[在洛美（多哥）皮肤科会诊中所见儿童皮肤病的分布情况]

[Distribution of dermatoses encountered in children seen in Dermatological Consultations in Lomé (Togo)].

作者信息

Clessou Julienne Noude Té, Dovi-Tevi Kokoè Afiwa, Kombaté Koussake, Saka Bayaki, Akakpo Abla Séfako, Pitché Palokinam

机构信息

Service de dermatologie, Centre hospitalier universitaire de Lomé, Faculté des sciences de la santé, Université de Lomé, Togo.

Service de dermatologie, Centre hospitalier universitaire Sylvanus Olympio, Faculté des sciences de la santé, Université de Lomé, Togo.

出版信息

Med Trop Sante Int. 2022 Jun 10;2(2). doi: 10.48327/mtsi.v2i2.2022.243. eCollection 2022 Jun 30.

DOI:10.48327/mtsi.v2i2.2022.243

PMID:35919252

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9326781/

Abstract

OBJECTIVE

The aim of this study was to establish the overview of current dermatosis in children in dermatological consultation in Lomé and to deduce the evolutionary trend of these dermatoses between 1992 and 2020.

METHOD

This was a retrospective descriptive study concerning patients aged 0 to 15 years seen in consultation in the public dermatological services of Lomé from January 1, 2010 to December 31, 2019. The reasons for consultation were reviewed and classified into groups of dermatosis (immunoallergic, infectious, inflammatory, tumoral …). The results of this series were compared with those of a similar study carried out in 1992.

RESULTS

During the study period, 3 767 children attended showing dermatological condition (14.2% of the dermatological consultations were pediatric). The average age of the patients was 7.4 years and the sex ratio M/F was 0.7. July, August and September were the months with the highest number of consultations. The top three reasons for consultation were eczema (26.6%), prurigo strophulus (15.3%) and atopic dermatitis (4.9%). 51.3% of skin diseases in children were represented by immunoallergic dermatoses, followed by infectious dermatoses 23.6%. The predominant infectious dermatoses were fungal (34.4%) and bacterial (30.3%). Between 1992 and 2019, there was an increase in the prevalence of immunoallergic dermatoses and a reduction in infectious dermatoses.

CONCLUSION

Immunoallergic dermatoses are predominant and clearly increasing among children seen in dermatological consultations in Lomé.

摘要

目的

本研究旨在概述洛美皮肤科会诊中儿童当前皮肤病情况，并推断1992年至2020年这些皮肤病的演变趋势。

方法

这是一项回顾性描述性研究，涉及2010年1月1日至2019年12月31日在洛美公共皮肤科门诊就诊的0至15岁患者。对会诊原因进行回顾并分类为皮肤病组（免疫过敏性、感染性、炎症性、肿瘤性……）。将该系列研究结果与1992年进行的类似研究结果进行比较。

结果

在研究期间，3767名儿童前来就诊，表现出皮肤病症状（占皮肤科会诊的14.2%为儿科患者）。患者的平均年龄为7.4岁，男女比例为0.7。7月、8月和9月是会诊人数最多的月份。会诊的三大主要原因是湿疹（26.6%）、钱币状湿疹（15.3%）和特应性皮炎（4.9%）。儿童皮肤病的51.3%由免疫过敏性皮肤病构成，其次是感染性皮肤病23.6%。主要的感染性皮肤病是真菌性（34.4%）和细菌性（30.3%）。1992年至2019年期间，免疫过敏性皮肤病的患病率有所上升，感染性皮肤病患病率有所下降。