Pattern of Dermatological Diseases in the Patients of Army Hospital, Kathmandu

Abstract

Introduction: Human Skin is the largest organ of the body and may mirror the presence of benign/malignant systemic diseases in different ways. The pattern of Skin diseases vary in different parts ofNepal due to differences in socioeconomic and geographic factors. This retrospective study, pattern ofskin disease in Army Hospital likely reflects the pattern of disease in the Kathmandu Valley.Aim: To study, assess and compare the different patterns of skin disease in the patients attending theoutpatient department in the year 2007 and 2008 in the Army Hospital.Methods: This was a retrospective study and all the new cases which were diagnosed in the Department ofDermatology in the years 2007 and 2008 were included. The diseases were classified as Papulosquamous,Vesicobullous, Connectivetissue disorders, Skin and Soft tissue tumours, Infective, Eczema, SexuallyTransmitted Disease (STI), Leprosy and those skin diseases which were not coming under this formatwere classified as others.Result: The total number of cases recorded in the Department of Dermatology were 16828 in the year2007 and 18643 in 2008. It was found that the infective group of disorders were the largest group ofdisease, in the year 2007 a total of 6135 (36.4%) and in 2008 a total of 7883 (42.2%) had suffered from thisgroup of disorders. And the incidence of infective disorder was also statistically significant when both theyears were compared p-Value:0.00, OR:1.16, CI:1.11-1.21. Similarly other large groups were Eczema,papulosqumous and sexually tranmitted disease.Conclusion: It was found that the disease pattern in this study was lead by infective disease followed byeczema, papulosquamous disease and sexually transmitted disease.Key words: Eczema; Papulosquamous; VesicobullousDOI: 10.3126/mjsbh.v9i1.3484Medical Journal of Shree Birendra Hospital Vol.9(1) 2010 14-16

Profile of Skin Disorders in Unreached Hilly Areas of North India

“…Although papulosquamous disease was seen in 4.5% of total cases, psoriasis was the commonest (3.4%). In the papulosquamous group the incidence of psoriasis was highest as stated by other hospital based study from Nepal [ 19 ]. The percentage of acne in present was found to be higher compared to a hospital based study where acne vulgaris contributed to 4.1% of cases; this difference could be due to difference in diagnostic technique.…”

Dermatoses in Himalayas: Pattern of Skin Diseases in Himalayan Region of Nepal

“…All these studies vary in the methodology and outcome with resultant varia on in prevalence of skin diseases. Most of the studies are hospital based and few of them are community based [2][3][4][5] . The study on pa ern of skin diseases in Himalayan district of Nepal has not been documented.…”

Epidemiological Profile of Skin Diseases in a Tertiary Hospital of Kathmandu: An Annual Census

“…Eczema (18.47%) was the most common reason to visit the OPD as was in several other studies conducted recently 8,10,14 . Eczema was the fourth common cause of OPD visit twenty years back 9 (Table 3) and second common reason ten years ago 11 in two Kathmandu based studies. Exposure to numerous chemicals, foods and cosmetics may have contributed this rise in last 20 years.…”

“…A similar study in a rurally located medical college found 3.4% of OPD visits due to urticaria. 7 However, two studies conducted one decade back have not mentioned about the urticaria in their studies, 6,11 signifying the trend of increasing urticaria is recent. Two rural community based studies found urticaria prevalence 1.8% 5 and 2.5%.…”

“…7,8 A study based on two decades old hospital data from Kathmandu 9 show different pattern compared to a recent one 10 and so does the one done one decade ago. 11 With the changing life-style and urbanization the pattern of diseases change and mostly affect the lower and mid income group. 12,13 Kathmandu is also rapidly urbanizing.…”