting to the Dermatology outpatient of a tertiary care hospital. Study Design: Cross-sectional study. Place and Duration of Study: Dermatology OPD Combined Military Hospital, Bahawalpur Pakistan from May to Oct 2022. Methodology: Eight thousand sixty-eight patients attending the outpatient department (OPD) for skin problems were included in the study. Consultants with Postgraduate qualifications in Dermatology diagnosed all cases. Diagnosis of skin problems were noted for each patient. Diseases were categorized into various groups. Results: The mean age of patients was 29.04±15.941 years. 54.35% of patients (n=4385) were in the 20-40 years age range. Infections were the most commonly seen disease group (n=2152,26.7%), followed by dermatitis and eczematous disorders (n=1784,22.1%), parasitic diseases (n=1341,16.6%) and acquired pigmentary disorders (n=579,7.2%) in descending order of frequency. Together, these four groups of diseases accounted for 72.6% of total patients. Infections and infestations accounted for 43.3% of patients reporting to our outpatients during the study period. Scabies was the most common disease in 15.6% (n=1262) of our patients. Scabies and dermatophyte infections were the two most commonly encountered diseases. These two diseases comprised 26.5% (n=2141) of the total cases.Conclusion: Infections and infestations accounted for 43.3% of patients reporting to our outpatients during the study period. Scabies and dermatophyte infections were the two most commonly encountered diseases. Public health education regarding personal hygiene and dermatological care availability can help lessen the burden of skin diseases.

Spectrum of Biopsy Proven Skin Lesions in Armed Forces Population: A Tertiary Care Hospital Experience

Abstract Background: Skin disorders are common as skin is constantly exposed to various chemicals, ultraviolet rays, climate, etc., making it prone to damage leading to various diseases. The spectrum of skin disorder lesions varies according to geographical distribution, gender, and age. A large number of skin lesions can be diagnosed clinically, but histopathological examination is necessary for accurate diagnosis and proper management. Literature shows few such studies in India, but no such study could be found for the Indian Armed Forces population. The aim of our study was to understand the pattern of skin diseases in Armed Forces population. Materials and Methods: All skin biopsies received between January 2022 and December 2022 were included in the study. Two hundred skin biopsies received were examined for various skin ailments. The skin biopsies were processed, sectioned, and stained with hematoxylin and eosin and wherever required special stains like modified Ziehl–Neelsen stain. The histopathological data were retrieved and reviewed. The data were collected and entered into SPSS 20.0 for statistical analysis. Results: Out of the two hundred cases studied, the most common group of disorders were of noninfectious nonneoplastic category (55%), followed by benign neoplasms (25%) and infectious category (18%), with least cases belonging to malignant category (2%). Commonly involved site in the body was upper limbs. The most common disorder found in males was psoriasis and in females was lobular capillary hemangioma. Conclusion: Understanding spectrum of histopathological spectrum of skin disorders will aid in identifying and managing different disorders, effectively providing high-quality care to the patient.

Evaluation of skin disease patterns in a tertiary dermatology outpatient clinic in Türkiye

Skin diseases are among the reasons for frequent hospital admissions and bring a significant burden. The aim of this study is to determine the pattern of skin diseases in our dermatology outpatient clinic in a tertiary care hospital in Türkiye. Pediatric and adult patients evaluated in our dermatology outpatient clinics for the first time were included in this cross-sectional observational designed study between January and March 2023. The characteristics of the patients, including age, gender, duration of disease, anatomic localization of the disease, and complaint counts, were recorded in the data collection form. Diagnoses were grouped according to gender, age, and complaint counts. A total of 1381 patients with 1772 skin problems were included in the study. 62.3% of the patients were female (n=860), and 37.7% (n=521) were male. The age range was between 0 and 98 years. The most common diseases were acne (18%), dermatophytosis (8.1%), viral warts (6.5%), seborrheic dermatitis (4.8%), other dermatitis (4.8%), follicular disorders (4.6%), pruritus (3.7%), scabies (3%), benign neoplasms (3%), and urticaria (3%), respectively. 23.4% of the patients (n=324) had at least two complaints. The maximum number of complaints at one visit was 5. The probability of reporting more than one complaint was higher in women and those whose first complaint was on the scalp. In this analysis to determine the patterns of skin diseases, acne, dermatophytosis, and viral warts were found to be important problems. The number of complaints at one visit may vary according to gender and localization.

