Browsing by Author "Katibi, O. S."

Now showing 1 - 7 of 7
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    Atopic dermatitis in South African children: experience from a tertiary-care centre
    (South African Medical Association, 2020) Katibi, O. S.; Dlova, N. C.; Chateau, A. V.; Mosam, A.
    Background. Atopic dermatitis (AD) is a chronic, pruritic condition with significant morbidity and some variation in clinical characteristics across different populations. Objectives. To describe the characteristics and management of AD in a paediatric cohort. Methods. A cross-sectional, descriptive study of paediatric AD patients attending the skin clinic at the King Edward VIII Hospital in Durban, South Africa, is described. Results. The observed prevalence of AD was 60.1%. A preponderance of male patients (55.6%) was seen across the cohort. An onset of AD by 1 year of age was reported in more than half (53.5%) of the patients. Slightly more than a third of the patients presented with severe disease, as determined by affected body surface area (≥50%). The head, neck and limbs were the most involved areas. Eczema herpeticum was the most common co-existing dermatosis (2.4%). Bleach baths (2%), wet wrap therapy (3.6%) and systemic immunosuppressants (4.8%) were used in the management of recalcitrant cases. Conclusion. The observed prevalence of AD is one of the highest documented among paediatric skin diseases in hospital-based studies in Africa. Predominance in children of preschool age, onset of disease by the age of 5 years, co-existing eczema herpeticum and recalcitrant disease requiring systemic immunosuppressants are consistent with trends in patients from European or Asian descent, while the level of severe disease and head and neck involvement are more consistent with reports from Africa. Further studies in a local context are needed to better understand the disease and its presentation in different populations
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    Blindness and scalp haematoma in a child following a snakebite
    (Faculty of Medicine, Makerere University, 2015) Katibi, O. S.; Adepoju, F. G.; Olorunsola, B. O.; Ernest, S. K.; Monsudi, K. F.
    Background: Snake envenomation is a major public health problem of the Savannah regions of West Africa. Ocular man ifestations of snakebites are rare with few reports documenting blindness as a complication. Objective: To highlight an unusual manifestation of snake bites and its attendant problems Methods: A report of scalp haematoma and blindness in a 10 year old child presenting 2 weeks after a snake bite (pre sumably carpet viper) is a rare manifestation. Local swelling, epistaxis, bilateral proptosis, exposure keratopathy and use of traditional eye medications were associated fndings. Anti-venom though administered late saved the child’s life but blindness could not be reversed. Results: Ocular ultrasonography revealed layered retrobulbar collection in the left eye, presumably due to hemorrhage. The skull x-ray showed a soft tissue swelling and aspirate from scalp swelling was bloody. Cranial Computed Tomography (CT) scan done late detected no abnormalities. Conclusion: Snakebite is associated with lifelong morbidity. Ocular manifestations must be treated as emergency. This case highlights the effect of ignorance and poverty in a setting of a common medical emergency leading to blindness and reduced quality of life
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    Cutaneous disorders of adolescence among Nigerian secondary school students
    (Pan African Medical Centre for Public Health Research and Information, 2020) Oyedepo, J. T.; Katibi, O. S.; Adedoyin, O. T.
    Introduction: a community-based, age-specific survey of skin disorders is usually necessary to characterize the true burden of skin disease among a given population and help to tailor health care personnel training and delivery towards the prevalent disorders in resource poor settings. Methods: this was a descriptive cross-sectional study among adolescents attending secondary schools in Ilorin, Kwara State, Nigeria. A thousand and three hundred students were recruited from public and private secondary schools through a multi-staged stratified random sampling method. Information was obtained via a semi-structured questionnaire and all students underwent a physical examination. Data was analysed using SPSS version 20. Information generated was presented with tables and figures. Results: the prevalence of skin disease in the study was 66.5%. More females, mid-adolescents, students in senior class and those attending public schools had skin disorders. The most prevalent skin disease were: acne vulgaris, pityriasis versicolor, tinea capitis, pityriasis capitis and traction alopecia. Conclusion: skin conditions are highly prevalent among the adolescent population. Infective and inflammatory skin conditions appear to be more prevalent than other classes. Most times, only a few skin disorders account for the bulk of dermatoses affecting this age group. Adolescent skin healthcare should be subsidized because of the high prevalence of skin disorders in this age group
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    Dermatological disorders and dermatology-specific quality of life among secondary students in public and private schools in Kwara state, Nigeria
    (2022) Oyedepo, J. T; Katibi, O. S.; Adedoyin, O. T.
