Increasing incidence of skin disorders in children? A comparison between 1987 and 2001

Robbert S A Mohammedamin1, Johannes C van der Wouden, Sander Koning

  • 1Department of General Practice, Room FF 304, Erasmus MC-University Medical Center Rotterdam, PO Box 1738, 3000 DR Rotterdam, The Netherlands. s.mohammedamin@erasmusmc.nl

BMC Dermatology
|March 23, 2006
PubMed

Insights

Pediatric skin disease incidence decreased overall, but bacterial, fungal, and atopic conditions rose. Infants saw increased rates, with higher occurrences in girls and specific regions.

Area of Science:

  • Pediatric Dermatology
  • General Practice Epidemiology
  • Public Health Surveillance

Background:

  • Skin diseases constitute a significant portion of childhood morbidity in general practice.
  • Limited data exists on the specific frequencies of pediatric skin conditions.
  • This study addresses the need for updated information on pediatric skin disease trends.

Purpose of the Study:

  • To compare the incidence rates of pediatric skin diseases in general practice.
  • To analyze trends between 1987 and 2001.

Main Methods:

  • Utilized longitudinal data from two Dutch general practice surveys (1987, 2001).
  • Included children aged 0-17 years, with 12-month GP consultation registrations.
  • Classified diseases using the International Classification of Primary Care (ICPC) and calculated incidence rates.

Main Results:

  • Overall pediatric skin disease incidence declined, but increased in infants.
  • Specific conditions like impetigo, dermatophytosis, and atopic dermatitis increased.
  • Warts, contact dermatitis, and skin injuries showed decreased incidence.

Conclusions:

  • The overall incidence of pediatric skin diseases in general practice decreased.
  • Bacterial, mycotic (fungal), and atopic skin disease incidence rates notably increased.
  • Trends varied by age, sex, region, and immigrant status.
Abstract

Related Concept Videos

Changes in Skin Color: Clinical Perspectives01:14

Changes in Skin Color: Clinical Perspectives

The first thing a clinician sees is the skin, so the examination of the skin should be part of any thorough physical examination. Most skin disorders are relatively benign, but a few, including melanomas, can be fatal if untreated. A couple of the more noticeable disorders, albinism and vitiligo, affect the appearance of the skin and its accessory organs.
Albinism
Albinism is a genetic disorder that affects (completely or partially) the coloring of skin, hair, and eyes. The defect is primarily...
Skin Diseases and Disorders01:23

Skin Diseases and Disorders

Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
Skin Cancer01:30

Skin Cancer

Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
Conduct Disorder01:28

Conduct Disorder

Conduct disorder is a complex mental health diagnosis characterized by a repetitive and persistent pattern of behavior that violates societal norms, the rights of others, or age-appropriate rules. The diagnostic criteria for conduct disorder require the presence of at least three problematic behaviors within the past 12 months, with at least one occurring in the past six months. These behaviors are grouped into four categories: aggression toward people and animals; destruction of property;...
Staphylococcal Skin Infections01:29

Staphylococcal Skin Infections

Staphylococcus aureus is a Gram-positive coccus that resides harmlessly on the skin and mucous membranes of healthy individuals. When the skin barrier is breached, it can shift from a commensal to an opportunistic pathogen. This transition is facilitated by surface adhesins, such as clumping factor B and S. aureus surface protein G (SasG), which bind to structural proteins, including loricrin and cytokeratin, in the damaged epidermis. Protein A, another key factor, binds the Fc region of...
Acne Infection01:27

Acne Infection

Acne is a multifactorial skin condition primarily affecting adolescents and young adults, with a global prevalence estimated to exceed 75% in this demographic. The condition is characterized by the formation of comedones (blackheads and whiteheads), papules, pustules, nodules, and, in severe cases, cysts, particularly in areas rich in sebaceous glands such as the face, neck, chest, and back. The pathogenesis involves increased sebum production, follicular hyperkeratinization, colonization by...