profile of atopic dermatitis in out patient department of dermatology Isra university hospital

ABSTRACT

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 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