“…However in patients with systemic predisposing conditions HIV infection, xerodermapigmentosa, OSSN may occur at a younger age [1,8,17,19]. According to the previous studies OSSN is commonly seen in elderly and in males in Asia, Europe, Australia and North America, but not in Africa [2,5,8,11,24,25]. In Africa prevalence is more in young and females [5,8,11,24], this may be due to increased prevalence of HIV infection in Africa.…”