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Journal ArticleDOI

Pattern Of Different Eczema Among Outdoor Patients Attended Faridpur Medical College Hospital, Faridpur, Bangladesh

Ars Ahmed, Akms Islam, Sumi Sarkar, A Mia 
11 Jan 2011-Faridpur Medical College Journal-Vol. 5, Iss: 2, pp 53-55

TL;DR: The frequency of eczema among patients attending at outpatient department of Faridpur Medical College Hospital was 12.8%, and the male to female ratio was almost 1:1; the most affected age group among patients was 0-5 years.

AbstractEczematous dermatitis is very common in our country and all over the world. The aim of current study was to assess the burden, frequency and pattern of different eczema at outpatient department of Faridpur Medical College Hospital in the year 2009. Retrospective data were collected from medical records of patient. Patients of all ages & both sexes attending at the dermatology outpatient department of Faridpur Medical College Hospital in the year 2009 suffering from different eczema were included in this study. The frequency of eczema among patients attending at outpatient department of Faridpur Medical College Hospital was 12.8%, and the male to female ratio was almost 1:1. The most affected age group among patients was 0-5 years. Of all cases of eczema, 77.05% were endogenous and 22.52% were exogenous. The most common type of eczema was seborrhoeic dermatitis (27.17% of all cases), followed by contact dermatitis (20.00%) and Hand eczema (14.18%). Seborrhoeic dermatitis is commonest in young adult (21- 45 yrs), whereas atopic dermatitis is common in infant and children (0-10 yrs). Eczema is a public health problem in Faridpur, Bangladesh, and this necessitates prospective studies to determine its incidence and prevalence. Key words: Eczema; Atopic dermatitis; Faridpur DOI: 10.3329/fmcj.v5i2.6822 Faridpur Med. Coll. J. 2010;5(2):53-55

Topics: Seborrhoeic dermatitis (61%), Eczematous dermatitis (59%), Hand eczema (56%), Outpatient clinic (56%), Atopic dermatitis (54%)

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Journal Article
TL;DR: More than 50% of cases with chronic eczema reacted positively to various allergens so patch test must be applied to such patients to determine its cause.
Abstract: Objective To determine the common allergens in patients with chronic eczema by applying European Standard series. Methods This study was conducted at the Dermatology Department Unit II KEMU/Mayo Hospital, Lahore. Seventy five patients aged 12 years and above of either sex having chronic eczema were enrolled. Patients using oral corticosteroids and immunosuppressive drugs during the last 15 days, as well as, pregnant females were excluded from the study. Each patient was patch tested with allergens of European Standard series. Positive reactions were observed and recorded after 48, 72 and 120 hours, according to International Contact Dermatitis Research Group Criteria . Results There were a total of 75 patients, 37 females and 38 males. Their age ranged from 13 to 45 years. Mean duration of the disease was 2.25 years. Positive reactions were noted in 52% of patients. Most common allergens were potassium dichromate (24%), nickel sulfate (17.3%), cobalt (17.3%) and tixocortol (10.4%). Conclusion More than 50% of cases with chronic eczema reacted positively to various allergens so patch test must be applied to such patients to determine its cause. Metals were the mains allergens detected.

1 citations


Cites result from "Pattern Of Different Eczema Among O..."

  • ...A study from Bangladesh showed similar results, as well.(8) Maximum incidence was seen in 21 to 30 years of age which is comparable with other studies....

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01 Jan 2011
TL;DR: The prevalence of eczemas and their distributions according to the age groups in Odemi�_/ Izmir region was determined to be 25.9% and the ratio of endogenous and exogenous Eczema was higher than the exogenous ones in males and females.
Abstract: The prevalance of eczemas and their distributions according to the age groups in Odemi�_/ Izmir region Purpose: The aim of this study is to determine the frequency and types of eczemas and their distribution according to the age groups in our region. Material-Method: The 29441 patients admitted to the Dermathology polyclinics between January 2010 and May 2011 were retrospectively analysed from the automation record system. The patients were grouped according to the demographic data and diagnosis. In order to compare the distributions of the patient groups according to the various age groups, the patients were evaluated in 11 different categories: 0-2, 2-6, 6-12, 12-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70-79 and upon 80 years old. Results: When the endogenous and exogenous eczemas were evaluated; the ratio of endogenous eczemas was higher than the exogenous ones in males and females. The ratio of endogenous and eczogenous eczemas was 17.1% and 8.8%, respectively. When the endogenous eczema subgroups were evaluated according to the age groups, in 0-2, 2-6 and 6-12 age groups atopic dermatitis, in 12-19, 20-29, 30-39, 40-49 age groups seborrheic dermatitis, in 50-59 age group seborrheic dermatitis and neurodermatitis, 60-69, 70-79 and upon 80 years old age groups ateatatic eczema was found in the highest rates. Seborrheic dermatitis (4.3%), atopic dermatitis (2.9%) and asteatatic eczema (2.5%) were the most frequent groups among the endogenous eczemas. Conclusion: In our study, the total rate of endogenous and exogenous eczemas was found to be 25.9%. (Anatol J Clin Investig 2011;5(4):173-180).

