CLINICO-EPIDEMIOLOGICAL STUDY OF VESICULOBULLOUS DISORDERS IN PEDIATRIC AGE GROUP IN SOUTH-EAST RAJASTHAN
*Dr. Devendra Yadav, Dr. Mamta Vijay, Dr. Shivani Saini, Dr. Arti Singh, Dr. Ramesh Kumar, Dr. Suresh Kumar Jain and Dr. Rozy Badyal
ABSTRACT
Objective: A study to determine the prevalence and clinical characteristics of different vesiculobullous disorders in pediatric (0-18 years) age group, in a tertiary care centre in South-East Rajasthan. Materials and Methods: All children ?18 year, with vesiculobullous disorders, attended the outpatient department of pediatric dermatology clinic at our institution over a period of 1 year from July 2017 to June 2018 were included in this study. Results: A total of 197 out of total 20982 children in age group of 0 to 18 years attending our outpatient Department, presenting with vesiculobullous disorders during the study period, so prevalence of vesiculobullous disorders among them was 0.94%. There were 121(61.42%) male and 76(38.58%) female with male to female ratio of 1.6:1. The mean age was 4.91 years. Children in the age group of >5-11 years showed maximum incidence (49/197) of the vesiculobullous disorders, infections and infestations being the most common vesiculobullous disorders seen in 140(71.06%) children, followed by inflammatory disorders seen in 20(10.15%), miscellaneous disorders in 18(9.14%), non-infectious disorders in 7(3.55%), autoimmune disorders in 6(3.04%) and drug reactions in 3(1.53%). Metabolic and inherited disorders seen in 2(1.02%) children and 1(0.51%) child respectively. Conclusion: The present study concludes that clinical observations remain the key toward the diagnosis and lab investigations can not provide any shortcut to the diagnosis. vesiculobullous disorders in children are often misdiagnosed causing false incidence reports. Our knowledge in this field need to be upgraded in the years to come.
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