scholarly journals Pattern of Dermatologic Disorders in Infants

2013 ◽  
Vol 3 (2) ◽  
pp. 80-84
Author(s):  
Mahfuza Hussain ◽  
BH Nazma Yasmeen ◽  
SM Shaheedul Islam ◽  
Narul Amin ◽  
Jamila Begum
Keyword(s):  
Bacterial Infections ◽  
Skin Diseases ◽  
Fungal Infections ◽  
Tertiary Care ◽  
Care Hospital ◽  
Different Ages ◽  
Common Skin ◽  
Dermatological Disorders ◽  
Male Patients ◽  
One Year

Background: Pattern of skin disorders varies in different ages and in different countries. This pattern also varies among children of different ages. The prevalence pattern reflects socioeconomic, environmental and hygienic condition of a community. Objective: This study was planned to evaluate the magnitude of skin diseases and pattern of various dermatoses among children below one year of age in a major tertiary care hospital in the capital of Bangladesh. Method: A retrospective study was undertaken to determine the pattern of skin diseases during the period of January 2010 to June 2012 at the dermatology outpatient department of a tertiary care pediatric hospital in the capital of Bangladesh. Data were analyzed to determine the pattern of skin diseases in children less than one year of age, seen at the Out Patient Department (OPD) of Dhaka Shishu Hospital (DSH). Results: A total of 36608 cases were seen at the dermatological OPD of DSH out of which 9293 (25.39%) were less than one year of age. The frequency of distribution of dermatological diseases was more in male patients 58.2% than in female patients 41.8%. Neonates were 649 (7%) and rest were infants were 8644 (93%). Eczema was the most common skin disorder (55.41%) followed by impetigo & other bacterial infections (27.55%) and scabies (23.44%). Cutaneous fungal infections were 13.99%, miliaria was 4.9%, erythema neonatorum 4.42%, urticaria was 2.18%, bullous lesions 1.45%, haemangioma 1.17% and pityriasis alba 1.15%. About 16 other dermatological disorders were indentified each of which was less than 1% in distribution. Conclusions: Eczema, superficial bacterial infections, scabies and superficial fungal infections were most common dermatological problem in infants. Birdem Med J 2013; 3(2): 80-84 DOI: http://dx.doi.org/10.3329/birdem.v3i2.17210

scholarly journals A clinical study of diabetic dermatological manifestations at a tertiary care hospital in South India

2018 ◽  
Vol 4 (3) ◽  
pp. 293
Author(s):  
Vani G. ◽  
L. Venkat Narsimha Reddy
Keyword(s):  
Bacterial Infections ◽  
Fungal Infections ◽  
Tertiary Care ◽  
Skin Lesions ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Care Hospital ◽  
Cross Sectional ◽  
Cutaneous Infections ◽  
One Year

<p class="abstract"><strong>Background:</strong> The data on studies like lesions of the skin due to diabetes are scarce. Hence there is a need to conduct more studies on this topic of importance. The objective of the study was to study diabetic dermatological manifestations.</p><p class="abstract"><strong>Methods:</strong> A hospital based cross sectional study was carried out among 100 randomly selected patients during the study period of one year who were having diabetes as well as skin lesions due to diabetes. All diabetic patients were screened for presence of skin lesions. They were further differentiated based on the diagnosis.<strong></strong></p><p class="abstract"><strong>Results:</strong> Out of 73 patients having cutaneous infections 71.2% were having fungal infections. Out of 18 having bacterial infections 38.9% were having furuncles. Out of 52 having fungal infections 63.5% were having dermatophytosis. Out of 14 cases of candidal infections, the most common was intertrigo in 35.7%. Out of 33 cases of dermatophytosis, T. cruris was the most common in 54.5%. Out of 82 patients in whom we suspected dermatoses strongly associated with diabetes the most common condition was pruritus in 36.6% of the cases.</p><p class="abstract"><strong>Conclusions:</strong> Bacterial skin infections and dermatophytosis were the most common diabetic dermatological lesions in the present study.</p>

scholarly journals Determination of the Prevalence of the Common Dermatological Conditions in Elderly Population Attending a Tertiary Care Hospital

