The prevalence of pruritus in Mustafa Kemal University Dermatology Outpatient Clinic During July 2008

Amaç: Bu çalışmanın amacı, dermatoloji kliniğine başvuran hastalar arasında pruritus prevalansının değerlendirilmesidir. Hastalar ve Yöntemler: Çalışmaya 2008 Temmuz ayı boyunca dermatoloji polikliniğine başvuran yedi yaşından büyük toplam 521 hasta (ort. yaş 35.7±18.3; dağılım 7-96) alındı. Hastaların tümüne demografik ve klinik verilerle ilgili anket formu dolduruldu. Son bir hafta sürecinde mevcut deri hastalıklarında az ya da çok kaşıntısı olanlar pruritik olarak kabul edildi. Dermatolojik tanılar Uluslararası Hastalık Sınıflandırması'na uygun olarak kaydedildi. Bulgular: Hastalardan 324'ü (%62.2) çalışmaya katılmayı kabul etti. 324 hastanın 194'ü (%59.9) son bir hafta içerisinde kaşıntı tariflemekteydi. Bu hastaların 29'unda (%14.9) dermatit/egzama, 26'sında (%13.4) ürtiker, 21'inde (%10.8) tinea infeksiyonu, 15'inde (%7.7) akne, 14'ünde (%7.2) psoriasis, 31'inde (%16) nedeni bilinmeyen kaşıntı ve 32'sinde (16.5%) diğer dermatolojik hastalıklar saptandı. Sonuç: Çalışmamızda nedeni bilinmeyen pruritus prevalansı yüksek olarak saptanmıştır. Özellikle bu olgular altta yatabilecek sistemik hastalıklar açısından dikkatlice değerlendirilmelidir.

Anahtar Kelimeler:

Kaşıntı, Dermatit, Tinea, Psoriyazis, Ürtiker, Yaygınlık

Mustafa Kemal Üniversitesi Tıp Fakültesi Dermatoloji Polikliniği'ne 2008 Temmuz ayı içerisinde başvuran hastalarda pruritus prevalansı

Objectives: The aim of the present study was to examine the prevalence of pruritus in patients who presented to the outpatient dermatology clinic with skin diseases. Patients and Methods: A total of 521 patients (mean age 35.7±18.3 years; range 7 to 96 years) over the age of seven who presented to our outpatient clinic during July 2008 were enrolled in the study. All participants completed a specially designed questionnaire on demographic and clinical data. All patients who had felt itchy more or less over the area of their lesions within the past week were determined to be pruritic. The diagnoses were made based on the International Classification of Diseases. Results: Of all patients, 324 (62.2%) agreed to participate in our project. 194 (59.9%) patients reported pruritus within the past seven days. Of these, 29 (14.9%) had a diagnosis of dermatitis/eczema, 26 (13.4%) had urticaria, 21 (10.8%) had tinea infections, 15 (7.7%) had acne, 14 (7.2%) had psoriasis, 31 (16%) had pruritus of unknown origin and 32 (16.5%) had another diagnosis. Conclusion: In this study, the prevalence of pruritus of unknown origin was found to be high. Clinicians should be encouraged to carefully assess pruritus of unknown origin because of underlying systemic diseases.

Keywords:

Pruritus, Dermatitis, Tinea, Psoriasis, Urticaria, Prevalence,

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1) van Os-Medendorp H, Eland-de Kok PC, Grypdonck M, Bruijnzeel-Koomen CA, Ros WJ. Prevalence and predictors of psychosocial morbidity in patients with chronic pruritic skin diseases. J Eur Acad Dermatol Venereol 2006;20:810-7.
2) Gupta MA, Gupta AK. Stressful major life events are associated with a higher frequency of cutaneous sensory symptoms: an empirical study of nonclinical subjects. J Eur Acad Dermatol Venereol 2004;18:560-5.
3) Dalgard F, Svensson A, Holm JØ, Sundby J. Selfreported skin morbidity in Oslo. Associations with sociodemographic factors among adults in a crosssectional study. Br J Dermatol 2004;151:452-7.
4) Alexander H, Shah N, Palubin K, Chen S. Prevalence of pruritus in general dermatology clinics. J Am Acad Dermatol 2005;52(Suppl 3):106. [Abstract]
5) Weisshaar E, Apfelbacher C, Jäger G, Zimmermann E, Bruckner T, Diepgen TL, et al. Pruritus as a leading symptom: clinical characteristics and quality of life in German and Ugandan patients. Br J Dermatol 2006;155:957-64.
6) Shibeshi D. Pattern of skin diseases at the University teaching hospital, Addis Ababa, Ethiopia. Int J Dermatol 2000;39:822-5.
7) Krajnik M, Zylicz Z. Understanding pruritus in systemic disease. J Pain Symptom Manage 2001;21:151-68
8) Moses S. Pruritus. Am Fam Physician 2003;68:1135-42
9) Polat M, Oztas P, Ilhan MN, Yalçin B, Alli N. Generalized pruritus: a prospective study concerning etiology. Am J Clin Dermatol 2008;9:39-44.
10) Zirwas MJ, Seraly MP. Pruritus of unknown origin: a retrospective study. J Am Acad Dermatol 2001;45:892-6.
11) Goh CL, Ling R. A retrospective epidemiology study of contact eczema among the elderly attending a tertiary dermatology referral centre in Singapore. Singapore Med J 1998;39:442-6.
12) Baghestani S, Zare S, Mahboobi AA. Skin disease patterns in Hormozgan, Iran. Int J Dermatol 2005;44:641-5.
13) Krishnaswamy G, Youngberg G. Acute and chronic urticaria. Challenges and considerations for primary care physicians. Postgrad Med 2001;109:107-8.
14) Yosipovitch G, Ansari N, Goon A, Chan YH, Goh CL. Clinical characteristics of pruritus in chronic idiopathic urticaria. Br J Dermatol 2002;147:32-6.
15) Gaig P, Olona M, Muñoz Lejarazu D, Caballero MT, Domínguez FJ, Echechipia S, et al. Epidemiology of urticaria in Spain. J Investig Allergol Clin Immunol 2004;14:214-20.
16) Yosipovitch G, Goon A, Wee J, Chan YH, Goh CL. The prevalence and clinical characteristics of pruritus among patients with extensive psoriasis. Br J Dermatol 2000;143:969-73.
17) Reich A, Trybucka K, Tracinska A, Samotij D, Jasiuk B, Srama M, et al. Acne itch: do acne patients suffer from itching? Acta Derm Venereol 2008;88:38-42.
18) Piskin S, Uzunali E. A review of the use of adapalene for the treatment of acne vulgaris. Ther Clin Risk Manag 2007;3:621-4.