The prevalence and pattern of pediatric dermatoses in a tertiary care center at Garhwal, Uttarakhand, India


  • Ratan Singh Department of Dermatology, VCSGIM and R, Srikot, Garhwal, Uttrakhand, India
  • Varun Kumar Tiwari Department of Pediatrics, VCSGIM and R, Srikot, Garhwal, Uttrakhand, India



Acne, Fungal infection, Infections, Infestations, Pediatric dermatoses


Background: Analysis of skin diseases in the pediatric population and its trends reflects the health and nutritional status of a community. This study aimed to evaluate the prevalence and pattern of skin diseases in children registered at the Dermatology OPD department of Hemawati Nandan Bahuguna Teaching Base Hospital, Srikot over a period of 1 year.

Methods: A prospective cross-sectional descriptive analysis was conducted at the Dermatology OPD department of HNB teaching hospital to determine the pattern of dermatoses in children aged 0 days to 17 years, between 1 April 2017 and 31 March 2018. Cases with incomplete data, non-compliant to treatment and patients whose primary lesions are altered by the application of topical medication, not related to the existing disease were excluded from the study. The results were entered and tabulated in MS-excel sheet and descriptive analysis was done.

Results: Out of 23,359 outpatients 6,274 (26.85%) were of a pediatric age with a male to female ratio of 1.2:1. The majority of the children belonged to young teens and teenagers (2377;37. 88%). Majority of pediatric dermatoses belonged to Infectious group (1373;21.88%) followed by Disorders of skin appendages (1087;17.33%) and Infestations (722;11.5%). The three most common diagnoses were Scabies (694;11.06%) followed by Fungal infections (568;10.43%) and Acne vulgaris (398;6. 34%).

Conclusions: This study showed the current pattern of pediatric dermatoses in Garhwal region of Uttrakhand with a high frequency of infection and infestations with young teen and teenagers as the identified focus group for the need of intervention.


Ben Saif GA, Al Shehab SA. Pattern of Childhood Dermatoses at a Teaching Hospital of Saudi Arabia. Int J Health Sci. 2008;2(2):63-74.

WHO | Epidemiology and management of common skin diseases in children in developing countries [Internet]. WHO. Available from:

Mukherjee PS, Sen PC. Health of school children in rural West Bengal. J Indian Med Assoc. 1962;38:421-6.

Patodi RK, Sharma SK, Patodi SK. Health status of school children in some primary schools of Indore city (M.P.). Indian J Public Health. 1977;21(2):71-7.

Roy S, Jindal R, Jain E. Patterns of pediatric dermatoses at a tertiary care centre in Uttarakhand. J. Evid Based Med. Healthc. 2016;3(12):345-7.

Federman DG, Reid M, Feldman SR, Greenhoe J, Kirsner RS. The primary care provider and the care of skin disease: the patient’s perspective. Arch Dermatol. 2001;137(1):25-9.

Prindaville B, Antaya RJ, Siegfried EC. Pediatric dermatology: past, present, and future. Pediatric Dermatol. 2015;32(1):1-2.

Burton JL. The logic of dermatological diagnosis. Dowling oration 1980. Clin Exp Dermatol. 1981;6(1):1-21.

Nanda A, Al-Hasawi F, Alsaleh QA. A prospective survey of pediatric dermatology clinic patients in Kuwait: an analysis of 10,000 cases. Pediatr Dermatol. 1999;16(1):6-11.

Figueroa JI, Fuller LC, Abraha A, Hay RJ. The prevalence of skin disease among school children in rural Ethiopia--a preliminary assessment of dermatologic needs. Pediatr Dermatol. 1996;13(5):378-81.

Wenk C, Itin PH. Epidemiology of pediatric dermatology and allergology in the region of Aargau, Switzerland. Pediatr Dermatol. 2003;20(6):482-7.

Hon KL, Leung TF, Wong Y, Ma KC, Fok TF. Skin diseases in Chinese children at a pediatric dermatology center. Pediatr Dermatol. 2004;21(2):109-12.

Gül U, Cakmak SK, Gönül M, Kiliç A, Bilgili S. Pediatric skin disorders encountered in a dermatology outpatient clinic in Turkey. Pediatr Dermatol. 2008;25(2):277-8.

Rao SG, Kumar P, Kuruvilla M. Prevalence of various dermatoses in school children. Indian J Dermatol Venereol Leprol. 1999;65(3):126.

