Study of Cutaneous Manifestations in Children Presenting to Paediatric Emergency Department

Parthiban, U (2017) Study of Cutaneous Manifestations in Children Presenting to Paediatric Emergency Department. Masters thesis, Christian Medical College, Vellore.


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OBJECTIVES : a) To study the clinical profile of skin manifestations in children < 16 years presenting to the paediatric emergency department over a period of 1year. b) To assess the impact of skin lesions on clinical outcome in hospitalized patients. METHODOLOGY : We recruited 203 patients with skin lesions between a study period of August 2015 to July 2016. All the patients were categorized into 7 based on their diagnosis. In a subset of patients who required hospitalization the clinical outcomes in terms of mortality, associated SIRS and duration of hospital stay was noted. RESULTS : The prevalence of skin lesions noted in our study was 0.83% with a mean age of 4.88 ± 4.04 years and a male preponderance. The most frequent skin lesions noted in our study were secondary to inflammatory disorders (50.24%) that included urticaria (n=45), Henoch Schonlein purpura (n=6), erythema multiforme (n=5), DRESS syndrome (n=4), toxic epidermal necrolysis (n=3), acute generalized exanthematous pustulosis (n=2) and Kawasaki’s disease (n=2) followed by infections (n=91,44.82%) like HFMD (n=17), varicella (n=8), staphylococcal scalded skin syndrome (n=8) and rickettsiae (n=5).The prevalence of viral infections was found to be significantly higher during summer months. 22.16% of patients were hospitalized in our study with most common among them being infections (37.77%). Among the hospitalized patients 25 had SIRS and two died, one secondary to purpura fulminans and another had febrile exanthem of probable viral etiology. CONCLUSION : In this hospital based cross sectional study it was seen that the prevalence of dermatological disorders among paediatric emergency department attendees was 0.83% which was lower than that published in literature. The two main group of diseases were viral exanthema and urticaria. 22.16% were hospitalized which was higher than that reported in other studies. Among the hospitalized patients,25 (55.55%) had SIRS however this did not influence the outcome. The outcome of hospitalized patients was good under the mortality of < 1%.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Paediatric emergency ; prevalence ; spectrum ; clinical outcome ; mortality.
Subjects: MEDICAL > Dermatology Venereology and Leprosy
Depositing User: Subramani R
Date Deposited: 25 Dec 2017 18:12
Last Modified: 25 Dec 2017 18:12

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