. Jeddah is the major city in the Western region, with an approximate population of two million. The city is located on the Red Sea, and has a hot climate, with daily temperatures ranging from 15-43°C. throughout the year, with high humidity at times and only occasional rainfall. The King Khalid National Guard Hospital is one of the major government hospitals in the region catering for national guard military personnel and their families, as well as non-national guard patients. The hospital offers secondary and tertiary care, and is equipped with modern sophisticated facilities.
Materials and MethodsThis was a prospective study that included all new patients attending the Skin Clinic at King Khalid National Guard Hospital during the study period. All patients were seen by consultants and specialists. The diagnosis in each case was based on clinical findings, and histopathological examination of skin biopsies where necessary. The diseases were classified into nine major groups, according to the ninth revision of the International Classification of Diseases (ICD-9).
ResultsDuring the 12-month study period, the total number of patients attending the Dermatology and Venereology Outpatient Clinic at the hospital was 5260. Of this number, 910 (17.3%) were new patients. There were 782 adult (>12 years) patients (85.93%) and 128 children (<12 years) (13.79%). There were 418 males (45.93%) and 492 females (54.06%), with a female/male ratio of 1.2:1. Saudi nationals constituted the majority of patients at 860 (94.5%) with non-Saudis numbering only 50 (5.49%). National Guard personnel comprised 149 (16.36%), their families 367 (40.33%), and non-National Guard patients were 394 (43.29%).A total of 928 new diagnoses were seen during the study period. These were classified into nine categories according to the frequency of presentation. Table 1 shows the main disease groups, of which eczema/dermatitis topped the list (18.64%), followed by acne (9.48%), viral infections (9.26%), bacterial infections (7.65%), pigmentary disorders (6.46%), fungal infections (6.35%), papulosquamous diseases (4.84%), and urticaria (2.37%). Miscellaneous skin conditions were diagnosed in the remaining 328 patients (34.9%), and disorders of hair and pruritus were the most common.
DiscussionThe current study is the first to describe the patterns of skin diseases in the Western region of the Kingdom of Saudi Arabia. The King Khalid Hospital is a referral center for primary health clinics in Jeddah, Makkah and Taif. Although this study was limited to our hospital, we believe that the results represent a rough estimate of the prevalence of skin diseases in the Western region, and that the distribution of dermatoses according to age and sex reflect the true prevalence (as both the referral and the eligibility systems of the hospital apply no specific restrictions).