Ministry of Health and Wellness, Headquarters, Gaborone, Botswana.
University of Botswana, Gaborone, Botswana.
Pediatr Dermatol. 2022 Nov;39(6):883-888. doi: 10.1111/pde.15066. Epub 2022 Jun 27.
An understanding of the prevalence patterns of skin diseases in children in Botswana is needed to guide national dermatological policy development, training, and resource allocation to improve patient care.
To describe local skin disease patterns in children aged 0-18 years presenting for dermatologic care in Botswana.
A retrospective review of records from 1st January 2011 to 31st December 2016 was conducted at the outpatient dermatology clinic of Princess Marina Hospital (PMH) in Gaborone, Botswana and outreach clinic sites.
There were 4413 pediatric visits constituting 18.6% of all dermatology visits. There was a slight male predominance of 1.2:1. The majority of disorders were noninfectious 80.1% (3537/4413) versus infectious 14.6% (645/4413), with 5.2% (231/4413) unclassified. In the noninfectious category, two-thirds were inflammatory, followed by disorders of nails, skin appendages, and pigmentary disorders. Atopic dermatitis was the most common inflammatory disorder. Over half of infectious skin diseases were viral, followed by fungal and bacterial disorders. In the HIV-related disorders, the majority were verrucae 94% (108/115) followed by Kaposi sarcoma. The nine most common skin diagnoses accounted for close to 70% of all skin diseases seen at the clinic, and these included atopic dermatitis (almost half of all cases), followed by verruca, acne, and vitiligo.
There is a high burden of skin disorders in children in Botswana. In our cohort, a small number of skin conditions made up the vast majority of pediatric diagnoses. This information can be used to guide dermatology training and resource allocation to better manage these common diseases.
了解博茨瓦纳儿童皮肤病的流行模式对于指导国家皮肤病学政策的制定、培训和资源分配，改善患者护理至关重要。
描述在博茨瓦纳皮皮肤科诊所就诊的 0-18 岁儿童的本地皮肤疾病模式。
对 2011 年 1 月 1 日至 2016 年 12 月 31 日在博茨瓦纳哈博罗内的马里纳公主医院（PMH）门诊皮肤科诊所和外展诊所的记录进行了回顾性审查。
共有 4413 例儿科就诊，占皮肤科就诊总数的 18.6%。就诊儿童中男性略多于女性，比例为 1.2:1。大多数疾病是非传染性的 80.1%（3537/4413），传染性的 14.6%（645/4413），未分类的 5.2%（231/4413）。在非传染性疾病中，三分之二是炎症性疾病，其次是指甲、皮肤附属器和色素性疾病。特应性皮炎是最常见的炎症性疾病。超过一半的传染性皮肤疾病是病毒性的，其次是真菌性和细菌性疾病。在与 HIV 相关的疾病中，大多数是疣，占 94%（108/115），其次是卡波西肉瘤。诊所就诊的九种最常见的皮肤诊断几乎占所有皮肤疾病的 70%，包括特应性皮炎（几乎占所有病例的一半）、疣、痤疮和白癜风。
博茨瓦纳儿童的皮肤疾病负担很重。在我们的队列中，少数几种皮肤疾病构成了绝大多数儿科诊断。这些信息可用于指导皮肤科培训和资源分配，以更好地管理这些常见疾病。
