Afsar Fatma Sule
Dr. Behçet Uz Children's Hospital, Izmir, Turkey.
Cutan Ocul Toxicol. 2011 Jun;30(2):138-46. doi: 10.3109/15569527.2010.542218. Epub 2010 Dec 16.
The aim of this study was to determine the real spectrum of skin diseases in Turkish children and how they were managed.
Data on a total of 6000 consecutive patients aged 0-18 years attending the pediatric dermatology clinic were analyzed for diagnosis, disease group, diagnostic pattern, treatment modality, and referral and hospitalization frequency.
Allergic skin diseases (49.9%) were the leading group of dermatoses, which were followed by infectious diseases (20.5%), and disorders of skin appendages (10.2%). Atopic dermatitis was the most common dermatose, which was followed by papular urticaria and unclassified eczema. Most of the patients (92.0%) had diagnosis on clinical basis, whereas skin biopsy was performed in 3.7% and laboratory investigation in 4.4% of the patients. The hospitalization rate was 0.3%, and Henoch-Schönlein purpura was the most frequent dermatose for which hospitalization was required. Local treatment was prescribed in 56.0% of the patients, local treatment and systemic treatment together in 26.4%, and systemic treatment in 6.2%. Viral warts followed by viral exanthems caused by enteroviruses and acquired melanocytic nevi were the most frequently referred skin problems. Further investigation and treatment for systemic or related diseases was the most common reason for referrals (2.1%), and pediatrics was the department to which most of the referrals were made (1.8%).
This study provided important data on the spectrum of skin diseases encountered in the pediatric age groups and general approach to patients in a pediatric dermatology clinic in Turkey.
本研究旨在确定土耳其儿童皮肤病的实际范围及其治疗方式。
对儿科皮肤科门诊连续就诊的6000例0至18岁患者的数据进行分析，内容包括诊断、疾病分组、诊断模式、治疗方式以及转诊和住院频率。
过敏性皮肤病（49.9%）是主要的皮肤病类型，其次是传染病（20.5%）和皮肤附属器疾病（10.2%）。特应性皮炎是最常见的皮肤病，其次是丘疹性荨麻疹和未分类的湿疹。大多数患者（92.0%）通过临床诊断，3.7%的患者进行了皮肤活检，4.4%的患者进行了实验室检查。住院率为0.3%，过敏性紫癜是最常需要住院治疗的皮肤病。56.0%的患者采用局部治疗，26.4%的患者采用局部治疗和全身治疗相结合的方式，6.2%的患者采用全身治疗。病毒疣其次是肠道病毒引起的病毒疹和后天性黑素细胞痣是最常转诊的皮肤问题。因全身性或相关疾病进行进一步检查和治疗是转诊的最常见原因（2.1%），儿科是大多数转诊患者前往的科室（1.8%）。
本研究提供了有关土耳其儿科年龄组中遇到的皮肤病范围以及儿科皮肤科门诊患者一般治疗方法的重要数据。
