Prurigo in Children of Tropical Zone: Epidemiological, Clinical, and Etiological Characteristics in a Dermatology Department in Cotonou (Benin)
| Autor: | Nadège Elégbédé-Adégbitè, Hugues Adegbidi, Odile Houngbo, Félix Atadokpèdé, Bérénice Dégboé, Nina Maffo, Jojo Kalogama, Christiane Koudoukpo, Serge Otémé, Alida Kouassi, F. Akpadjan, N. Agbessi |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Article Subject business.industry Visual analogue scale Retrospective cohort study Dermatology lcsh:RL1-803 medicine.disease Cutaneous larva migrans 030207 dermatology & venereal diseases 03 medical and health sciences 030104 developmental biology 0302 clinical medicine medicine.anatomical_structure Prurigo Epidemiology medicine Scabies Etiology lcsh:Dermatology Buttocks business Research Article |
| Zdroj: | Dermatology Research and Practice, Vol 2019 (2019) Dermatology Research and Practice |
| ISSN: | 1687-6105 |
| DOI: | 10.1155/2019/2673981 |
| Popis: | Introduction. The objective of this work is to document the epidemiological, clinical, and etiological features of prurigo in children. Methods. This is a descriptive and retrospective study done from January 2013 to September 2018 in the Dermatology Department of National and Teaching Hospital HKM of Cotonou. All children from 0–18 years diagnosed clinically with prurigo were the study sample. Visual analog scale was used to assess the severity of pruritus. The data were entered and analyzed with EpiData and Epi Info 7 software. Results. The prevalence of prurigo was 14.9% (234/1565) in the pediatric population. The mean age of the children at the onset of the disease was 5.4 years ± 4.9 years. Their sex ratio was 0.8. Pruritus was reported in 97.8% of cases; it was moderate in 50% and severe in 50%. Several phenotypes were described, including erosivo-crusted prurigo (36.3%) and papulo-vesicular prurigo (32%). Frequently observed clinical forms were chronic (44.4%), acute (38.9%), impetiginized (8.1%), and lichenified (4.3%). Prurigo predominated on the lower limbs (74.8%), upper limbs (47.9%), and buttocks and trunk (24.8% each). The main etiologies were prurigo strophulus (PS) (55.5%), scabiosis (20.5%), prurigo of Besnier (10.7%), and hookworm cutaneous larva migrans (HCLM) (8.5%). The PS was seasonal (p=0.036), while prurigo of Besnier, scabies, and HCLM were perennial. Conclusion. The main etiologies of prurigo in the study participants were PS, prurigo of Besnier, scabiosis, and HCLM. It affected with predilection the limbs of children of less than 5 years. Prurigo was almost always itchy and often evolved in an acute or chronic mode. |
| Databáze: | OpenAIRE |
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