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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Autores principales: Subhransu Sekhar Jena, Binayak Chandra Dwari, Roopam Panda, Nibedita Patro
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Publicado: JCDR Research and Publications Private Limited 2021
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spelling oai:doaj.org-article:fe6bd6c7ccab4cd4a24dbf8e8d18496b2021-11-12T17:51:18ZAn Observational Cross-sectional Study on Dermatological Co-morbidities in Patients with Hemiplegia Secondary to Cerebral Stroke in a Tertiary Care Teaching Hospital in Eastern India10.7860/JCDR/2021/49257.154382249-782X0973-709Xhttps://doaj.org/article/fe6bd6c7ccab4cd4a24dbf8e8d18496b2021-09-01T00:00:00Zhttps://www.jcdr.net/articles/PDF/15438/49257_CE[Ra1]_F(SHU)_PF1(SC_SHU)_PFA(KM_Pr)_PN(KM).pdfhttps://doaj.org/toc/2249-782Xhttps://doaj.org/toc/0973-709XIntroduction: 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.Subhransu Sekhar Jena Binayak Chandra DwariRoopam PandaNibedita PatroJCDR Research and Publications Private Limitedarticledermatosesneuronal palsyonychomycosisxerosisMedicineRENJournal of Clinical and Diagnostic Research, Vol 15, Iss 9, Pp WC01-WC04 (2021)
institution DOAJ
collection DOAJ
language EN
topic dermatoses
neuronal palsy
onychomycosis
xerosis
Medicine
R
spellingShingle dermatoses
neuronal palsy
onychomycosis
xerosis
Medicine
R
Subhransu Sekhar Jena
Binayak Chandra Dwari
Roopam Panda
Nibedita Patro
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
description 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.
format article
author Subhransu Sekhar Jena
Binayak Chandra Dwari
Roopam Panda
Nibedita Patro
author_facet Subhransu Sekhar Jena
Binayak Chandra Dwari
Roopam Panda
Nibedita Patro
author_sort Subhransu Sekhar Jena
title 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
title_short 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_sort 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
publisher JCDR Research and Publications Private Limited
publishDate 2021
url https://doaj.org/article/fe6bd6c7ccab4cd4a24dbf8e8d18496b
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