Spectrum and Pattern of Paediatric Dermatoses in A Tertiary Care Hospital in Faridabad

Background: The prevalence of paediatric skin diseases varies worldwide. Paediatric dermatoses require a separate view from adult dermatoses as there are important differences in clinical presentation, treatment and prognosis. Their characterisation is essential for the preparation of academic, research and health plans. Aim: The study was carried out to find the incidence of skin diseases in children under 15 years of age. Methods: All children below 15 years of age attending dermatology outpatient department for first time were evaluated for various skin dermatoses. Skin diseases were classified into groups like infections and infestations, eczematous, non-infective dermatoses and hypersensitivity reactions. Results: Male children predominated with male female ratio 1.3:1. Infections and infestations were the most common (41.8%) cause of skin dermatoses followed by dermatitis (20.7%), non-infective & autoimmune dermatoses (13.4%) and hypersensitivity reactions seen in 10.8% patients. Miliaria and other physical dermatoses contributed to about 6% of the total cases. Conclusion: Majority of paediatric dermatoses can be grouped into 8 categories. Significant proportion of dermatoses are infectious and eczematous types. Infections are more prevalent in low socio-economic strata and with proper education and creating awareness they can be minimised to a significant extent.

An Adolescent Female Presenting with Classical Clinical and Immunological Features of Isoniazid Induced Lupus

Drug induced Lupus Erythematosus (DILE) is a form of rare adverse drug reaction caused due to many drugs, including Isoniazid. Diagnosis is made on the basis of a temporal relationship between the drug administered and the onset of symptoms and on the basis of the antibody profile. We describe the case of a 13 year old female who was diagnosed as having abdominal tuberculosis and was put on ATT and later presented with signs and symptoms of Lupus Erythematosus, with a history of photosensitivity, oral ulcers, and malar rash. Keywords: Isoniazid, Tuberculosis, Drug Induced Lupus

Epidemiological Study of Host Factors Responsible for Tinea Cruris Infection & Clinical Resistance to Treatment

Background: Superficial fungal infection are most common fungal infection affecting 20 -25% of population living in tropical and subtropical countries. Global warming, rapid industrialization, migration of population and changing lifestyle are contributory factors. Aim: To study the host factors responsible for Tinea cruris infection and clinical resistance to treatment. Methods: Hundred patients of tinea cruris were taken for study and data regarding age, occupation, income, education and prior treatment taken was collected. Modified Kupuswamy scale 2017 was applied for socioeconomic status. Results: ‘Majority of patients were males (85%). Young adults (20-40 years) with low socioeconomic status were predominantly affected. Application of steroids and poor compliance to treatment were contributory factors in development of clinical resistance to treatment. Conclusion: By improving working environment and socioeconomic status, mass awareness, proper counseling we can restrain the ongoing epidemic of dermatophytes infection.