Skin diseases in south‐east Nigeria: A current perspective

Nnoruka, Edith N.

doi:10.1111/j.1365-4632.2004.02485.x

Cited by 73 publications

(132 citation statements)

References 11 publications

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“…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%

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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confidence: 99%

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

View full text Add to dashboard Cite

show abstract

“…Among those patients with skin manifestation 55 (40.1%) of them were having CD4+ cell count <200 cell/mm 3 and 54 (39.4%) of HIV+ patients were having CD4+ cell counts between 200 cell/mm 3 to 350 cell/mm 3 . Only 5 (3.6%) patients had CD4+ cell count >500 cell/ mm 3 and had skin lesion.…”

Section: Discussionmentioning

confidence: 99%

“…Only 5 (3.6%) patients had CD4+ cell count >500 cell/ mm 3 and had skin lesion. Skin manifestation is significantly associated with CD4+ cell count in this study (P=0.0001).…”

Section: Discussionmentioning

confidence: 99%

“…Regarding the CD+ cell counts, most of HIV+ patients 55 (40.1%) had CD4+ cell counts <200 cell/mm 3 IV, skin manifestation was significantly associated with WHO clinical staging of HIV/AIDS P=0.0198 [12] (Table 3).…”

Section: Socio-demographic Characteristicsmentioning

confidence: 99%

“…Transmissible processes, including infections and infestations, make up the majority of skin disease in many Sub-Saharan African countries accounting for 85% of skin disease in Tanzania, 78% in Malawi, 71.5% in Ethiopia and 40.1% in Uganda [3]. However, primary care providers may have difficulty diagnosing and treating other important skin diseases which often need referrals to specialized dermatology centers [4].…”

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confidence: 99%

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