An Observational Cross-sectional Study on Dermatological Co-morbidities in Patients with Hemiplegia Secondary to Cerebral Stroke in a Tertiary Care Teaching Hospital in Eastern India
Introduction: Hemiplegia due to cerebral stroke is associated with various dermatological co-morbidities, arising out of motor, sensory and autonomic dysfunctions. Aim: To find out the different dermatological conditions prevalent in patients of hemiplegia secondary to cerebral stroke. Material...
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| Format: | article |
| Langue: | EN |
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JCDR Research and Publications Private Limited
2021
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| Accès en ligne: | https://doaj.org/article/fe6bd6c7ccab4cd4a24dbf8e8d18496b |
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| Résumé: | Introduction: Hemiplegia due to cerebral stroke is associated
with various dermatological co-morbidities, arising out of motor,
sensory and autonomic dysfunctions.
Aim: To find out the different dermatological conditions prevalent
in patients of hemiplegia secondary to cerebral stroke.
Materials and Methods: An observational cross-sectional study
was conducted in the Department of Neurology in collaboration
with the Department of Dermatology at Hi-Tech Medical College
and Hospital, Bhubaneswar, Odisha from July 2017 to June 2020.
Patients with hemiplegia of more than one month duration were
included. The skin findings present before the neurological insult
and patients with systemic conditions like atopic dermatitis,
diabetes mellitus and thyroid disorders causing skin changes
were excluded. Relevant tests for diagnostic confirmation of the
skin lesions were done wherever needed. The software Statistical
Package for the Social Sciences (SPSS) version 16.0 was used
for the statistical analysis.
Results: Study included 411 patients of cerebral stroke. A total
of 382 (92.9%) patients were found to have dermatological
manifestation. The male:female ratio in the study population was
2.6:1. A total of 549 and 128 skin conditions were diagnosed in
the paralysed and non paralysed limbs, respectively. The common
dermatological conditions diagnosed in the affected limbs were,
xerosis {371 (97.12%)}, tinea corporis/cruris {61 (15.97%)},
onychomycosis {31 (8.12%)}, tinea pedis {28 (7.33%)} and nail
dystrophy abnormalities {27 (7.07%)} patients.
Conclusion: Knowledge of various dermatological conditions
associated with hemiplegia helps in early intervention and
better management during rehabilitation phase of patients with
hemiplegia. |
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