Pattern of skin diseases in a tertiary care private hospital, Karachi
Keywords:
Pattern of skin diseases, scabies, atopic dermatitis, infections, infestationsAbstract
Objective To determine the pattern of skin diseases in a tertiary care hospital in Karachi and to compare the results with local and international literature. Methods The current study was carried out in the Dermatology Department, Hamdard University Hospital, Karachi from 1st September 2011 to 31st August 2012 over a period of 1 year. All the freshly registered patients presenting in the outpatient were enrolled irrespective of gender and age, after an informed consent. Clinical diagnosis was made on the basis of detailed history and clinical examination. Laboratory investigations were performed where required e.g. routine investigations and biochemical profile. Skin biopsy and histopathology were performed in doubtful cases. All the findings were recorded, compiled, tabulated and analyzed. Results 1733 patients comprising 936 (54%) females and 797 (46%) males were enrolled. There were 728 (42%) children and 1005 (58%) adults. Infections and infestations were the most common skin conditions constituting 37.4% of all the enrolled patients of which 399 (23%) were children and 250 (14.4%) adults. Eczema was next in frequency comprising 313 (18%) patients including 150 (8.6%) children and 163 (9.4%) adults. Acne was seen in 229 (13%) patients, urticaria in 97 (5.5%) while hair disorders were recorded in 66 (4%) patients. Papulosquamous disorders and pigmentary dermatoses were observed in less than 3% of the patients studied. Scabies presented with the highest frequency (18%) and among pyodermas (10%), furunculosis (4%) and impetigo 59 (3%), being the most frequent. Fungal infections (3%) had a frequency more then viral infections (2%). Atopic dermatitis was the most frequently seen eczema (6%) followed by seborrhoeic dermatitis (5%) and contact dermatitis (4.5%). Conclusion The pattern of skin diseases is same in various cities of Pakistan with minor differences. Scabies and infections remain the most common diseases while eczema also constitutes an important group of dermatoses in our part of the world.References
Burns DA, Cox NH. Introduction and historical bibliography, In: Burns T, Breathnach S, Cox N, Griffiths C. Rook’s Textbook of Dermatology. 8th Ed. Oxford: Wiley-Black Well; 2010. P1.5.
Zamanian A, Mahjub H. Prevalence of skin diseases in Hamedan, Iran in 2002. Indian J Dermatol. 2005;50:208-11.
Williams HC. Smoking and psoriasis. Br Med J. 1994;308:428-9.
Williams HC, Strachan DP, Hay RJ. Childhood eczema. Br Med J. 1994;308:1132-5.
Chuang TY, Reisner GT. Dermatoepidemiology Part-1. Epidemiologic methods. Int J Dermatol. 1993;32:251-6.
Grover S, Ranyal RK, Bedi MK. A cross section of skin diseases in rural Allahabad. Indian J Dermatol. 2008;53:179-81.
Wolkenstein P, Grob JJ, Bastuji GS. French people and skin diseases: results of a survey using a representative sample. Arch Dermatol. 2003;139:1614-19.
Verhoeven EWM, Kraaimaat FW, Van Weel C et al. Skin diseases in family medicine: prevalence and health care use. Ann Fam Med. 2008;6:349-54.
Karthikeyan K, Thappa DM, Kumar JB. Pattern of pediatric dermatoses in a referral center in South India. Indian Pediatr. 2004;41:373-6.
Park K. Preventive medicine in obstetrics, pediatrics and geriatrics. In: Park K. Park’s Textbook of Preventive and Social Medicine. 17th Ed. Jabalpur: Banarsidas Bhanot; 2002. P. 359-411.
Tameez-Ud-Din, Butt AQ, Bangash FA, Abbas H. Burden of skin diseases at a tertiary care hospital. J Rawalpindi Med Coll. 2010;14:90 -2.
Devi T, Zamzachin G. Pattern of skin diseases in Imphal. Indian J Dermatol. 2006;51:149-50.
Agarwal PK. Pattern of skin diseases in AI-Jauf region. Ann Saudi Med. 1997;17:112-4
Haroon TS. Pattern of skin diseases in Karachi. J Pak Med Assoc. 1985;35:73-8.
Shabbir G. Dermatoses prevalent in Lahore. The Medicus. 1961;22:33-42.
Qamar AG, Malik RA. Skin diseases in Bahawalpur. J Pak Assoc Dermatol. 2000;10:3-8.
Ahmed I, Ansari M, Malick K. An audit of dermatoses at Baqai Institute of Skin Diseases, Karachi. J Pak Assoc Dermatol. 2003;13:113-7.
Memon KN, Soomro RA, Ansari MS. Pattern of skin diseases in patients visiting a tertiary care health facility at Hyderabad, Pakistan. J Ayyub Med Coll Abbottabad. 2011;23:37-9.
Raddadi AA, Abdullah SA, Damanhouri ZB. Pattern of skin diseases at King Khalid National Guard Hospital: a 12-month prospective study. Ann Saudi Med. 1999;19:453-4.
Asokan N, Priya P, Ajithkumar K et al. Pattern of skin diseases among patients attending a tertiary care teaching hospital in Kerala. Indian J Venereol Dermatol Leprol. 2009;75:517-8.
Muzaffar F. Pattern of skin diseases at The Children’s Hospital, Lahore: comparison between 1996-1998 and 2011. J Pak Asso Dermatol. 2012;22:230-6.