The Burden of Dermatoses: Evidence from Bangladesh
DOI:
https://doi.org/10.12970/2310-998X.2020.08.02Keywords:
Skin diseases, Prevalence, Chittagong, Bangladesh.Abstract
Background: Skin diseases are one of the common health problems seen in developing countries and differ in different regions depending on social, economic, racial and environment factors. Epidemiological studies of skin diseases are rather rare in Chittagong.
Objectives: To determine the pattern and prevalence of skin diseases in the Chittagong region.
Methods: This is a descriptive retrospective study is carried out using registered records of patients attending the dermatology clinic in Chittagong Medical College hospital between the periods 2003 and 2011.
Results: The total number of patients was 41997. There were more males 21,359 (51%) than females 20,638 (49%). The prevalence rate is 7. Infective dermatoses (Bacterial, Viral, Fungal, Parasitic) were the most common (53.88%) followed by Eczema (17.28%), Papulosquamous diseases (11.20%), Acne vulgaris (5.48%), Vitiligo (4.23%), Chronic arsenism (2.55%), Urticaria (2.25%), Genodermatoses (0.87%), Drug reactions (0.67%), Connective tissue diseases (0.43%), Neoplastic skin diseases (0.40%) and Blistering diseases (0.40%). Among all dermatoses scabies ranked the highest 10,987 (26.16%).
Conclusions: The study revealed more than 53% of the diseases are of infectious origin. The high proportion of transmissible disease demands a preventive approach.This study provides a preliminary baseline data for future epidemiological and clinical research and will contribute to proper health care planning and the establishment of essential drug list for dermatological used.
References
Fritsch P, Burgdorf W. The skin and its diseases: an overview. European Journal of Dermatology 2006; 16(2): 2009-12.
Bos JD, Schraw ME, Mekkes JR. Dermatologists are essential for quality of care in the general practice medicine. Actas Dermosifiliogr 2009; 100(suppl I): 101-105. https://doi.org/10.1016/S0001-7310(09)73174-6
Hunter J, Savin J, Dhahal M. Clinical Dermatology 4th Edition, Blackwell Publishing 2008; p. 5.
Sacket DL, Haynes RB, Guyatt GH, Tuowell P. Clinical Epidemiology. Torento: Little Brown and Co., 1985.
Williams HC. Smoking and Psoriasis. Br Med J 1994; 308: 428-9. https://doi.org/10.1136/bmj.308.6926.428
Williams HC, Strachau Dp, hay RJ. Childhood Eczema. Br Med J 1994; 308: 1132-5. https://doi.org/10.1136/bmj.308.6937.1132
Adams RM. Occupational Skin Disease. 2nd Edition. London: WB Saunders Co., 1990.
Lomholt Gunner. Condition for Dermatological Treatment in a Developing Country. Int J Dermatol 1990; 29: 511-4. https://doi.org/10.1111/j.1365-4362.1990.tb04847.x
Sharma NK, Garg BK, Goel M. Pattern of skin diseases in urban school children. Indian J Dermatol Venereol Leprol 1986; 52: 330-1.
Perera A, Atukorale DN, Sivayogan S, Anyaratne VS, Karunaratne LA. Prevalence of skin diseases in suburban Sri Lanka. Ceylon Med J 2000; 45: 123-8. https://doi.org/10.4038/cmj.v45i3.8112
Rao GS, Kumar SS, Sandhya. Pattern of skin disease in an Indian village. Indian J Med Sci 2003; 57: 108-10.
Gibbs S. Skin disease and socioeconomic conditions in rural Africa: Tanzania. Int J Dermatol 1996; 35: 633-9. https://doi.org/10.1111/j.1365-4362.1996.tb03687.x
Satimia FT, McBride SR, Leppard B. Prevalence of skin disease in rural Tanzania and factors influencing the choice of health care, modern or traditional. Arch Dermatol 1998; 134: 1363-6. https://doi.org/10.1001/archderm.134.11.1363
Abdel-Hafez K, Abdel –Aty MA, Hofny ER.Prevalence of skin diseases in rural areas of Assiut Governorate, Upper Egypt. Int J Dermatol 2003; 42: 887-92. https://doi.org/10.1046/j.1365-4362.2003.01936.x
Rea JN, Newhouse ML, Halil T.Skin disease in Lambeth. A community study of prevalence and use of medical care. Br J Prev Soc Med 1976; 30: 107-14. https://doi.org/10.1136/jech.30.2.107
Popescu R, Popescu CM, Williams HC, Forsea D. The prevalence of skin conditions in Romanian school children. Br J Dermatol 1999; 140: 891-6. https://doi.org/10.1046/j.1365-2133.1999.02821.x
Jaiswal AK, Singh G. Pattern of skin disease in Kashmir region of India. Indian J Dermatol Venereol Leprol 1999; 65: 258-60.
