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Pediatric Cutaneous Emergencies and their Outcome: Study from a Tertiary Care Center in South India

BACKGROUND: Skin problems are commonly encountered in the pediatric emergency department (PED). Although there are a few studies on the prevalence and spectrum of skin conditions in children attending the PED, only limited information is available on the outcome of the children with skin-related ail...

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Autores principales: Sathishkumar, Dharshini, Udhayakumar, Parthiban, Adhikari, Debasis Das, George, Renu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6859774/
https://www.ncbi.nlm.nih.gov/pubmed/31807443
http://dx.doi.org/10.4103/idoj.IDOJ_37_19
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author Sathishkumar, Dharshini
Udhayakumar, Parthiban
Adhikari, Debasis Das
George, Renu
author_facet Sathishkumar, Dharshini
Udhayakumar, Parthiban
Adhikari, Debasis Das
George, Renu
author_sort Sathishkumar, Dharshini
collection PubMed
description BACKGROUND: Skin problems are commonly encountered in the pediatric emergency department (PED). Although there are a few studies on the prevalence and spectrum of skin conditions in children attending the PED, only limited information is available on the outcome of the children with skin-related ailments requiring hospitalization. AIM: To study the clinical profile of skin manifestations in children presenting to the PED over a period of one year and assess the impact of skin lesions on the clinical outcome. MATERIALS AND METHODS: All children <16 years of age attending the PED were screened and children with skin lesions were referred to the dermatologist for further evaluation, and those admitted were followed up until discharge. Children with skin lesions were categorized into seven subsets based on their diagnosis. Outcomes evaluated were duration of hospital stay, associated systemic inflammatory response syndrome (SIRS), and mortality. RESULTS: Of the 24,324 patients screened, 203 (0.83%) had skin lesions, of whom 158 (77.83%) were discharged from the PED. Forty five (22.16%) patients required admission of whom 2 (0.99%) died. Inflammatory disorders were the most common, 102 (50.24%), followed by infections in 91 (44.82%) patients. Among the hospitalized patients, 25 (55.6%) had SIRS, which included infections in 14 (56%), vasculitis in 5 (20%), and urticaria in 3 (12%) patients. Two patients with SIRS died and the causes were purpura fulminans and febrile exanthem of probable viral etiology. CONCLUSION: Our study highlights the spectrum of pediatric cutaneous emergencies and their outcome. A subset of patients can present with severe skin ailments and SIRS in whom early diagnosis and prompt treatment can impact the outcome.
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spelling pubmed-68597742019-12-05 Pediatric Cutaneous Emergencies and their Outcome: Study from a Tertiary Care Center in South India Sathishkumar, Dharshini Udhayakumar, Parthiban Adhikari, Debasis Das George, Renu Indian Dermatol Online J Original Article BACKGROUND: Skin problems are commonly encountered in the pediatric emergency department (PED). Although there are a few studies on the prevalence and spectrum of skin conditions in children attending the PED, only limited information is available on the outcome of the children with skin-related ailments requiring hospitalization. AIM: To study the clinical profile of skin manifestations in children presenting to the PED over a period of one year and assess the impact of skin lesions on the clinical outcome. MATERIALS AND METHODS: All children <16 years of age attending the PED were screened and children with skin lesions were referred to the dermatologist for further evaluation, and those admitted were followed up until discharge. Children with skin lesions were categorized into seven subsets based on their diagnosis. Outcomes evaluated were duration of hospital stay, associated systemic inflammatory response syndrome (SIRS), and mortality. RESULTS: Of the 24,324 patients screened, 203 (0.83%) had skin lesions, of whom 158 (77.83%) were discharged from the PED. Forty five (22.16%) patients required admission of whom 2 (0.99%) died. Inflammatory disorders were the most common, 102 (50.24%), followed by infections in 91 (44.82%) patients. Among the hospitalized patients, 25 (55.6%) had SIRS, which included infections in 14 (56%), vasculitis in 5 (20%), and urticaria in 3 (12%) patients. Two patients with SIRS died and the causes were purpura fulminans and febrile exanthem of probable viral etiology. CONCLUSION: Our study highlights the spectrum of pediatric cutaneous emergencies and their outcome. A subset of patients can present with severe skin ailments and SIRS in whom early diagnosis and prompt treatment can impact the outcome. Wolters Kluwer - Medknow 2019-11-01 /pmc/articles/PMC6859774/ /pubmed/31807443 http://dx.doi.org/10.4103/idoj.IDOJ_37_19 Text en Copyright: © 2019 Indian Dermatology Online Journal http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Sathishkumar, Dharshini
Udhayakumar, Parthiban
Adhikari, Debasis Das
George, Renu
Pediatric Cutaneous Emergencies and their Outcome: Study from a Tertiary Care Center in South India
title Pediatric Cutaneous Emergencies and their Outcome: Study from a Tertiary Care Center in South India
title_full Pediatric Cutaneous Emergencies and their Outcome: Study from a Tertiary Care Center in South India
title_fullStr Pediatric Cutaneous Emergencies and their Outcome: Study from a Tertiary Care Center in South India
title_full_unstemmed Pediatric Cutaneous Emergencies and their Outcome: Study from a Tertiary Care Center in South India
title_short Pediatric Cutaneous Emergencies and their Outcome: Study from a Tertiary Care Center in South India
title_sort pediatric cutaneous emergencies and their outcome: study from a tertiary care center in south india
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6859774/
https://www.ncbi.nlm.nih.gov/pubmed/31807443
http://dx.doi.org/10.4103/idoj.IDOJ_37_19
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