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A CLINICO - EPIDEMIOLOGICAL STUDY OF PEDIATRIC ACQUIRED FACIAL HYPOPIGMENTATION
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Background: Pigmentary disorders are believed to be the commonest group of dermatoses in Pediatric age group. Loss of pigment can have a
profound psychological impact on the parents of the affected child.
Aim:
1. To determine the prevalence and proportion of acquired hypopigmented skin lesions on the face.
2. To evaluate their etiology and clinical characteristics among the patients of pediatric age group (< 12years of age - facial lesions were found in
100 patients out of the 250 pediatric cases) visiting Department of Dermatology out - patient clinics of Shadan Institute of Medical Sciences,
Teaching Hospital and Research Centre.
Results: Hypopigmented lesions are most commonly seen at 4-6 yrs. of age (4.4%) with the onset below 1yr of age duration (1%) with male
preponderance (8.2%). The most common symptom was asymptomatic in 40 cases (4%), followed by itching seen in 23 cases (2.3%),
photosensitivity in 17 patients (1.7%), redness in 16 cases (1.6%), and loss of sensations in 4 cases (0.4%). In this study the most common disorder
was pityriasis alba in 20 cases (2.0%), followed by post inammatory hypopigmentation in 12 cases with Seborrheic Dermatitis (SD) (1.2 %)
Atopic Dermatitis (AD) as 8 patients (0.8%), nutritional cause in 8 patients (0.8%), focal vitiligo 8 patients (0.8%) ACD (Allergic Contact
Dermatitis) as 7 patients (0.7%), Tinea Facei 7 cases (0.7%), pityriasis versicolor in 6 (0.6%) cases, post infectious as after bacterial are 6 patients
(0.6%), viral (0.6%), trauma after nail scratching as 4 patients (0.4%), Hansen's disease in 3 cases (0.3%) with indeterminate type 2 cases (0.2%),
segmental 1 patient (0.1%), Borderline Leprosy as 1 case (0.1%). Cheeks (2.9%) are the commonest site on face followed by mouth (perioral)
(2.2%), then forehead (1.3%), next periorbital (1.0%), peri nasal (0.9%) and chin, nally around ears (0.7%). Duration of less than 6months is seen
in 80 cases (8%), then 20 cases (2%) seen after 12 months. Hypopigmentation encountered in Conclusion: the modern world is neither contagious
nor dangerous, fear, anxiety and uncertainty continue to surround this problem for patient and physician alike pediatric age group are common
occurrence group
Title: A CLINICO - EPIDEMIOLOGICAL STUDY OF PEDIATRIC ACQUIRED FACIAL HYPOPIGMENTATION
Description:
Background: Pigmentary disorders are believed to be the commonest group of dermatoses in Pediatric age group.
Loss of pigment can have a
profound psychological impact on the parents of the affected child.
Aim:
1.
To determine the prevalence and proportion of acquired hypopigmented skin lesions on the face.
2.
To evaluate their etiology and clinical characteristics among the patients of pediatric age group (< 12years of age - facial lesions were found in
100 patients out of the 250 pediatric cases) visiting Department of Dermatology out - patient clinics of Shadan Institute of Medical Sciences,
Teaching Hospital and Research Centre.
Results: Hypopigmented lesions are most commonly seen at 4-6 yrs.
of age (4.
4%) with the onset below 1yr of age duration (1%) with male
preponderance (8.
2%).
The most common symptom was asymptomatic in 40 cases (4%), followed by itching seen in 23 cases (2.
3%),
photosensitivity in 17 patients (1.
7%), redness in 16 cases (1.
6%), and loss of sensations in 4 cases (0.
4%).
In this study the most common disorder
was pityriasis alba in 20 cases (2.
0%), followed by post inammatory hypopigmentation in 12 cases with Seborrheic Dermatitis (SD) (1.
2 %)
Atopic Dermatitis (AD) as 8 patients (0.
8%), nutritional cause in 8 patients (0.
8%), focal vitiligo 8 patients (0.
8%) ACD (Allergic Contact
Dermatitis) as 7 patients (0.
7%), Tinea Facei 7 cases (0.
7%), pityriasis versicolor in 6 (0.
6%) cases, post infectious as after bacterial are 6 patients
(0.
6%), viral (0.
6%), trauma after nail scratching as 4 patients (0.
4%), Hansen's disease in 3 cases (0.
3%) with indeterminate type 2 cases (0.
2%),
segmental 1 patient (0.
1%), Borderline Leprosy as 1 case (0.
1%).
Cheeks (2.
9%) are the commonest site on face followed by mouth (perioral)
(2.
2%), then forehead (1.
3%), next periorbital (1.
0%), peri nasal (0.
9%) and chin, nally around ears (0.
7%).
Duration of less than 6months is seen
in 80 cases (8%), then 20 cases (2%) seen after 12 months.
Hypopigmentation encountered in Conclusion: the modern world is neither contagious
nor dangerous, fear, anxiety and uncertainty continue to surround this problem for patient and physician alike pediatric age group are common
occurrence group.
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