Gupta RN, Jain VC, Chandra R. Study of sociomorbid pattern at the skin out patient department of a teaching hospital in summer and winter season. Indian J Dermatol Venereol 1968; 34: 241-4.
Dayal SG, Gupta GP. A cross section of skin diseases in Bundelkhand region, UP. Indian J Dermatol Venereol Leprol 1977; 43: 258-61.
Mehta TK. Pattern of skin diseases in India. Indian J Dermatol Venereoi 1962; 28: 134-9.
Svartman M, Finklea JF, Earle DP, et al. Epidemic scabies and acute glomerulonephritis in Trinidad. Lancet 1972; i: 249-51. https://doi.org/10.1016/S0140-6736(72)90634-4
Dogra S, Kumar B. Epidemiology of skin diseases in school children: a study from northern India. Pediatr Dermatol 2003; 20: 470-3. https://doi.org/10.1111/j.1525-1470.2003.20602.x
Downs AM, Hervey I, Kennedy CT. The epidemiology of head lice and scabies in the UK Epidemiol Infect 1999; 122: 471-7. https://doi.org/10.1017/S0950268899002277
Banerjee BN, Datta AK. Prevalence and incidence pattern of skin diseases in Calcutta. . Indian J Dermatol 1973; 12: 41-7. https://doi.org/10.1111/j.1365-4362.1973.tb00211.x
Verghan AR, Koten JW, Chaddah VK, et al. Skin diseases in Kenya: a clinical and histopathological study of 3168 patients. Arch Dermatol 1968; 89: 577-86. https://doi.org/10.1001/archderm.1968.01610180021002
Abu Share’ah AM, Dayem HA. The incidence of skin diseases in Abu Dhabi (United Arab Emirates). Indian J Dermatol 1991; 30: 121-4. https://doi.org/10.1111/j.1365-4362.1991.tb04223.x
Mitchell JC. Proportionate distribution of skin diseases in a dermatological practice. Can Med Assoc J 1967; 97: 1346-50.
Bahamadan KA, James UE, Khare AK, Tallab T, Ibrahim K, Mourad MM. The pattern of skin diseases in Asir region. Saudi Arabia: a 12 month prospective study in a referral hospital. Ann Saudi Med 1995; 15: 455-7. https://doi.org/10.5144/0256-4947.1995.455
Olayinka A, Olasode, Henshaw EB, Akpan NA, Agbulu RE. The pattern of dermatoses in a skin clinic in Calabar, Nigeria: A baseline study. Clinical Medicine Insights: Dermatology 2011; 1: 41-6. https://doi.org/10.4137/CMD.S6096
Rapp SR, Feldman SR, Exum ML et al. Psoriasis cause as much disability as other major medical diseases. J Am Acad Dermatol 1999; 41: 401-7. https://doi.org/10.1016/S0190-9622(99)70112-X
Smith AH, et al. Cancer risks from arsenic in drinking water: implications for rinking standards. In: proceedings of the Third International Conference on Arsenic xposure and Health Effects. 12-15 July 19898, San Diego. Oxford, Elsevier Science 2000; 191-200.
Ruan Y, Peterson MH, Wauson EM, Waes JG, Finnell RH, Vorce RL. Folic acid protects SWV/Fnn emdryo fibroblasts against arsenic toxicity. Toxicol Lett 2000; 117(3): 129-37. https://doi.org/10.1016/S0378-4274(00)00254-X
Williams HC. Epidemiology of skin diseases. In: Burns T, Breathnach S, Cox N, Griffiths C, editors. Rook’s Textbook of Dermatology. 7th ed. Oxford: Blackwell Science 2004; pp. 6.1-6.21.
