Skin Diseases in a Pediatric Hospital of Nepal

The skin diseases of pediatric population are varied which change according to age and season. There is a rarity of studies on pediatric skin conditions from Nepal. This observational study from the only tertiary care referral pediatric center of the country highlighted the burden of pediatric skin diseases in Nepalese population. All new cases of pediatric patients less than 14 years of age consulting the pediatric dermatological OPD of Kanti Children’s Hospital from January 2017 to December 2017 were included in this study. Demographic details of all the patients such as age and sex were recorded. The diagnosis was made clinically in most instances and appropriate laboratory and histopathological examination were performed wherever necessary. A total of 7683 pediatric patients were included in the study. Among these, there were 4574 (59.53%) males and 3109 (40.47%) females. The most common skin condition was infections among 2463 (32.12%) followed by eczematous conditions in 1711(22.27%) and hypersensitivity reactions in 1510 (19.65%). Infections were more common during the summer months. Overall, both infectious and noninfectious skin diseases were significantly more common during the warmer (summer and spring) months as compared to colder (autumn and winter) months ( p < 0.001 ). This study shows that the pediatric dermatoses are common in Nepalese population.

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Pilomatricoma: Experience of the Hospital for Sick Children

Canadian Journal of Plastic Surgery ◽

10.1177/229255030701500311 ◽

2007 ◽

Vol 15 (3) ◽

pp. 159-161 ◽

Cited By ~ 7

Author(s):

Tatiana Karine Simon Cypel ◽

Vijith Vijayasekaran ◽

Gino R Somers ◽

Ronald Melvin Zuker

Keyword(s):

Recurrence Rate ◽

Histopathological Examination ◽

Pediatric Population ◽

Surgical Excision ◽

Upper Limbs ◽

Common Skin ◽

The Face ◽

Clinical Differential Diagnosis ◽

Skin Conditions ◽

Sick Children

Background Pilomatricoma (calcifying epithelioma of Malherbe) is a common skin neoplasm in the pediatric population that is often misdiagnosed as other skin conditions or tumours. Objectives The objective of the present retrospective study was to review the clinical and histopathological presentation of this neoplasm in children. Methods The records of the pathology department at The Hospital for Sick Children, Toronto, Ontario, were searched for all cases of pilomatricoma between 2001 and 2006. The records of these patients were reviewed to determine sex, age, location and size of the tumour, pathological features and recurrence rate. All patients underwent surgical excision of the lesions. Results A total of 93 lesions in 85 patients were identified. The median age was 8.7 years. Of the 85 patients diagnosed with pilomatricoma, 44 (52%) were female. In all cases, the initial presentation was an asymptomatic, slow growing, superficial hard mass with bluish discolouration. The most common sites of occurrence were the face (48%), neck (21%) and upper limbs (18%). The size of the surgical specimens collected ranged from 0.1 cm to 2.6 cm. The diagnosis was confirmed by histopathological examination in all cases. Ghost cells and basaloid cells were described in most of the cases (83%). There were no recurrences in this series. Conclusions This entity should be considered with other benign or malignant conditions in the clinical differential diagnosis of solitary firm skin nodules, especially those on the face, neck and upper limbs. The diagnosis can generally be made by clinical examination. The treatment of choice is surgical excision, and the recurrence rate is very low.

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MEDICAL MANAGEMENT OF TINEA INFECTION THROUGH SHODHANA AND SHAMANA – A CASE SERIES

November 2020 - International Ayurvedic Medical Journal ◽

10.46607/iamj1509092021 ◽

2021 ◽

Vol 9 (9) ◽

pp. 2029-2036

Author(s):

Asha A Bhat ◽

Prashanth A S

Keyword(s):

Case Series ◽

Skin Condition ◽

Wilcoxon Rank Sum Test ◽

Common Skin ◽

Skin Conditions ◽

Almost All ◽

Continuous Use ◽

Present Case Study

Skin is one of the most beautiful organs God has ever blessed to anyone. Everyone craves for beautiful skin and makes all possible efforts to make it glow. To achieve this, they are engaged in continuous use of creams, moist- urizers and other cosmetic articles which lead to immediate or long-term skin issues. Itching being the predomi- nant symptom of these cosmetic issues make people highly embarrassed in society. In Ayurveda, almost all skin conditions are explained under one umbrella called Kushta. It is broadly classified into Mahakushta and Kshudra- kushta1. Dadru Kushta one among the Kshudra Kushta is the most common skin condition accounts for 20% in all consultation in general practice2. North Karnataka is well known for its hot and humid conditions making its population at risk of many Tinea infections. Kandu, Raga and Atasi Pushpa Sankashavat Mandala are the cardi- nal features of Dadru3. In the present case study, 40 patients of Dadru Kushta were taken according to inclusion criteria. The combined effect of both Shodhana and Shamana was assessed. Keywords: Dadru Kushta, Aupasargika, Anushangi, Wilcoxon Rank Sum Test

