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掌跖部皮肤病患者临床特征的前瞻性研究

A Prospective Study of Clinical Profile in Patients of Palmoplantar Dermatoses.

作者信息

Nair Pragya A, Diwan Nilofar G, Singhal Rochit, Vora Rita V

机构信息

Department of Dermatology, Pramukh Swami Medical College, Karamsad, Gujarat, India.

出版信息

Indian Dermatol Online J. 2017 Sep-Oct;8(5):331-335. doi: 10.4103/idoj.IDOJ_308_16.

Abstract

BACKGROUND

Palms and soles are the readily visible areas of the body that are affected in various dermatoses. This may have considerable concern to the patient and can cause diagnostic dilemma. Moreover, palmoplantar dermatoses also limit our day to day activities with a significant impact on quality of life.

AIM

To study the clinical profile of patients suffering from palmoplantar dermatoses at a tertiary care centre.

PATIENTS AND METHODS

A prospective observational study was carried out from June 2014 to May 2015 in the Department of Dermatology, Venerology and Leprosy at a rural tertiary care centre after taking approval from the institutional ethical committee. In total, 202 cases were enrolled. The study was analyzed using Chi-square test.

RESULTS

A total of 202 patients were enrolled, among which 53.46% were males. The most common age group affected was 17-40 years (42.57%). Duration of less than 1 month was seen in 31.7% cases whereas 29.7% showed seasonal variation. The most common chief complaint was itching (69.8%). Palmoplantar psoriasis was the most common dermatosis with 28.22% cases, followed by keratinizing disorders with 26.72% cases. Palms were involved in 66.34% cases, soles in 69.30%, and both palms and soles in 37.12% cases. Other body parts were involved in 15.34% of the cases. Diabetes and hypertension were common comorbid conditions seen in 11.4% of the cases each.

CONCLUSION

Palmoplantar psoriasis was the most common disorder affecting palms and soles followed by palmoplantar keratoderma.

摘要

背景

手掌和足底是身体上在各种皮肤病中容易出现病变的可见部位。这可能会让患者极为担忧,并导致诊断上的困境。此外,掌跖部皮肤病还会限制我们的日常活动,对生活质量产生重大影响。

目的

在一家三级医疗中心研究掌跖部皮肤病患者的临床特征。

患者与方法

在获得机构伦理委员会批准后,于2014年6月至2015年5月在一家农村三级医疗中心的皮肤科、性病科和麻风病科开展了一项前瞻性观察研究。总共纳入了202例病例。采用卡方检验对研究进行分析。

结果

共纳入202例患者,其中男性占53.46%。受影响最常见的年龄组为17 - 40岁(42.57%)。31.7%的病例病程少于1个月,而29.7%表现出季节性变化。最常见的主要症状是瘙痒(69.8%)。掌跖部银屑病是最常见的皮肤病,占28.22%的病例,其次是角化性疾病,占26.72%的病例。66.34%的病例累及手掌,69.30%累及足底,37.12%的病例手掌和足底均受累。15.34%的病例累及身体其他部位。糖尿病和高血压是常见的合并症,各占11.4%的病例。

结论

掌跖部银屑病是影响手掌和足底最常见的疾病,其次是掌跖角化病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8b8/5621192/2a8d73c2d874/IDOJ-8-331-g004.jpg

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