Manifestaciones dermatológicas en pacientes oncológicos pediátricos en un hospital de tercer nivel de Honduras

Background: Pediatric cancer patients can develop dermatological lesions secondary to antineoplastic therapy, appearance of skin, hair and nails. Objective: To describe the dermatological manifestations in hospitalized pediatric cancer patients. Methods: Cross-sectional...

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Main Authors: Kary Antúnez Williams, Iris Álvarez Montiel, Douglas Varela
Format: Article
Language:Spanish
Published: Colegio Médico de Honduras 2023-06-01
Series:Revista Médica Hondureña
Subjects:
Online Access:https://www.camjol.info/index.php/RMH/article/view/16254
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author Kary Antúnez Williams
Iris Álvarez Montiel
Douglas Varela
author_facet Kary Antúnez Williams
Iris Álvarez Montiel
Douglas Varela
author_sort Kary Antúnez Williams
collection DOAJ
description Background: Pediatric cancer patients can develop dermatological lesions secondary to antineoplastic therapy, appearance of skin, hair and nails. Objective: To describe the dermatological manifestations in hospitalized pediatric cancer patients. Methods: Cross-sectional descriptive study carried out in the Pediatric Hemato-Oncology room, Hospital Escuela, from January to June 2022. 86 patients who presented dermatological manifestations during the study period were included. For the analysis, results such as frequencies, percentages and descriptive statistics were generated. The proportion of patients with dermatological manifestations will be extended as the total number of patients with dermatological diagnoses in the study period/Total number of patients hospitalized in the Pediatric Hemato-Oncology Ward multiplied by 100. Results: The mean age was 9.4 years (SD +/ -5.0; range: 5 months-18 years). The male sex predominated in 62.8% (54/86), Francisco Morazán origin 41.9% (36/86) and rural environment 53.5% (46/86). The dermatological diagnosis was acute lymphoblastic leukemia 60.5% (52/86), the classification was hematological malignancies 67.4% (58/86). The main oncological drug administered was Vincristine 76.7% (76/86). The main antineoplastic agent administered was vegetable alkaloids 75.6% (65/86). The type of lesion erythema 38.5% (34/86); the location of the lesion was on the skin in 47.6% (41/86). Dermatological diagnosis was alopecia and mucositis 36.0% (31/86) respectively. The proportion of dermatological lesions was 65.1% (86/132) and 82.6% (71/86) were classified as secondary to cancer treatment. Discussion: The proportion of dermatological lesions was 65%, the main manifestations being alopecia and mucositis, possibly secondary to the administration of antineoplastic therapy, specifically plant alkaloids, similar to what has been reported in the literature.
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spelling doaj.art-6d884374e1684ea48aa4a02a04913bb62023-07-14T22:34:30ZspaColegio Médico de HondurasRevista Médica Hondureña0375-11121995-70682023-06-01911182410.5377/rmh.v91i1.16254Manifestaciones dermatológicas en pacientes oncológicos pediátricos en un hospital de tercer nivel de HondurasKary Antúnez Williams0https://orcid.org/0009-0008-8190-3995Iris Álvarez Montiel1https://orcid.org/0009-0003-3528-2650Douglas Varela2https://orcid.org/0000-0001-6334-7149Universidad Nacional Autónoma de Honduras (UNAH), Facultad de Ciencias Médicas (FCM),Posgrado de Pediatría; Tegucigalpa, Honduras.UNAH, Departamento de Pediatría, FCM; Tegucigalpa, Honduras.UNAH, Departamento de Fisiología, FCM; Tegucigalpa, Honduras.Background: Pediatric cancer patients can develop dermatological lesions secondary to antineoplastic therapy, appearance of skin, hair and nails. Objective: To describe the dermatological manifestations in hospitalized pediatric cancer patients. Methods: Cross-sectional descriptive study carried out in the Pediatric Hemato-Oncology room, Hospital Escuela, from January to June 2022. 86 patients who presented dermatological manifestations during the study period were included. For the analysis, results such as frequencies, percentages and descriptive statistics were generated. The proportion of patients with dermatological manifestations will be extended as the total number of patients with dermatological diagnoses in the study period/Total number of patients hospitalized in the Pediatric Hemato-Oncology Ward multiplied by 100. Results: The mean age was 9.4 years (SD +/ -5.0; range: 5 months-18 years). The male sex predominated in 62.8% (54/86), Francisco Morazán origin 41.9% (36/86) and rural environment 53.5% (46/86). The dermatological diagnosis was acute lymphoblastic leukemia 60.5% (52/86), the classification was hematological malignancies 67.4% (58/86). The main oncological drug administered was Vincristine 76.7% (76/86). The main antineoplastic agent administered was vegetable alkaloids 75.6% (65/86). The type of lesion erythema 38.5% (34/86); the location of the lesion was on the skin in 47.6% (41/86). Dermatological diagnosis was alopecia and mucositis 36.0% (31/86) respectively. The proportion of dermatological lesions was 65.1% (86/132) and 82.6% (71/86) were classified as secondary to cancer treatment. Discussion: The proportion of dermatological lesions was 65%, the main manifestations being alopecia and mucositis, possibly secondary to the administration of antineoplastic therapy, specifically plant alkaloids, similar to what has been reported in the literature.https://www.camjol.info/index.php/RMH/article/view/16254alopeciadermatologymedical oncologypediatricsskin manifestations
spellingShingle Kary Antúnez Williams
Iris Álvarez Montiel
Douglas Varela
Manifestaciones dermatológicas en pacientes oncológicos pediátricos en un hospital de tercer nivel de Honduras
Revista Médica Hondureña
alopecia
dermatology
medical oncology
pediatrics
skin manifestations
title Manifestaciones dermatológicas en pacientes oncológicos pediátricos en un hospital de tercer nivel de Honduras
title_full Manifestaciones dermatológicas en pacientes oncológicos pediátricos en un hospital de tercer nivel de Honduras
title_fullStr Manifestaciones dermatológicas en pacientes oncológicos pediátricos en un hospital de tercer nivel de Honduras
title_full_unstemmed Manifestaciones dermatológicas en pacientes oncológicos pediátricos en un hospital de tercer nivel de Honduras
title_short Manifestaciones dermatológicas en pacientes oncológicos pediátricos en un hospital de tercer nivel de Honduras
title_sort manifestaciones dermatologicas en pacientes oncologicos pediatricos en un hospital de tercer nivel de honduras
topic alopecia
dermatology
medical oncology
pediatrics
skin manifestations
url https://www.camjol.info/index.php/RMH/article/view/16254
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AT irisalvarezmontiel manifestacionesdermatologicasenpacientesoncologicospediatricosenunhospitaldetercerniveldehonduras
AT douglasvarela manifestacionesdermatologicasenpacientesoncologicospediatricosenunhospitaldetercerniveldehonduras