Change in pattern of skin disease in Kaduna, north‐central Nigeria

Yahya, Husain

doi:10.1111/j.1365-4632.2007.03218.x

Cited by 49 publications

(87 citation statements)

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“…[1][2][3][4] Acne is also the most common skin disease in adults. 5 The proportions of acne vulgaris in hospital-based studies of skin disease in Africa have been reported to be 4.6% in Ghana, 6 6.7% in Nigeria, 7 and up to 17.5% in South Africa. 8 Although, in a preliminary study of the dermatologic needs of a small rural community in Ethiopia, Figueroa et al .…”

Section: Introductionmentioning

confidence: 99%

Acne vulgaris in Nigerian adolescents – prevalence, severity, beliefs, perceptions, and practices

Yahya

2009

Int J Dermatology

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Background Community-based studies of acne vulgaris conducted in many parts of the world show that it is very common in adolescents but little is known from Africa. MethodsIn a cross-sectional study, 539 randomly selected students aged 11-19 years in a secondary school in Kaduna, Nigeria were administered a questionnaire to assess self-report of acne, its severity and impact; beliefs and perceptions of causes, and treatments used. 418 students were later examined to detect and grade acne severity.Results 274 (50.8%) were male while 265 (49.2%) were female. Mean age for respondents was 16 years. 320 students (59.4%) self-reported acne. Of 418 students examined, 379 had acne giving a prevalence of 90.7%. There was no significant gender difference in prevalence at all ages of adolescence. Prevalence of acne increased with age (76.7% at age 10-13 years;88.2% at age 14-16 years; 97.1% at age 17-19 years). 353 of 379 (93.1%) had mild acne while 26 of 379 (6.9%) had moderate acne. The severity of acne was similar in boys and girls. 47.7% of students reported feeling "very sad/unhappy" about their acne although in more than 70% of those who self-reported, this did not interfere with relationship with family, friends or school work. Diet was the commonest factor believed to cause acne. Cleansing agents were the most commonly used treatments.Conclusions Acne vulgaris is very common in Nigerian adolescents, although it is mild acne in most.

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Section: Introductionmentioning

confidence: 99%

Acne vulgaris in Nigerian adolescents – prevalence, severity, beliefs, perceptions, and practices

Yahya

2009

Int J Dermatology

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“…[19][20][21] Community-based studies in Nigeria have reported prevalence rates of skin diseases (or dermatophytoses alone) between 10% and 64%. 1,13,[22][23][24][25][26][27] The most common skin condition was fungal infections, especially tinea capitis among school-age children, especially boys, accounting for 43% of the skin diseases in the community.…”

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confidence: 99%

“…32 Common skin manifestations related to HIV/AIDS were pruritic papular eruption and seborrhoeic dermatitis, followed by herpes zoster, dermatophytosis, candidiasis, molluscum contagiosum, xeroderma, and drug eruptions. 20,33,34 In a setting with a high HIV prevalence, such skin manifestations are predictors for the presence, progression, and severity of the HIV infection. In a study by Ukonu and Eze 34 in south Nigeria, 55% of all the patients attending the dermatology clinic were HIV/AIDS patients and presented with multiple skin diseases.…”

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confidence: 99%

“…The low sensitivity for leprosy can be associated with inexperience in leprosy recognition among the PMVs and THs, due to low prevalence rates. 20,53 PMVs and THs participated in a 2-day training during which they were trained in disease recognition and therapy through using the algorithm as a diagnostic tool. Only those with an 80% pass mark were allowed to participate in the study, assuming they had sufficient knowledge and practice.…”

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First-line health care provider performance in the management of common skin diseases using an algorithmic approach as a diagnostic tool in Kano State, Nigeria

