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Main Article Content
Pattern and trend of dermatologic consultations at a University teaching hospital in Lagos, Nigeria
Abstract
Background: The knowledge of the spectrum of skin diseases is typically the foundation for appropriate health planning, policy making, and the allocation of limited resources. The aim of this study therefore, was to determine the spectrum and pattern of dermatologic diseases at our center using the ICD -10 code and to determine the trend of diagnosis.
Methods: This retrospective study of 3354 patients who attended clinic for the first time between January 2017 and December 2022 was conducted at the outpatient skin clinic of the Lagos State University Teaching Hospital following ethical approval (LREC/10/06/1209). Diagnoses were coded using the ICD-10 code and data was analyzed using SPSS version 25.
Results: Among the three thousand, three - hundred and fifty-four patients attended to, 57.7% of them were female. Non-infectious diseases accounted for 84% of the diagnoses and infectious diseases for 16%. The commonest group of diseases were the eczemas (26.4%) followed equally by disorders of skin appendages and, tumors and malignant skin lesions (13.6%). Squamous cell carcinoma (12.5%) was commoner than basal cell carcinoma (7.5%). The ten (10) most common diseases diagnosed in the clinic are acne vulgaris (7.5%), seborrheic dermatitis (7.0%), atopic dermatitis (6.8%), vitiligo (2.9%), lichen planus (2.9%), and psoriasis (2.7%). Non-infectious diseases remained the most common diagnoses made.
Conclusion: There is an increasing and improving access to dermatological care. Non-infectious diseases remain the main reasons for clinic attendance. Acne vulgaris, seborrheic dermatitis, and atopic dermatitis make up the bulk of diseases diagnosed at the clinic.
French title: Modèle et tendance des consultations dermatologiques dans un hôpital universitaire de Lagos, au Nigéria
Contexte de étude: La connaissance du spectre des maladies cutanées constitue généralement la base d'une planification sanitaire appropriée, de l'élaboration de politiques et de l'allocation de ressources limitées. L'objectif de cette étude était donc de déterminer le spectre et le profil des maladies dermatologiques dans notre centre en utilisant le code CIM-10 et de déterminer la tendance du diagnostic.
Methode de l'étude : Cette étude rétrospective de 3354 patients qui se sont rendus pour la première fois à la clinique entre janvier 2017 et décembre 2022 a été menée à la clinique dermatologique ambulatoire de l'hôpital universitaire de l'État de Lagos après approbation éthique (LREC/10/06/1209). Les diagnostics ont été codés à l'aide du code CIM-10 et les données ont été analysées à l'aide de SPSS version 25.
Résultats de l'étude : Français Parmi les trois mille trois cent cinquante-quatre patients pris en charge, 57,7 % étaient des femmes. Les maladies non infectieuses représentaient 84 % des diagnostics et les maladies infectieuses 16 %. Le groupe de maladies le plus courant était l'eczéma (26,4 %), suivi à égalité par les troubles des phanères et les tumeurs et lésions cutanées malignes (13,6 %). Le carcinome épidermoïde (12,5 %) était plus fréquent que le carcinome basocellulaire (7,5 %). Les dix (10) maladies les plus fréquemment diagnostiquées à la clinique sont l'acné vulgaire (7,5 %), la dermatite séborrhéique (7,0 %), la dermatite atopique (6,8 %), le vitiligo (2,9 %), le lichen plan (2,9 %) et le psoriasis (2,7 %). Les maladies non infectieuses restaient les diagnostics les plus fréquents.
Conclusion: L'accès aux soins dermatologiques est en augmentation et s'améliore. Les maladies non infectieuses restent les principales raisons de la consultation. L'acné vulgaire, la dermatite séborrhéique et la dermatite atopique constituent la majeure partie des maladies diagnostiquées à la clinique
