Prevalence Of Skin Disorders In School Children

摘要

Background- Skin diseases are associated with environmental factors, and a public health approach is particularly important .The present study was conducted to determine the prevalence of skin disorder, to analyze the age and sex distribution and to deworm the cases which had Pityriasis alba. Methods- A cross sectional study was conducted in 988 children of a higher primary school for 3 weeks duration in Kalkunte Agrahara which is the field practice area of Dept. of Community Medicine, Vydehi institute of medical sciences and research centre,Bangalore. Students were clinically examined for the presence of skin disorders and details noted down in pre-tested structured questionnaires individually. Results -In this study, among 988 children, 24 skin disorders were prevalent .Pityriasis Alba was the most common skin disorder accounting for 46.76%, followed by others like Keratosis Pilaris (13.03%), Seborrhea (10.92%), Icthyosis (8.09%), Acne (5.2%), Pediculosis (3.35%) and Impetigo (4.14%). In all ages pityriasis alba was the most common followed by keratosis pilaris. Impetigo was found among all but in more in higher primary. Seborrhea and pediculosis was seen more in higher primary. Folliculitis was seen more among lower primary. Conclusion- Health education among school children to be made as a curriculum and deworming of all school children to be taken as a regular health care scheme . Introduction The skin is of major importance in our body image so that the psychological disturbances induced by skin problems may be out of all proportions to their medical significance. Skin disorders are among the most frequent diseases of school children in both developing and industrialized countries. In addition, skin diseases not only cause depression by psychological stress, stress from another cause can exacerbate or even be involved in causation of some skin diseases. Very often, skin diseases offer diagnostic clues to major systemic disorders. Many skin diseases ex: Ance vulgaris, Psoriasis, Pityriasis Alba etc can be quickly diagnosed by their clinical features and need little or no further investigations. Management of infinite variety of skin disorders range from simple reassurance and explanation through the gamut of tropical and systemic remedies. Skin diseases are associated with environmental factors and a public health approach is particularly important .Keeping all these points in view ,the present study was conducted to determine the prevalence of skin disorders, to analyze the age and sex distribution and to deworm the cases which had Pityriasis Alba. Material and Methods A cross sectional study was conducted in a school for 3 weeks duration in Kalkunte Agrahara which is the field practice area of Dept. of Community Medicine, VIMS&RC, Bangalore. 988 school children aged 5 to 15yrs from 1 st to 10 th std. were examined in Sri Ranganatha Higher Primary School .The study included 496 (50.20%) girls and 492 ( 49.70 %) boys. After obtaining relevant bio-data, students were clinically examined for the presence of skin disorders and details noted down in pre-tested structured questionnaires individually. Informed consent was taken from the school authorities. Sample size was taken to be the entire school population. Specific treatment was given to few cases and few were referred to Vydehi Hospital for further management. Results In this study which included 988 students , few had more than one disorders, few had one, and few had none . Among all the school children, 24 skin disorders were prevalent. (Table No.1)