Dermatolojik açıdan labial füzyon: prospektif çalışma

Abstract

Amaç: Labial füzyon, prepubertal kızlarda sık görülen bir durumdur ve çeşitli komplikasyonları vardır. Bazı dermatolojik durumlar bu hastalık için etiyolojik faktör olarak bildirilmiştir. Bu çalışmanın amacı çocuklarda labial füzyonun etiyolojik faktörlerini dermatolojik olarak değerlendirmek; sosyodemografik ve çevresel verilerini sağlıklı çocuklarınkilerle karşılaştırmaktır.

Materyal ve Metod: Bu kesitsel prospektif çalışmada, 23 tane labial füzyon olgusu ve 49 tane yaş cinsiyetine uygun sağlıklı denekler dermatolojik açıdan değerlendirildi ve tümüne bir anket uygulandı.

Bulgular: Kontrol grubunda; annelerin %34,7'si üniversiteden, labial füzyonlu çocuklarda %34,8'i ilkokuldan mezun olmuştur. Atopik aile öyküsü ve hastaların atopik hastalık öyküsü, labial füzyon grubunda sağlıklı kontrollere göre daha yüksekti (p <0.001, p <0.001). Labial füzyon grubundaki olguların %60.9’unda (n:14) ortalama 1.26 ± 1.32 (ortanca: 1.00) hafta öncesinde pre-eritematöz lezyon şikayeti mevcuttu.  Alkol bazlı bebek mendillerinin kullanımı labial füzyonlu grupta daha yüksekti (p = 0.035).

Sonuçlar: Annelerin eğitim düzeyi düşük olan; aile ve kişisel atopik öyküleri ve hastalıkları bulunan; alkol bazlı bebek mendilleri sık kullanılan çocuklarda labial füzyon saptanmaktadır. Ayrıca, genital bölgede eritemi olan çocuklar labial füzyonun erken tanısı ve önlenebilmesi için muayeneden sonraki ilk bir ay boyunca takip edilmelidir.

Keywords

• labial fusion,atopic disease,diaper

Dermatological aspect of labial fusion: a prospective study

Öz

Objective: Labial fusion is a common condition in prepubertal girls and has several complications. Some dermatological conditions were reported as etiologic factor for this disease. The aim of this study is to evaluate the etiological factors of labial fusion in children through a dermatologic view and to compare the socio-demographic, and environmental data of patients with healthy children.

Material and Method: In this cross sectional prospective study, 23 patients with labial fusion and 49 age-sex matched healthy subjects were questioned and examined from dermatological aspect and assessed by a questionnaire.

Results: In the control group; 34.7% of mothers were graduated from university and in children with labial fusion 34.8% of mothers were graduated from primary school. The atopic family history and history of atopic diseases of patients were higher in labial fusion group when compared with healthy controls. (p<0.001, p <0.001) There were complaints of pre-erythematous lesions with a mean of 1.26±1.32 (median: 1.00) weeks before labial fusion in 60.9% (n:14) of  patients with labial fusion. The alcohol based baby wipes usage was higher in group with labial fusion (p = 0.035).

Conclusions: Labial fusion can be diagnosed in children of mothers with lower grade education, with family and personal atopic history and diseases, and frequent usage of alcohol based baby wipes. Also erythema in genital area could need follow-up in first month of visit for prevention or early diagnosis of  labial fusion.

Anahtar Kelimeler

• bebek bezi,atopik hastalıklar,labial füzyon

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