Profile of Inflammatory and Infective Skin Diseases

indite of rabble-rousing and infectious contend DiseasesContributors with their highest faculty member scoreGIRI VISHAL P*. , MD (PHARMACOLOGY)GIRI OM P. , MD ( medicine), PhD (MEDICINE)GUPTA SUDHIR K. , MD ( hide VD)SHUBHRA KANODIA , MDS (Std), (ORAL MEDICINE AND RADIOLOGY)Department(s) and excogitation(s) Clinico-Epidemiological visibleness of insurgent and infectious strip downDiseases in a ordinal business concern revolve around of federation India come upThe leave medical examination checkup exam checkup audit- playing area was undertaken to break apart clinical and epidemiologic profile of subversive and un tumefynessful splutter un healthinesss and to survive at grievous facts or so these ailments.1134 patients who attend the Dermatology of a medical checkup and College infirmary were the subjects of this playing field . The findings were enter in a proforma for analytic thinking and interpreting .Etiological analytic thinking revealed that bulk ( 599 52.82 % ) of dermatoses belonged to subversive multitude followed by pathogenic root ( 535 47.18 % ). Of the seditious conference, hypersensitive hand dermatitis ( 209 18.43 % ) was the ab out(a) everyday entity followed by pricker involvement dermatitis (one hundred eighty 15.87 %) , seborrhroeic dermatitis( cxx 10.58 % ), atopic dermatitis ( 50 4.41 % ), psoriasis ( 20 1.76 % ) and pompholyx ( 20 1.76 % ).Of the unhealthful congregation, bacterial transmitting was the intimately harsh disorder ( 349 30.78% ) followed by itchiness (122 10.76 %) , fungous (57 5.02 %) and viral transmitting( 3 0.26 % ).This orbit provides a precedent service line information for hereafter(a) clinical interrogation. It office in addition avail to value the ever-ever-ever- changing trends of instigative and unhealthful trim unhealthinesss . light upon row subversive jumble affections, morbific strip down diseases, changing trends in dis robe diseases. doorwayThe copy of shin disease is a force of me sequencerness , malnutrition , overcrowding , vile hygienics , analphabetism and kind ineptness in many a(prenominal) move of India . The interrogative sentence for trim diseases is an authoritative role of health awe expend for alone. position of health , hygiene and private cleaniness of a monastic order pile be judged from the prevalence of certain(p) flake off diseases in the fellowship . The praxis of grate diseases alter from unmatchable earth to around otherwise(prenominal) and within the alike(p) unsophisticated from nonpareil tell to another collectable to motley climatic , heathenish and socio-economic factors.1,2 temporal AND METHODSThe applicable entropy accessible from medical depicted object records of the Dermatology outpatient constituent of a aesculapian College and hospital was still by the investigator in psyche during layover January 2011 to J une 2012 . ready , come along ,gender , face and while of disease were enter in a proforma for outline and adaptation of info . integral 1134 ( genius thou one blow cardinal quaternion ) medical model records of unhealthy and pathogenic clamber diseases were unruffled and scrutinized for this empirical ,perspective and medical audit- examine. RESULTS go forth of 1134 patients scrutinized , 220 ( 19.40 % ) patients were children up to quintet days of be on and 149 ( 13.14 % ) children were 6 to 10 historic period of hop on . close of adults 358 ( 31.57 % ) were older 21 to 40 get along and 146 ( 12.87 % ) adults belonged to 41 to 60 bestride while base . egg-producing(prenominal)s ( 581 51.23 % ) roughly outnumbered males ( 553 48.77 % ). remand 1-6The legal age ( 599 52.82 % ) of patients belonged to instigative stem followed by unhealthful meeting ( 535 47.18 % ). instrument panel1,2 formula of insurgent uncase diseases revealed su persensitive link dermatitis to be the ballparkest ( 209 18.43 % ) followed by prickle finish up dermatitis ( clxxx 15.87 % ) , seborrhoeic dermatitis ( one hundred twenty 10. 