Aetiological Factors of Periorbital Hyperpigmentation in Patients Presenting to the Hospital

Objective: To know the aetiological factors of periorbital hyperpigmentation in patients presenting to the Outpatient Department of Combined Military Hospital, Kharian Pakistan. Study Design: Cross-sectional study. Place and Duration of Study: Combined Military Hospital, Kharian Pakistan, fro...

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Main Authors: Amna Nasar, Aamir Habib, Qamar ud Din, Uzma Naeem, Tanveer Ahmad Mujahid, Maeda Jabeen
Format: Article
Language:English
Published: Army Medical College Rawalpindi 2023-06-01
Series:Pakistan Armed Forces Medical Journal
Subjects:
Online Access:https://www.pafmj.org/index.php/PAFMJ/article/view/7372
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author Amna Nasar
Aamir Habib
Qamar ud Din
Uzma Naeem
Tanveer Ahmad Mujahid
Maeda Jabeen
author_facet Amna Nasar
Aamir Habib
Qamar ud Din
Uzma Naeem
Tanveer Ahmad Mujahid
Maeda Jabeen
author_sort Amna Nasar
collection DOAJ
description Objective: To know the aetiological factors of periorbital hyperpigmentation in patients presenting to the Outpatient Department of Combined Military Hospital, Kharian Pakistan. Study Design: Cross-sectional study. Place and Duration of Study: Combined Military Hospital, Kharian Pakistan, from Nov 2020 to Sep 2021. Methodology: We conducted a study of sixty patients with periorbital hyperpigmentation periorbital hyperpigmentation presenting to Skin OPD. A detailed history, clinical examination, and lab investigations like complete blood counts, thyroid function tests, and vitamin B12 and D levels were advised. Results: Out of 60 patients, 2(3.33%) were male, and 58(96.66%) were females. The mean age of patients was 24.95 years ±6.48. 10(16.66%) had a family history of periorbital hyperpigmentation. Lack of adequate sleep was found in 18(30%) patients, and prolonged daily bright screen exposure was found in 28(46.66%). History of atopy was present in 18(30%). History of seasonal allergies was present in 17(28.33) % of individuals. Other associated pigmented conditions like melasma in 14(23.33%) and post-inflammatory hyperpigmentation were noted in 2(3.33%) patients. 8(13.33%) patients had anaemia, 4(6.66%) had subclinical Hypothyroidism, and low vitamin D levels were found in 6(10%). None of our patients had vitamin B12 deficiency. Conclusion: Periorbital hyperpigmentation has multiple aetiological factors and associations. Correctable factors need to be addressed for better treatment outcomes. The presence of anaemia, subclinical Hypothyroidism, and low serum vitamin D levels indicate the need to screen periorbital hyperpigmentation patients for these conditions.
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spelling doaj.art-bbbf8ae32e7f47eca3256c4eeba102772023-09-08T06:00:51ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422023-06-0173310.51253/pafmj.v73i3.7372Aetiological Factors of Periorbital Hyperpigmentation in Patients Presenting to the HospitalAmna Nasar0Aamir Habib1Qamar ud Din2Uzma Naeem3Tanveer Ahmad Mujahid4Maeda Jabeen5Department of Dermatology, Combined Military Hospital, Khairan/National University of Medical Sciences (NUMS) PakistanDepartment of Dermatology, Combined Military Hospital, Khairan/National University of Medical Sciences (NUMS) PakistanDepartment of Dermatology, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanDepartment of Pathology, Armed Forces Institute of Pathology/National University of Medical Sciences (NUMS) Rawalpindi PakistanDepartment of Dermatology, Combined Military Hospital, Khairan/National University of Medical Sciences (NUMS) PakistanDepartment of Medicine, Combined Military Hospital Jhelum/National University of Medical Sciences (NUMS) Pakistan Objective: To know the aetiological factors of periorbital hyperpigmentation in patients presenting to the Outpatient Department of Combined Military Hospital, Kharian Pakistan. Study Design: Cross-sectional study. Place and Duration of Study: Combined Military Hospital, Kharian Pakistan, from Nov 2020 to Sep 2021. Methodology: We conducted a study of sixty patients with periorbital hyperpigmentation periorbital hyperpigmentation presenting to Skin OPD. A detailed history, clinical examination, and lab investigations like complete blood counts, thyroid function tests, and vitamin B12 and D levels were advised. Results: Out of 60 patients, 2(3.33%) were male, and 58(96.66%) were females. The mean age of patients was 24.95 years ±6.48. 10(16.66%) had a family history of periorbital hyperpigmentation. Lack of adequate sleep was found in 18(30%) patients, and prolonged daily bright screen exposure was found in 28(46.66%). History of atopy was present in 18(30%). History of seasonal allergies was present in 17(28.33) % of individuals. Other associated pigmented conditions like melasma in 14(23.33%) and post-inflammatory hyperpigmentation were noted in 2(3.33%) patients. 8(13.33%) patients had anaemia, 4(6.66%) had subclinical Hypothyroidism, and low vitamin D levels were found in 6(10%). None of our patients had vitamin B12 deficiency. Conclusion: Periorbital hyperpigmentation has multiple aetiological factors and associations. Correctable factors need to be addressed for better treatment outcomes. The presence of anaemia, subclinical Hypothyroidism, and low serum vitamin D levels indicate the need to screen periorbital hyperpigmentation patients for these conditions. https://www.pafmj.org/index.php/PAFMJ/article/view/7372Periorbital hyperpigmentationPost-inflammatory hyperpigmentationThyroid function tests
spellingShingle Amna Nasar
Aamir Habib
Qamar ud Din
Uzma Naeem
Tanveer Ahmad Mujahid
Maeda Jabeen
Aetiological Factors of Periorbital Hyperpigmentation in Patients Presenting to the Hospital
Pakistan Armed Forces Medical Journal
Periorbital hyperpigmentation
Post-inflammatory hyperpigmentation
Thyroid function tests
title Aetiological Factors of Periorbital Hyperpigmentation in Patients Presenting to the Hospital
title_full Aetiological Factors of Periorbital Hyperpigmentation in Patients Presenting to the Hospital
title_fullStr Aetiological Factors of Periorbital Hyperpigmentation in Patients Presenting to the Hospital
title_full_unstemmed Aetiological Factors of Periorbital Hyperpigmentation in Patients Presenting to the Hospital
title_short Aetiological Factors of Periorbital Hyperpigmentation in Patients Presenting to the Hospital
title_sort aetiological factors of periorbital hyperpigmentation in patients presenting to the hospital
topic Periorbital hyperpigmentation
Post-inflammatory hyperpigmentation
Thyroid function tests
url https://www.pafmj.org/index.php/PAFMJ/article/view/7372
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