Showing 5 results for Pediatric
Zahra Hallaji, Maryam Akhyani, Vahide Lajevardi, Mayade Raeiati Damavandi,
Volume 3, Issue 3 (9-2012)
Abstract
Background and Aim: Psoriasis is a chronic papulosquamous
disorder, which affects about 2% of the population. Psoriasis is relatively
common in childhood: more than 10% of cases start before the age of 10. Tha aim
of this study was to compare the clinical characteristics between pediatric-onset
and adult-onset psoriasis in Iranian patients.
Methods: In 2006 and 2007, clinical data were collected
from all patients with psoriasis diagnosis referred to Razi Hospital. They were
categorized into two groups: pediatric-onset psoriasis patients and adult-onset
psoriasis patients. Clinical variables such as number of patients, gender, age
of onset, family history, and stress as a precipitating factor, the first site
of involvement, clinical type and involved sites were compared between the two
group.
Results: From total of 162 patients, 50 patients (33.2%)
were considered as pediatric-onset group. The percentage of males in the
pediatric-onset group was 48% compared with 58.9% in the adult-onset group. In
the pediatric-onset group positive family history was 20% and in the
adult-onset group was 12.5%. Stress as a precipitating factor was nearly the
same in both groups. Plaque type psoriasis was the most common clinical
presentation and the head and neck was the most common site of involvement in
both groups.
Conclusion: Our findings, similar to previous studies
showed that the involvement of female gender, family history and the onset of
psoriasis on the scalp in children were more than adults.
Masoud Golpour, Mehrdad Taghipour, Fariborz Azizi, Lotfollah Davoudi,
Volume 5, Issue 3 (10-2014)
Abstract
Psoriasis is a chronic inflammatory disease which may occur in childhood. In many psoriasis cases, the disease develops in individuals younger than 18 years old. Psoriasis in children presents with a variety of clinical manifestations. Becouse of its atypical presentations, early diagnosis of psoriasis is difficult in children. The plaque type psoriasis is the most common form of the disease in children. Different treatments such as phototherapy and systemic therapies have been proposed, but using any of them leads to serious complications in children. Therefore, early diagnosis and proper management of the disease are the main components of the treatment in pediatric psoriasis cases. Herein, we aimed to provide a general overview on the pediatric psoriasis, including its epidemiology, pathogenesis, clinical manifestations as well as the treatment and discussing the latest related information.
Shabnam Fahim, Seyedmohamad Ghazanfari Hashemi, Ahmadreza Taheri, Amir Teimourpour, Nafiseh Esmaeili, Narges Ghandi,
Volume 12, Issue 2 (8-2021)
Abstract
Background and Aim: So far, the relationship between patient experiences and the quality of services provided to them has not been widely studied. However, evidence suggests that improving patient experiences can improve clinical outcomes. The aim of this study was to determine the satisfaction of parents of children referring to the pediatric clinic as well as the related factors.
Methods: This descriptive study was conducted using a pre-designed Press Ganey questionnaire in Persian language and through interviews with 207 parents of children who referred to the pediatric clinic of Razi Dermatology Hospital in 2018.
Results: Of the 207 participants, 87 were fathers (42%) and 105 were mothers (50.7%). The remaining 15 had other relationships with the child. Overall satisfaction (recommending our clinic to others) was 62.8%. Also, 72.5% of the participants believed they would recommand their doctors. The lowest level of satisfaction was due to the lack of introduction of clinic staff and the difficulties in setting up an appointment. The factors that most closely correlate with the patient's overall satisfaction included respectively: the cheerfulness of the visit by the doctor, the confidence in the doctor, and the likelihood of recommending the doctor.
Conclusion: The relationship between a physician and a patient is significantly related to the quality of patients' experiences in the pediatric dermatology clinic. Families and patients, when evaluating their experiences, focused on clear language and doctor's sensitivity.
Maryam Nourizadeh, Mahsa Fattahi,
Volume 14, Issue 4 (2-2024)
Abstract
Methotrexate (MTX) is a freely available medication. However, regardless of extensive off-label consumption, FDA labeling does not include accepted for the consumption of MTX for many inflammatory skin diseases in pediatrics, containing morphea, psoriasis, atopic dermatitis, and alopecia areata. Lacking published healing recommendations makes the clinicians unsure about prescribing MTX in an off-label manner especially in children. Present study, was conducted to review the use of MTX to heal pediatric inflammatory skin disorders.
The evidence and consent based advices will assistance safe and successful use of MTX for the underserved population of pediatrics who may benefit from this valuable, time-honored medication.
Parham Tamimi, Pegah Tamimi,
Volume 16, Issue 1 (5-2025)
Abstract
Kerion Celsi is a severe inflammatory fungal infection of the scalp that affects deeper layers of the skin. While it is uncommon in newborns, its incidence increases in children aged 3 years and older. It typically presents with swelling, spongy or boggy lesions, tenderness, hair loss (alopecia), and purulent discharge. Secondary bacterial infections are frequently seen following skin breakdown or maceration. Systemic symptoms may include enlarged lymph nodes, fever, and in very rare instances, fungal bloodstream infection (fungemia). Hypersensitivity reactions (Id reactions) can also occur. Diagnosis is guided by clinical evaluation, including patient history and physical examination, and must be confirmed using microscopy, fungal culture, and molecular diagnostic techniques. The most commonly isolated pathogens are anthropophilic Trichophyton tonsurans and zoophilic Microsporum canis. In contrast, geophilic fungi and molds are rarely implicated. Treatment is non-surgical, involving a combination of systemic and topical antifungal agents, with systemic antibiotics added when bacterial coinfection is suspected. Surgery should be avoided. Early and adequate therapy is critical to prevent permanent scarring and hair loss. The primary differential diagnosis includes bacterial infections of the skin and soft tissue.