Porphyria: A metabolic disorder

Porphyrias are heterogenous group of metabolic disorders arising from defects in the heme biosynthetic pathway, each being characterized by a specific partial enzyme deficiency. Also, a flawed gene that control the action of enzyme in the heme synthesis creates a lack of heme and build up of porphyrin. Porphyria can be triggered by environmental factors such as; infections, cigarette smoking, antibiotics, etc. Porphyria can be classified into acute porphyria that causes neurological symptoms, and cutaneous porphyria that cause photosensitivity, affecting the skin. In cutaneous porphyria, the two distinct pattern of skin disease seen are the immediate photosensitivity and vesiculo-erosive skin disease. Symptoms include; abdominal pain, muscle weakness, hallucination, pain in the back or chest, burning pain on the skin, red or brown urine. Long term complication include paralysis, skin scarring, permanent hair loss, gall stones, breathing difficulties, dehydration. It can be diagnosed using blood, urine and stool samples, urine estimation of porphobilinogen is also done. Treatment of porphyria include; administration of heme arginate, regular blood removal, low doses of antimalarial drug, narrow band UVB therapy, avoidance of triggers. It can be prevented by avoiding factors that precipitate it such as; stress, fasting, infection, alcohol.

An Assessment of Skin Diseases in People and Their Quality of Life in Bundelkhand Region of Uttar Pradesh

Background: Skin diseases occur in all age groups in developed and developing countries. Various types of skin diseases are found worldwide and depend on factors like environment, surrounding ecology, dietary habits, socioeconomic status, mental health, and literacy. Health-related quality of life (HRQOL) improves after treatment or cure of the diseases. Objectives: To estimate the pattern of skin disease. To find out the quality of life and association of skin disease with sociodemographic factors among patients. Methods: This observational cross-sectional study was done in skin OPD at the tertiary care center, Banda district of Uttar Pradesh, India from May 2022 to July 2022. All patients who attended to skin OPD during study period were included in the study after taking informed verbal consent. Results: Skin diseases had further divided in subcategories which were infectious conditions, pigmentary disorders, inflammatory dermatoses, miscellaneous skin conditions, benign tumor and other lesions with their percentage 44.8, 10.5, 28.6, 7.1, 2.9 and 6.2%, respectively in this study Classes of DQLI where major portion of patients (49.52%) were in ‘Small effect on patient’s life’ category. The relation of age, religion, education and member of household with history of skin disease were found to be highly statistically significant. Conclusion: Infectious skin diseases were found more common in study area. Male populations were more commonly affected. Skin diseases were more common in age group of 18–60 years. Study participants showed no predominant effect on quality of life. But small effect class had major effect on participant’s quality of life.

P34 Changing patterns of skin diseases in patients attending a tertiary private hospital in central Uganda