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Skin Conditions in Crisis Areas

A Field Manual for Palliative Care in Humanitarian Crises ◽

10.1093/med/9780190066529.003.0008 ◽

2019 ◽

pp. 53-61

Author(s):

Marcia Glass ◽

Carrie Kovarik ◽

Mara Haseltine ◽

Sandra L. Freiwald ◽

Susan Barbour

Keyword(s):

Palliative Medicine ◽

Skin Diseases ◽

Opportunistic Infections ◽

Conflict Zones ◽

Firearm Injuries ◽

The Third ◽

Snake Bites ◽

Common Skin ◽

Life Threatening ◽

Skin Conditions

This chapter describes the most common and urgent skin issues facing palliative-medicine providers working in conflict zones, epidemics, and natural disasters. The first section focuses on exposure-related skin conditions, including burns, firearm injuries, frostbite, and snake bites. The second section describes lethal bacteria commonly found in floodwaters. The third section explores common skin conditions facing terminally and severely ill patients in crisis areas. The fourth section explains noninfectious yet potentially life-threatening skin diseases in these settings. The final section describes the opportunistic infections which could target patients with HIV anywhere.

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Approach to the Assessment and Management of Pediatric Patients with Atopic Dermatitis: A Consensus Document. Section II: Comorbid Disease in Pediatric Atopic Dermatitis

Journal of Cutaneous Medicine and Surgery ◽

10.1177/1203475419882655 ◽

2019 ◽

Vol 23 (5_suppl) ◽

pp. 12S-18S ◽

Cited By ~ 2

Author(s):

Chih-ho Hong ◽

Marissa Joseph ◽

Vy HD Kim ◽

Perla Lansang ◽

Irene Lara-Corrales

Keyword(s):

Atopic Dermatitis ◽

Health Care Providers ◽

Pediatric Patients ◽

Allergic Diseases ◽

Care Providers ◽

Barrier Dysfunction ◽

Consensus Document ◽

Common Skin ◽

Genetic And Environmental Factors ◽

Skin Conditions

Pediatric atopic dermatitis (AD) is one of the most common skin conditions encountered by health-care providers caring for infants, children, and adolescents. Pediatric patients with AD may present with other allergic and nonallergic comorbidities that require appropriate treatment and referral. They may also experience a trajectory of allergic diseases known as the atopic march, which depends on a complex interaction between genetic and environmental factors and likely involves early epidermal barrier dysfunction. Here we provide a review and clinical recommendations on the assessment and referral of comorbidities in pediatric AD.

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Pharmacoepidemiological assessment of off-label drug use in pediatric ambulatory departments at four tertiary care hospital in Pakistan

Tropical Journal of Pharmaceutical Research ◽

10.4314/tjpr.v19i10.28 ◽

2020 ◽

Vol 19 (10) ◽

pp. 2219-2225

Author(s):

Rabeea Sharif ◽

Muhammad Aamir ◽

Faisal Shakeel ◽

Shah Faisal ◽

Jamshaid Ali Khan

Keyword(s):

