scholarly journals ECZEMA

2016 ◽  
Vol 23 (01) ◽  
pp. 060-064
Author(s):  
Humaira Maryum Agha ◽  
Sadaf Ahmed Asim ◽  
Dr. M. Zafar Alam ◽  
Zarnaz Wahid

Objectives: To determine the frequency of different types of eczema inpatients presenting in a tertiary care hospital. Study Design: Cross sectional descriptive typeof study. Setting: Hamdard University Hospital Karachi. Period: January 2013 till December2013. Patients and Methods: All new cases of any type of eczema were registered by nonprobabilityconvenient sampling. Total 192 patients of both genders and all ages were enrolledafter taking informed consent. Diagnosis was made on detailed history and clinical examinationby consultant dermatologist. All specific and relevant investigations were done accordingto requirement. Patients were divided in two groups, exogenous eczema and endogenouseczema, for convenience. Data was analyzed by the latest version of SPSS. Results: Therewere 192 patients, out of which 52.08% were males and 47.91% females. Out of the totalpresented patients 50% had endogenous eczema, 43.37% had exogenous eczema and25.62% had unspecified eczema. In endogenous group 11.45% had hand dermatitis followedby seborrhoeic dermatitis, atopic dermatitis and asteatotic eczema in descending frequencyof presentation. Pityriasis alba, discoid eczema and pompholyx were seen less frequent. Inexogenous eczema allergic contact dermatitis was seen in 14.06% patients, while irritant contactdermatitis in 11.45% patients. Infective eczema and photo-allergic eczema were seen in smallnumber of patients. Conclusion: It was found in this study that allergic contact dermatitis wasmost common type of eczema followed by other types. Whatever the type is, eczema can betreated, symptoms can be relieved and recurrences can be prevented by appropriate therapy.All types of eczema affect patient’s quality of life adversely. However, they can be prevented byeducating patients and their relatives to take adequate safety measures like using good qualityemollients prophylactically.

2017 ◽  
Vol 2017 ◽  
pp. 1-10 ◽  
Author(s):  
Yu-Xin Chen ◽  
Bing-Ai Gao ◽  
Hai-Yan Cheng ◽  
Lin-Feng Li

Occupational population-based epidemiological data relating to occupational contact allergies in the Chinese clothing industry are limited. To investigate the prevalence of occupational allergic contact dermatitis (OACD) and to identify the causative allergens among clothing employees in China, a cross-sectional study was conducted in 529 clothing employees at 12 clothing factories in Beijing. All employees were subjected to an interview using self-administered questionnaire and skin examination, and those who were diagnosed with occupational contact dermatitis (OCD) were patch tested. In the present survey, we found that the overall 1-year prevalence of OACD among the clothing employees was 8.5%. The 1-year prevalence of OACD among workers (10.8%) was significantly higher than that among managers (3.2%). The lesions were primarily on the hands and wrists in workers, but the face and neck in managers. The major allergens were nickel sulfate and cobalt dichloride in workers and colophony andp-tert-butylphenol formaldehyde resin in managers. In conclusion, workers are at a higher risk of OACD compared with managers in the Chinese clothing industry. In addition to hand dermatitis in workers, airborne contact dermatitis on the face and neck should be also addressed in managers.


2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Salma Naouaoui ◽  
Kamal Ahtitich ◽  
Meriem Chettati ◽  
Wafaa Fadili ◽  
Inass Laouad

