Spectrum of Dermatoses and Infections Affecting the Lower Leg and Foot in an Outpatient Clinic at a Tertiary Care Hospital.

IF 1.7 4区 医学 Q3 DERMATOLOGY
Advances in Skin & Wound Care Pub Date : 2025-04-01 Epub Date: 2025-01-27 DOI:10.1097/ASW.0000000000000262
Shanta Passi, Deepika Uikey, Manoj Kumar
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Abstract

Background: Infections and dermatoses of the lower leg and foot can be attributed to factors such as blood stagnation, chemical contact, and abnormal mechanics. These factors make the lower leg and foot more susceptible to microbial infections, contact dermatitis, stasis eczema, ulcers, corns, and calluses.

Objective: To identify the patterns of infections and dermatoses on the lower leg and foot.

Methods: This study took place between September 2020 and August 2021 at an outpatient dermatology clinic. All patients with lower leg and foot skin conditions were included in the study, irrespective of age, sex, or occupation. Patients with generalized lesions all over the body were excluded.

Results: Of the 42,527 patients who presented to the outpatient dermatology clinic during the study period, 424 patients (1%) had lower leg and foot skin conditions. The ratio of male to female patients was 2.3:1. Patients ranged in age from 4 to 76 (mean, 44.8 ± 15) years. A total of 152 patients had infections, and 272 patients had dermatoses. Fungal infection (21.7%) was most common among patients with infections, followed by bacterial (8.25%) and viral infections (7.07%). Lichen simplex chronicus (29.3%) and dermatoses due to venous stasis (19%) were most common among patients with dermatoses. The most commonly involved site was the shin, followed by the dorsum and sole of the foot.

Conclusions: The identification of high-risk patients is key in taking preventive measures to avoid complications.

三级保健医院门诊中影响小腿和足部的皮肤病谱。
背景:下肢和足部的感染性和非感染性皮肤病可归因于感染、血液停滞、化学接触和异常力学等因素。这些因素使小腿和足部更容易受到微生物感染、接触性皮炎、瘀血湿疹、溃疡、鸡眼和老茧的影响。目的:探讨下肢和足部感染性和非感染性皮肤病的特点。方法:本研究于2020年9月至2021年8月在一家皮肤科门诊诊所进行。所有下肢和足部皮肤病患者均被纳入研究,不论年龄、性别或职业。排除全身广泛性病变的患者。结果:在研究期间就诊于皮肤科门诊的42,527例患者中,424例(1%)患者患有下肢和足部皮肤病。男女比例为2.3:1。患者年龄4 ~ 76岁(平均44.8±15)岁。其中感染性皮肤病152例,非感染性皮肤病272例。感染性皮肤病患者以真菌感染(21.7%)最多,其次为细菌感染(8.25%)和病毒感染(7.07%)。慢性单纯苔藓病(29.3%)和静脉淤积性皮肤病(19%)在非感染性皮肤病患者中最为常见。最常见的受累部位是胫骨,其次是背和脚掌。结论:高危患者的识别是采取预防措施,避免并发症发生的关键。
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来源期刊
Advances in Skin & Wound Care
Advances in Skin & Wound Care DERMATOLOGY-NURSING
CiteScore
2.50
自引率
12.50%
发文量
271
审稿时长
>12 weeks
期刊介绍: A peer-reviewed, multidisciplinary journal, Advances in Skin & Wound Care is highly regarded for its unique balance of cutting-edge original research and practical clinical management articles on wounds and other problems of skin integrity. Each issue features CME/CE for physicians and nurses, the first journal in the field to regularly offer continuing education for both disciplines.
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