Dermatosis in Patients with Hemiplegia and Paraplegia
Keywords:Dermatosis, Hemiplegia and Paraplegia
Objectives: To analyze the significant occurance of dermatosis among patients with hemiplegia, paraplegia
compared with other patients attending dermatology department as a control group as outpatients or
Study design an open prospective case control study.
Patients and Methods: This is an open , comparative controlled investigative study conducted in Dijlah
hospital of rehablitaion , enrolled 43 hemiplegic patient, 21 paraplegic patient and 65 persons as a control
patients, between Nov. 2018 –30th June 2019. The total numbers was 129 , 91(70.5%) male patients and
38 (29.5%) female patients were . The data collection tools included designed closed and open-ended
questionnaire, by using direct interviewing, and physical examination by the researcher.
Results: The most common diseases that statically significant difference were as follows : Unilateral xerosis
was found in hemiplegic group 5(11.6%) cases and this was significant (P=0.04) compared to control group
. Bilateral xerosis was significant among paraplegic group : 6 (28.6%) compared to 4(6.2%) among control
group (P=0.04 ). Unilateral exogenous eczema was found in hemiplegic patients 5(11.6%) and this was
significant (P = 0.04) related to control group. Seborrheic dermatitis was statistically significant in paraplegic
group 6 (28.6%) compared to 7 (10.8%) of control group. Unilateral fungal infection (Taenia paedis) was
highly significant among hemiplegic group 15(34.9%) compared to 4(6.2%) control group with P value
= 0.05). Bilateral fungal infection was also highly significant for paraplegic group 13(61.9%) compared
to 2(3.1%) for control group with (P value = 0.05. Unilateral bacterial infection was statically significant
among hemiplegic group 10(23.3%) compared to 5(7.7%) for control group with (Pvalue = 0.05 ) Bilateral
bacterial infection was highly significant among paraplegic group 8(38.1%) compared to control 4(6.2%)
with (P value = 0.05 ) . compared with control group in fungal, bactrial and xerosis , while other dermatosis
as eczema , seborrheic dermatitis , psoriasis, lichen planus and viral Infection not significantly differ.
Conclusion: Unilateral dermatosis significantly differs in patients with hemiplegia compared to control
group in fungal , bacterial and xerosis and exogenous eczema. Bilateral dermatosis significantly differs
in patients with paraplegia compared to control Group in fungal, bacterial and xerosis and Seborrheic
dermatitis. while other dermatosis as psoriasis , lichen planus and viral Infection not significantly differ.
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