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Common Dermatoses in Children Referred to a Specialized Pediatric Dermatology Service in Mexico: A Comparative Study
Blanca Rosa Del Pozzo-Magaña1, Alejandro Lazo-Langner, Pedro Gutiérrez-Castrellón
1Department of Pediatric Dermatology, Instituto Nacional de Pediatría, 04530 Mexico City, DF, Mexico ; Division of Children's Health and Therapeutics, Children's Health Research Institute, London, ON, Canada N6C 2V5.
Insights
Pediatric skin disease frequencies have shifted over two decades, with conditions like atopic dermatitis and viral warts becoming more common in Mexican children. This study highlights changes in childhood dermatoses prevalence.
Area of Science:
- Pediatric Dermatology
- Epidemiology of Skin Diseases
- Public Health
Background:
- Childhood skin diseases differ from adult presentations.
- Limited epidemiological data exists for pediatric dermatology in Mexico, with prior studies dating back 30 years.
- Changes in disease frequency are anticipated due to evolving factors.
Purpose of the Study:
- To investigate the current frequency of pediatric dermatoses.
- To compare current findings with historical data from the same institution.
- To identify shifts in the prevalence of skin conditions in children over time.
Main Methods:
- Retrospective analysis of first-time patients at a pediatric dermatology service.
- Data collection from January 1994 to December 2003.
- Comparison of demographic data and diagnoses with a previous institutional study.
Main Results:
- 5250 pediatric patients were included, with 6029 diagnoses recorded.
- The most common dermatoses were atopic dermatitis (14.59%), viral warts (6.62%), and acne (5.53%).
- A significant increase in the frequency of most dermatoses was observed compared to the previous study.
Conclusions:
- The prevalence of pediatric skin diseases has changed significantly over the past two decades.
- Environmental, sociocultural, and institutional factors likely contribute to these observed changes.
- Updated epidemiological data is crucial for understanding current trends in pediatric dermatology.
Abstract:
Background. Skin diseases among pediatric patients differ from those in adults. Epidemiological studies are scarce, and those performed in Mexican population date back thirty years. It is likely that these diseases might have changed their frequency. Material and Methods. Retrospective study in first-time patients referred to a pediatric dermatology service between January 1994 and December 2003. Demographics and diagnosis were recorded and compared with the results of a previous study performed in the same institution. Results. We included 5250 patients (52.55% female, 47.47% male) with 6029 diagnoses. The most frequent dermatoses found were atopic dermatitis (14.59%), viral warts (6.62%), acne (5.53%), pityriasis alba (3.98%), melanocytic nevi (3.85%), xerosis (3.57%), keratosis pilaris (3.19%), seborrheic dermatitis (2.37%), hemangioma (2.26%), and papular urticaria (2.24%). Most dermatoses increased their frequency when compared to the previous study. Conclusion. The frequency of pediatric dermatoses in our institution has changed in the last two decades. Environmental and sociocultural factors and institutional policies might account for these results.
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