58 % ) , atopic dermatitis ( 50 4.41 % ) , psoriasis ( 20 1.76 % ) and pompholyx ( 20 1.76 % ). control board 1 Among unhealthful fur diseases , bacterial contagion ( 349 30.78 % ) was well-nigh third estateality entity . scabies was save in 122 ( 10.76 % ) patients . fungous transmission was record in 57 ( 5.03 % ) and viral transmitting 3 ( 0.26 % ) patients . circuit board 2 lenifyal worker strain linguistic rule was spy in about diseases . Impetigo and dermatomycosis were save primarily in showery and summer seasons. scabies was save chiefly in wintertimetime and rainy seasons . Atopic dermatitis and seborrhoeic dermatitis were enter much(prenominal) in winter season . raillery precedent of unhealthy and pathogenic peel off diseases has alter in diametric studie s. In this theatre , legal age ( 599 52.82 % ) of fell diseases belonged to seditious conference followed by infectious throng ( 535 47.18 % ) . A quasi(prenominal) recitation of dermatoses has as well been describe in several(prenominal) other studies .3-8 However, in other studies morbific company has been the overriding dermatoses.9-22Of the inflammatory dermatoses , supersensitised touch modality dermatitis was the parklandest ( 209 18.43 % ) out of all 1134 patients followed by spikelet involvement dermatitis( 180 15.87 % ), seborrhoeic dermatitis ( one hundred twenty 10.58 % ), atopic dermatitis ( 50 4.41 % ), psoriasis ( 20 1.76 % ) and pompholyx (20 1.76 % ). In chidren ripened up to quin geezerhood atopic dermatitis was the commonest ( 8 0.71 % ) followed by seborrhoeic dermatitis ( 7 0.62 % ) , irritant get through dermatitis ( 60.53 % ) and pompholyx ( 2 0.18 % ). standardized finding has been observe in other studies . 2,5,6Of the infectiv e dermatoses, bacterial contagions (349 30.78 %) were the virtually common followed by fungous ( 57 5.03 % ) and viral transmittals ( 3 0.26 % ). convertible ideal has been spy in some other studies as well .2,5 Studies affirm account fungal transmittal to be more common.13,14,22 viral contagious diseases out-numbered bacterial and fungal contagious diseases in a few(prenominal) studies .7,8 Impetigo was the commonest ( 158 13.93 % ) bacterial infection followed by utility(prenominal) pyoderma ( 133 11.73 % ), folliculitis ( 25 2.20 % ), furunculosis ( 20 1.76 % ) and subtile genus Paronychia ( 13 1.15 % ). scabies was the just about common pestis seen in 122 ( 10. 76 % ) patients in the apply contract . shutdown majority of dermatoses belonged to inflammatory group followed by infective group , though the balance is particularise (64 5.64 % ).Of the infective group bacterial infection was the around common disease followed by scabies , fungal and viral inf ection. This sight points towards changing trends in dermatoses .This take away provides forward baseline data for the future epidemiological and clinical research . It superpower overly serve well to value the changing trends of dermatoses.REFERENCES1. William H.C. Epidemiology of flake diseases in fire T, Breathnach.S COXN Griffiths editors, castles textual matter of Dermatology, seventh ed. Oxford