Abstract Background and Aims Despite major advances in the provision of renal replacement therapy, children and adolescents on dialysis frequently have compromised daily life activities and a worse quality of life compared with healthy peers. While these aspects have been studied extensively in affluent countries, data from developing regions are scant. The aim of our study was assessing the psychosocial repercussions and the quality of life (QoL) of children with end stage renal disease (ESRD) undergoing hemodialysis in a Moroccan tertiary care hospital and comparing them with healthy controls. Methods We performed a cross-sectional investigation, at Mohammed VI university hospital of Marrakesh, using parent/child reports of generic module for QoL assessment: PedsQLTM Inventory version 4 for both cases and controls. Disease-specific module: PedsQLTM ESRD version 3 was used for ESRD cases. Twenty-two children on maintenance hemodialysis and 50 controls were enrolled in our study. Results The mean age of the ESRD cases was 11.6 ± 4.7 years (range 4– 18 years) with female predominance (58%). Controls were age- and sex-matched. A statistically significant difference was observed between ESRD cases and controls regarding all aspects of QoL. The total QOL mean score was 51.2 ± 13.6 and 82.8 ± 11.2 among cases and controls, respectively. All individual QoL domains were significantly worse in ESRD cases. Conclusion Our findings showed that the quality of life of children undergoing hemodialysis may be dramatically affected especially in limited-resources countries. And this raises the need to introduce quality of life assessment as a part of pediatric ESRD management.


Author(s):  
Guruprasad Kalyanrao Y. ◽  
Ashok Kumar B. Nagure

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Contact dermatitis is an inflammatory response of the skin to various antigens and irritants. It accounts for a formidable proportion of dermatological consultations. It accounts for a formidable proportion of dermatological consultations. It is associated with significant morbidity, and it is one of the most common reasons for workmen’s compensation claims for skin diseases.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">The Methodology included detailed history especially of potential sensitisers in the environment, occupation, hobbies, any contact with external application of cosmetics, drugs, ointments. Emphases on past history were recorded regarding the mode of presentation, progression, medication taken and their effect on allergic contact dermatitis</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Allergic contact dermatitis due to <em>Parthenium hysterophorus</em> accounts for 80 (64%) cases, allergic contact dermatitis due to wearing apparel and jewellery accounts for 21 (16.8%) cases, due to topical medicaments 10 (8%), allergic contact dermatitis due to cosmetics and occupational (professional) antigen constituting 7 (5.6%) each. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">The most common and important mode of contact is from the pollen or dried leaf fragments flying in the air which settles on the skin, clothes and induces allergy which is known as Air borne contact dermatitis, this is more common in men, outdoor professions or those who spent more time in outdoor including froresters, labourers, engineers, sports person, hunters, gardeners and farmers.</span></p>


Author(s):  
V. N. S. Ahamed Shariff ◽  
K. Deepa ◽  
L. Balamurugan ◽  
S. Nirmala

<p class="abstract"><strong>Background:</strong> Allergic contact dermatitis is common dermatoses seen among patients attending dermatology clinics. Allergic contact dermatitis is due to delayed type of hypersensitivity reaction. The diagnosis of allergic contact dermatitis is made by patch testing. A positive reaction to a patch test commonly proves the cause of dermatitis.</p><p class="abstract"><strong>Methods:</strong> A retrospective study was conducted<strong> </strong>to estimate the incidence of various allergens among 150 patch test positive patients with allergic contact dermatitis who had attended the dermatology OPD in Rajiv Gandhi Government General Hospital, Chennai, between October 2014 and September 2016. All the details regarding history, examination findings, investigations and patch test results were collected from case records, the data were tabulated and analysed.<strong></strong></p><p class="abstract"><strong>Results:</strong> Allergic contact dermatitis to cement was the commonest (44.7%), followed by nickel (10%) and plant antigens (9.3%). The commonest allergen to be tested positive was Potassium dichromate (82 cases), followed nickel (15 cases) and formaldehyde (8 cases). Most of the patients were in the age category between 41 and 50 years (47 cases– 31.33%). Male to female ratio was 2.41:1. 14 were atopic individuals (9.33%) by Hanifin and Rajka's criteria. Allergic contact dermatitis in 103 cases of our study were of occupational in origin (67%).</p><p><strong>Conclusions:</strong> Avoidance of allergen and proper preventive measures in workplace and day to day activities will lead to significant decrease in the morbidity of the disease and improvement in quality of life in patients with allergic contact dermatitis. </p>


Author(s):  
Ghanshyam K. Verma ◽  
Saru Thakur ◽  
Gita Ram Tegta ◽  
Ajeet K. Negi ◽  
Saurabh Sharma ◽  
...  

