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Pediatr Dermatol. 2015 Sep-Oct;32(5):668-78. doi: 10.1111/pde.12568. Epub 2015 Apr 16.

Epidemiology of Frequently Occurring Skin Diseases in Italian Children from 2006 to 2012: A Retrospective, Population-Based Study.

Collaborators (137)

Alberti A, Alboresi S, Alongi A, Avarello G, Azzoni L, Balliana F, Barbazza MC, Frandanisa MB, Barone R, Basoccu P, Battilana MP, Belluzzi G, Benetti E, Bezzi R, Biondi C, Boe F, Bollettini S, Bonaiuto F, Bonfigli E, Bratto M, Bruna A, Brusoni G, Budassi R, Cantarutti L, Caprio L, Carnazza S, Casalboni R, Castelli S, Cavedagni M, Cera GE, Ciarelli G, Schoeller MC, Collacciani G, Comaita F, Conte UA, Costanzo N, Cozzani S, Cuboni G, Curto S, D'Amanti VF, De Clara R, De Felice G, De Gregorio P, De Marchi A, Del Bono GP, Del Ponte G, Dell'Antonia F, Di Palma S, Di Renzo AP, Di Santo G, Di Saverio P, Dolci M, Doria M, Drago S, Elio G, Faedi CM, Falco P, Fama M, Ferrara E, Ferrarese M, Ferretti M, Forcina P, Frattini C, Frison E, Fusco F, Gallo G, Galvagno A, Gentili A, Gentilucci P, Giampaolo G, Giaretta L, Girotto S, Gobbi C, Grelloni M, Hamarneh M, Letta MR, Lietti G, Lista C, Lorusso G, Lucantonio R, Lucchi E, Luise F, Macropodio N, Mariniello L, Masotti S, Mauri L, Mazzini F, Milani M, Mirabelli MC, Monolo A, Mulas A, Muzzolini C, Nicoloso F, Olimpi L, Palma MM, Pasinato A, Passarella A, Pazzola P, Picco P, Pirola A, Pisanello L, Pittarello D, Ponti R, Porto AF, Ragazzon F, Regini P, Rosas P, Rosignoli R, Rossitto M, Ruffato B, Ruscitti A, Salamone P, Sambugaro D, Saretta L, Savastano R, Schievano P, Maria Sciolla N, Semenzato F, Senesi P, Spanevello V, Maria Speciale S, Speranza F, Sticco M, Storelli F, Tambaro P, Terenghi A, Toderini L, Toffol G, Tonelli G, Trebbi M, Tusa A, Ulliana A, Varni P, Venditti S, Venturelli L, Vertua G, Volpe F.

Author information

1
Pedianet Project, Padua, Italy.
2
Azienda Sanitaria Locale della Provincia di Cremona, Cremona, Italy.
3
Department of Pediatrics, University of Padua, Padua, Italy.
4
Novartis Farma Italy, Origgio, Italy.
5
Primula Multimedia SRL, Pisa, Italy.

Abstract

BACKGROUND:

Recent estimates indicate an increase in the prevalence of skin diseases in children. Few large epidemiologic studies have examined prevalence trends in Europe. This study evaluated the incidence and prevalence of frequently occurring pediatric skin diseases (PSDs) in Italy as seen by family pediatricians (FPs).

METHODS:

Data were retrospectively extracted from the Pedianet database (2006-2012) in children ages 0 to 14 years presenting with a skin disease at their FP. The incidence and prevalence estimates were calculated per year and stratified according to sex, age, and geographic area.

RESULTS:

A mean of 145,233 children (52.1% male) across five Italian regions were registered with their participating FP for a total of 913,253 person-years of follow-up. The majority of patients were from the northeast (44.6%) and 37.7% were ages 5-9 years. Incidence estimates (new cases/1,000 person-years) for most PSDs increased from 2006 to 2012, the highest being for atopic dermatitis (AD) (14.1 vs 16.5), acute urticaria (10.1 vs 11.6), and contact dermatitis (9.3 vs 10.8), whereas psoriasis remained unchanged over the 7 years (0.61 vs 0.57). In contrast, prevalence estimates (cases/100 patients) increased two to three times for several PSDs, including AD (2.7% vs 8.5%), seborrheic dermatitis (0.5% vs 1.6%), chronic urticaria (0.4% vs 0.8%), and psoriasis (0.09% vs 0.22%). Differences in prevalence according to age range and geographic area were observed for psoriasis, AD, and urticaria.

CONCLUSION:

This study provides comprehensive evidence of the increasing prevalence and incidence of PSDs across Italy. Additional causality studies to address this important clinical and psychosocial problem are recommended.

PMID:
25879514
DOI:
10.1111/pde.12568
[Indexed for MEDLINE]

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