Drug Use ◽

Pediatric Patients ◽

Pediatric Population ◽

Tertiary Care ◽

High Rate ◽

Care Hospital ◽

Off Label ◽

Optimal Drug ◽

Tertiary Healthcare ◽

To Receive

Purpose: To assess the frequency and possible predictors of off-label drug use in ambulatory pediatric units of four tertiary healthcare institutions in a Pakistani city.Methods: A prospective study was conducted at the pediatric ambulatory department of four tertiary care hospitals of Peshawar, Pakistan. A total 1589 patients were included in the study which to evaluate their prescriptions for off-label drug use with the aid of Thomson Healthcare Micromedex DRUGDEX database.Results: A total of 79 different drugs were prescribed 5668 times to pediatric patients. A high rate of offlabel drug use (71.8 %) was observed in this study. Compared to corresponding reference categories, infants (OR 4.134, 95 % CI 2.076-8.235) and children (OR 1.857, 95 % CI 0.967-3.568) were more likely to receive off-label prescriptions. However, pediatric patients receiving less than four drugs (OR 0.414, 95 % CI 0.312-0.548) were less likely to receive off-label prescriptions.Conclusion: A high incidence of off-label drug use has been observed in the ambulatory pediatric population studied, especially in infants. More research is needed to identify and evaluate the contributory factors to off-label use of drugs in ambulatory pediatric population in developing countries to achieve optimal drug therapy for pediatrics. Keywords: Pediatric population, Ambulatory, Off-label drug use

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An unprecedent prevalence of palmoplantar warts among nursing students

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20205593 ◽

2020 ◽

Vol 7 (1) ◽

pp. 44

Author(s):

M. Vijaya Bharathi ◽

Neetha L. ◽

S. Murugan ◽

S. Rajagopal ◽

J. Nivin Simon

Keyword(s):

Nursing Students ◽

Skin Diseases ◽

Seborrheic Dermatitis ◽

First Year ◽

Medical Sciences ◽

First Year Students ◽

Common Skin ◽

Skin Conditions ◽

Nursing College ◽

Hands And Feet

Background: Skin diseases are common contributors to disease morbidity worldwide, particularly among adolescents. Although skin diseases are rarely lethal, they can have a significant impact in terms of treatment cost, absence from school, and psychological distress. Verruca vulgaris (cutaneous warts) is a common skin problem in adolescents that commonly affects the hands and feet. The aim of the study was to determine the prevalence of warts among nursing students.Methods: Three hundred and twenty eight undergraduate degree students of nursing college were examined for skin conditions after an unprecedented sporadic visitors form the nursing college with palmo-plantar warts. The study was conducted at Sree Mookambika Institute of Medical Sciences, Kulasekharam, Kanyakumari district during the period of 20 March 2019 to 25 March 2019.Results: Among the 328 students, 102 students (31%) remained healthy dermatologically. Seborrheic dermatitis was found among 145 students (4.4%), pediculosis was found in 40 students (12%). 34 students were having palmoplantar warts (10.4%). Among these, nearly 30 were having palmar warts and only 4 were having plantar and palmar warts. 83 first year students were not having any warts in their hands or foot, whereas 11 among 2nd year, 16 among 3rd year students and 7 among 4th year students were having viral warts. Prevalence was more among 2nd and 3rd year students.Conclusions: Screening of hostel students should also include for the presence of viral skin disease like herpes simplex, Herpes zoster and HPV infections and they should be treated then and there to break the chain of transmission.

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Diagnosing skin diseases using an AI-based dermatology consult

Science Translational Medicine ◽

10.1126/scitranslmed.abc8946 ◽

2020 ◽

Vol 12 (548) ◽

pp. eabc8946

Author(s):

James Ankrum

Keyword(s):

Deep Learning ◽

General Practitioners ◽

Skin Diseases ◽

Common Skin ◽

Skin Conditions

Deep learning outperforms general practitioners in diagnosing 26 common skin conditions.

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Risk Assessment and Outcome of Venous Thromboembolism in Pediatric Population in an Academic Care Center of a Low-Middle Income Country

Clinical and Applied Thrombosis/Hemostasis ◽

10.1177/1076029621995895 ◽

2021 ◽

Vol 27 ◽

pp. 107602962199589

Author(s):

Muhammed Wahhaab Sadiq ◽

Ronika Devi Ukrani ◽

Aiman Arif ◽

Inaara Akbar ◽

Sadaf Altaf ◽

...

Keyword(s):

