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Published on: September 26, 2019
Incidence of childhood dermatosis in India
Jitendrakumar K Patel1, Aniruddha P Vyas, Brian Berman
1Department of Dermatology and Cutaneous Surgery, University of Miami, Miller School of Medicine, Miami, FL 33136, USA. drjitupatel@yahoo.com
Insights
Pediatric dermatology in India reveals infections are the most common skin conditions, particularly impetigo and pyoderma. Improving sanitation and nutrition can help control many common childhood dermatoses.
Area of Science:
- Pediatric Dermatology
- Epidemiology
- Tropical Medicine
Background:
- Pediatric dermatologic conditions exhibit distinct patterns compared to adults, crucial for epidemiological analysis.
- Understanding these patterns is vital for public health initiatives in pediatric dermatology.
- This study focuses on children up to age 14 in Western India.
Purpose of the Study:
- To analyze the etiology, incidence, age, and sex distribution of dermatologic conditions in children.
- To identify seasonal variations in pediatric skin diseases.
- To highlight unique features of pediatric dermatology in a developing tropical country.
Main Methods:
- A clinical study involving tabulation and analysis of dermatologic conditions in 700 children (390 boys, 310 girls).
- Data collected on etiology, incidence, age, sex, and seasonal variations.
- Statistical analysis of the collected dermatological data.
Main Results:
- Infectious etiologies were most common (38.43%), with impetigo (11.13%) and pyoderma (8.9%) being prevalent.
- Scabies incidence was 5.32%; viral warts and molluscum contagiosum were common viral infections.
- Eczema (6.64%), sweat gland disorders (8.86%), and atopic dermatitis (0.83%) were also observed.
- Unique features included a high frequency of infections and disorders linked to nutrition and environment.
Conclusions:
- Pediatric skin conditions in tropical, developing regions are frequently infectious and environmentally influenced.
- Interventions like improved sanitation, nutrition, and awareness are key to managing common pediatric dermatoses.
- Addressing overcrowding and promoting hygiene are essential for controlling these conditions.
Abstract:
The incidence ofdermatologic conditions in the pediatric age group presents a pattern that often differs from that in adults; this is important for epidemiologic studies and population-based analysis. This clinical study was carried out in children up to age 14 in the western part of India. Dermatologic conditions were tabulated based on the etiology, incidence, age, and sex distribution, as well as seasonal variations, and the results were analyzed. There were a total of 390 boys and 310 girls. The majority of skin conditions in newborns are transient. The most common dermatoses found were of infectious etiology (38.43%) in which impetigo (11.13%) and pyoderma (8.9%) were the most common. In infectious etiology, incidence of scabies was 5.32%. Viral warts were the most common viral infections followed by molluscum contagiosum. Incidence of eczema, atopic dermatitis, and sweat gland disorders were 6.64%, 0.83%, and 8.86%, respectively. The study shows various unique features of tropical pediatric dermatology in a developing country, such as high frequency of infections and infectious, nutritional, and environmentally associated disorders. Many of these dermatoses can be controlled by proper environmental sanitation, improving nutrition, awareness among parents and children, and preventing overcrowding.
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