Abstract There is scarce epidemiological data available on the prevalence of skin disorders in Uganda, a tropical country in sub-Saharan Africa. Skin diseases are a common occurrence in sub-Saharan Africa but receive less attention because they are perceived to cause less mortality. Previous studies have reported a skin disorder prevalence of 30–70% in the general population of developing countries. The majority of studies in sub-Saharan Africa reveal skin infections as the most common dermatology disorder, with a few studies reporting a changing trend toward eczematous disorders. The aim was to investigate the spectrum of skin disorders at a tertiary private healthcare hospital in central Uganda. A cross-sectional study was conducted from September 2021 to August 2022. All patients attending the outpatient skin clinic were recruited. Initial visits were considered. The diagnosis was made clinically and, where necessary, additional investigations were carried out. Data analysis was done with SPSS version 21 (IBM) and Microsoft Excel. A total of 1097 diagnoses were made in 913 patients, of whom 72.9% were adults and 27.1% were under 18 years of age. There were 488 (53.4%) females and a mean (SD) age of 28.9 (16.2) years. The top-five diagnoses were eczematous disorders (n = 223; 20.3%), adnexal disorders (n = 195; 17.8%), infections (n = 182; 16.6%), papulosquamous disorders (n = 93; 8.5%) and pigmentary disorders (n = 59; 5.4%). The results of this research show changing patterns of skin disease presentation from infections in 2016 to eczematous disorders in 2022 as the leading cause of outpatient dermatology consultation at a tertiary private hospital in central Uganda. This calls for proper replanning and budget allocation given the changing spectrum of skin disease presentation at this facility.

Study of Quality of life (QoL) of Patients with Common Skin Diseases

The pattern of skin diseases varies from one country to another. In particular, in India, where customs, religions, languages, climate and socioeconomic conditions vary across different parts of the country.It is very important to measure the impact of dermatologic disease on the quality of life. Measurement of the quality of life can be used in clinical research as well as for political and financial purposes relating to the development of dermatological services. Quality of life measures may also be effectively used in auditing clinical activities.This study was conducted in the field practice areas of the Urban and Rural Health Centres, Department of Community Medicine, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh.It was community based and cross- sectional study. The study period was one year i.e. from June 2016 to May 2017. Inclusion criteria: All individuals of the household. Exclusion Criteria: All who did not gave consent. Sampling Method: Systematic random sampling with Population Proportionate to Size (PPS) was used to draw sample size. Ethical clearance was obtained from ethical committee, JNMC, AMU, Aligarh. Informed verbal consent was taken from each subject before interview(Copy of ethical committee is attached).Results reported that the overall mean QoL Indices score of the study population, the mean for the urban and rural population is almost equal. There was overall moderate effect on quality of life of both males and females in the study population. There was significant moderate effect on quality of life of patients in the older age groups (most affected-51-60yr, followed by 41-50yr, 31-40yr, and 19-30yr) compared to the age group 6-10 years.Measuring the impairment of the quality of life in dermatology patients is an important aspect of management. It allows clinicians to assess the extent and nature of the disability so that an appropriate management regimen can be implemented and its effectiveness assessed

Pattern of skin disorders in automobile repair workers: a worksite-based field study

Pattern of skin disorders in automobile repair workers: a worksite-based field study

Prevalence and Pattern of Skin Disorder among Primaryschool Children in Wasit Governorate, Iraq, 2021

S Skin diseases account for a large portion of the worldwide sickness burden and are among the leading causes of non-fatal disease. Where skin problems are one of the most prevalent organ-specific reasons for people to attend the primary health care center; they are common in various nations, although the spectrum varies widely. This study aimed to study the prevalence and Pattern of Skin Disorders among Primary-school Children in Wasit Governorate, Iraq, 2021. Material and Methods: A cross-sectional study was carried out from October to December 2022. A multi-stage, stratified sampling procedure was used to choose ten elementary schools in Iraq's Wasit Governorate, five in urban regions and five in rural ones. In the second stage, 40 pupils were chosen at random from each school for a total sample size of 400. Results: The current study involved 400 individuals; males made up the majority of the participants (55%), and more than half of the participants (52.5%) resided in cities. Skin problems were seen in 45% of people. There was a strong link between the occurrence of skin problems and gender. Participants with a father and mother who had only completed basic school had a greater incidence. Conclusion: The prevalence of skin disorders among primary school children was 45%. The gender, father education, and mother education significantly affected the prevalence. Viral, fungal, and bacterial infections were the most common causes of skin disorders.