2019 ◽  
Vol 31 (2) ◽  
pp. 98-101
Author(s):  
Md Saidur Rahman ◽  
Md Abdul Mannan ◽  
Md Anower Hossain ◽  
Md Tozammel Hoque ◽  
AKM Ahsan Habib
Keyword(s):  
Elderly Patients ◽  
Bacterial Infection ◽  
Bacterial Infections ◽  
Skin Diseases ◽  
Fungal Infections ◽  
Tertiary Care ◽  
Age Groups ◽  
Care Hospital ◽  
Systemic Diseases ◽  
Cross Sectional

Introduction: Skin disorders are common in elderly people. Systemic diseases promote the development of dermatological conditions. Various systemic diseases contribute to the presence of cutaneous disorders, indicating the possibility that a skin abnormality may sometimes be the first and only symptom of a much more serious medical problem. The aim of the study to determine the frequency of skin diseases in elderly patients. Materials & Methods: This was a cross-sectional study and non-probability convenient sampling technique was used. Patients were recruited from attending the Dermatology Out-patient Department of SZMCH during the study from January’2018 to July’2018. Patients included in the study having skin diseases aged between 60-80 years, including all those who were diabetic and hypertensive because diabetes and hypertension are the most common comorbid conditions among these elderly patients. Patients were included having skin diseases including pruritus, dermatitis, xerosis, eczema, psoriasis, scabies, bacterial infection, and fungal infections. Results: More than half (53.0%) patients belonged to age 71-80 years. Three fourth (75.0%) patients had pruritus followed by 37(37.0%) had dermatitis, 24(24.0%) had xerosis, 23(23.0%) had eczema and 12(12.0%) had bacterial infections. Pruritis, dermatitis, eczema and bacterial infections were statistically significant (p<0.05) among three groups. Conclusion: More than half of the patients belonged to age more than 70 years of age. Most common (three fourth) skin patients had pruritis, followed by more common skin patients were found dermatitis, xerosis, eczema and bacterial infection. Pruritis, dermatitis, eczema and bacterial infections were statistically significant in different age groups. Medicine Today 2019 Vol.31(2): 98-101

scholarly journals Prevalence of paediatric dermatoses among patients attending Dermatology outpatient department in a tertiary care hospital in Puducherry

2018 ◽  
Vol 4 (3) ◽  
pp. 368
Author(s):  
Varsha Medasani ◽  
Paquirissamy Oudeacoumar ◽  
Rao Chitralekhya ◽  
Saurabh Krishna Misra
Keyword(s):  
Dietary Habits ◽  
Skin Diseases ◽  
Tertiary Care Hospital ◽  
Fungal Infections ◽  
Tertiary Care ◽  
Outpatient Department ◽  
Care Hospital ◽  
Age Group ◽  
Major Health Problem ◽  
Pigmentary Disorders

<p class="abstract"><strong>Background:</strong> Skin diseases are a major health problem in the paediatric age group and are associated with significant morbidity. Dermatoses in children are more influenced by socioeconomic status, dietary habits, climatic exposure and external environment as compared to adults. The present study was undertaken to know the prevalence of paediatric dermatoses among patients attending Dermatology outpatient department in a tertiary care hospital in Puducherry.</p><p class="abstract"><strong>Methods:</strong> All newly diagnosed, untreated male and female paediatric patients (from neonates to adolescents ≤19 years of age) attending Dermatology OPD, from October 2015 to September 2017 were evaluated to study the prevalence and patterns of paediatric dermatoses. The skin disorders were classified into groups like infections, infestations, eczemas, acne, hypersensitivity disorders, sweat gland disorders, pigmentary disorders, nevi, keratinisation disorders, hair and scalp disorders, papulosquamous disorders, bullous disorders, nail disorders, drug reactions, other dermatoses.<strong></strong></p><p class="abstract"><strong>Results:</strong> The prevalence of pediatric dermatoses in our OPD is 25.21%. Incidence of pediatric dermatoses was found to be more in males 237 (59.39%) than in females 162 (40.60%) and the majority of the patients were in adolescent age group (217; 54.38%). Present study showed that majority of cases belonged to the lower socioeconomic group 186(46.6 %). In our study, majority (58.98%) of dermatoses belonged to infections and infestations group. Of the infective dermatoses, fungal infections (27.88%) were the most common.</p><p><strong>Conclusions:</strong> Infectious dermatoses were commonly seen in this study that may be due to poverty, overcrowding, poor hygiene. There is an increasing trend of fungal infections which might be related to hygiene and environment. </p>

