Postgraduate Department of Dermatology, Sexually Transmitted Diseases and Leprosy, Jammu and Kashmir, India.
Indian J Dermatol Venereol Leprol. 2014 May-Jun;80(3):214-20. doi: 10.4103/0378-6323.132248.
Various environmental, socio-economic and geographical factors influence the pattern of dermatoses in an area. Observations made at tertiary dermatology centres may not reflect the actual pattern of dermatoses at the community level.
To evaluate the pattern of dermatoses at community level and compare it with that at a tertiary centre.
Cases were registered through community visits in block Hazratbal in Kashmir valley, once a week over a calendar year. The pattern of dermatoses observed was compared with that seen at the tertiary centre over the same period.
A total of 1065 community cases, with 1105 dermatoses, were compared with 4358 patients with 4466 dermatoses seen at the tertiary centre. Non-infectious dermatoses in each group were more common than infectious dermatoses (34.08% infectious dermatoses versus 65.97% non-infectious in community cases and 29.42% infectious dermatoses versus 70.58% non-infectious in hospital patients). Infectious cases were seen significantly more in the community (34.08%) than at the tertiary centre (29.42%). Among the infectious diseases, fungal infection was the most common and in the non-infectious group, pigmentary disorders were the most common, followed by acne and eczema.
Infectious dermatoses were found statistically significantly more in community cases as compared to hospital patients while the opposite was the case with non-infectious dermatoses. The study emphasizes the need for providing frequent dermatology services to the community at the primary healthcare level so that the burden of dermatoses, especially infectious, may be reduced. Also, wider studies should be conducted in different regions in order to assess the actual magnitude of dermatological illnesses in the community.
各种环境、社会经济和地理因素影响一个地区的皮肤病模式。在三级皮肤科中心进行的观察结果可能无法反映社区层面实际的皮肤病模式。
评估社区一级皮肤病的模式，并将其与三级中心的模式进行比较。
通过在克什米尔山谷哈扎特巴尔街区进行社区访问，每周一次，在一个日历年内登记病例。观察到的皮肤病模式与同期三级中心所见进行比较。
共比较了 1065 例社区病例（1105 种皮肤病）和 4358 例三级中心患者（4466 种皮肤病）。每组非传染性皮肤病比传染性皮肤病更为常见（社区病例中 34.08%为传染性皮肤病，而 65.97%为非传染性皮肤病；医院患者中 29.42%为传染性皮肤病，而 70.58%为非传染性皮肤病）。社区中传染性病例明显多于三级中心（34.08%对 29.42%）。在传染性疾病中，真菌感染最为常见，而非传染性疾病中，色素障碍性疾病最为常见，其次是痤疮和湿疹。
与医院患者相比，社区病例中感染性皮肤病的发生率具有统计学意义，而非感染性皮肤病则相反。该研究强调了在初级医疗保健层面为社区提供频繁皮肤科服务的必要性，以便减轻皮肤病，尤其是传染性皮肤病的负担。此外，应在不同地区进行更广泛的研究，以评估社区中实际的皮肤病发病率。
