Title: Infectious skin diseases among children attending the Dermatology Outpatient Department

Authors: Dr Sunil Chaudhari, Dr Sushil Rathi

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i12.64

Abstract

Background: Skin lesions are a common problem in pediatric age group. The etiology of these lesions can be bacterial or viral infections, helminthic infestation and inflammatory lesions. Some of these lesions may be congenital like salmon patch or strawberry angiomas etc. Pediatric patients being brought for various skin lesion forms a major part of dermatology OPD hence it is important from the point of view of a dermatologist to be aware of common pediatric dermatological problems or skin lesions so as to be able to accurately diagnose and manage such conditions.

Materials and Methods: The study was approved by institutional ethical committee. This was a prospective observational study of all children between the age group of 0-12 years brought to dermatology OPD of our institute during the study period. A detailed history and thorough clinical examination was done in all the cases. Diagnosis mainly was done on the basis of clinical examination. Relevant investigations were done whenever necessary. The data was analysed using SPSS 16.0 version software.

Results: There were 200 pediatric patients who were included in this study on the basis of inclusion criteria. Out of these patients there were 120 (60%) boys and 80 females (40%) with a M: F ratio of 1:0.66. The age ranged from 1 day to 12 years with a mean age of 4.9 years. 90 (45 %) patients belonged to age group of 1-5 years.  Common skin lesions included scabies (41 %), pyoderma (24 %), viral exanthema (16.5 %), superficial fungal infections (12.5 %). Pediculosis was seen in 6 % patients.

Conclusion: Pediatric consultations for various skin lesions are common. In addition to usual dermatological problems congenital skin lesions may be seen in neonatal period or infancy. It is important from the point of view of a dermatologist to be well aware of various skin lesions seen in pediatric age group so as to be able to properly treat these patients.

Keywords: Skin lesions, pediatric age group, Congenital skin lesions, Management.

References

  1. Rayala BZ, Morrell DS. Common Skin Conditions in Children: Skin Infections. FP Essent. 2017 Feb;453:26-32. 
  2. Ebede T, Papier A. Disparities in dermatology educational resources. J Am Acad Dermatol. 2006 Oct;55(4):687-90.
  3. Palit A, Inamadar AC. Current Treatment Strategies: Collagen Vascular Diseases in Children. Indian Journal of Dermatology. 2012;57(6):449-458.
  4. Dressler C, Rosumeck S, Sunderkötter C, Niklas Werner R, Nast A. The Treatment of Scabies: A Systematic Review of Randomized Controlled Trials. Deutsches Ärzteblatt International. 2016;113(45): 757-762.
  5. Sladden MJ, Johnston GA. Common skin infections in children. BMJ : British Medical Journal. 2004;329(7457):95-99.
  6. Solari CD, Mare RD. HOUSING CROWDING EFFECTS ON CHILDREN’S WELLBEING. Social science research. 2012;41(2):464-476. 
  7. Zhao G, Wang HS, Du XY, Cai RK, Wang XP, Li H. Virus infection and hand papular dermatoses in young children. Chin Med J (Engl). 1992 Aug;105(8):657-60. 
  8. Ramdass P, Mullick S, Farber HF. Viral Skin Diseases. Prim Care. 2015 Dec;42(4): 517-67. 
  9. Feldmeier H, Heukelbach J. Epidermal parasitic skin diseases: a neglected category of poverty-associated plagues. Bulletin of the World Health Organization. 2009;87(2):152-159.
  10. Schaible UE, Kaufmann SHE. Malnutrition and Infection: Complex Mechanisms and Global Impacts. PLoS Medicine. 2007;4(5):e115.
  11. Niewiesk S. Maternal Antibodies: Clinical Significance, Mechanism of Interference with Immune Responses, and Possible Vaccination Strategies. Frontiers in Immunology. 2014;5:446.
  12. Emodi I, Ikefuna A, Uchendu U, Duru UA. Skin diseases among children attending the out patient clinic of the University of Nigeria teaching hospital, Enug. African Health Sciences. 2010;10(4):362-366.
  13. Kiprono SK, Muchunu JW, Masenga JE. Skin diseases in pediatric patients attending a tertiary dermatology hospital in Northern Tanzania: a cross-sectional study. BMC Dermatology. 2015;15:16.
  14. Rudy SJ. Superficial fungal infections in children and adolescents. Nurse Pract Forum. 1999 Jun;10(2):56-66.
  15. Kang JH. Febrile Illness with Skin Rashes. Infection & Chemotherapy. 2015;47(3):155-166.

Corresponding Author

Dr Sushil Rathi

Associate Professor Department of Skin & VD Indira Gandhi Government Medical College Nagpur

Maharashtra India