ABSTRACT
Antecedentes. El campo de la dermatología pediátrica ha ganado relevancia con el aumento de la cantidad de pacientes pediátricos y la discrepancia de las dermatosis respecto de las presentaciones en adultos. Nuestro objetivo fue describir la frecuencia y la distribución de las dermatosis pediátricas, los procedimientos de diagnóstico y los tratamientos indicados. Métodos. Estudio epidemiológico transversal. Se recolectaron datos acerca de los patrones diagnósticos, los métodos diagnósticos y las modalidades de tratamiento en las consultas ambulatorias de dermatología pediátrica a lo largo de 18 meses. Resultados. Los diagnósticos más prevalentes fueron las enfermedades infecciosas (27,9%), incluidas las verrugas virales (17,5%), seguidas de acné o enfermedades acneiformes (19,9%) y alergias (14,5%). Entre las pruebas diagnósticas, fue necesario realizar exámenes histopatológicos en el 5,2% de los casos, en general para diagnosticar lesiones inflamatorias y tumorales. En la mayoría de los casos, se emplearon tratamientos tópicos (49,3%), seguidos por tratamientos sistémicos (32,4%). Conclusiones. Las verrugas virales representaron las dermatosis más frecuentes, y es importante que la salud pública incorpore medidas preventivas contra la transmisión del VPH en los niños.
Background: The field of pediatric dermatology has gained importance with the increment of pediatric patients and the discrepancy of their skin diseases with the adult versions. We aimed to describe frequency and distribution of pediatric skin diseases, and the diagnostic procedures and treatments prescribed. Methods: Cross-sectional epidemiological study. We collected data about diagnostic patterns, diagnostic methods and treatment modalities in pediatric dermatology outpatient clinic visits over 18 months. Results: Infectious diseases (27.9%) and among them viral warts (17.5%) were the most prevalent diagnoses, followed by acne-acneiform diseases (19.9%) and allergic diseases (14.5%). Among the diagnostic tests histopathology was required in 5.2%, usually to diagnose inflammatory and tumoral lesions. Topical treatments (49.3%) were followed by systemic treatments (32.4%) in majority of cases. Conclusions: Viral warts were among the most common dermatoses, and preventive measures for HPV transmission should become important part of public health efforts in children.
Subject(s)
Adolescent , Child , Child, Preschool , Female , Humans , Infant , Infant, Newborn , Male , Skin Diseases/epidemiology , Cross-Sectional Studies , Retrospective Studies , Skin Diseases/diagnosis , Skin Diseases/therapy , Turkey/epidemiologyABSTRACT
Allergic diseases are part of the 'modern lifestyle' and their incidence is still increasing. Cutaneous markers (stigmata) usually provide valuable clues for the diagnosis of atopic diseases. This study evaluated the prevalence of the four major and twenty-one minor criteria of Hanifin and Rajka in a total of 246 patients with mucosal allergies (99 asthma, 108 allergic rhinitis, and 39 allergic conjunctivitis). The two most prevalent major criteria were history of atopic diseases and pruritus. The most prevalent three minor criteria were periorbital darkening, influence of environmental factors and xerosis. The most common prick test-positive allergens were grass and mite allergens. Despite evidence for a high co-morbidity between atopic diseases, in daily clinical practise diagnostic and therapeutic procedures generally focus on the most predominant disease. We concluded that it may be important to screen subjects with mucosal allergies for the presence of major and minor cutaneous stigmata. Screening for cutaneous manifestations and subsequent treatment might further enhance the quality of life of these patients.