Gyeltshen Kinley, Sangye Ngawang, Tenzin Kunzang C, Dorji Thinley
Inpatient and Outpatient Department Gidakom Hospital Ministry of Health Thimphu Bhutan.
Inpatient and Outpatient Department Trashigang General Hospital Trashigang Bhutan.
Skin Health Dis. 2023 Feb 23;3(4):e223. doi: 10.1002/ski2.223. eCollection 2023 Aug.
An increasing number of beetle population and outbreaks of irritant contact dermatitis are reported from newer geographic locations. Bhutan is one such country that witnessed an outbreak of dermatitis (PD) in Phuentsholing sub-district in 2021. This study describes the clinical symptoms, skin lesions and treatment outcomes of PD in Bhutan. This was a descriptive cross-sectional study of an outbreak of -related contact dermatitis in Phuentsholing, Bhutan. Clinical symptoms, skin lesions, duration of illness, recovery time and response to treatment were recorded. Of the 81 patients with PD, the males constituted 54% (44) and the mean age was 22 years (range: 1-51 years). The commonly affected groups were those aged 11-20 years (40.7%) and school or college students (50.6%). The common symptoms were pain, itching, redness, tenderness and blister formation. The lesions were erythematovesicular (70%), linear (54.3%) and kissing lesions (28.4%). All patients received some form of topical or oral steroid therapy and recovery was 100%. The mean duration from the onset till the recovery of the skin rash was 13 days (SD ± 8.3 days). PD outbreak is a self-limiting form of contact dermatitis. This is the first report of PD in the sub-Himalayan region and may be linked to climate change. There is a need for active surveillance and monitoring of such emerging weather/climate-related agents for appropriate health system response in disease prevention and treatment.
据报告，在一些新的地理位置，甲虫数量不断增加，刺激性接触性皮炎疫情频发。不丹就是这样一个国家，2021年在普那卡宗辖区爆发了皮炎（PD）。本研究描述了不丹PD的临床症状、皮肤损伤和治疗结果。这是一项对不丹普那卡宗爆发的与[相关内容缺失]接触性皮炎的描述性横断面研究。记录了临床症状、皮肤损伤、病程、恢复时间和治疗反应。在81例PD患者中，男性占54%（44例），平均年龄为22岁（范围：1 - 51岁）。受影响最常见的群体是11 - 20岁的人群（40.7%）以及中小学或大学生（50.6%）。常见症状为疼痛、瘙痒、发红、压痛和水疱形成。皮损表现为红斑水疱型（70%）、线状（54.3%）和对吻性皮损（28.4%）。所有患者均接受了某种形式的局部或口服类固醇治疗，治愈率达100%。皮疹从发病到恢复的平均病程为13天（标准差±8.3天）。PD疫情是接触性皮炎的一种自限性形式。这是喜马拉雅次区域关于PD的首次报告，可能与气候变化有关。有必要对这类新出现的与天气/气候相关的因素进行积极监测，以便卫生系统在疾病预防和治疗方面做出适当反应。
