Clinico-Epidemiological study of papulosquamous disorders in childhood at a tertiary care hospital in South India

Introduction: Papulosquamous disorders in children differ from those in adults in terms of presentations, treatments, and prognosis. The aim of this study was to add to the existing data regarding the presentation of pediatric papulosquamous disorders and analyze the metabolic parameters in children...

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Main Authors: Shradha Gurudev, Gajanan Pise, Naveen Manohar, Vinitha Sanagoudar, Kiran Rao, Malteshgauda N Patil
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Indian Journal of Paediatric Dermatology
Subjects:
Online Access:http://www.ijpd.in/article.asp?issn=2319-7250;year=2023;volume=24;issue=2;spage=121;epage=128;aulast=Gurudev
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author Shradha Gurudev
Gajanan Pise
Naveen Manohar
Vinitha Sanagoudar
Kiran Rao
Malteshgauda N Patil
author_facet Shradha Gurudev
Gajanan Pise
Naveen Manohar
Vinitha Sanagoudar
Kiran Rao
Malteshgauda N Patil
author_sort Shradha Gurudev
collection DOAJ
description Introduction: Papulosquamous disorders in children differ from those in adults in terms of presentations, treatments, and prognosis. The aim of this study was to add to the existing data regarding the presentation of pediatric papulosquamous disorders and analyze the metabolic parameters in children with psoriasis. Materials and Methods: This observational study included 83 patients (age, 0–18 years) with clinically diagnosed papulosquamous disorders. Demographic data and detailed clinical history were collected followed by a detailed clinical examination. In children with psoriasis, we assessed the parameters of metabolic health, such as anthropometry and blood chemistry. The outcomes are expressed as percentages and proportions. Results: Papulosquamous disorders constituted 2.3% of all the pediatric dermatoses with a male-to-female ratio of 1.7:1. They were commonly noted in the age group of 7–12 years. Psoriasis vulgaris (26.5%) was the most common disease followed by lichen planus (19.2%), seborrheic dermatitis (16.8%), pityriasis rosea (13.2%), lichen striatus (12%), lichen nitidus (7.2%), pityriasis lichenoides chronica (3.6%), and pityriasis rubra pilaris (1.20%). None of the 22 patients with psoriasis fulfilled the criteria for metabolic syndrome. However, aberrant serum levels included elevated fasting glucose (n = 5, 22.7%), elevated fasting triglycerides (n = 3, 13.6%), and decreased high-density lipoproteins (n = 2, 9.1%). Anthropometric abnormalities were also not noted. Conclusions: Understanding the morphological and epidemiological features of pediatric papulosquamous disorders can aid in early diagnosis, treatment, and counseling the patients and parents, which can alleviate their anxiety and improve the psychological distress.
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spelling doaj.art-0dc19b8b2fe14b499a3b44e2d3c8339c2023-10-26T06:49:56ZengWolters Kluwer Medknow PublicationsIndian Journal of Paediatric Dermatology2319-72502023-01-0124212112810.4103/ijpd.ijpd_50_22Clinico-Epidemiological study of papulosquamous disorders in childhood at a tertiary care hospital in South IndiaShradha GurudevGajanan PiseNaveen ManoharVinitha SanagoudarKiran RaoMalteshgauda N PatilIntroduction: Papulosquamous disorders in children differ from those in adults in terms of presentations, treatments, and prognosis. The aim of this study was to add to the existing data regarding the presentation of pediatric papulosquamous disorders and analyze the metabolic parameters in children with psoriasis. Materials and Methods: This observational study included 83 patients (age, 0–18 years) with clinically diagnosed papulosquamous disorders. Demographic data and detailed clinical history were collected followed by a detailed clinical examination. In children with psoriasis, we assessed the parameters of metabolic health, such as anthropometry and blood chemistry. The outcomes are expressed as percentages and proportions. Results: Papulosquamous disorders constituted 2.3% of all the pediatric dermatoses with a male-to-female ratio of 1.7:1. They were commonly noted in the age group of 7–12 years. Psoriasis vulgaris (26.5%) was the most common disease followed by lichen planus (19.2%), seborrheic dermatitis (16.8%), pityriasis rosea (13.2%), lichen striatus (12%), lichen nitidus (7.2%), pityriasis lichenoides chronica (3.6%), and pityriasis rubra pilaris (1.20%). None of the 22 patients with psoriasis fulfilled the criteria for metabolic syndrome. However, aberrant serum levels included elevated fasting glucose (n = 5, 22.7%), elevated fasting triglycerides (n = 3, 13.6%), and decreased high-density lipoproteins (n = 2, 9.1%). Anthropometric abnormalities were also not noted. Conclusions: Understanding the morphological and epidemiological features of pediatric papulosquamous disorders can aid in early diagnosis, treatment, and counseling the patients and parents, which can alleviate their anxiety and improve the psychological distress.http://www.ijpd.in/article.asp?issn=2319-7250;year=2023;volume=24;issue=2;spage=121;epage=128;aulast=Gurudevanthropometrychildmetabolic syndromepapulosquamous disorderspsoriasis
spellingShingle Shradha Gurudev
Gajanan Pise
Naveen Manohar
Vinitha Sanagoudar
Kiran Rao
Malteshgauda N Patil
Clinico-Epidemiological study of papulosquamous disorders in childhood at a tertiary care hospital in South India
Indian Journal of Paediatric Dermatology
anthropometry
child
metabolic syndrome
papulosquamous disorders
psoriasis
title Clinico-Epidemiological study of papulosquamous disorders in childhood at a tertiary care hospital in South India
title_full Clinico-Epidemiological study of papulosquamous disorders in childhood at a tertiary care hospital in South India
title_fullStr Clinico-Epidemiological study of papulosquamous disorders in childhood at a tertiary care hospital in South India
title_full_unstemmed Clinico-Epidemiological study of papulosquamous disorders in childhood at a tertiary care hospital in South India
title_short Clinico-Epidemiological study of papulosquamous disorders in childhood at a tertiary care hospital in South India
title_sort clinico epidemiological study of papulosquamous disorders in childhood at a tertiary care hospital in south india
topic anthropometry
child
metabolic syndrome
papulosquamous disorders
psoriasis
url http://www.ijpd.in/article.asp?issn=2319-7250;year=2023;volume=24;issue=2;spage=121;epage=128;aulast=Gurudev
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AT naveenmanohar clinicoepidemiologicalstudyofpapulosquamousdisordersinchildhoodatatertiarycarehospitalinsouthindia
AT vinithasanagoudar clinicoepidemiologicalstudyofpapulosquamousdisordersinchildhoodatatertiarycarehospitalinsouthindia
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