Risk Factors ◽

Pulmonary Embolism ◽

Pediatric Patients ◽

Pediatric Population ◽

Care Center ◽

Tertiary Care ◽

Middle Income Country ◽

Income Country ◽

Tertiary Care Center ◽

Middle Income

Venous thromboembolism (VTE) is a recognized complication of hospital stay in young patients in many developed countries, but such an information is largely unavailable from a low middle-income country (LMIC). This study aimed at identifying the frequency, risk factors, treatment options and outcome of deep venous thrombosis/pulmonary embolism (DVT/PE) in pediatric population in a tertiary care center from a LMIC. International classification of disease, ninth revision (ICD-9) was used to identify VTE in patients aged 0-18 years during January 2011 to September 2019. In-house computerized system was used to collect data for demographics, clinical and laboratory details. SPSS version 19 was used to analyzed data. The study was approved by Institutional ethical review committee (3872-Pat-ERC-15). During the study period, 134617 pediatric patients were hospitalized, DVT/PE was observed in 77 unique patients (47 males and 30 females) with a median (IQR) age of 14 (5-16) years equivalent to 5.9 VTE events /10,000 hospital admissions. Malignancy, community acquired infections and autoimmune diseases were the predominant risk factors (75%) in adolescent age-group while surgery for congenital heart anomalies was the primary reason (71%) in infants. Overall, lower extremity thrombosis was the most frequent (51%) followed by pulmonary embolism (25%). and upper extremity thrombosis (24%). Enoxaparin and unfractionated heparin were mainly used to treat VTE and all-cause mortality was 13% in the cohort studied. We observed substantial VTE events in pediatric patients during their hospital stay in a tertiary care center of a low-middle income country.

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Evaluation of thyroid nodule in pediatric population in a tertiary care hospital

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20193743 ◽

2019 ◽

Vol 6 (5) ◽

pp. 2152

Author(s):

Mukul Singh ◽

Manju Kumari

Keyword(s):

Thyroid Nodule ◽

Pediatric Patients ◽

Pediatric Population ◽

Adult Population ◽

Tertiary Care ◽

Needle Aspiration ◽

Care Hospital ◽

Pediatric Age Group ◽

Thyroid Cytopathology ◽

Rule Out

Background: Thyroid nodules are commonly present in adult population but are rare in pediatric age group. Inspite of being rare, thyroid nodule have a higher chance of malignancy in children. Thus, pediatric patients presenting with thyroid nodule found clinically or incidentally should be worked up to rule out any possibility of malignancy. The besthesda system for reporting thyroid cytopathology (TBSRTC) is widely used for reporting in adults. The present study aims to use TBSRTC for pediatric thyroid lesions reporting.Methods: All pediatric patients with age ≤ 18 years presenting with thyroid nodule during January 2018 to April 2019 were included in the study, fine needle aspiration (FNA) was done and findings were compared with histology. Statistical analysis was done using SPSS version 18.Results: 42 pediatric patient were included in the study, out of which 2.38% were malignant and suspicious for nmalignant each and 83% were benign.Conclusion: TBSRTC is quite sensitive and specific reporting guideline in pediatric population as in adult population with 100% accuracy in diagnosing benign and malignant cases. This is useful for avoiding unnecessary surgeries.

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Task shifting in dermatology: Are nurses prepared and willing?

Our Dermatology Online ◽

10.7241/ourd.20221.4 ◽

2022 ◽

Vol 13 (1) ◽

pp. 22-27

Author(s):

Kavita Kavita ◽

Hitaishi Mehta ◽

Sandhya Ghai ◽

Aarti Garg ◽

Tarun Narang

Keyword(s):

Skin Diseases ◽

Task Shifting ◽

Cross Sectional Study ◽

Attitude Scale ◽

Cross Sectional ◽

Low Level ◽

High Knowledge ◽

Common Skin ◽

Level Of Knowledge ◽

Skin Conditions

Background: The high burden of skin diseases and the shortage of dermatologists are significant challenges in providing care to millions of people with skin diseases. Task shifting to nurses is a viable option for the delivery of dermatologic care in resource-poor settings. Satisfactory knowledge and a positive attitude are crucial for nurses to undertake the task of managing common skin diseases. This study aimed to investigate the knowledge of registered nurses and their attitude toward common skin conditions. Methods: In this descriptive, cross-sectional study, a total of 187 nurses were included from a nurses training institute by total enumeration sampling. A knowledge questionnaire and five-point Likert type-attitude scale were developed, validated, and employed to collect data. Written informed consent was obtained from the participants after approval from the institute ethics committee. Results: The mean of the knowledge scores were 10.7 ± 2.2. Nearly two thirds (62%) of the subjects demonstrated a low level of knowledge, while the remaining 38% showed a moderate level. There was no participant in the high-knowledge category. A majority of the nurses demonstrated a favorable attitude toward learning and undertaking the task of managing common skin conditions. Conclusion: We observed a low level of knowledge on diagnosing and managing common skin conditions. We recommend incorporating the relevant concepts of common skin conditions in the nursing curriculum with an emphasis on continuing education.

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