Sacchidanand S, Sahana MS, Asha GS, Shilpa K. Pattern of Pediatric Dermatoses at a Referral Centre. Indian J Pediatr. 2014;81(4):375-80.

Karthikeyan K, Thappa DM, Jeevankumar B. Pattern of pediatric dermatoses in a referral center in South India. Indian Pediatr. 2004;41(4):373-7.

Reddy VS, Anoop T, Ajayakumar S, BinduraniS, Rajiv S, Bifi J. Study of clinical spectrum of pediatric dermatoses in patients attending a Tertiary Care Center in North Kerala. Indian J Paediatr Dermatol 2016;17(4):267-72.

Negi KS, Kandpal SD, Parsad D. Pattern of Skin Diseases in Children in Garhwal Region of Uttar Pradesh. Indian Pediatrics. 2001;38:77-80

Sayal SK, Bal AS, Gupta CM. Pattern of skin diseases in paediatric age group and adolescents. Indian J Dermatol Venereol Leprol. 1998;64(3):117-9.

Koley SK, Sen MK, Sengupta SN. Incidence of skin disesaes in children in the district of bankura. Indian J Pediat. 1975;42(4):106-9.

Singh R, Nupur P. Pattern of pediatric dermatoses in a tertiary care centre of Patna, Bihar. Int J Sci Res. 2018;7(6).

Porter MJ, Mack RW, Chaudhary MA. Pediatric skin disease in Pakistan: A study of three Punjab villages. Int J dermatol. 1984;23(9):613-6.

Sardana K, Mahajan S, Sarkar R, Mendiratta V, Bhushan P, Koranne RV, Garg VK. The spectrum of skin disease among Indian children. Pediatric Dermatol. 2009;26(1):6-13.

Balai M, Khare AK, Gupta LK, Mittal A, Kuldeep CM. Pattern of pediatric dermatoses in a tertiary care centre of South West Rajasthan. Indian J Dermatol. 2012;57(4):275-8.

Jawade SA, Chugh VS, Gohil SK, Mistry AS, Umrigar DD. A clinico-etiological study of dermatoses in pediatric age group in tertiary health care center in South Gujarat region. Indian J Dermatol. 2015;60(6):635.

Rao GS, Kumar SS. Pattern of skin diseases in an Indian village. Indian J Med Sci. 2003;57(3):108–10.

Bhatia V. Extent and pattern of paediatric dermatoses in rural areas of central India. Indian J Dermatol Venereol Leprol. 1997;63(1):22.

Sharma NL, Sharma RC. Prevalence of dermatologic diseases in school children of a high altitude tribunal area of Himachal Pradesh. Indian J Dermatol Venereol Leprol. 1990;56(5):375.

Javed M, Jairamani C. Pediatric dermatology: an audit at Hamdard University Hospital, Karachi. J Pak Assoc Dermatol. 2017;16(2):93-6.

Singal A, Sonthalia S, Pandhi D. Childhood leprosy in a tertiary-care hospital in Delhi, India: a reappraisal in the post-elimination era. Lepr Rev. 2011;82(3):259-69.

Jain N, Khandpur S. Pediatric dermatoses in India. Indian J Dermatol Venereol Leprol. 2010;76(5):451.

Yasmeen N, Khan MR. Spectrum of common childhood skin diseases: a single centre experience. JPMA. J Pak Med Assoc. 2005;55(2):60-3.

Senthilkumar M, Thappa DM. Melanocytic nevi in children: A clinical study. Indian J Dermatol. 2006;51(1):26.

Wenk C, Itin PH. Epidemiology of pediatric dermatology and allergology in the region of Aargau, Switzerland. Pediatr Dermatol. 2003;20(6):482-7.

Casanova JM, Sanmartín V, Soria X, Baradad M, Martí RM, Font A. Childhood dermatosis in a dermatology clinic of a general university hospital in Spain. Actas Dermo-Sifiliográficas (English Edition). 2008;99(2):111-8.

Hamm H, Höger PH. Skin Tumors in Childhood. Dtsch Ärztebl Int. 2011;108(20):347-53.

Rawat DSDS. A study of dermatoses in preschool children at a tertiary care hospital in Uttarakhand. Int J Appl Res. 2016;2(6):879-82.






Original Research Articles