    Introduction: Skin problems are very common and often affect people in very visible places leading to significant physical and psychological distress. Adolescents go through physiologic changes in their body during puberty with associated psychosocial changes. Having to live with skin disorders during these years can have life-long impact. This study aimed to describe the spec trum of skin disorders in adoles cents attending secondary schools in Kwara state and evaluate the dermatology-specific quality of life of those affected by skin disor ders. Objective: To describe the spec trum of skin disorders among ado lescents in secondary schools and evaluate the impact of skin disor ders on the dermatology-specificquality of life of those affected. Methods: This was a descriptive cross-sectional study. We exam ined 1000 students from 16 public and private secondary schools in Ilorin, Kwara state. Participant selection was done using a multi- staged stratified random sampling method. The impact on quality of life was evaluated with the CC –BY 4.0 Children’s Dermatology Life Quality Index (CDLQI) to deter mine their dermatology-specific Quality of life. Data obtained was analyzed with SPSS version 20and was presented using tables and figures. Results: The prevalence of skindisease in the study population was 68.4%. The most common skin disorders in order of decreas ing frequency were: acne, pityria sisversicolor, dermatophytoses (Including tinea capits, tinea cor poris, tinea pedis, tinea unguium and tinea cruris), pityriasis capitis and traction alopecia. About three- quarters of those with skin disease reported an effect on their quality of life. The most frequent effect on Qol was attributed to the symp toms and feelings elicited by skin disease. Discussion: This study found a high prevalence of skin disease in adolescents with most of them reporting an effect on their quality of life resulting from their skin problem however this was mostlya mild effect
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    Intelligence Quotient of Neurologically Impaired Children Attending Neurology Clinic in a Nigerian Tertiary Institution.
    (College of Medicine and Allied Health Sciences, University of Sierra Leone, 2018-01) Adeboye, M. A. N.; Katibi, O. S.; Adegboye, O. A.; Ojuawo, A.; Afolabi, J. K.; Buhari, O. I. N.; Adegunloye, O. A.; Bello, S. O.; Omefa, P. N.; Abdulazeez, T. A.
    Background: The need to identify the intellectual capability of Neurologically impaired children dictates their educability which can be estimated through their intelligence quotient (IQ). Draw-a-man test for IQ estimation is available, easy and has been validated in Nigeria. Method: Through a prospective, cross-sectional study that lasted 12 months (January-December, 2011), children aged 4 years and above attending neurology clinic were recruited once they have no severe motor or sensory limitations affecting their upper limbs, and can obey instruction to draw a person. Anthropometry was carried out on them and they were comfortably seated to draw a person. The parents or care givers were instructed not to make any suggestion or hint to them and no time limit was given. Their drawings were assessed using the 52 parameters of Ziler and interpreted accordingly. Ethical procedures were adhered to. Analysis was done using SPSS version 16 and an interactive calculation tool for chi-square tests of goodness of fit and independence. Results: Seventy-five (45 male, 30 female) children met the inclusion criteria. Their clinical conditions were Epilepsy 48 (64%), Cerebral Palsy 6 (8%), ADHD 5 (6.7%), Down Syndrome 4 (5.3%), Speech/Hearing impairment 3 (4.0%), Hypothyroidism 2 (2.7%) and 7 (9.3%) others. Their ages ranged from 4 years to 16 years (mean±SD = 9.7± 3.8 years). Their IQ distribution were Normal 4 (5.3%), Borderline 12 (16.0%), Mild Mental Retardation 16 (21.3%), Moderate Mental Retardation 19 (25.3%), Severe and Profound Mental Retardation 24 (32.0%) with no significant difference in relation to their birth order. Conclusions: Ninety-six percent of the study population had IQ below normal. Epilepsy was the commonest condition seen in the Paediatric Neurology clinic and all categories of IQ are seen among children with epilepsy.
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    The prevalence of paediatric skin conditions at a dermatology clinic in KwaZulu-Natal Province over a 3-month period
    (South African Medical Association, 2016) Katibi, O. S.; Dlova, N. C.; Chateau, A. V.; Mosam, A.
    Background. Skin conditions are common in children, and studying their spectrum in a tertiary dermatology clinic will assist in quantifying skin diseases associated with greatest burden. Objective. To investigate the spectrum and characteristics of paediatric skin disorders referred to a tertiary dermatology clinic in Durban, KwaZulu-Natal (KZN) Province, South Africa. Methods. A cross-sectional study of children attending the dermatology clinic at King Edward VIII Hospital, KZN, was carried out over 3 months. Relevant demographic information and clinical history pertaining to the skin conditions were recorded and diagnoses were made by specialist dermatologists. Data were analysed with EPI Info 2007 (USA). Results. !ere were 419 children included in the study; 222 (53%) were males and 197 (47%) were females. A total of 64 diagnosed skin conditions were classi%ed into 16 categories. !e most prevalent conditions by category were dermatitis (67.8%), infections (16.7%) and pigmentary disorders (5.5%). For the speci%c skin diseases, 60.1% were atopic dermatitis (AD), 7.2% were viral warts, 6% seborrhoeic dermatitis and 4.1% vitiligo. Dermatitis was signi%cantly more common in males (p<0.05). AD was the most common condition below 12 years of age, while the presence of viral warts was the most prevalent disorder among HIV-infected children. Approximately one-third (37.5%) of the disorders referred by other medical practitioners were misdiagnosed. Conclusions. AD constituted the highest burden both numerically and economically. Viral infections were a major contribution from HIV infection. !e diverse spectrum and characteristics of skin diseases referred will assist in modifying the dermatology educational curriculum and bridge knowledge gaps among healthcare providers treating children
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    Prevalence of skin diseases treated at public referral hospitals in KwaZulu-Natal, South Africa
    (British Association of Dermatologists, 2018) Dlova, N. C.; Chateau, A.; Khoza, N.; Skenjane, A.; Mkhize, Z.; Katibi, O. S.; Grobler, A.; Gwegweni J.T.; Mosam, A.