CHAPTER I REVIEW OF LITERATURES Pityriasis alba is a common skin disorder in children and young adults. It is characterized by the presence of ill-defined, scaly, faintly erythematous patches. These lesions eventually subside, leaving hypopigmented areas that then slowly return to normal pigmentation. The term is derived from the words pityriasis (scaly) and alba (white). (Miazek et al., 2015). Epidemiology: Pityriasis alba is most common in children aged 3-16 years, with 90% of cases occurring in children younger than 12 years (In et al., 2009). The incidence of pityriasis alba in United States reached up to 5% of children. (Kim and Rocky, 2010) In Egypt a study included 8008 rural inhabitants of all ages and both sexes from a representative of three villages of Assiut Governorate investigating the prevalence of skin diseases in rural areas of Assiut Governorate, Upper Egypt reported that Eczema/dermatitis group had a rate of 19.82%, with pityriasis alba forming the majority (13.49%) (Abdel-Hafez et al., 2003). Another study was done in South Sini included 2194 children of both genders, 18 years of age and younger, and in six different localities reported that Eczema or dermatitis were found in 25.8% of participants. Pityriasis alba occurred at a rate of 18.3% (Gamal et al., 2012). A cross-sectional study was carried out in three randomly selected elementary schools representing different geographic areas in Ismailia City, and included 1697 students, aged 6-13 years.
The NMC Code (2015) states that nurse must ensure the get informed consent before carrying out any action. On examination, Ella had very dry and flaky skin with area of red patches and therefore it was diagnosed by the appearance and the elimination of other factors that Ella had mild eczema on her face and arms. This was also confirmed by the practice teacher. Eczema is an inflammatory skin condition that causes intense itching of the affected area and sometimes can be scaly red and itchy (National Eczema society, 2016). Assessment of eczema in babies and children must be holistic, taking into account physical and psychosocial factors. There is no cure for eczema and treatments aim to control the disease. First-line treatment consists of emollients, but many babies and children will also require the use of topical corticosteroids and other treatments as appropriate (NICE,2007). Moreover, on observation the reddened area there appeared to be no signs of broken skin, infection therefore requiring antibiotics or topical steroid treatment (NICE, 2007). There was currently no need for a General Practitioner (GP) referral and as advised in the NPC (1999) only in genuine need should prescriptions be
Like we learned in chapter 1 the job of the integumentary system is to cover and protect the body but what happens if your skin develops a disease like eczema? Eczema is a chronic, common, non-infective inflammatory condition characterized by intense pruritus, redness, and scaling (Eczema, p.1). This condition can appear at any age, but it usually occurs during infancy or early childhood (Eczema, p.1). Eczema or any skin disease are the most common group of occupational health problems leading to absence from work (Eczema, p.1). Several factors play a big role in eczema, both internally and externally, depending on your genetic makeup you may be prone to getting eczema in as early as a few months after you were born or by allergens as a young
Skin (history of skin disease, pigment or color change, change in mole, excessive dryness or moisture, pruritus, excessive bruising, rash
In Chao Yuanfang’s Zhu Bing Yuan Hou Lun (Treatise on Causes and Symptoms of Diseases), there had been more than 130 kinds of skin diseases and some rarely seen diseases recorded. Records of these diseases and their treatments
It was important to discuss with Lisa during consultation family history that could provide additional support for my final diagnostic conclusion .Going thru such topic area Lisa explain that her husband James dad was suffering with atopic eczema since childhood .This was quite an important piece of information as such conditions like atopic eczema ( dermatitis ) are hereditary conditions often (National Eczema Society ,2011).Atopic dermatitis or eczema is a chronic skin disorder inflammatory with pruritic skin that appears mostly on the face ,neck ,bends of the arms or legs caused by the malfunction in the skin barrier( NICE,2013).
Vitiligo is an auto-immune disease where melanocytes, the cells that make pigment in the skin, are destroyed (Vora, Patel, Chaudhary, Mehta & Pilani, 2014). It is characterized clinically by totally white patches of skin, also known as lesions, appearing primarily on visible areas of the body, including face and hands (Osman, Elkordufani & Abdullah, 2009). In very rare cases vitiligo is accompanied by itching or other somatic symptoms but gradual discoloration is generally its only physical symptom (Schmid-Ott et al., 2007). The patches develop unpredictably and while there is a genetic component to vitiligo, race and age do not affect the incidence of the disease (Gupta, Sreenivas, Mehta, Khaitan & Ramam,
Eczema is a skin disorder which some people are born with eczema.Eczema is a skin disorder which some of the symptoms are dry skin, red patches in the skin, itching and painful nights of no sleep because of the itchings. There's no cure for eczema but there is treatment such as bathing, over the counter medication and using bleach, vinegar, oatmeal or evening using baking soda when taking a bath. It helpful to moisture after bathing or showering, by keeping the skin moisture it help the symptoms be calm and reduce the itching , redness and the dyers of skin.
This dermal infection can occur at any age but particularly affects young children from the ages two to five years old. Globally, it affects more than 162 million children, predominantly those that attend school or daycares are more likely to contract
Nambudiri (2015) takes the readers on a journey of a boy that had a skin disorder. The boy in the article started noticing lesions on the palms of his hands and soles of his feet, but was not sure what they were. When the lesions turned into papular eruptions, the boy went into urgent care to get inspected. Since the doctor was not sure what the skin disorder was, they took multiple tests, for which all of them came back negative. A skin biopsy finally let the patient know that he had a skin disorder called guttate psoriasis. The disorder was treated with topical steroid cream and topical calcipotriol.
There are some potential barriers to the project involving the difficulty of identifying similar rashes and the population of parents. Many of the parents and guardians of the children have low income making it more likely for them to send their children to daycare even with a rash because they are living pay check to pay check and need to work to be able to feed their family. Another potential problem is the majority of the children are dark skinned making it harder to identify rashes. This is not only because it is harder to see the rashes appearance such as pink in dark skin but also because the majority of examples of rashes are shown on light skinned individuals I think it is important to find pictures of rashes on darker individuals.
Epidemiology studies show that tinea pedis is thought to be the world’s most common dermatophytosis. Reportedly, 70% of the population will be infected with tinea pedis at some time in their life. Usually, tinea pedis affects more men compared to women. Also, the prevalence of tinea pedis increases with age thus, most cases occur after puberty. Other studies brought out that the global increase in tinea pedis is likely due to increases in urbanization and the use of sports and fitness facilities.
Eczema is a set of chronic skin conditions that caused by inflammation. The most common type of eczema is atopic dermatitis (AD). There are not many factories that cause eczema but, researchers believe that it has something to do with genetics and environmental factor, but it is not contagious. However, it is often a long-last disease that might been develop from asthma or fever. Eczema makes the skin very irritated, itchy, swell, and turn red if an individual constantly scratches at it. In addition, the itching would normally start before a rash appears. The rash would appear on the face, back of the knees, wrists, hands, and feet. When it comes to treatment an individual who has eczema might have to avoid different kinds of soap, fabrics,
Suspected aetiological agent/ primary pathological process: The distinct pattern of discolouration and location on the abdomen is consistent with Pityriasis rosea. This is a non-infectious disease that appears to be hereditary.
Most people have sensitive skin. Thus, everybody have to be very careful about their skin and also of the environment. Clean surroundings will contribute a lot in the prevention of skin problems among people. Nevertheless, it is very imperative for people to know the most common skin problems that may affect them to be able to know the early signs and the preventive measures:
known as “Scarlatina”. The disease is still a condition in UK primary care. In 2009, over 4,000 case