DOI: http://dx.doi.org/10.18203/issn.2455-4529.IntJResDermatol20183160

Prevalence of paediatric dermatoses among patients attending Dermatology outpatient department in a tertiary care hospital in Puducherry

Varsha Medasani, Paquirissamy Oudeacoumar, Rao Chitralekhya, Saurabh Krishna Misra

Abstract


Background: Skin diseases are a major health problem in the paediatric age group and are associated with significant morbidity. Dermatoses in children are more influenced by socioeconomic status, dietary habits, climatic exposure and external environment as compared to adults. The present study was undertaken to know the prevalence of paediatric dermatoses among patients attending Dermatology outpatient department in a tertiary care hospital in Puducherry.

Methods: All newly diagnosed, untreated male and female paediatric patients (from neonates to adolescents ≤19 years of age) attending Dermatology OPD, from October 2015 to September 2017 were evaluated to study the prevalence and patterns of paediatric dermatoses. The skin disorders were classified into groups like infections, infestations, eczemas, acne, hypersensitivity disorders, sweat gland disorders, pigmentary disorders, nevi, keratinisation disorders, hair and scalp disorders, papulosquamous disorders, bullous disorders, nail disorders, drug reactions, other dermatoses.

Results: The prevalence of pediatric dermatoses in our OPD is 25.21%. Incidence of pediatric dermatoses was found to be more in males 237 (59.39%) than in females 162 (40.60%) and the majority of the patients were in adolescent age group (217; 54.38%). Present study showed that majority of cases belonged to the lower socioeconomic group 186(46.6 %). In our study, majority (58.98%) of dermatoses belonged to infections and infestations group. Of the infective dermatoses, fungal infections (27.88%) were the most common.

Conclusions: Infectious dermatoses were commonly seen in this study that may be due to poverty, overcrowding, poor hygiene. There is an increasing trend of fungal infections which might be related to hygiene and environment. 


Keywords


Paediatric dermatoses, Children, India, Fungal infections, Bacterial infections

Full Text:

PDF

References


Jain N, Khandpur S. Pediatric dermatoses in India. Indian J Dermatol Venereol Leprol. 2010;76:451-4.

Federman DG, Reid MC, Feldman SR, Greenhoe J, Kirsner RS. The primary care provider and the care of skin disease. Arch Dermatol. 2001;137:25-9.

Inamadar AC, Palit A, Raghunatha S. Genodermatoses. In Textbook of Paediatric Dermatology. 2nd ed. 2014;3:28-9.

Reddy VS, Anoop T, Ajayakumar S, Bindurani S, Rajiv S, Bifi J. Study of clinical spectrum of pediatric dermatoses in patients attending a Tertiary Care Center in North Kerala. Indian J Paediatr Dermatol. 2016;17:267-72.

Sharma S, Bassi R, Sodhi MK. Epidemiology of dermatoses in children and adolescents in Punjab, India. J Pak Assoc Dermatol. 2012;22:224-30.

Sacchidanand S, Sahana MS, Asha GS, Shilpa K. Pattern of pediatric dermatoses at a referral centre. Indian J Pediatr. 2014;81:375-80.

Karthikeyan K, Thappa DM, Jeevankumar B. Pattern of pediatric dermatoses in a referral centre in South India. In Pediatrics. 2004;41:373-7.

Shaikh Z, Pathak R. Revised Kuppuswamy and B G Prasad socio-economic scales for 2016. Int J Community Med Public Health. 2017;4:997-9.

Bisht JS, Rana SK, Kumari N, Aggarwal B, Mehta A, Singh R. Pattern of dermatoses in preschool children in a teaching hospital in Uttarakhand, India. Indian J Paediatr Dermatol. 2015;16:198-202.

Negi KS, Kandpal SD, Prasad D. Pattern of skin diseases in children in Garhwal region of Uttar Pradesh. Indian Pediatr. 2001;38:77-80.

Sharma RC, Mendiratta RC. Clinical profile of cutaneous infections and infestations in pediatric age group. Indian J Dermatol. 1999;44:174-8.

Bhatia V. Extent and pattern of pediatric dermatoses in central India. Indian J Dermatol Venereol Lepro1. 1997;63:22-5.

Ghosh SK, Saha DK, Roy AK. A clinico aetiological study of dermatoses in pediatric age group. Indian J Dermatol. 1995;40:29-31.

Sayal S. K., Bal A. S., Gupta C. M. Pattern of skin diseases in paediatric age group and adolescents. Indian J Dermatology, Venereol Leprol. 1997;64(3):117–9.

Sarkar R, Kanwar AJ. Three common dermatological disorders in children (scabies, pediculosis and dermatophytoses). Indian Pediatrics. 2001;38:995-1008.

Kumar V, Garg BR, Baruah MC. Prevalence of dermatological diseases in school children in a semi urban area in Pondicherry. Indian Dermatol Venereol Leprol. 1988;54:300-2.

Nanda A, Hasawi FA, Alsaleh QA. A prospective survey of pediatric dermatology clinic patients in Kuwait: An analysis of 10,000 cases. Pediatr Dermatol. 1999;16:6–11.

Sladden MJ, Dure-Smith B, Berth-Jones J, Graham-Brown RA. Ethnic differences in the pattern of skin disease seen in a dermatology department – Atopic dermatitis is more common among Asian referrals in Leicestershire. Clin Exp Dermatol. 1991;16:348-9.

Larsen FS, Holm NV, Henningsen K. Atopic dermatitis. A genetic-epidemiologic study in a population-based twin sample. J Am Acad Dermatol. 1986;15:487-94.

Thappa DM. Common skin problems. Indian J Pediatr. 2002;69:701-6.

Dogra S, Kumar B. Epidemiology of skin diseases in school children: A study from northern India. Pediatr Dermatol. 2003;20:470-3.

Vora R, Bodiwala N, Patel S. Prevalence of various dermatoses in school children of Anand district. Natl J Community Med. 2012;3:100-3.