Prevalencia de dermatosis en la poblacion pediatrica en el Hospital Infantil de Chihuahua

Investigacin en Salud

Martha Cristina Ochoa Gonzlez Indira Alejandra Gallegos Zepeda Mariana Macas Espinoza Docente: Dra. Irene Leal

Investigacin en Salud. 4 Febrero 2014

En Mexico las enfermedades de la piel reperesental del 6-24% de la consulta pedriatica y generalmente no son manejadas adecuadamente . La piel es el mayor organo del cuerpo humano , es la barrera natural mas importante contra las infecciones y difiere en los nios , adultos y ancianos. Las enfermedades en la piel son mas comunes en los nios. Desde el principio de nuestra vida humana la piel va cambiando y es expuesta a agentes irritantes y agentes infecciosos. Los diferentes desordenes geneticos y la herencia de nuestros padres juegan un papel importante en la manifestacion de muchas enfermedades de la piel . Otro factor importante para el desarrollo de la enfermedades de la piel es la etnia, condiciones ambientales y socioeconomicas en el que se desarrolla el humano, la prevencion de las instituciones de salud, e higiene personal de la persona

Investigacin en Salud

Prevalence of skin diseases among pediatric patients in Turkey. Abstract

The pediatric population is composed of persons under 16 years of age, and few studies are available on the dermatological diseases of this group. In the present study, data on a total of 6300 pediatric patients admitted between the years 2004-2006 were analyzed. Hospital-based patient registry records were used for data collection. The data were analyzed according to age, sex and time of admittance. A female preponderance (53%) was observed, and adolescents (12-16 years old) constituted the largest group within the patient population (47.6%). A total of 125 dermatoses were recorded. Acne vulgaris was the most prevalent dermatosis (12.4%), followed by atopic dermatitis (11.8%), contact dermatitis (11.3%), warts (9.5%), seborrheic dermatitis (4.3%) and impetigo (4.1%). Atopic dermatitis was the most frequently seen dermatosis in both infants and preschool-age children, whereas contact dermatitis was more prevalent in school-age children, and acne vulgaris was more prevalent in the adolescent group.

Investigacin en Salud

Abstract Ten thousand new patients were seen between January 1971 and January 1975 at the Department of Pediatric Dermatology, "Hospital del Nio IMAN" in Mexico City. The patients were between 0 and 18 years old. They represented 10.4% of the entire pediatric population attending the general out-patient clinic of the hospital. The results of our study showed no significant difference among the sexes of patients. The highest proportion of patients in the sample were under one year of age. The most frequently observed groups of dermatoses were: parasitic, cutaneous reactions, viral and bacterial. The ten diseases most frequently observed were: papular urticaria (16.3%); atopic dermatitis (12.9%); scabies (10.4%); viral warts (8.4%); impetigo (6.8%); pitiriasis alba (6.6%); vitiligo (2.6%); acne (2.5%); dermatophytosis (2.4%) and numular eczema (2.3%). The 20 skin diseases most frequently recorded accounted for 85.8% of the sample. The ten most frequent skin diseases in each group of age were also recorded. The monthly and annual frequency for the more frequent dermatoses was studied. The present study provides epidemiological information for a rational development of programs on care, education and investigation in pediatric dermatology in Mexico.

Investigacin en Salud

Common Dermatoses in Children Referred to a Specialized Pediatric Dermatology Service in Mexico: A Comparative Study between Two Decades Abstract Background. Skin diseases among pediatric patients differ from those in adults. Epidemiological studies are scarce, and those performed in Mexican population date back thirty years. It is likely that these diseases might have changed their frequency. Material and Methods. Retrospective study in first-time patients referred to a pediatric dermatology service between January 1994 and December 2003. Demographics and diagnosis were recorded and compared with the results of a previous study performed in the same institution. Results. We included 5250 patients (52.55% female, 47.47% male) with 6029 diagnoses. The most frequent dermatoses found were atopic dermatitis (14.59%), viral warts (6.62%), acne (5.53%), pityriasis alba (3.98%), melanocytic nevi (3.85%), xerosis (3.57%), keratosis pilaris (3.19%), seborrheic dermatitis (2.37%), hemangioma (2.26%), and papular urticaria (2.24%). Most dermatoses increased their frequency when compared to the previous study. Conclusion. The frequency of pediatric dermatoses in our institution has changed in the last two decades. Environmental and sociocultural factors and institutional policies might account for these results.

Investigacin en Salud

Epidemiology of Pediatric Dermatology in the Region of Aargau, Switzerland

Abstract: Pediatric dermatology is a new topic and no epidemiologic data exist from Switzerland. Therefore we performed a survey of the pediatric population referred to the hospital of Aarau, Switzerland, between 1998 and 2001. All inpatients and outpatients less than 16 years old with a dermatologic diagnosis were included prospectively in our study. Demographic data (age, mean age, sex distribution), referral method, pattern and frequency of the different diagnoses in various age groups, diagnostic pattern, and therapy were analyzed. A total of 1105 children were included, with a slightly higher proportion of girls (53.8% versus 46.2%). The average age was 6.8 years and infants and school children represented 60% of the study population. Half of the patients (51%) were external referrals, almost one-third (29%) presented spontaneously, and the remaining 20% were sent from other hospital departments. With a frequency of 25.9%, atopic dermatitis was the most frequent diagnosis, followed by pigmented nevi (9.1%) and warts (5.0%).

Investigacin en Salud

Pais
Turquia

Ao investigacion
2004-2006

Edad 3 enfermedades mas frecuentes

0-16 Acne vulgar 12.4% Dermatitis atopica 11.8% Dermatitis por contacto 11.3% Dermatitis atopica 14..59% verrugas virales 6.62% Acne vulgar 5.53%

Mexico

1998-2003

0-17

Aargu, suiza

1998-2001

0-16

Dermatitis atopica 25.9% nevo pigmentado 9.1 % verrugas virales 5.0%

Urticaria papular 16.3% Dermatitis atopica 12.9% Sarna 10.4 %

Mexico

1971-1975

0-18

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En conclusion ante la biblografia encontrada vemos que en todos los estudios encontrados la dermatitis atopica tiene una prevalencia en todos los paises en el estudio en turquia ocupa el 2do lugar , en un estudio realizado en Mexico ocupa el primero y en el estudio realizado en suiza ocupa el primer lugar tambien con una prevalencia muy alta de 25.9% en comparacion a la mexicana de 14.9. otra enfermedad prevalente en Mexico y Turquia es el acne vulgar. En conclusion lo que esperamos encontrar con este estudio es comprobar que la prevalencia de dermatitis atopica es elevada en la poblacion pedriatica

BIBLIOGRAFA
http://onlinelibrary.wiley.com/doi/10.1111/j.15251470.2003.20605.x/abstract (turquia) http://www.hindawi.com/isrn/dermatology/2012/351603 (mexico slide 6) http://www.biomedcentral.com/1471-5945/6/4 http://www.uptodate.com/contents/keratosis-pilaris/abstract/2-4 http://www.dcp2.org/pubs/DCP/37/Section/5191 http://www.hindawi.com/isrn/dermatology/2012/351603/

Investigacin en Salud