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Skin diseases in Greek and immigrant children in Athens
Alexandra Katsarou1, Melina Armenaka, Maria Kosmadaki
1Department of Dermatology, University of Athens Medical School, Andreas Sygros Hospital, Athens, Greece. alkats.duoa@yahoo.gr
Insights
This study analyzed pediatric skin diseases in Greece, finding dermatitis/eczema and viral infections are increasingly common. Scabies remains a concern, particularly among immigrant children.
Area of Science:
- Dermatology
- Pediatrics
- Epidemiology
Background:
- Pediatric dermatological conditions present unique challenges in diagnosis and management.
- Understanding disease spectrum shifts is crucial for public health initiatives.
Purpose of the Study:
- To characterize the current spectrum of skin diseases in Greek children.
- To compare current pediatric dermatological disease patterns with those from two to three decades prior.
Main Methods:
- Retrospective analysis of 4071 children (aged 0-12 years) diagnosed with dermatoses between 2005-2007.
- Comparison with a historical cohort of 12,700 children diagnosed in 1977, 1980, and 1983.
- Statistical analysis to evaluate changes in disease prevalence over time.
Main Results:
- Dermatitis/eczema was the most frequent diagnosis (34.7%), notably atopic dermatitis (20.7%).
- Infections comprised 19.3% of cases, with viral infections (12%) more prevalent than bacterial (3.7%) or fungal (3.6%).
- Immigrant children showed higher risks for bacterial infections and scabies.
Conclusions:
- Pediatric skin disease patterns have evolved, with increased prevalence of dermatitis/eczema and viral infections.
- Atopic dermatitis remains highly prevalent, while scabies persists as a significant issue, especially in immigrant populations.
- The study highlights the need for ongoing surveillance of pediatric dermatological conditions and targeted interventions.
Objectives:
This study aimed to characterize the spectrum of skin diseases affecting children in Greece.
Methods:
We retrospectively studied data for 4071 children, aged 0-12 years, who were examined and diagnosed with dermatoses at the outpatient clinic of a university dermatological hospital between December 2005 and August 2007. To evaluate changes in disease patterns, these data were compared with data for a cohort of 12,700 children diagnosed with skin diseases at the same clinic two to three decades earlier (in 1977, 1980, and 1983).
Results:
The most frequent disease was dermatitis/eczema (34.7%), with atopic dermatitis found in 20.7% of children, contact dermatitis in 6.9%, pityriasis alba in 2.1%, and seborrheic dermatitis in 1.8%. Infections (19.3%), nevi (5.6%), scabies (4.8%), and insect bites (4.3%) followed. More viral (12%) than bacterial (3.7%) and fungal (3.6%) infections were noted. Warts constituted 53.2% of viral infections. Immigrants had an increased risk for bacterial infections and scabies.
Conclusions:
Children diagnosed with skin diseases 24-30 years earlier were younger; exhibited lower prevalences of dermatitis/eczema (P = 0.01), viral infections (P < 0.001) and nevi (P < 0.001); higher prevalences of bacterial and fungal infections (P < 0.001) and insect bites (P < 0.01); and similar rates of scabies (P = 0.17). This study documents the high prevalence of atopic dermatitis in the region, the increasing incidence of viral infections and nevi, and the continuing problem of scabies, especially in immigrants.
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