Giam Y C
Middle Road Hospital, Singapore.
Ann Acad Med Singap. 1988 Oct;17(4):569-72.
Singapore has developed over the past 3 decades with improvement in housing, nutrition and general health. The pattern of skin diseases has changed from conditions like pyodermas and malnutrition to predominantly eczemas. The paediatric cases seen at Middle Road Hospital consist of 13% of general dermatology cases (509 of 37,964 total new cases in 1986). About 2.7% (138) of the children were below 1 year, 32.5% (1630) were below 1-4 years and 64.5% (3251) were below 14 years of age. The ten most common dermatoses (1986) follow a similar trend in most of the developed towns of Asia. This includes eczemas 32.0% (1603 cases); 14.5% (730) of atopics, non-specified eczemas 9.6% (481), hand eczema 4.1% (209), contact dermatitis 1.7% (90), discoid eczema 1.15% (57), seborrhoeic 0.7% (36). The remaining are viral warts 6.8% (342), scabies 3.2% (302), acne 3.7% (180), pyoderma 3.5% (175), dermatophytes 3.3% (169), urticaria 2.6% (134), pityriasis rosea 0.1% (51) and vitiligo 0.09% (46).
在过去三十年里,新加坡在住房、营养和总体健康状况方面都有所改善。皮肤病的类型已从脓皮病和营养不良等病症转变为以湿疹为主。中路医院诊治的儿科病例占普通皮肤科病例的13%(1986年37964例新病例中占509例)。约2.7%(138名)儿童年龄在1岁以下,32.5%(1630名)在1至4岁以下,64.5%(3251名)在14岁以下。在亚洲大多数发达城镇,1986年最常见的十种皮肤病呈现出类似趋势。这包括湿疹32.0%(1603例);特应性疾病、未明确的湿疹14.5%(730例),手部湿疹9.6%(481例),接触性皮炎1.7%(90例),盘状湿疹1.15%(57例),脂溢性皮炎0.7%(36例)。其余的是病毒疣6.8%(342例),疥疮3.2%(302例),痤疮3.7%(180例),脓皮病3.5%(175例),皮肤癣菌病3.3%(169例),荨麻疹2.6%(134例),玫瑰糠疹0.1%(51例)和白癜风0.09%(46例)。