scholarly journals A pharmacoepidemiology study of local fungal infections in skin and venereal diseases outpatient department of a rural tertiary care hospital

2020 ◽  
Vol 9 (4) ◽  
pp. 616
Author(s):  
Preety Bansal ◽  
Seema Baishnab
Keyword(s):  
Fungal Infection ◽  
Fungal Infections ◽  
Tertiary Care ◽  
Antifungal Drugs ◽  
Care Hospital ◽  
Dermatology Department ◽  
Number Of Patients ◽  
Common Skin ◽  
Cutaneous Fungal Infection ◽  
Number Of Males

Background: Fungal infections of the skin were the 4th most common skin disease in 2010 affecting 984 million people. An estimated 20-25% of the world’s population has some form of fungal infection. Dermatophytes are fungi that cause superficial infections of the skin, commonly referred to as tinea infections.Methods: This was a prospective and an observational study conducted from February 2018 to January 2019 in Dermatology Department. Prescriptions included all newly diagnosed patients with cutaneous fungal infection of both sex who attended dermatology OPD. Factors considered were sociodemographic parameters, the disease encountered and number of patients in each group and number of patients who received antifungal therapy (oral and topical) etc.Results: 1000 prescriptions were analysed of patients between 18 to 65 years of age with cutaneous fungal infections. There were a greater number of males (57.4%) than females (42.6%). The average number of antifungal drugs prescribed per prescription was 2.33. Majority of the patients were prescribed itraconazole (82.30%) followed by terbinafine (9.70%) and fluconazole (8.0%).Conclusions: The most common oral antifungal drug used was itraconazole. Ketoconazole and Terbinafine were the most commonly used topical agents respectively.

scholarly journals Epidemiology of Mycotic Infections: Experience From A Tertiary Care Center Of Uttarakhand, India

2021 ◽  
Vol 7 (3) ◽  
pp. 93-98
Author(s):  
Dr. Ranjana Rohilla ◽  
◽  
Dr. Aroop Mohanty ◽  
Dr. Suneeta Meena ◽  
Mamta Bora ◽  
...  
Keyword(s):  
Antimicrobial Agents ◽  
Fungal Infections ◽  
Care Center ◽  
Tertiary Care ◽  
Care Hospital ◽  
Candida Auris ◽  
India Ink ◽  
Current Scenario ◽  
One Year ◽  
Mycotic Infections

Introduction: The overall changing epidemiology of fungal infections in the current scenario isbecause of an increase in immunocompromised population including cancer patients, Humanimmunodeficiency virus (HIV)-infected patients, transplant receipts, and prolonged hospitalizationwith overuse of antimicrobial agents. These infections are challenging to diagnose and subsequentlymanage as their clinical symptomatology often mimics other common diseases like tuberculosis.Rapid diagnosis is limited and culture is often delayed due to slow growth rates of the causativeagents. Objective: This is a retrospective study to know the spectrum and burden of mycoticinfections in a tertiary care hospital. Methods: All samples collected from clinically suspected casesof fungal infections were sent to the Microbiology department over one year. The common specimensreceived were respiratory samples, scrapings from cornea, skin, and nail. All samples were firstobserved under direct microscopy using Potassium hydroxide (KOH) examination for the presence offungal elements and Gram stain for yeasts. India Ink examination was performed for sterile fluids.Fungal culture was done on Sabouraud's dextrose agar. Result: A total of 900 samples from variousdepartments were included, KOH examination was positive for 380 samples (42%) and fungalgrowth was obtained in 144 samples (16%). Rare fungi like Trichosporon dohaense (blood culture),Cladophialophora bantiana (brain abscess), Scedosporium apiospermum and Candida auris (bloodculture) were also isolated. Conclusion: Similar studies are needed to estimate the actual burden ofthe fungal infections in tertiary care health facilities, to help decrease the morbidity and mortalityassociated with underdiagnosed mycotic infections.

