Đặc điểm lâm sàng và một số yếu tố liên quan của bệnh vảy phấn hồng tại Bệnh viện Da liễu trung ương=Clinical characteristics and some related factors in patients with pityriasis rosea at the national hospital of dermatology and venereology

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Tác giả: Hữu Doanh Lê, Thị Hà Vinh Nguyễn, Thị Hằng Phạm, Thị Minh Phương Phạm, Thị Huyền Trần

Ngôn ngữ: vie

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Thông tin xuất bản: Da liễu học Việt Nam, 2024

Mô tả vật lý: tr.15-23

Bộ sưu tập: Metadata

ID: 245173

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Khảo sát đặc điểm lâm sàng và một số yếu tố liên quan của bệnh vảy phấn hồng. Đối tượng và phương pháp: Nghiên cứu mô tả cắt ngang trên 124 bệnh nhân được chẩn đoán vảy phấn hồng tại Bệnh viện Da liễu Trung ương từ tháng 9/2022 đến tháng 6/2023. Các bệnh nhân được khám lâm sàng, khai thác tiền sử, bệnh sử để đánh giá tình trạng bệnh. Kết quả: Tuổi trung bình của các bệnh nhân là 27,0 ± 11,1, thấp nhất là 2 tuổi và cao nhất là 65 tuổi. Nhóm tuổi 20 - 29 tuổi gồm 50 bệnh nhân, chiếm tỷ lệ cao nhất (40,3%) và đa phần là học sinh sinh viên (35,5%). Có 89 bệnh nhân nữ, chiếm 71,8%, cao hơn so với bệnh nhân nam (35 bệnh nhân, chiếm 28,2%). Bệnh chủ yếu gặp mùa thu đông (71 bệnh nhân, chiếm 57,3%). Phần lớn các bệnh nhân không có tiền sử bệnh lý trước khi xuất hiện tổn thương da (85,5%). Về triệu chứng ngứa, chủ yếu gặp không ngứa hoặc ngứa nhẹ, lần lượt chiếm 17,7% và 46,8%. Tỷ lệ bệnh nhân ngứa nhiều, cả ngày và đêm, ảnh hưởng giấc ngủ là thấp nhất (5 bệnh nhân, chiếm 4,0%). Đa số bệnh nhân nghiên cứu mắc bệnh vảy phấn hồng mức độ trung bình (97 bệnh nhân, chiếm 78,2%). Kết luận: Các triệu chứng của bệnh vảy phấn hồng khá đa dạng. Bệnh chủ yếu gặp ở lứa tuổi 20 - 29 tuổi, hay gặp vào mùa thu đông, triệu chứng ngứa mức độ nhẹ, đa số bệnh nhân có mức độ bệnh trung bình.To investigate the clinical characteristics and related factors in patients with pityriasis rosea. Materials and methods: This was a cross-sectional descriptive study involving 124 patients diagnosed with pityriasis rosea at the National Hospital of Dermatology and Venereology from September 2022 to June 2023. Patients underwent clinical examination and medical history assessment. Results: The mean age of the patients was 27.0 ± 11.1 years, with the youngest being 2 years old and the oldest 65 years old. The age group 20-29 years comprised the highest proportion, with 50 patients, accounting for 40.3%, most of whom were students, constituting 35.5%. Of the total patients, 89 were female, making up 71.8%, while male patients numbered 35, accounting for 28.2%. The majority of patients had no medical history prior to the appearance of cutaneous lesions (85.5%). The disease predominantly occurred in autumn and winter (71 patients, 57.3%). Regarding pruritus, most patients experienced either no pruritus or mild pruritus, at 17.7% and 46.8%, respectively. The proportion of patients experiencing severe itching, disrupting sleep both day and night, was lowest (5 patients, 4.0%). The majority of patients exhibited moderate disease severity (97 patients, 78.2%). Conclusions: Pityriasis rosea presents with diverse symptoms, predominantly affecting individuals in the 20 - 29 age group during autumn and winter. Pruritus tends to be mild, and most patients experience moderate disease severity.

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