Incidence of steroid modified tinea in pediatric age group at tertiary centre in North India

Abstract

<p class="abstract"><strong>Background:</strong> Uncontrolled use and abuse of topical steroids has led to increase in number of cases of superficial dermatophytosis of skin, hair and nail in pediatric age group as well. Our study aimed to analyse epidemiological and microbiological profile of steroid modified tinea (SMT) in pediatric age group.</p><p class="abstract"><strong>Methods:</strong> Clinically diagnosed tinea childhood patients with history of usage of topical steroids in children were included in our study. Detailed history was taken and clinical examination along with KOH mount and culture was done.<strong></strong></p><p class="abstract"><strong>Results:</strong> 112 patients were clinically diagnosed as tinea out of which 61cases gave the history of topical steroids and were included in our study. Most common age group was 12-18 years with female:male of ratio approximately 3:1 and disseminated and atypical form was the most common variety. KOH mount was positive in 73.2% cases and culture was positive in 69.6% cases. Most common species found out to be <em>Tinea mentagrophytes</em> followed by <em>Tinea rubrum</em>. Among non-dermatophyte group, <em>Candida</em> was the commonest.</p><p class="abstract"><strong>Conclusions:</strong> There is rise in incidence of dermatophytosis, especially steroid modified, atypical and disseminated.</p>

A clinicoepidemiological study on tinea incognita with assessment of its treatment strategies and drug prescribing practices in a tertiary care hospital

“…Priyanka et al 25 in Chidambaram reported that patients of 15–50 years constituted >50% of the total study population. In our observational study, males ( n = 92, 54%) outnumbered females ( n = 78, 46%), which was in line with the study conducted by Chaudhary et al, 23 Monisha et al, 24 Thakur et al, 26 and differs slightly from the study by Priyanka et al 25 where they reported female preponderance. Male preponderance can be explained by many factors like excessive sweating, occlusive clothing, hormonal influence, and increased exposure to various environmental triggers.…”

“…These findings correlate with a study conducted by Monisha et al, 24 where they reported middle‐class strata being the highest. Close contact history was positive for 53% of patients among which 48% had a positive family history which is in line with findings from the study by Chaudhary et al, 23 where 52.5% family history was reported. In our study, the most common complaint reported by the patients was itching (82%), which is in concordance with the study by Chaudhary et al, 23 and Priyanka et al, 25 (83.64%) but it is slightly contrast to the study by Monisha et al, 24 where burning sensation (37%) and itching (34%) was highly reported.…”

“…in line with findings from the study by Chaudhary et al, 23 where 52.5% family history was reported. In our study, the most common complaint reported by the patients was itching (82%), which is in concordance with the study by Chaudhary et al, 23 and Priyanka et al, 25 (83.64%) but it is slightly contrast to the study by Monisha et al, 24 where burning sensation (37%) and itching (34%) was highly reported.…”

“…In our study, 53% of the patients were in the age group of 31–50 years and the mean age of the study population was 40.76 ± 14 years. In Chaudhary et al 23 study, more than 50% of the study population was in the group 20–39 years. Also in a study by Monisha et al, 24 nearly 58% of the study population was in the age group of 20–40 years.…”

“…The most common source of information for self-medication was from Pharmacists (76%) which is in line with the study by Dutta et al, 28 and Priyanka et al 25 A contrast findings were reported in other studies as local medical practitioners and friends. 23,24 Ansar et al 29…”