Browsing by Author "Bello A.J."

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    Presentation of skin disorders in children and their socio-demographic indices in Lokoja,Nigeria.
    (Nigerian Association of Dermatologists, 2022) Oyeleke F.; Katibi S.; Joseph G.; Bello A.J.
    Background: Skin disorders are common in children, and their prevalence varies with location. This study was carried out to determine the prevalence and spectrum of skin disorders of primary and secondary presentation among children. Methods: This cross-sectional study involved 2,725 participants recruited consecutively and examined for skin disorders irrespective of their reason for presentation. Socio-demographic data were collected. Skin disorders were mainly diagnosed clinically. Results: Three hundred participants had skin disorders giving a prevalence of 11.0%. There were 305 skin diagnoses made. Skin disorders occurred more among males 176 (58.7%) and children less than two years, 102 (34.0%). Skin infections and infestations were the predominant category and seen in 134 (43.9%), with fungal dermatoses being the most common, occurring in 62 (47.6%). Common specific skin conditions were tinea capitis 47 (1.7%), seborrheic dermatitis 26 (1.0%), papular urticaria 23 (0.8%) and chicken pox 17 (0.6%). Among the 305 skin disorders, over a third, 99 (32.5%), were of secondary presentation, with fungal skin infections 26 (26.2%) being the most common. Secondary presentation was more common among males (p=0.005), and there was a reduced prevalence among those of upper social status (p=0.034). Conclusion: Skin disorders occurred in about 1in 10 children seen at the general outpatient clinic, with a predominance of infective skin disorders. In about a third of the children, the skin disorders were not the main reason for presentation, with fungal dermatoses being the most common. This emphasizes the need to improve identification among health care practitioners to aid prompt and adequate treatment of skin disorders in children.