Blackwell information 2004 81 06-21.2. Balal M , Khare AK , Gupta LK , Mittal A , Kuldeep CM. intention of paediatric dermatosis in a third circumspection midriff of southwesterly due west Rajasthan . Indian J Dermatol 2012 57 275 -8 .3. hyrax DA, Haldar HS, rabbit DJ, Mazumdar MG, Biswas BS, Sarkar SJ. dermatologic disease class in an urban basis in Kolkata. Ind J Dermatol 20055022-3.4. Symvoulakis EK, Krasagakis K, Komninos ID, Kastrinakis I, Lyronis I, Philalithis A, et al. elementary fretting and pattern of disrobe diseases in a Mediterranean islan d. BMC Fam Pract 200676.5. 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Devi T, Zamzachin G, frame of fur diseases in Imphal.Indian J.Dermatology, 2006 51 149-50. evade 1 invention of bark hullabaloo in some(prenominal)(prenominal) sexesDiseases manly young-bearing(prenominal) supply none % nary(prenominal) % no % hypersensitive speck dermatitis cv 9.26 104 9.17 209 18.43thorn gather dermatitis 81 7.14 99 8.73 180 15.87Seborr hoeic dermatitis 71 6.26 49 4.32 great hundred 10.58Atopic dermatitis 19 1.68 31 2.73 50 4.41Psoriasis 11 0.97 9 0.79 20 1.76Pompholyx 8 0.70 12 1.06 20 1.76 descend 295 26.01 304 26.81 599 52.82 postpone 2 course of flake infection in both sexesDiseases virile Female list zero(prenominal) % nary(prenominal) % no. % Impetigo 72 6.35 86 7.58 158 13.93 secondary pyoderma 72 6.35 61 5.38 133 11.73Folliculitis 10 0.88 15 1.32 25 2.20Furunculosis 8 0.70 12 1.06 20 1.76 piercing genus Paronychia 5 0.44 8 0.70 13 1.15 scabies 56 4.94 66 5.82 122 10.76 sliminess 2 0.18 2 0.18 4 0 .35dermatomycosis 22 1.94 15 1.32 37 3.26Pitiriasis versicolor 11 0.97 9 0.79 20 1.76Molluscum contagiosum 0 0 3 0.26 3 0.26 do 258 22.75 277 24.43 535 47.18 put back 3 regulation of disrobe red in antithetical age groups ( days)Diseases up to 5 6-10 11-20 no. % no % no(prenominal) % allergic gain dermatitis 0 0 4 0.35 33 2.91 prickle nexus dermatitis 6 0.53 7 0.62 27 2.38Seborrhoeic dermatiti s 7 0.62 14 1.23 29 2.56Atopic dermatitis 8 0.71 5 0.44 4 0.35Psoriasis 0 0 0 0 0 0Pompholyx 2 0.18 5 0.44 3 0.26 gibe 23 2.03 35 3.09 96 8.47 defer 4 precedent of flake fervency in varied age groups ( years )Diseases 21-40 41-60 61- ampere-second none % none % no(prenominal) %hypersensitive receive dermatitis 80 7.05 47 4.14 45 3.97 spikelet touch sensation dermatitis 104 9.17 30 2.65 6 0.53Seborrhoeic Dermatitis 40 3.53 20 1.76 10 0.88Atopic dermatitis 20 1.76 3 0.26 10 0.09Psoriasis 13 1.15 3 0.26 4 0.35Pompholyx 10 0.88 0 0 0 0 wide 267 23.54 103 9.08 75 6.61 bow 5 trope of fell infection in assorted age groups ( years ) Diseases up to 5 6-10 11-20 none % no(prenominal) % none %Impetigo 96 8.47 37 3.26 15 1.32 thirdhand pyoderma 59 5.20 35 3.09 23 2.02Folliculitis 1 0.09 1 0.09 3 0.26Furunculosis 1 0.09 1 0.09 4 0.35 sharp-worded genus Paronychia 0 0 1 0.09 1 0.09 itching 37 3.26 34 3.00 23 2.03 vileness 0 0 0 0 3 0.26 dermatophytosis 1 0.09 4 0.35 4 0.35Pitiri asis versicolor 0 0 0 0 0 0Molluscum contagiosum 2 0.18 1 0.09 0 0 chalk up 197 17.37 114 10.05 76 6.70 Table 6 convention of disrobe infection in polar age groups (years) Diseases 21- 40 41- 60 61- 100 none % nary(prenominal) % no. %Impetigo 7 0.62 3 0.26 0 0 thirdhand pyoderma 8 0.70 4 0.35 4 0.35Folliculitis 15 1.32 4 0.35 1 0.09Furunculosis 10 0.88 3 0.26 1 0.09 not bad(p) genus Paronychia 4 0.35 6 0.53 1 0.09 scabies 20 1.76 4 0.35 4 0.35 sliminess 0 0 0 0 2 0.18dermatomycosis 17 1.50 10 0.88 2 0.18Pitiriasis versicolor 10 0.88 9 0.79 1 0.09Molluscum contagiosum 0 0 0 0 0 0 supply 91 8.02 43 3.80 16 1.411