Journal ArticleDOI
08 Oct 2021
Abstract: Atopic eczema is a common and complex disease. Missing genetic hereditability and increasing prevalence in industrialising nations point towards an environmental driver. We investigated the temporal association of weather and pollution parameters with eczema severity. This cross-sectional clinical study was performed between May 2018 and March 2020 and is part of the Tower Hamlets Eczema Assessment. All participants had a diagnosis of eczema, lived in East London, were of Bangladeshi ethnicity and were less than 31 years of age. The primary outcome was the probability of having an EASI score > 10 after prior ambient exposure to commonly studied meteorological variables and pollutants. There were 430 participants in EASI ≤ 10 and 149 in EASI >10 groups. By using logistic generalized additive models and a model selection process, we found that tropospheric ozone (O3) averaged over the preceding 270 days was strongly associated with eczema severity alongside the exposure to fine particles with diameters of 2.5 μm or less (PM2.5) averaged over the preceding 120 days. In our models and analyses PM2.5 appeared to largely act in a supporting role to O3. We demonstrate that long-term exposure to ground-level ozone at high levels has the strongest association with eczema severity.

References
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Journal ArticleDOI
TL;DR: This study aims to determine the prevalence of skin diseases in the population of Egypt, particularly “Upper Egypt”, and to conduct a study in rural Assiut.
Abstract: Background Few epidemiological surveys have been carried out to determine the prevalence of skin diseases in the population of Egypt, particularly “Upper Egypt”. So it is a pressing necessity to conduct such a study in rural Assiut. Objectives To determine the prevalence of various skin diseases in rural Assiut. Subjects and methods A cross-sectional community-based survey was followed. The survey included 8008 rural inhabitants of all ages and both sexes from a representative of three villages of Assiut Governorate, Upper Egypt. The data were collected through personal interview and examination at homes from December 1994 to December 1996. Results They showed that 6961 (86.93%) of the studied population had one or more skin diseases. The group with parasitic skin infestations had the highest prevalence rate (27.40%) of the total sample, of which pediculosis capitis (19.37%) was the commonest. Eczema/dermatitis group had a rate of 19.82%, with pityriasis alba forming the majority (13.49%). Pigmentary disorders were 17.68%, followed by fungal skin infections (16.17%), then naevoid disorders (16.10%), hair and scalp disorders (12.07%), bacterial skin infections (10.10%), sweat gland disorders (6.16%), acne vulgaris (5.37%). Leprosy constituted 1.6/10,000. Other various skin disorders were recorded. Conclusions Infective-parasitic diseases were a major problem particularly among the younger age-group and those of low socio-economic status.

93 citations


Journal ArticleDOI
TL;DR: At least 1/3 of these patients are probably suffering from atypical, late onset atopic dermatitis, with little information available on this group of patients, with no mention of this problem in the recent dermatological literature.
Abstract: Patients with intractable eczema are often referred for patch testing to exclude contact dermatitis. If this is excluded, then a diagnosis of endogenous eczema is made. At our clinic, we find a sizeable proportion of these patients do not fit any of the known patterns of endogenous eczema. These patients are given the diagnosis of unclassified endogenous eczema and make up 8% of the patients seen at our Occupational and Contact Dermatitis Clinic. There is little information available on this group of patients, with no mention of this problem in the recent dermatological literature. Since March 1996, we have further investigated these patients, to develop some understanding of this category. 12 of 34 patients reviewed over this period had an elevated IgE level above 100 IU/ ml. Thus, despite no past history or family history of eczema, asthma or hayfever, at least 1/3 of these patients are probably suffering from atypical, late onset atopic dermatitis. Patients were later contacted by telephone (average 2 years) to assess the natural history of this condition. In 20 of the 31 patients contacted, their eczema had either improved or resolved. We think that this important category of eczema needs to be recognized and further investigated.

20 citations



Journal Article
TL;DR: Based on pathogenetic categories, a consistent classification of eczemas is proposed and the terms endogenous and exogenous should no longer be used for classification to avoid perpetual confusion.
Abstract: Based on pathogenetic categories, a consistent classification of eczemas is proposed. In order to avoid perpetual confusion, the terms endogenous and exogenous should no longer be used for classification. The need for some neologisms is explained together with the meaning of these new terms. Two main groups are topical eczemas and hematogenous eczemas. Each group comprises three types, resulting in a total of six different type of eczemas. Each group comprises three types, resulting in a total of six different types of eczema. The three topical eczemas are irritant contact eczema, allergic contact eczema, and biotopical eczema that is caused by topical action of living organisms such as bacteria, yeasts, or fungi

6 citations


Journal ArticleDOI
TL;DR: Eczema is a public health problem in Zliten-Libya, and this necessitates prospective studies to determine its incidence and prevalence.
Abstract: The life style and demographic structure of Libyan society is changing, and this could affect the epidemiology of certain diseases, including eczema. The aim of this study was to assess the burden of eczema among a selected patient population in the Zliten area in the northwest of Libya. We conducted a retrospective study by reviewing case notes and records in public and private dermatology practices in the Zliten area. The frequency of eczema among patients attending dermatology clinics in the Zliten area was 12.8%, and the male to female ratio was almost 1:1. The most affected age group among patients was 20-29 years. Eczema represented a larger proportion of dermatologic conditions during spring and summer. Of all cases of eczema, 72.6% were endogenous and 24.9% were exogenous (p Keywords : Eczema, Atopic dermatitis, Zliten, Libya Libyan Journal of Medicine Vol. 3 (3) 2008: pp. 10- 13

5 citations