An overview of skin disorders in under-fives over a ten-year period in a tertiary institution in South: South, Nigeria
Keywords:Skin disorders, Under- fives, Scabies
Background: Skin disorders can be a significant cause of distress to both children and their care-givers. The scope of prevalent skin disorders differ from one country to the other. Therefore an insight into the occurrence, patterns and distribution of skin disorders in a target group will be beneficial to inform care and provide support that is relevant to that target population. The aim of this study is to determine the skin problems prevalent amongst children that are five years and below managed at the University of Port Harcourt Teaching Hospital, Alakahia, Nigeria.
Methods: This was a retrospective cross sectional study of children five years and below that visited the dermatology outpatient clinic at the University of Port Harcourt Teaching Hospital, Alakahia between the period of January 2006 and December 2015.
Results: There was equal ratio of male to female patients with slight female preponderance. The eleven most common lesions were papular urticaria, atopic dermatitis, scabies, warts, vitiligo, molluscum contagiosum, tinea corporis, impetigo, seborrhoeic dermatitis, pityriasis rosea and tinea capitis.
Conclusions: Skin disorders are common among children under five years. Allergic skin disorders, bacterial, viral and fungal skin infections, skin infestation (scabies) and pigmentary disorders (vitiligo) are major skin manifestations in this study.
Sanyang Y. Prevalence of Under five- years of age mortality by infectious diseases in West Africa region. International Journal of Africa Nursing Sciences. 2019;11:100175.
Munthali T, Jacobs C, Sitali L, Dambe R, Michelo C. Mortality and morbidity patterns in under-five children with severe acute malnutrition (SAM) in Zambia: a five-year retrospective review of hospital-based records (2009–2013). Arch Public health. 2015;73(1):23.
Okoronkwo, NC, Chapp-Jumbo, AU. Pattern of morbidity and mortality of childhood illnesses at the children emergency room of Abia State University Teaching Hospital, Aba, Nigeria, 2015. East and Central Africa Medical Journal. 2015;2:70-73.
Healthy Body, NHS Common Skin Conditions. https://www.nhs.uk/live-well/healthy-body/common-skin-conditions/. Last accessed on 27nd July, 2020.
Wadgave H. Burden of Health Morbidities in urban slum area, Journal of Dr. NTR University of Health Sciences. 2013;2(2):96-101.
Datesima DA, Obinna CE, Bliss MM, Belema OA. Pattern of skin disorder amongst school children in Port Harcourt, Rivers state. Asian Journal of Dermatological sciences. 2020;3(1):14-24.
Altraide D, Akpa M, George O. The pattern of skin disorders in a Nigerian Tertiary Hospital. Journal of Public Health and Epidemiology. 2011;3(4):177-181.
Emodi I, Ikefuna A, Uchendu U, Duru U. Skin diseases of Children attending the outpatient clinic of University of Nigerian Teaching Hospital Enugu. Afr. Health Sci. 2010;10(4):362-366.
Jaja T, Opara P, Otaigbe B. Health Care Seeking Behaviour for childhood Illnesses in Port Harcourt, Southern Nigeria. The Nigerian Health Journal. 2010;10(3-4):43-47.
Bandiom L, Taylor S. Everything you should know about papular urticaria, Healthline. 2017. https://www.healthline.com/health/papular-urticaria. Last accessed on 22nd August 2020.
Common Childhood skin problems side show. https://www.webmd.com/children/ss/slideshow-common-childhood-skin-problems. Last accessed on 22nd August, 2020.
Kruger C and Schallreuter K. A worldwide prevalence of vitiligo in children/adolescent and adults. Int J Dermatol. 2012;51(10):1206-1212.
Altraide DD, George IO, Otike-Odibi B. Vitiligo: A hospital based Study in Southern Nigeria. Port Harcourt Medical Journal. 2010;4:192-196.
Community Practitioner, The anatomy of the skin, 2010. https://www.communitypractitioner.co.uk/features/2010/10/anatomy-skin#:~:text=Baby%20skin%20is%20structurally%20different%20to%20adult%20skin%3B,and%20more%20prone%20to%20dryness%20than%20adult%20skin. Last accessed on 23rd August 2020.
Altraide DD, Olumide YM, Mohammed TT. Predictive value of Seborrhoeic dermatitis for HIV infection in Lagos, Nigeria. Port Harcourt Medical Journal. 2010;5:30-36.
Frank-Briggs AI, Gbobo I. Neurofibromatosis in children as seen in the University of Port Harcourt Teaching Hospital. Port Harcourt Medical Journal. 2010;5:52-58.
Ramos J. Skin problems in children under five years old at a rural hospital in Southern Europe. Asian Pacific Journal of Tropical Biomedicine. 2016;6(7):625-629.
Kiprono S, Muchunu J, Masenga J. Skin diseases in pediatric patients attending a tertiary dermatology hospital in Northern Tazania: a cross sectional study. BMC Dermatol. 2015;15:16.
Kelbore AG, Owiti P, Reid A. Pattern of skin diseases in children attending a dermatology clinic in a referral hospital in Wolaita sodo, Southern Ethiopia. BMC Dermatol. 2019;19:5.
Justin-Temu M, Rimoy G, Pemji Z, Matemu G. Causes, magnitude and management of burns in under- fives in district hospitals in Dar es Salaam, Tanzani. East African Journal of Public Health. 5(1):38-42.
Datubo-Brown DD, Kejeh BM. Burn injuries in Port Harcourt Nigeria, burns. Journal of the International Society for Burn injuries.1989;15(3):152-154.