Common Dermatoses in Children Referred to a Specialized Pediatric Dermatology Service in Mexico: A Comparative Study between Two Decades

Background. Skin diseases among pediatric patients differ from those in adults. Epidemiological studies are scarce, and those performed in Mexican population date back thirty years. It is likely that these diseases might have changed their frequency. Material and Methods. Retrospective study in first-time patients referred to a pediatric dermatology service between January 1994 and December 2003. Demographics and diagnosis were recorded and compared with the results of a previous study performed in the same institution. Results. We included 5250 patients (52.55% female, 47.47% male) with 6029 diagnoses. The most frequent dermatoses found were atopic dermatitis (14.59%), viral warts (6.62%), acne (5.53%), pityriasis alba (3.98%), melanocytic nevi (3.85%), xerosis (3.57%), keratosis pilaris (3.19%), seborrheic dermatitis (2.37%), hemangioma (2.26%), and papular urticaria (2.24%). Most dermatoses increased their frequency when compared to the previous study. Conclusion. The frequency of pediatric dermatoses in our institution has changed in the last two decades. Environmental and sociocultural factors and institutional policies might account for these results.

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A Retrospective Study: Risk Factor Analysis of Secondary Bacterial Infection in Pediatric Atopic Dermatitis Patients

Berkala Ilmu Kesehatan Kulit dan Kelamin ◽

10.20473/bikk.v33.2.2021.83-87 ◽

2021 ◽

Vol 33 (2) ◽

pp. 83

Author(s):

Desiana Widityaning Sari ◽

Sawitri Sawitri ◽

Muhammad Yulianto Listiawan ◽

Dwi Murtiastutik ◽

Linda Astari ◽

...

Keyword(s):

Atopic Dermatitis ◽

Retrospective Study ◽

Bacterial Infection ◽

Outpatient Clinic ◽

Academic Hospital ◽

Dry Skin ◽

Pediatric Dermatology ◽

Secondary Bacterial Infection ◽

Skin Flora ◽

History Of

Background: Atopic Dermatitis (AD) is a complex multifactorial disease that includes defects in skin architecture, immune dysregulation, and changes of skin flora, and it predominantly occurs in infancy and childhood. The defects in skin barrier structures are mentioned as one of the factors that facilitates bacterial colonization. Bacterial infection in AD can worsen the inflammation. It requires treatment with antibiotics, which takes longer therapy time, higher costs, and ultimately affects the patient’s quality of life and his/her family members. Purpose: To find out the epidemiology, diagnosis, management of AD, and analyze the risk factors of secondary bacterial infection in new AD patients at the Pediatric Dermatology Division, Dermatovenereology Outpatient Clinic, Dr. Soetomo General Academic Hospital. Methods: This was a retrospective study with a total sampling method. The research data were medical records of new AD patients at the Pediatric Dermatology Division, Dermatovenereology Outpatient Clinic, Dr. Soetomo General Academic Hospital Surabaya from January 2012 to December 2018. Result: There were 404 new patients with AD at the Pediatric Dermatology Division from January 2012 to December 2018, and 210 of them were accompanied by secondary bacterial infection. There was a correlation between a history of dry skin (p=0.000) with the incidence of secondary bacterial infection in AD patients. Conclusion: In this study, AD patients with a history of dry skin had a risk of complication such as bacterial secondary infection.

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Assessing depression and anxiety in the caregivers of pediatric patients with chronic skin disorders

Anais Brasileiros de Dermatologia ◽

10.1590/abd1806-4841.20131915 ◽

2013 ◽

Vol 88 (6) ◽

pp. 894-899 ◽

Cited By ~ 19

Author(s):

Ana Paula Dornelles da Silva Manzoni ◽

Magda Blessmann Weber ◽

Aline Rodrigues da Silva Nagatomi ◽

Rita Langie Pereira ◽

Roberta Zaffari Townsend ◽

...

Keyword(s):

Quality Of Life ◽

Atopic Dermatitis ◽

Emotional Disorders ◽

Pediatric Patients ◽

Skin Diseases ◽

Anxiety And Depression ◽

Depression And Anxiety ◽

Skin Disorders ◽

Chronic Skin

BACKGROUND: The literature has shown that the presence of emotional disturbances in caregivers of children with skin diseases affects the course and treatment of the disease. Anxiety and depression are among the most frequently reported psychiatric diagnoses related to this fact. OBJECTIVE: To evaluate the presence of anxiety and depression in caregivers of pediatric patients with chronic skin disorders, exemplified by atopic dermatitis, psoriasis and vitiligo, and correlate them to the quality of life of the patients. METHODS: The sample consisted of 118 patients with atopic dermatitis, vitiligo and psoriasis, monitored by their main caregiver. The levels of anxiety and depression in the caregivers were assessed using the Hamilton Anxiety Scale and the Beck Depression Inventory, respectively. The Children's Dermatology Life Quality Index was applied. RESULTS: Anxiety was observed in 36% of the caregivers of the patients with atopic dermatitis, in 36% of those of children affected by psoriasis, and in 42% of those responsible for pediatric patients with vitiligo. Depression occurred in 36% of the caregivers of patients with atopic dermatitis, in 36% of those of children affected by psoriasis and in 26% of those responsible for pediatric patients with vitiligo. There was a significant correlation between poor quality of life scores in patients with vitiligo and the presence of depression and anxiety in their caregivers. CONCLUSION: Emotional disorders tend to be present among close family members of children with the chronic skin diseases studied and their prevention can help in controlling and treating these diseases.

