Prevalence of skin diseases among infants in a tertiary medical facility in Uttarakhand
Keywords:
Paediatric dermatoses, Atopic dermatitis, Infectious dermatitisAbstract
Background: Skin diseases are common in infancy. This study aimed to determine to prevalence of various dermatoses in infancy in Uttarakhand. Objectives: To determine the prevalence of different dermatologic diseases in infant in Uttarakhand.
Methods: A prospective study was carried out for one year from 06 Sep 2013 to 05 Sep 2014, to study prevalence and patterns of dermatological lesions in infants, a tertiary care health facility in Uttarakhand. A total of 234 infants of both sexes were seen during this period.
Results: Of 234 patients 58.9% were males. Noninfectious dermatitis was the largest group of skin disorders in infancy, constituting 35.89% of total cases. Seborrheic dermatitis was commonest type of non-infectious dermatitis in infancy (42.85%) followed by atopic dermatitis (19.04%), Ptyriasis alba (14.28 %), contact and diaper dermatitis (7.14% each). Seborrheic dermatitis did not display any gender or seasonal bias. Infectious/ parasitic infestations formed second largest group of dermatoses in infants (26.92%) with commonest being fungal infections (49% cases of infectious group) followed by parasitic infestations (26.98%). Bacterial and viral infections were formed only 12.69% and 11.11% of infectious group cases. Nonfungal and nonparasitic infections showed higher incidence in summers.
Conclusion: Out of 234 infants who attended paediatric dermatology clinic, major dermatoses were of noninfectious origin with seborrheic dermatitis forming largest group. Infectious etiology dermatoses constituted second major group with fungal and parasitic etiology. Nonfungal and non-parasitic dermatoses showed higher prevalence in summer months.
References
Thappa DM. Common skin problems in children. Int J Pediatr. 2002;69:701-6.
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.
Fawzia Farag Mostafa, Aida Abdel Hamid Hassan. Prevalence of skin diseases among infants and children in Al Sharqia Governorate, Egypt. Egypt Dermatol Online J. 2012;8(4):1-14.
Shrestha R, Shrestha D, Dhakal AK, Shakya A, Shah SC, Shakya H. Spectrum of pediatric dermatoses in tertiary care center in Nepal. Nepal Med Coll J. 2012;14(2):146-8.
Emodi IJ, Ikefuna AN, Uchendu U, U Duru A. Skin diseases among children attending the out-patient clinic of the University of Nigeria teaching hospital, Enug. Afr Health Sci. 2010;10(4):362-6.
Ferreira FR, Nascimento LFC, Cirvidiu DC. Prevalence of pediatric dermatoses in a university hospital in southeastern Brazil. An Bras Dermatol. 2011;86(3):477-82.
Jain N, Khandpur S. Pediatric dermatoses in India. Indian J Dermatol Venereol Leprol. 2010 Sep-Oct;76(5):451-4.
Chen GY, Cheng YW, Wang CY, Hsu TJ, Hsu MM, Yang PT, et al. Prevalence of skin diseases among school children in Magong, Penghu, Taiwan: a community-based clinical survey. J Formos Med Assoc. 2008;107:21-9.
Sardana K, Mahajan S, Sarkar R, Mendiratta V, Bhushan P, Koranne RV, et al. The spectrum of skin disease among Indian children. Pediatr Dermatol. 2009;26:6-13.
Tamer E, Ilhan MN, Polat M, Lenk N, Alli N. Prevalence of skin diseases among pediatric patients in Turkey. J Dermatol. 2008;35:413-8.
Alabi GO. The pattern of common childhood dermatoses in Ibadan. Nigir J Paediatr. 1980;7:39-42.
Dhar S, Kanwar AJ. Epidemiology and clinical pattern of atopic dermatitis in a North Indian pediatric population. Pediatr Dermatol. 1998;15:347-51.
Yasmeen N, Khan MR. Spectrum of common childhood skin diseases: a single centre experience. J Pak Med Assoc. 2005;55:60-3.
Karthikeyan K, Thappa DM, Jeevankumar B. Pattern of pediatric dermatoses in a referral center in South India. Indian Pediatr. 2004;41:373-7.
Wenk C, Itin PH. Epidemiology of pediatric dermatology and allergology in the region of Aargau, Switzerland. Pediatr Dermatol. 2003;20:482-7.
Nanda A, Al-Hasawi F, Alsaleh QA. A prospective survey of pediatric dermatology clinic patients in Kuwait: an analysis of 10000 cases. Pediatr Dermatol. 1999;16:6-11.
Negi KS, Kandpal SD, Parsad D. Pattern of skin diseases in children in Garhwal region of Uttar Pradesh. Int Pediatr 2001;38:77-80.
Sharma RC, Mendiratta V. Clinical profile of cutaneous infections and infestations in the paediatric age group. Indian J Dermatol. 1999;44:174-8.
Amer MA, El-Said MM. Common skin diseases in infancy and childhood. In: Amer MA, El-Said MM, eds. A Thesis. Zagazig: Dermatology and Venerology Department, Zagazig University; 1990.