RESUMEN
To study the profile of atopic dermatitis in patients presenting at outpatient department of Dermatology of Isra University Hospital, Hyderabad. Observational study. This study was carried out at the Department of Dermatology, Isra UniversityHospital, Hyderabad from April 2012 to April 2014. A sample of 100 patients of atopic dermatitis was selected through non probability purposive sampling as per inclusion and exclusion criteria. Atopic dermatitis was diagnosed on the basis of patient history and clinical presentation and clinical findings. The findings were collected on a predesigned structured proforma. Written informed consent was taken from the willing participants. Ethical approval was taken from the institute. Data was analyzed on SPSS 21.0 [IBM, incorporation, USA]. Categorical variables were analyzed using chi square. P-value of statistical significance was taken at =0.05. Age range was from 1 month to 12 years. 100 patients were diagnosed with atopic dermatitis out of 5000patients with skin diseases over 2 years duration; this gives a prevalence of 2%. Onset before 10 years was note in 60% of patients. 49% showed family history of atopy. 52% were having pure atopic dermatitis, of which 85%patients showed sub acute dermatitis at presentation. While 48% showed atopic dermatitis associated with allergic rhinitis, asthma, and or both. Bacterial infection was observed in 19%, viral infection in 17%, parasitic infection in10% and fungal infection was noted in 3% of patients. Most patients were treated with a fairly simple regimen of moisturizers, topical steroids, and antibiotics for acute flares. Short courses of systemic steroids were used in 78 patients [78%]. The frequency of atopic dermatitis of present study is different to that reported in the Western literature, except for a significant and similar proportion of onset of atopic dermatitis and its clinical presentation
Asunto(s)
Humanos , Recién Nacido , Niño , Preescolar , Lactante , Dermatología , Enfermedades de la Piel , Rinitis Alérgica , Asma , Pacientes Ambulatorios , Hospitales UniversitariosRESUMEN
The present study was conducted to investigate the prevalence of skin diseases in patients reporting at the Out Patient Department of Isra University Hospital Hyderabad. Cross sectional study. This study was carried out at Out Patient Department of Isra University Hospital Hyderabad from April 2006 - April 2014. A total of 2067 patients [1096 males and 971 females] were examined initially. Patients were selected through non probability purposive sampling as per inclusion and exclusion criteria. Because of limited time and workforce, only six dermatoses of main interest were recorded. Patients were examined by consultant dermatologist. Written informed consent was taken from the willing participants. Ethical approval was taken from the institute. Data was analyzed on SPSS 21.0 [IBM, incorporation, USA]. Categorical variables were analyzed using chi square. P-value of statistical significance was taken at =0.05. Acne vulgaris was found in girls and boys [11 to 35 years age range] with comedones being the earliest presentation. Prevalence of acne, melasma and ephelides was noted as 18%, 9.4% and 9% respectively. The prevalence of bacterial, fungal, and viral infections, scabies and head lice was observed as 9%, 9%, 3%, 9% and 8%respectively. The prevalence of eczema was 9%, atopic dermatitis 2%, seborhoiec dermatitis 2%, lichen planus 9%,vitiligo was 2%. Corns were noted in 0.6%, Alopecia areata in 0.1%, psoriasis in 0.1% and Keloids in 0.6% of the patients. Acne vulgaris was the most common skin disease while melasma and scabies were common diseases.Less prevalence was observed for the atopic dermatitis, seborhoiec dermatitis, and lichen planus. Alopecia areata,psoriasis, vitiligo and Keloids were uncommon