1.Clinical Screening and Treatment of Eczema: A Prospective Study among Children under 5 Years Old Presenting to Children’s Hospital, Setthathilath Hospital and Mahosot Hospital, Lao PDR
Vilounna Sanaphay ; Soulideth Vilayvong ; Sourideth Sengchanh ; Mayfong Mayxay
Lao Medical Journal 2025;16(16):95-99
Background::
Eczema, also known as atopic dermatitis, is a chronic relapsing inflammatory skin disease characterized by defective skin barrier function. Laos is a low resource setting located in South East Asia region which very few studies related to skin health have been conducted.
Objectives: :
This study aimed to clinical Screening and Treatment of Eczema: A Prospective Study among Children under 5 Years Old Presenting to Children’s Hospital, Setthathilath Hospital and Mahosot Hospital, Lao PDR
Methodology: :
This study was a descriptive cross-sectional design study, conducted from May to November 2023. In all, 478 children attended OPD with a skin complaint. Children visited the Outpatient department in Children’s Hospital, Setthathilath Hospital, Mahosot Hospital, of whom 208 children diagnosed with eczema were included in study.
Results: :
Among 208 children, 130 (62.5%) had flexor involvement and 78 (37.5%) had extensor involvement. The main drugs used for treatment were emollient cream and topical corticosteroids in 157 (75.48%) From a clinical point of view, these findings are often a source of parental anxiety and medical concern for in experienced clinicians.
Conclusion:
Eczema (atopic dermatitis) in Lao children is often a source of parental anxiety and presents management challenges for in experienced clinicians, correct diagnosis and parental counselling may relieve anxiety. General paediatricians should be able to reassure parents of children with eczema and manage skin lesions using emollients and topical corticosteroids.
2.Autoimmune Hemolytic Anemia (AIHA) among Children with Transfusion Dependent Thalassemia at the Pediatric Hematology Department, Children's Hospital, Vientiane Capital, Lao PDR
Khounthavy Phongsavath ; Bounpalisone Souvannasy ; Soulideth Sengchanh ; Jilapha Keokaphu ; Viengnakhone Vongxay
Lao Medical Journal 2020;11(11):22-28
Background:
The prevalence of Autoimmune Hemolytic Anemia (AIHA) globally ranges from 5-30%, but relatively high in Asia, 22%. This condition is commonly found among patients with thalassemia. However, no data are available about this disease in Lao PDR.
Objective:
To determine the proportion of AIHA among Lao children with thalassemia.
Methodology:
A cross-sectional study was conducted from May to September 2018 in pediatric patients with thalassemia who received blood transfusion at the Children’s Hospital, Vientiane Capital. There were 338 patients included in the study. Data analysis was done using SPSS, and Pearson chi-square was used to compare the two proportions.
Finding:
We found that the proportion of AIHA was 3.6% (12/336) amongst those with thalassemia with more males than females (3:1). The mean (SD) age was 11.5 ± 3 years old. The older age of patients was significantly associated with AIHA, p=0.001. We also found that patients with transfusion dependent thalassemia were more likely to have AIHA than those who were not. The mean reticulocyte count (%) was significantly higher in patients with AIHA than those without AIHA (8.61±10.57 versus 1.18±1.14, p<0.001). Other variables such as sex, type of thalassemia, age at diagnosis, the frequency of blood transfusion, age at first blood transfusion, blood group and hemoglobin before blood transfusion were not significantly associated with AIHA.
Conclusion
The proportion of AIHA remains low in Lao children with transfusion dependent thalassemia, but requires further attention to reduce its complications. There is a need to identify factors associated with AIHA among Lao patients with Transfusion Dependent Thalassemia

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