Taal¹,

Post²,

Hussaini³

et al. 2015

RRTM

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Skin diseases are common worldwide, though prevalence rates in rural areas are difficult to estimate, and are primarily based on hospital studies rather than community-based studies. Primary health care providers in rural areas often lack sufficient knowledge about skin diseases, which contributes to poor skin management and subsequently causes considerable morbidity. This study looked at the performance of first-line health care providers in the management of common skin disease, using an algorithmic approach with a flowchart with diagnostic steps. As a reference standard, two dermatologists independently validated the diagnoses and treatment choices made by the providers. The performance of the algorithm was calculated in terms of the sensitivity, specificity, positive predictive value (PPV), and negative predictive value for each skin disease of the algorithm. A total of 19 patent medicine vendors and 12 traditional healers from Kano State in Nigeria diagnosed 4,147 patients with suspected skin symptoms. The most common skin disease was tinea capitis (59.2%), and it was found predominantly among boys below 15 years of age. Together, patent medicine vendors and traditional healers had 82% of the cases correctly diagnosed, and in 82% they prescribed the correct treatment. The sensitivities varied for each skin disease from 94.8% for tinea capitis to 7.1% for contact dermatitis. The specificities varied between 87.0% and 98.6%. Except for tinea capitis, lower PPVs were found for the various skin diseases when compared to earlier studies. In spite of the observed low sensitivities and low PPVs for several diseases, the algorithm seems to offer an improvement in management of common skin diseases at the peripheral level. With adaptations in training, further refinement of the algorithm and refresher training, predictive values and sensitivities can be increased.

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“…Following the teenage years, the prevalence in women again tends to be higher than in men. It has been reported by Yahya (2009), that the proportions of acne vulgaris in hospital-based studies of skin disease in Africa have been reported to be 4.6% in Ghana, 6.7% in Nigeria (Yahya 2007) and up to 17.5% in South Africa (Hartshorne, 2003;Yahya, 2009). Acne vulgaris is very common in adolescents in Nigeria, with a prevalence ranging from 35%-90.7% (Ogunbiyi, Omigbodun, and Owoaje, 2009) in community-based surveys across the nation; it has also consistently ranked among the ten most common reasons for consultations in dermatologic outpatient clinics in both the northern and southern parts of the country (Yahya, 2009).…”

Section: Background Of Studymentioning

confidence: 99%

Comparative Study of Prolactin Levels in Acne and Non-Acne Individuals Among Students of College of Health Sciences, Nnamdi Azikiwe University, Nnewi, Nigeria

Chukwu¹

2017

IJBECS

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Prolactin (PRL) is well recognized for its role(s) in mammary gland development and function as well as over three hundred non-lactational functions. However, androgens have a main role in acne pathogenesis and the interaction between prolactin and androgens generate the hypothesis of prolactin role in acne pathogenesis. Therefore a difference should exist in the prolactin hormone levels of acne individuals in comparison with non-acne individuals. The aim of this study was to make assessment and comparison of serum hormonal levels of prolactin in acne vulgaris individuals and non-acne individuals. In this cross-sectional case control study, serum levels of prolactin were collected and estimated in 60 subjects consisting of 30 males and 30 females each; of which 15 were the control group and 15, the test group in each category respectively. Also certain criteria's were looked into such as subject's age, state of health, menstrual patterns (for females) and much more. Data collected was analyzed using the Software Package for Social Sciences (SPSS). At the end of the experiment, the result showed no significant change (p<0.05), however mean serum prolactin levels were significantly high among the acne cases in both the males (12.26 ± 1.50) when compared to the control of males (8.80 ± 1.03), and also acne cases of the females (22.04 ± 4.59) when compared to the control of the females (12.92 ± 1.62) females. A non-significant change in the comparism of serum prolactin levels of acne subjects and non-acne subjects in both males and females may be as result of the small sample size used. However, more powerful studies are needed. An increase in the mean serum prolactin levels of acne subjects in both categories when compared to non-acne subjects indicates the contribution of prolactin in the pathogenesis of acne.

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Change in pattern of skin disease in Kaduna, north‐central Nigeria

Abstract: These changes in skin disease can be attributed mainly to an increase in urbanization and improved socio-economic conditions.

Cited by 49 publications

References 25 publications

Acne vulgaris in Nigerian adolescents – prevalence, severity, beliefs, perceptions, and practices

Acne vulgaris in Nigerian adolescents – prevalence, severity, beliefs, perceptions, and practices

First-line health care provider performance in the management of common skin diseases using an algorithmic approach as a diagnostic tool in Kano State, Nigeria

Comparative Study of Prolactin Levels in Acne and Non-Acne Individuals Among Students of College of Health Sciences, Nnamdi Azikiwe University, Nnewi, Nigeria

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