<p class="abstract"><strong>Background:</strong> Diaper area dermatoses is a broad term used to describe various skin conditions that can occur in diaper area.<strong> </strong>Dermatoses in diaper area can occur as primary disease, as part of a generalised inflammatory skin disease, or as part of a systemic disease.</p><p class="abstract"><strong>Methods:</strong> One hundred and thirty children below five years with eruptions involving the diaper area were enrolled in the study. A detailed history, general physical examination and dermatological examination was done and recorded in a proforma. Tests such as Tzanck smear, skin biopsy, KOH preparation, culture sensitivity, Gram staining and appropriate hematological investigations were done whenever necessary depending on the presenting condition.<strong></strong></p><p class="abstract"><strong>Results:</strong> A total of twenty three (23) various dermatoses were encountered. Irritant contact dermatitis (22.3%) was the most common dermatoses, followed by scabies (14.6%), impetigo (13.8%) and papular urticaria (11.5%). Aetiological analysis revealed that majority (28.5%) of dermatoses belonged to infection group followed by inflammatory (26.15%) and arthropod bite (26.15%) groups. Amongst the infective dermatoses, bacterial infection (14.61%) was most common entity followed by viral (10.76%) and fungal infection (3.1%).</p><p class="abstract"><strong>Conclusions:</strong> Our study emphasizes various dermatoses in diaper area in paediatric population and proves that aetiology is multifactorial and is not because of diaper alone.</p>
<p class="abstract"><strong>Background:</strong> Scabies is an ectoparasitic dermatosis caused by Sarcoptes scabiei and is a public health issue in all countries regardless of socioeconomic status. Scabies can lead to stigmatization, depression, insomnia, and may significantly affect the quality of life. The aim of the study was to find the demographic profile, clinical morphology and quality of life in patients suffering from scabies.</p><p class="abstract"><strong>Methods:</strong> This was a prospective, non-interventional, hospital-based cross-sectional study. Adult patients with scabies reporting to the dermatology department were enrolled in the study. Demographic details, clinical findings, past history and family history was recorded in a proforma. Questionnaire about quality of life was given to the patients and a detailed analysis was done.<strong></strong></p><p class="abstract"><strong>Results:</strong> A total of 120 cases of scabies were enrolled in this clinical study. The most affected age group was between 18 and 30 years. Most common site involved was interdigital spaces (83%) followed by genitalia (48%) and abdomen (42%). The most common lesion was excoriation (91%) followed by papule (88%) and nodules (33%). Out of 120 patients, 111(92%) patients experienced difficulty in working at the work place, 83.3% of patients had feeling of embarrassment, social relationship was affected in 82.5% of patients. Majority of the patients (38.5%) had mild impairment of quality of life.</p><p class="abstract"><strong>Conclusions:</strong> Feeling of embarrassment, difficulty in work place, social stigmata and depression were frequently observed in patients with scabies. In our study scabies mildly affected the quality of life.</p>
Psychodermatology is a specialty that highlights admix between psychiatry and dermatology. It is emerging as a new subspecialty in dermatology. The skin and central nervous systems are related through their common embryonic origin – ectoderm. They also have common neuromodulators, peptides, and biochemical systems of internal information. Psychiatry is more focused on the internal invisible symptoms, and dermatology is focused on the external visible signs. This connection between skin disease and psyche has unfortunately been underemphasized. Increased pathophysiological understanding of these issues, with biopsychosocial approaches and clinics of psychodermatology would be highly beneficial. Multicenter research such as prospective case–controlled studies and therapeutic trials about the association of skin and psyche can provide more insight into this unexplored and exciting field of medicine.
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