최근 6년간 소아 피부질환의 통계적 관찰

Abstract

[한글]

최근 의학의 발달과 생활환경의 개선에도 불구하고 소아피부 질환의 빈도는 오히려 증가하는 경향이 있다. 소아피부는 그 형태와 기능이 성인과 다르며 성장기의 특수성이 있기 때문에 독립된 소아피부질환으로 취급되어야 할 것으로 사료된다.

이에 저자는 최근 소아피부질환의 추세를 살펴보기 위하여 1975년 1월부터 1980년 12월까지 순천향대학부속병원 피부과에 내원한 전체 환자중 15세이하의 소아환자 11 ,447명을 대상으로 하여 질환별 빈도와 연령별, 성별 및 월별 분포등을 관찰하여 다음과 같은 결

론을 얻었다.

1) 소아환자는 전체 외래환자의 33.2%로 11,447명이었다.

2) 발생빈도가 높은 질환별로는 아토피피부염, 접촉피부염, 농가진 전염성연속종, 표재성 진균증, 개선, 모낭염, 담마진, 수두, 곤충자상 순이었다.

3)연령별 발생빈도는 1∼3세군이 32.8 %로 가장 많았고 특히 학령기이전(0∼6세)이 65.5 %를 점하였다. 한진, 혈관종은 1세이하에서 가장 많았고, 아토피피부염, 접촉피부염, 농가진, 모낭염은 1∼3세군에, 개선은 10∼12세군에, 좌창은 13∼15세군에서 가장 많았다.

4) 성별의 차이는 별로 없었지만(남 : 여=1.2 : 1), 아토피피부염, 접촉피부염, 농가진, 개선, 담마진, 한진등은 남아에 많았고, 지루성피부염, 좌창, 혈관종등은 여아에 많았다.

5) 월별 분포는 8월에 13.7%로 최고의 분포를 보였고, 11월에 6.1 %로 최저의 분포를 보였으며, 6, 7, 8월의 여름에 32.8%의 분포를 보였다. 접촉피부염은 봄에 가장 많았고, 농가진, 모낭염, 담마진, 수두, 곤충자상은 여름에, 개선은 가을에, 아토피피부염은 겨울에 가장 많았다.

Statistical Study of Pediatric Dermatoses During the Last 6 Years

Hyun Chung

Department of Medical Science The Graduate School Yonsei University

(Directed by Professor Sungnack Lee, M.D.)

Incidence of pediatric dermatoses are tend to increased inspite of medical

development and environmental improvement. Pediatric dermatoses must be regarded as

separate disease entities because of child skin is differ from adult skin in the

structures and functions, and has particularity of the growing period.

11,447 childhood patients who had been visited to dermatologic department of Soon

Chun Hyang Hospital, from 1975 to 1980, were analysed in order to persude the

tendency of pediatric skin diseases on these days in Korea.

The results are summarised as follows;

1. Among 34,472 outpatients, pediatric patients were 33.2%.

2. The most common dermatoses were atopic dermatitis, contact dermatitis,

impetigo contagiosum, molluscum contagiosum, dermatophytosis, scabies,

folliculitis, urticaria, varicella, and insect bite.

3. Most part of childhood dermatitis (65.5%) had developed at the time of

preschool ages, especially the peak incidence was in 1-3 year group (32.8%).

4. Dermatoses which affected the male patient more than the female were atopic

dermatitis, contact dermatitis, impetigo contagiosum, scabies, insect bite,

urticaria, and miliaria.On the other hand, seborrheic dermatitis, acne, and

hemangioma were predominant in the female patient.

5. The peak incidence of month had developed on August, 13.7%. The lowest

incidence on November, 6.1%. Frequent diseases in summer season were impetigo

contagiosum, folliculitis, urticaria, varicella, and insect bite. Scabies was

frequent in fall and atopic dermatitis in winter, and contact dermatitis in spring.

[영문]

Incidence of pediatric dermatoses are tend to increased inspite of medical development and environmental improvement. Pediatric dermatoses must be regarded as separate disease entities because of child skin is differ from adult skin in the structures and functions, and has particularity of the growing period.

11,447 childhood patients who had been visited to dermatologic department of Soon Chun Hyang Hospital, from 1975 to 1980, were analysed in order to persude the tendency of pediatric skin diseases on these days in Korea.

The results are summarised as follows;

1. Among 34,472 outpatients, pediatric patients were 33.2%.

2. The most common dermatoses were atopic dermatitis, contact dermatitis, impetigo contagiosum, molluscum contagiosum, dermatophytosis, scabies, folliculitis, urticaria, varicella, and insect bite.

3. Most part of childhood dermatitis (65.5%) had developed at the time of preschool ages, especially the peak incidence was in 1-3 year group (32.8%).

4. Dermatoses which affected the male patient more than the female were atopic dermatitis, contact dermatitis, impetigo contagiosum, scabies, insect bite, urticaria, and miliaria.On the other hand, seborrheic dermatitis, acne, and hemangioma were predominant in the female patient.

5. The peak incidence of month had developed on August, 13.7%. The lowest incidence on November, 6.1%. Frequent diseases in summer season were impetigo contagiosum, folliculitis, urticaria, varicella, and insect bite. Scabies was frequent in fall and atopic dermatitis in winter, and contact dermatitis in spring.