scholarly journals Clinicopathological study of bacterial lesions in a tertiary care hospital

2021 ◽  
Vol 9 (7) ◽  
pp. 2072
Author(s):  
Sonti Sulochana ◽  
Jalavadi Rahul Siddartha
Keyword(s):  
Bacterial Infections ◽  
Tertiary Care Hospital ◽  
Histopathological Examination ◽  
Tertiary Care ◽  
Granulomatous Inflammation ◽  
The Body ◽  
Histopathological Diagnosis ◽  
Care Hospital ◽  
H Pylori ◽  
One Year

Background: The incidence of bacterial lesions has been on the rise over the decades. In our study, we assessed and studied the spectrum of bacterial lesions retrospectively for one year and their clinicopathological correlation which was diagnosed on histopathological examination in a tertiary health care center.Methods: The present study (retrospective) has been done to analyse the incidence of bacterial infections obtained in the histopathology laboratory and study its clinical correlation and significance. Clinical details of the cases were accessed from biopsy requisition forms and included tissues from various sites in the body. Special stains were done which included acid fast bacilli (AFB), Fite Farraco (FF) stain and gram stain for the identification of bacteria.Results: A total of 318 cases including 288 H. pylori infections, granulomatous inflammation 18, Hansen disease 9 and 3 actinomycosis infections.Conclusions: The histopathological diagnosis of bacterial lesions are of utmost importance as it is more reliable than culture in circumstances of reduced tissue availability. Early reporting is extremely necessary to reduce complications related to bacterial lesions.

Pattern of Dermatoses in a tertiary care hospital in Konkan Region, Maharashtra

2021 ◽  
Vol 7 (4) ◽  
pp. 311-314
Author(s):  
U Ketan Raju ◽  
Hanamant G Bobade ◽  
Anil Mishra
Keyword(s):  
Skin Diseases ◽  
Fungal Infections ◽  
Systemic Disease ◽  
Tertiary Care ◽  
Holistic Approach ◽  
Extensive Study ◽  
Care Hospital ◽  
Age Group ◽  
Humid Climate ◽  
Cross Sectional

Skin diseases can manifest in various ways. Sometimes it can be secondary to underlying systemic disease. In developing countries including India skin diseases are very common but they are being neglected with the thought that they are always benign.Our study is a cross sectional one done to determine the pattern and magnitude of skin diseases. All newly registered patients reporting to Skin OPD of B.K.L.Walawalkar Rural Medical College, Dervan during the period from 1 January 2018 to 31 December 2019 were enlisted in the study. Out of 5090 patients included in our study, ­­52.62% were female patients and 47.38% were males with female to male ratio of 1.11:1. Majority of the patients (21.47%) was from the age group 21-30 years followed by the age group of 11-20 years (19.58%), followed by the age group of 31-40 years (18.52%). Fungal infections constituted the maximum number of the cases (51.53%), followed by Eczema (17.44%). The Acne comprised of (7.19%). Fungal infections comprised majority of cases followed by eczema and allergic disorders in Konkan region of Maharashtra which has a tropical and humid climate. Thus an extensive study may be needed to have a holistic approach to the problem establish a correlation between the variables.

scholarly journals Drug utilization for common skin diseases: an outpatient based study

2019 ◽  
Vol 8 (12) ◽  
pp. 2604
Author(s):  
Vijay Haribhau Mate ◽  
Satish Balaji Gonarkar ◽  
Anjum Mehmood Dhamani
Keyword(s):  
Drug Utilization ◽  
Skin Diseases ◽  
Fungal Infections ◽  
Tertiary Care ◽  
Prescribing Patterns ◽  
Fixed Dose ◽  
Essential Drug ◽  
Essential Drug List ◽  
Drug List ◽  
Common Skin

