Dermatologic Diseases Presenting with Pigmentation Disorders in Children: A Single Center Experience

Ayse Akbas, Fadime Kılınç, Ibrahim Yakut, Ahmet Metin
4.593 1.674

Abstract


Background: To determine the incidence and demographic characteristics of skin diseases presenting with hyperpigmentation in children applying to the dermatology department.

Methods: A total of 2815 children between the ages of 0 to 16 who applied to the dermatology clinic with the complaints of hyperpigmentation disorders were evaluated. The age, gender, socioeconomic status, place of residence and demographic characteristics of children with abnormal pigmentation skin lesions were investigated.

Results: A total of 2815 children applied to the dermatology clinic during the study period. Of these patients 1491 were female (53%) and 1324 were male (47%). Of  these 266 (9.4%) were diagnosed with skin disorders presenting with hyperpigmention. The causes of hyperpigmentation in these patients were was follows; pityriasis alba (2.6%), melanocytic nevus (2.1%), vitiligo (1.8%)  postinflammatory hyperpigmentation (0.5%), and postinflammatory hypopigmentation (0.5%). According to the gender, p.alba, vitiligo, Becker nevus, acanthosis nigricans, tuberosclerosis and albinism were seen more in boys and nevus depigmentosus ephelis, postinflammatory hyperpigmentation/hypopigmentation and melanocytic nevus were seen more in the girls. Pitriyazis versicolor was seen equally in both genders. According to age groups, melanocytis nevus were found to be more frequent between the ages of 0-2 and 12-16, whereas pityrsasis versicolor was more frequent in ages 12-16 and P. alba in the 3-11 age group.

Conclusions: There are quite a substantial number of pigmentation diseases occurring in children. Early diagnosis and treatment are important because although these diseases mainly cause cosmetic problems, they can decrease the quality of life. Here, we attempted to define the demographic characteristics of diseases presenting with disorders in pigmentation in children.  


Keywords


Melanocytic lesions, pigmentation disorder, pediatric dermatological diseases, demographic characteristics

Full Text:

e225


DOI: http://dx.doi.org/10.17334/jps.28908

References


1- Gul U, Çakmak SK, Gonul M, Kılıc A, Pediatric Bilgili encountered in a dermatology outpatient clinic in Turkey. Ped Derm 2008;25(2):277- 8. skin disorders

2- Oruk S, Ilter N, Atahan CA, Gurer MA. Childhood dermatological problems. Turkiye Klinikleri J Dermatol 2002;12:1-4.

3- Tamer E, Ilhan MN, Polat M, Lenk N, Alli N. Prevalence of skin diseases among pediatric patients in Turkey. J Dermatol 2008 Jul;35(7):413-8.

4- Sacar H, Sacar T. Prevalence of childhood dermatoses. Turkderm 2010;44:132-7.

5- Serarslan G, Akcalı C, Ozer C. Skin diseases seen in children. Türk Aile Hek Derg 2007;11(1):13-6.

6- Tekin NS, Sezer T, Altınyazar HC, Koca R, Cınar S. Prevalence of childhood Skin diseases in Zonguldak. A five years retrospective analysis. Turkiye Klinikleri J Dermatol 2007;17:92-820.

7- Inanir I, Sahin MT, Gündüz K, Dinc G, Turel A, Ozturkcan S. Prevalence of skin conditions in primary school children in Turkey: Difference based on socioeconomic factors. Pediatr Dermatol 2002 ;19(4):307- 11.

8- Nanda A, Al-Hasawi F, Al-Saleh QA. A prospective survey of pediatric dermatology clinic patients in Kuwait: an analysis of 10,000 cases. Pediatr Dermatol 1999; 16(1):6-11. 9- Doğramacı AC. Non-Vitiligo hipopigmentation 2011;45(2):122-126. Turkderm

10- Wenk C, Itin PH. Epidemiology of pediatric dermatology and allergology in the region pf Aargau, Switzerland. Pediatr Dermatol 2003;20:482-7.

11- Sardana K, Mahajan S, Sarkar R et al. The spectrum of skin disease among Indian. Pediatr Dermatol 2009;26(1):6-13.

12- Fung WK, Lo KK. Prevalence of skin disease among school children and adolescents in a Student Health Service Center in Hong Kong. Pediatr Dermatol 2000 ;17(6):440-6.

13- Tuzun Y, Katogyan A, Serdaroglu S, Oguz O, Iscimen A. Melanosit ve pigment hastalıkları. Pediatrik Dermatoloji, Nobel, 2005, İstanbul S: 305-357.

14- Can B, Kavala M, Turkoglu Z, Zindancı I, Sudoğan S, Topaloglu F. Prevalence of skin conditions among pediatric patients in the region of Istanbul. Turkderm 2011; 45(1):10- 3.

15- Karaca S, Kulaç M. Prevalence of skin diseases Afyonkarahisar. Dermatol 2007:17;4. children Klinikleri J

16- Larsson PA, Liden S. Prevalance of skin diseases among adolescents 12-16 years of age. Acta Derm Venereol 1980; 60(5): 415- 23.

17- Bahadır S, Yaylı S. The epidemiology of childhood vitiligo. Turkderm 2006;40:81-6.

18- Kose O, Ozmen I. Childhood vitiligo. Turkderm 2011;45(2):117-121.

19- Mostafa FF, Hassan AAH, Soliman MI, Nassar A, Deabes RH. Prevalence of skin diseases among infants and children in Al Sharqia Egyptian Dermatology Online Journal 2012; 8(1):4. Egypt.

20- Handa S, Dogra S. Epidemiology of childhood vitiligo: A study of 625 patients from 2003;20:207-10. Dermatol Odom 25- Arnold HI RB James WD Disturbances of Pigmentation Andrews Disease of Skin, Philadelphia, WB Saunders Company, 2006:853-68. 26- Engin B, Mevlitoğlu İ, Tavlı Y.

Hipopigmente Lezyonlarda Ayırıcı Tanı.

Klinik Gelişim 2009 ;22:41-45.