Human ; Male ; Adult: 25-44 Yrs Old ; Madura Foot ; Mycetoma

BACKGROUND

Psoriasis is a chronic, inflammatory disorder of the skin, nails, and joints that develop in genetically predisposed individuals. Despite the low prevalence of pediatric psoriasis, it is not an uncommon condition since one-third of adults with psoriasis had its onset during childhood. At present, published literature on pediatric psoriasis in the Philippines is lacking.

This study aimed to determine the clinicodemographic and healthcare resource utilization profiles of pediatric psoriasis patients.

This is a 4-year retrospective study conducted at a tertiary public hospital in the Philippines utilizing chart review of patients aged 18 years and below, diagnosed with psoriasis.

The average age is 10.68 years while the mean age at diagnosis is 10.35 years. There is female predilection. For the initial psoriasis area and severity index (PASI) scores, 5.26% had mild, 8.77% had moderate, and 33.33% had severe PASI. Majority of the lesions at initial diagnosis were observed on the trunk, followed by extremities and then scalp. Only 5 out of 57 patients were noted to have been triggered by an infection. Eight out of 57 patients had a positive family history. The most common nail finding is onycholysis, followed by pitting and then oil spots and subungual hyperkeratosis. For the comorbidities, 17.5% have atopy-associated conditions. Majority of the patients were given topical anti-inflammatory treatments; 12% were prescribed systemic treatment while only 5.26% utilized phototherapy. The average cost of hospitalization is PHP 17,967.17.

Most of the data gathered and presented in the study are in agreement with published studies on pediatric psoriasis among Asian populations.

Background: Allergic contact dermatitis (ACD) is a common skin inflammatory reaction occurring at the site of challenge with a contact allergen in sensitized individuals and one of the most common causes for consultation in dermatology clinics. Patch testing is a method for detecting the causative component in suspected cases of ACD. Awareness about the causative allergen aids in reducing morbidity and can significantly minimize the impact of ACD in the affected people. Objectives: The study aimed to measure the number of relevant positive reactions in patch tests being performed in our institution in patients with ACD to cosmetic products. Methods: A total of 60 patients who were diagnosed with ACD to cosmetics and underwent patch testing were reviewed to identify the clinico‑epidemiological and patch test profiles of these patients. Results: The study showed that the mean age of patients was 42 comprising mostly of females. Most of the patients were unemployed, office workers, and medical workers. The most common cosmetic products that caused ACD include soaps, shampoos, lotions, and moisturizers. Nickel is still the most tested positive among these patients, followed by fragrance mixes and 4‑phenylenediamine base. They are widely distributed in cosmetic products, especially in soaps and lotions. The pattern of dermatitis revealed facial dermatitis to be the most common reason for consult of these patients. Conclusion Patch test is valuable in the setting of establishing the etiology of ACD to cosmetic products.
Dermatitis, Allergic Contact ; Cosmetics ; Patch Tests

Polymorphic eruption in pregnancy (PEP), formerly known as pruritic urticarial papules and plaques of pregnancy, is a common gestational dermatosis. It rarely manifests in the early trimester of pregnancy and hardly persists in the postpartum period especially in multigravid patients. PEP usually appears late in the third trimester of a first pregnancy, and less frequently in the immediate postpartum period. It occurs almost exclusively in primigravid mothers and is more common in multiple pregnancies.1 2 3 Recurrence in subsequent pregnancies is extremely rare.3 4 The cause of PEP is still unknown, although various theories have been proposed, including increased skin distention, deposition of fetal DNA in skin lesions, high levels of progesterone, and increased progesterone receptor immunoreactivity in patients with PEP.
Pruritic urticarial papules plaques of pregnancy ; Postpartum Period