Pattern of skin diseases in rural population: a cross sectional study at Medchal mandal, Rangareddy district, Telangana, India

Background: The skin diseases are affected by various factors. The rural population is more vulnerable because of illiteracy. Therefore an attempt has been made to screen the population of five villages to know pattern of skin diseases. Aims of the study were to assess the prevalence of skin diseases, determine the pattern of skin diseases in the study population in rural community of Medchal mandal and compare previous studies so that inferences can be drawn for the benefit of society.Methods: The study was aimed to include the total population of 5930 consisting of 5 villages. The present study was carried out during a period of one and half year in 5 villages of Medchal mandal. The total population of all the 5 villages comprises of 7726, out of which 5930 persons participated in the present study. In all villages house to house survey was done. A complete dermatological assessment of the study population was done and findings were recorded on the standard study proforma.Results: The total number of 5930 persons was screened during the period of study. Among which 1172 (19.76%) persons were noted to have skin diseases. out of which 533 (45.48%) were males and 639 (54.52%) were females. The majority of population with skin disease was in the age group of 31-40 years with 289 cases (24.65%) and least in 71-80 age groups with 7 cases (0.59%). The prevalence of Non-infectious diseases (705 cases, 60.15%) was more than that of Infectious diseases (467 cases, 39.85%). Among non-infectious conditions Eczema / Allergy was the common disease followed by Pigmentary disorders other conditions like alopecia areata, seborrheic dermatitis and senile xerosis, Papulosquamous disorders, acne and acneiform dermatoses, polymorphous light eruptions and bite and stings, Eczemas followed by lichen simplex chronicus and allergic contact dermatitis. Among infectious conditions, bacterial infections were most common diseases followed by parasitic infestations, fungal infections and viral infections. Among Bacterial infections, secondary Pyodermas followed by folliculitis, impetigo and furunculosis. Based on occupation the majority of population was in the students followed by farmers, labour other than agriculture, housewives and petty business. Based on education, the majority of population was in the primary group (class 1 to 5) followed by secondary (class 6 to 8) and high school and above.Conclusions: Based on the outcome of this study, the common skin problems existing in this area are to be carefully looked for and health education regarding the hygiene, nutrition and healthy life styles is to be stressed for better standard of living by the rural population

PYODERMA GANGRENOSUM SECONDARY TO TAKAYASU'S ARTERITIS

Pyoderma gangrenosum (PG) is an uncommon & noninfectious neutrophilic dermatosis commonly associated with underlying systemic disease in more than 50% of cases. About 20-30% of cases are commenced and aggravated by minor trauma or surgery, a phenomenon named pathergy. PG is associated with many systemic diseases, but association with Takayasu's arteritis (TA) / pulseless disease, which is chronic inflammatory and stenotic disease of large sized arteries is less common. These conditions responded well with systemic corticosteroids. The association of PG with TA has been less reported in the literature so far. KEYWORDS: Pyoderma gangrenosum; Takayasu's arteritis;Pulseless disease

Colloidon baby – Rare case with preventable complications

Colloidon baby is a rare congenital disorder characterized clinical-ly by parchment like taught membrane covering the whole body at the time of birth, which subsequently develops Non bullous ichthyosiform erythroderma or Lamellar ichthyiosis in most cases and in few cases other ichthyosiform disorders. The colloidon membrane spontaneously desquamates within 2 weeks or up to 3 months in few cases. Herein, we present 2 cases of colloidon babies born to consanguineously married couples of which the first baby was born at term by normal vaginal delivery and second baby born prematurely by caesarean section. Both 1st & 2nd baby were delivered in different private hospitals in villages of Nizamabad district, Telangana state and reported to tertiary level children’s hospital in Hyderabad city on 4nd and 6th day of life respectively with complaints of colloidon membrane and macera-tion of skin in diaper area, was admitted in Neonatal intensive care unit (NICU) in humidified incubator, treated with emollients, intra-venous fluids and prophylactic antibiotics to avoid complications. Nursing care is of prime importance. This presentation was aimed at stressing not only the importance of early recognition by pedia-trician & timely referral to dermatologist and ophthalmologist for saving life of affected baby but also equal importance to proper nursing care

Pattern of skin diseases in rural population: a cross sectional study at Medchal mandal, Rangareddy district, Telangana, India

Background: The skin diseases are affected by various factors. The rural population is more vulnerable because of illiteracy. Therefore an attempt has been made to screen the population of five villages to know pattern of skin diseases. Aims of the study were to assess the prevalence of skin diseases, determine the pattern of skin diseases in the study population in rural community of Medchal mandal and compare previous studies so that inferences can be drawn for the benefit of society.Methods: The study was aimed to include the total population of 5930 consisting of 5 villages. The present study was carried out during a period of one and half year in 5 villages of Medchal mandal. The total population of all the 5 villages comprises of 7726, out of which 5930 persons participated in the present study. In all villages house to house survey was done. A complete dermatological assessment of the study population was done and findings were recorded on the standard study proforma.Results: The total number of 5930 persons was screened during the period of study. Among which 1172 (19.76%) persons were noted to have skin diseases. out of which 533 (45.48%) were males and 639 (54.52%) were females. The majority of population with skin disease was in the age group of 31-40 years with 289 cases (24.65%) and least in 71-80 age groups with 7 cases (0.59%). The prevalence of Non-infectious diseases (705 cases, 60.15%) was more than that of Infectious diseases (467 cases, 39.85%). Among non-infectious conditions Eczema / Allergy was the common disease followed by Pigmentary disorders other conditions like alopecia areata, seborrheic dermatitis and senile xerosis, Papulosquamous disorders, acne and acneiform dermatoses, polymorphous light eruptions and bite and stings, Eczemas followed by lichen simplex chronicus and allergic contact dermatitis. Among infectious conditions, bacterial infections were most common diseases followed by parasitic infestations, fungal infections and viral infections. Among Bacterial infections, secondary Pyodermas followed by folliculitis, impetigo and furunculosis. Based on occupation the majority of population was in the students followed by farmers, labour other than agriculture, housewives and petty business. Based on education, the majority of population was in the primary group (class 1 to 5) followed by secondary (class 6 to 8) and high school and above.Conclusions: Based on the outcome of this study, the common skin problems existing in this area are to be carefully looked for and health education regarding the hygiene, nutrition and healthy life styles is to be stressed for better standard of living by the rural population

PYODERMA GANGRENOSUM SECONDARY TO TAKAYASU\u27S ARTERITIS

Pyoderma gangrenosum (PG) is an uncommon & noninfectious neutrophilic dermatosis commonly associated with underlying systemic disease in more than 50% of cases. About 20-30% of cases are commenced and aggravated by minor trauma or surgery, a phenomenon named pathergy. PG is associated with many systemic diseases, but association with Takayasu\u27s arteritis (TA) / pulseless disease, which is chronic inflammatory and stenotic disease of large sized arteries is less common. These conditions responded well with systemic corticosteroids. The association of PG with TA has been less reported in the literature so far. KEYWORDS: Pyoderma gangrenosum; Takayasu\u27s arteritis;Pulseless disease