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Skin Disease in Children: Effects on Quality of Life, Stigmatization, Bullying, and Suicide Risk in Pediatric Acne, Atopic Dermatitis, and Psoriasis Patients

Children ◽

10.3390/children8111057 ◽

2021 ◽

Vol 8 (11) ◽

pp. 1057

Author(s):

Katherine A. Kelly ◽

Esther A. Balogh ◽

Sebastian G. Kaplan ◽

Steven R. Feldman

Keyword(s):

Quality Of Life ◽

Atopic Dermatitis ◽

Family Relationships ◽

Pediatric Patients ◽

Skin Diseases ◽

Management Options ◽

Self Image ◽

Chronic Skin

Acne, atopic dermatitis (AD), and psoriasis are all chronic dermatologic conditions that greatly impact the lives of pediatric patients and their caregivers. The visible nature of these diseases negatively affects the self-image of children early in life as well as their relationships with their families and peers. Physicians recognize the importance of addressing both the physical and mental symptoms of their patients but are currently not equipped with clear guidelines to manage long-term psychosocial comorbidities in pediatric dermatologic patients. A PubMed and Google Scholar search of key words was conducted to explore self-image in pediatric patients with acne, AD, and psoriasis. Chronic skin diseases put pediatric patients at risk for strained family relationships, poor self-image, psychiatric comorbidities, stigmatization, and eventual suicidal behavior. A limitation of this study is a lack of a validated measure of quality of life in the pediatric population that fulfills enough criteria to evaluate long term quality of life in children and adults. Possible management options, including connecting patients with the same diagnosis and allocating resources to parents and teachers to better understand these chronic skin conditions, may provide pediatric patients with the support they need to develop resilience in the face of these challenges.

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Assessment of the quality of life of pediatric patients with the major chronic childhood skin diseases

Anais Brasileiros de Dermatologia ◽

10.1590/s0365-05962012000300002 ◽

2012 ◽

Vol 87 (3) ◽

pp. 361-368 ◽

Cited By ~ 14

Author(s):

Ana Paula Dornelles da Silva Manzoni ◽

Rita Langie Pereira ◽

Roberta Zaffari Townsend ◽

Magda Blessmann Weber ◽

Aline Rodrigues da Silva Nagatomi ◽

...

Keyword(s):

Quality Of Life ◽

Atopic Dermatitis ◽

Body Surface ◽

Pediatric Patients ◽

Skin Diseases ◽

Life Quality ◽

Affected Area ◽

Total Body ◽

Impaired Quality

BACKGROUND: The skin is the primary interface of the human being with the external environment and the presence of skin diseases can have substantial effects on the quality of life. OBJECTIVE: This study aims to make a comparative evaluation of the quality of life of pediatric patients with atopic dermatitis, psoriasis and vitiligo and correlate the findings with the total body surface and the areas with the disease exposed to view. METHODS: The sample consisted of 118 patients with atopic dermatitis, vitiligo and psoriasis, aged between 5 and 16 years, who were asked to answer the Children's Dermatology Life Quality Index (CDLQI) questionnaire. A dermatological examination for the measurement of total body surface affected by the disease was performed. RESULTS: The three groups showed an impaired quality of life. Patients with atopic dermatitis and psoriasis showed a significantly greater impact on the QoL than the group with vitiligo. There is a trend towards impaired quality of life in patients from the three groups of dermatoses, which is related to increments in both the total affected area and affected area exposed to view (r = 0.428 and p <0.001, r = 0.381 and p <0.001, respectively). CONCLUSION: The assessed children had impaired quality of life. However, there is a significantly greater impact in the groups with atopic dermatitis and psoriasis than in the group with vitiligo. This may be due to lack of symptoms in vitiligo and the fact this group presented a statistically smaller affected body surface than the other two groups.

