Pattern of pediatric dermatoses in a tertiary hospital in South India
Keywords:Eczematous disorders, Atopic dermatitis, Scabies, Pityriasis alba
Background: Several cross-sectional studies in the form of school surveys and studies on paediatric patients visiting dermatology OPD in tertiary care hospital has been conducted in the last three decades. This study was conducted to note the pattern of paediatric dermatoses and also to compare the difference in disease pattern with other studies conducted in southern India in last decade.
Methods: A retrospective cross-sectional study was conducted at the Dermatology department of MVJ teaching hospital to determine the pattern of pediatric dermatoses from May 2021 to October 2021 after obtaining institutional ethics committee clearance. Cases under the age of 18 years were included in the study. Cases with age above 18 years, incomplete data, dermatoses where diagnosis was uncertain were excluded from the study. A total of 150 children were included in the study. The results were entered and tabulated in MS-excel sheet and descriptive analysis was done.
Results: 150 children were included in the study.36 types of dermatoses were noted overall. Eczematous diseases (32.7%) contributed to the maximum followed by infections and infestations (25.3%). The most frequent dermatoses found were Atopic dermatoses (10%), pityriasis alba (8.6%), scabies (8.6%), Acne vulgaris (8.6%). Eczematous diseases and hypersensitivity disorders were noted to have increased frequency when compared to other studies in last one decade
Conclusions: Rising trend in atopic dermatitis has been noted which might be due to changing environmental factors and also due to better recognition of condition by physicians in last one decade. With respect to spectrum of skin infections and infestations not much of difference is appreciated when compared to previous studies
Laude TA. Approach to dermatologic disorders in black children. Semin Dermato. 1995;14:15-20.
Roger M, Barnetson RS. Diseases of skin. In: Campbell AGM, Mcintosh N, editors. Fortar and Arneil's Textbook of pediatrics. 5th ed. New York, NY: Churchill Livingstone. 1998;1633-5.
Bechelli LM, Haddad N, Pimenta WP, Pagnano PM, Melchior E, Jr, Fregnan RC et al. Epidemiological survey of skin diseases in schoolchildren living in the Purus Valley (Acr State, amzonia, brazil) Dermatologica. 1981;163(1):78-93.
Williams H, Stewart A, Von Mutius E, Cookson W, Anderson HR. Is eczema really on the increase worldwide? J Allergy Clin Immunol. 2008;121:947-54.
Paul VK. Introduction to pediatrics. In: Paul VK, Bagga A (Eds). Ghai essential pediatrics. 8th ed. New Delhi: CBS publishers. 2016;1-6.
Khanna N, Rasooi S. Skin disorders. In: Paul VK, Bagga A (Eds). Ghai essential pediatrics. 8th ed. New Delhi: CBS publishers. 2016;672-95.
Thappa DM. Common skin problems in children. Indian J Pediatr. 2002;69(8):701-6.
Poudyal Y, Ranjit A, Pathak S, Chaudhary N. Pattern of pediatric dermatoses in a tertiary care hospital of Western Nepal. Dermatol Res Pract. 2016;2016.
Nagarajan K, Thokchom NS, Ibochouba K, Verma K, Hafi NB. Pattern of pediatric dermatoses in Northeast India. Indian J Paediatr Dermatol. 2017;18(4):286
Saini S, Yadav D, Kumar R. Clinicoepidemiological study of prevalence and pattern of dermatoses among patients of pediatric age group in southeast region of Rajasthan. Indian J Paediatr Dermatol. 2020;21(2):119.
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 Centre in North Kerala. Indian J Paediatr Dermatol. 2016;17(4):267.
Hassan I, Ahmad K, Yaseen A. Pattern of pediatric dermatoses in Kashmir valley: a study from a tertiary care centre. Indian J Dermatol Venereol Leprol. 2014;80(5):448.
Karthikeyan K, Thappa DM, Jeevankumar B. Pattern of pediatric dermatoses in a referral centre in South India. Indian pediatrics. 2004;41(4):373-6.