RESUMO
Background: Genital pruritus is a common complaint among women, the cause of which could be multitude. Identification of these causes can lead to prompt resolution of pruritus with appropriate therapies. The objective of our study was to determine the clinical profile of genital pruritus and its impact on quality of life amongst all female patients attending Dermatology OPD at our tertiary care centre. Methods: An observational, descriptive, cross-sectional study conducted from June 2020-May 2021on 196 female patients attending the dermatology OPD with primary complaints of genital pruritus. Diagnosis was established by history and clinical examination and confirmed by bed side tests and laboratory investigations as and when required. Results: The mean age of the patients was 36.87�.24 years with 41.8% in the age group of 18-35 years. In majority (47.4%) of patients, itch was of moderate severity according to the Numerical rating scale. Infectious diseases (45.9%) were the most common cause followed by inflammatory (33.2%), idiopathic (19.4%) and hormonal (1.5%). Vulvovaginal candidiasis was by far the commonest (36.2%). The most common inflammatory dermatoses were lichen simplex chronicus (12.2%) followed by lichen sclerosus atrophicus (10.2%) and contact dermatitis (6.1%). 7 patients with idiopathic itch were diagnosed to have an underlying psychiatric illness. Conclusions: As genital pruritus has multiple causes, proper categorization and diagnostic evaluation would be appropriate to achieve optimal treatment to meet the diverse needs of women who suffer from it.
RESUMO
Background: Cutaneous tuberculosis represents only 1-2% of total tuberculosis cases but due to difficulty in diagnosis even with molecular methods and non-availability of such tests at resource poor set ups, actual burden of cutaneous TB remains under-estimated. The present study was performed to analyse the magnitude and clinico-epidemiological profile of cutaneous tuberculosis at our tertiary level referral centre. Methods: All the clinically suspected cases of cutaneous tuberculosis attending the dermatology and paediatric outpatient department during a period of 30 months (from October 2015 to March 2018) were enrolled in the study. All patients were subjected to routine blood tests, Chest X-ray, sputum for Ziehl-Neelsen staining, HIV-ELISA, Mantoux test and cutaneous punch biopsy of the lesions for further confirmation. Results: During the study period of 30 months, total 30 patients were recruited with male to female ratio of 1.5:1 and mean age of 27 years. Mean disease duration was 13 months with head and neck region (60%) being most commonly affected. Most common clinical type of cutaneous tuberculosis was scrofuloderma (60%), followed by lupus vulgaris (26.7%), tuberculosis verrucosa cutis (10%) and papulonecrotic tuberculid (3.3%). Mantoux test was positive in 56.7% patients. All the patients were put on antitubercular treatment as per guidelines of national tuberculosis control programme. Conclusions: Tuberculosis in developing countries is still an important cause of skin lesions which remains doubtful in most case scenarios even after years of its advent due to difficulty in diagnosis. Clinical diagnosis and therapeutic trials are still helpful in managing most of the cases.
RESUMO
Background: Cutaneous tuberculosis represents only 1-2% of total tuberculosis cases but due to difficulty in diagnosis even with molecular methods and non-availability of such tests at resource poor set ups, actual burden of cutaneous TB remains under-estimated. The present study was performed to analyse the magnitude and clinico-epidemiological profile of cutaneous tuberculosis at our tertiary level referral centre. Methods: All the clinically suspected cases of cutaneous tuberculosis attending the dermatology and paediatric outpatient department during a period of 30 months (from October 2015 to March 2018) were enrolled in the study. All patients were subjected to routine blood tests, Chest X-ray, sputum for Ziehl-Neelsen staining, HIV-ELISA, Mantoux test and cutaneous punch biopsy of the lesions for further confirmation. Results: During the study period of 30 months, total 30 patients were recruited with male to female ratio of 1.5:1 and mean age of 27 years. Mean disease duration was 13 months with head and neck region (60%) being most commonly affected. Most common clinical type of cutaneous tuberculosis was scrofuloderma (60%), followed by lupus vulgaris (26.7%), tuberculosis verrucosa cutis (10%) and papulonecrotic tuberculid (3.3%). Mantoux test was positive in 56.7% patients. All the patients were put on antitubercular treatment as per guidelines of national tuberculosis control programme. Conclusions: Tuberculosis in developing countries is still an important cause of skin lesions which remains doubtful in most case scenarios even after years of its advent due to difficulty in diagnosis. Clinical diagnosis and therapeutic trials are still helpful in managing most of the cases.