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Profil penyakit infeksi kulit karena virus pada anak di Divisi Dermatologi Anak Poliklinik Ilmu Kesehatan Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado periode tahun 2013 - 2015

JURNAL BIOMEDIK (JBM) ◽

10.35790/jbm.9.1.2017.15319 ◽

2017 ◽

Vol 9 (1) ◽

Author(s):

Anthony S. Wibawa ◽

Ellen Gunawan ◽

Herry E. J. Pandaleke

Keyword(s):

Herpes Zoster ◽

Viral Replication ◽

Pediatric Patients ◽

Skin Diseases ◽

Skin Lesions ◽

Mouth Disease ◽

The Body ◽

Skin Infections ◽

Pediatric Dermatology ◽

Hand Foot Mouth Disease

Abstract: Viral skin infection can occur in all ages, especially in children. These viruses can cause skin lesions due to the viral replication in the epidermis or as a secondary effect of viral replication in other part of the body. This study was aimed to obtain the profile of viral skin infections in Pediatric Dermatology Division of Dermatovenereology Clinic, Prof. Dr. R. D. Kandou Hospital Manado from 2013 to 2015. This was a retrospective study using medical records of new pediatric patients with viral skin diseases, aged 0-14 years from 2013 to 2015. The results showed that there were 113 pediatric patients (12.71%) with viral skin infections. The majority of cases were 5-14 years old (73.45%), followed by 1-4 years old (25.66%) and 0-1 years old (0.88%); females (52,21%) were more commonly found. The viral skin diseases in this study were moluscum kontagiosum (47.79%), verucca vulgaris (29.20%), varicella (8.85%), herpes zoster (7.97%), and hand foot mouth disease (6.19%). Conclusion: Skin viral diseases in children were found in 12.71% of new patients, most common in females and aged 5-14 years. Moluscum contagiosum was the most common skin viral disease in all ages.Kata kunci: penyakit kulit, infeksi virus, anakAbstrak: Penyakit infeksi kulit karena virus dapat terjadi pada semua usia, tetapi lebih banyak pada anak-anak. Virus dapat menyebabkan timbulnya lesi kulit sebagai hasil dari replikasi virus di epidermis atau sebagai efek sekunder replikasi virus di tempat lain pada tubuh. Penelitian ini bertujuan untuk mengetahui profil penyakit infeksi kulit karena virus pada anak di Divisi Dermatologi Anak Poliklinik Ilmu Kesehatan Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado selama periode tahun 2013-2015. Jenis penelitian ialah retrospektif menggunakan rekam medik pasien anak baru dengan infeksi kulit karena virus, berusia 0-14 tahun periode tahun 2013-2015. Hasil penelitian mendapatkan 113 pasien anak (12,71%) dengan penyakit infeksi kulit karena virus, paling sering pada kelompok usia 5-14 tahun (73,45%), diikuti dengan usia 1-4 tahun (25,66%) dan usia 0-1 tahun (0,88%); lebih banyak pada anak perempuan (52,21%). Penyakit infeksi kulit karena virus terdiri dari moluskum kontagiosum (47,79%), veruka vulgaris (29,20%), varisela (8,85%), herpes zoster (7,97%), dan hand foot mouth disease (6,19%). Simpulan: Penyakit infeksi kulit karena virus pada anak didapatkan sebanyak 12,71% dari pasien baru, terbanyak pada kelompok usia 5-14 tahun dan jenis kelamin perempuan. Moluskum kontagiosum ditemukan terbanyak pada semua kelompok usia.Kata kunci: penyakit kulit, infeksi virus, anak

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Prevalence and Pattern of Diseases of The Skin and Subcutaneous Tissue in A Primary Care Area in Thailand

Siriraj Medical Journal ◽

10.33192/smj.2021.47 ◽

2021 ◽

Vol 73 (6) ◽

pp. 357-362

Author(s):

Sakchai Chaiyamahapurk ◽

Prateep Warnnissorn

Keyword(s):

Primary Care ◽

Atopic Dermatitis ◽

Skin Disease ◽

Skin Diseases ◽

Subcutaneous Tissue ◽

Seborrheic Dermatitis ◽

Decubitus Ulcer ◽

Population Based ◽

University Hospital ◽

Period Prevalence

Objective: Information on the population-based prevalence study of skin diseases is still lacking. The study explores the prevalence and pattern of diagnosed skin diseases of the population in a primary care area of a university hospital in Thailand.Materials and Methods: Skin disease patients were identified using the International Statistical Classification of Diseases and Related Health Problems 10th Revision codes (L00-L99). Retrospective data were obtained from the hospital electronic medical record between 2015-2019. The number of clinic visits and the number of skin disease diagnoses were counted. The five-year period prevalence was calculated by dividing the number of cases by the population in the primary care area.Results: During the five-year period, in a population of 29,969, we found 3,770 patients (12.6% of 29,969 population) who made 7,433 outpatient visits with the diagnoses of skin diseases. Infections of the skin and subcutaneous tissues were the most common (37.3%), followed by dermatitis (29.7%), urticaria and erythema (13.9%), other disorders of the skin and subcutaneous tissue (8.6%), and papulosquamous disorders (1.7%). The five-year period prevalence of skin diseases per 100,000 persons was as following: cellulitis (2,296), urticaria (1,682), psoriasis (177), atopic dermatitis (420), seborrheic dermatitis (227), alopecia areata (50), vitiligo (23), and pemphigus (10).Conclusion: Infection and dermatitis were the two most common skin diseases in the primary care area population. Atopic dermatitis, psoriasis, seborrheic dermatitis, and decubitus ulcer were less commonly found. Our prevalence data should be the “at least” prevalence of skin diseases due to possible underreporting.

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