<p class="abstract"><strong>Background:</strong> Skin is exposed to a vast variety of chemicals, organic or biological products among fashion seeking community of today’s world. This put them at risk of contact sensitization. Rapid industrialization, westernization of the society and poor labeling laws of cosmetics put us to the threat of “contact sensitization explosion” in near future. To know the drift of common contact sensitizers in the region, patch testing provides an insight into the cause of allergic contact dermatitis. The objective of the study was to determine the commonest allergen responsible for allergic contact dermatitis among patients attending contact dermatitis clinic in a tertiary care hospital.</p><p class="abstract"><strong>Methods:</strong> This retrospective study was conducted in the Department of Dermatology of our institution. We reviewed the medical records of all patients who were patch tested over a period of 6 years, using Indian standard series.<strong></strong></p><p class="abstract"><strong>Results:</strong> A total of 521 patients who were patch tested in the contact dermatitis clinic were included in the study. Nine patients with angry back were excluded. There were 269 males and 243 females. The commonest provisional diagnosis was allergic contact dermatitis secondary to hair dye in 172 (33.3%) patients followed by air borne contact dermatitis to parthenium in 88 (17.3%) patients. The paraphenylenediamine (PPD) being the most common sensitizer in 92 (17.9%) patients was followed by nickel in 86 (16.7%) patients, potassium dichromate in 36 (7%), parthenium in 32 (6%) and fragrance mix in 31 (6%) patients.</p><p class="abstract"><strong>Conclusions:</strong> This study revealed higher prevalence of hair dye dermatitis. Paraphenylenediamine was the most common allergen.</p>


Dermatitis ◽  
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Bruin Pollard ◽  
Reid W. Collis ◽  
Dylan Stahl ◽  
Carrie C. Coughlin ◽  
David M. Sheinbein

2019 ◽  
Vol 26 (05) ◽  
Author(s):  
Fehmida Parveen Memon ◽  
Majida Khan ◽  
Samya Aijaz

Objectives: To determine the thrombocytopenia as marker of maternal sepsis and its related maternal morbidity and mortality at tertiary care Hospital. Study Design: Cross-sectional study. Setting: Gynaecological and Obstetrical department of Liaquat University Hospital, Hyderabad. Period: 6 months from March 2017 to August 2017. Material and Methods: All the pregnant females with diagnosis of sepsis were enrolled in the study. All the females with chronic hepatitis were excluded. After complete clinical examination every women underwent 5cc blood sample for complete blood picture. Thrombocytopenia was characterized as a platelet count below 150.000/mm3. Data regarding maternal mortality and maternal complications was filled in the proforma. Results: Total 120 septic mothers were included in the study, 70 patients had thrombocytopenia and 50 were with normal platelets. Most of the women 71.7% were with age groups of 20-30 years. Out of total women 65.0% were un-booked. According to the maternal morbidity, septic shock was most common 36.7%, multi-organ failure was in 08.3%, prolonged Hospital stay was in 16.7%, ICU admission occurred in 18.3% patients, while renal failure, respiratory failure, hepatic failure, coagulopathy and metabolic acidosis were found with percentage of 09.2%, 02.5%, 10.8%, 10.8% and 03.3% respectively. Mortality rate was found among 8.3% out of total cases. Almost all complications were higher among women with thrombocytopenia as compare to women with normal platelets level, while statistically p-value was quite insignificant. Mortality was significantly high among patients with thrombocytopenia p-value 0.032. Conclusion: It was concluded that thrombocytopenia is a good marker for adverse outcome among septic mothers. Maternal morbidity and mortality was higher among septic women with thrombocytopenia.


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