Background: Drug utilization studies are useful for understanding the pattern of drug use in any particular healthcare set-up. This data gives an insight to improve the medical treatment at different layers in the health system. The oobjective of the present study was to assess drug utilization patterns by using core prescribing indicators of WHO and to assess most commonly observed skin disease in Dermatology out patients department (OPD) of tertiary care hospital.Methods: 246 prescriptions from Dermatology OPD were audited. Common skin diseases and the prescribing patterns were analysed from the prescriptions.Results: Average 2.4 drugs per prescription were seen in this study. 38.7%  drugs were from National Essential Drug List of India. All the drugs were prescribed by brand names. The fixed dose combinations accounted for 20.6% drugs prescribed. Dosage, dose and duration of treatment were written for 100% of prescriptions. Around 44 different skin diseases were diagnosed amongst 246 patients predominantly cutaneous fungal infections, acne, dermatitis, eczema and psoriasis. About 591 different drugs were used mainly corticosteroids (21%), antibiotics (17%), anti-allergic (16%), antifungals (11%). Common skin conditions receiving corticosteroids were dermatitis (9.9%), eczema (9.1%). Antibiotics (17%), antifungals (11%) and antivirals (1%) were commonly used antimicrobial agents. 55.2% drugs were administered topically while 44.6% received orally.Conclusions: Prescriptions revealed a higher incidence of fungal and bacterial infections. All the medications were prescribed rationally. All prescriptions had proper dosage form, frequency of administration, duration of therapy and diagnosis. However, prescriber should be motivated for prescription of generic drugs and those from essential drug list.

scholarly journals A study of dermatological disorders with primary psychiatric illness from South India

2020 ◽  
Vol 6 (6) ◽  
pp. 766
Author(s):  
Jeena Dixon D. ◽  
Rajesh Rajagopal
Keyword(s):  
Bacterial Infections ◽  
Psychiatric Illness ◽  
South India ◽  
Viral Infections ◽  
Skin Diseases ◽  
Fungal Infections ◽  
Psychiatric Patients ◽  
Parasitic Infections ◽  
Dermatological Examination ◽  
Dermatological Disorders

<p><strong>Background:</strong> Dermatological disorders are frequent among patients with psychiatric illness. The interaction between skin and mind is complex. Pre-existing skin diseases may be modified in psychiatric illness due to self induced changes which may delay the diagnosis and treatment of skin diseases and result in complications. There are only few published studies about skin diseases in psychiatric patients from south India. We are undertaking this study to highlight the importance of dermatology consultation in psychiatric patients.</p><p><strong>Methods:</strong> 200 patients with primary psychiatric disorders who accepted for the study were subjected to history taking and general examination. Detailed dermatological examination was carried out by visual inspection and clinical examination.</p><p><strong>Results:</strong> Out of 200 patients, 65 were diagnosed with major depressive disorder, 42 patients were with bipolar disorder, 40 with schizophrenia, 30 with obsessive compulsion disorder, 23 with anxiety disorder. 153 (76.5%) patients had dermatological findings, in which 84 (55%) had infectious disease, 35 (22.9%) had parasitic infections, 26 (17%) had fungal infections, 15 (9.8%) had bacterial infections, 8 (5.23%) had viral infections. 56 (36.6%) had non-infectious skin findings, 22 (14.4%) had acne, 15 (9.8%) had pruritis, 12 (7.84%) had eczema, 5 (3.3%) had psoriasis and 2 (1.3%) had vitiligo. 13 (8.4%) patients had psychodermatological problems, 10 (6.53%) had neurotic excoriation, 2 (1.3%) had delusion of parasitosis and 1 (0.6%) had trichotillomania.</p><p><strong>Conclusions</strong>: This study implies that there is a definite association of dermatology and psychiatry.</p>

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