Dermatolojik açıdan labial füzyon: prospektif çalışma

Year 2019, Volume: 7 Issue: 3, 196 - 200, 18.12.2019

Ebru Yeşildağ , Gamze Erfan Gamze Varol

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

Abstract

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.

Keywords

bebek bezi, atopik hastalıklar, labial füzyon

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