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Published on: August 21, 2013
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
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.
Background:
The increasing proportion of skin diseases encountered in general practice represents a substantial part of morbidity in children. Only limited information is available about the frequency of specific skin diseases. We aimed to compare incidence rates of skin diseases in children in general practice between 1987 and 2001.
Methods:
We used data on all children aged 0-17 years derived from two consecutive surveys performed in Dutch general practice in 1987 and 2001. Both surveys concerned a longitudinal registration of GP consultations over 12 months. Each disease episode was coded according to the International Classification of Primary Care. Incidence rates of separate skin diseases were calculated by dividing all new episodes for each distinct ICPC code by the average study population at risk. Data were stratified for socio-demographic characteristics.
Results:
The incidence rate of all skin diseases combined in general practice decreased between 1987 and 2001. Among infants the incidence rate increased. Girls presented more skin diseases to the GP. In the southern part of the Netherlands children consulted their GP more often for skin diseases compared to the northern part. Children of non-Western immigrants presented relatively more skin diseases to the GP. In general practice incidence rates of specific skin diseases such as impetigo, dermatophytosis and atopic dermatitis increased in 2001, whereas warts, contact dermatitis and skin injuries decreased.
Conclusion:
The overall incidence rate of all skin diseases combined in general practice decreased whereas the incidence rates of bacterial, mycotic and atopic skin diseases increased.
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