The epidemiology of pityriasis versicolor in Malawi, Africa

Pönnighaus, J. M.; Fine, P. E. M.; Saul, Jacqueline

doi:10.1111/j.1439-0507.1996.tb00099.x

Cited by 18 publications

(13 citation statements)

References 7 publications

(1 reference statement)

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“…This study therefore provided an update that skin conditions were still a major public health problem affecting 18% of the population aged 5 years or more. Our findings that fungal infections, pityriasis versicolor in particular being the commonest skin infections were consistent with previous findings [21]. Previous trials indicated that Whitfield's and clotrimazole creams were effective for the treatment of common fungal skin infections in Malawi with cure rates of 80%-90%.…”

Section: Discussionsupporting

confidence: 92%

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Burden of leprosy in Malawi: community camp-based cross-sectional study

Msyamboza

Mawaya

Kubwalo

et al. 2012

BMC Int Health Hum Rights

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BackgroundAlthough leprosy was eliminated globally in 2000, the disease continues to be the significant cause of peripheral neuropathy, disability and disfigurement in some developing countries. However, recent population-based prevalence data are lacking to inform evidence-based renewed commitment for the final push for leprosy elimination at national and sub-national levels.MethodsCommunity camp-based cross-sectional descriptive study was conducted in four selected districts. World Health Organisation guidelines and tools for leprosy elimination monitoring were used to evaluate the Malawi National Leprosy Programme.ResultsA total of 6,338 people (60% females, 35% children aged less than 15 years) were examined for leprosy and other skin diseases. Prevalence of skin diseases was 18%, the commonest being fungal (9%), eczema/dermatitis (3%) and leprosy (1%). Of the fungal skin conditions, pityriasis versicolor and Tinea capatis were the commonest (22% and 21% respectively) then Tinea corporis (9%), Tinea cruris (6%) and Tinea pedis (2%). A total of 66 leprosy cases were detected out of 6,338 people screened giving a prevalence of 104.1 per 10,000 population (range by district 67.1 to 194.1). Of the leprosy cases, 37 were new, 6 were defaulters and 23 were on treatment, 30 were females and 9 were children aged less than 15 years old. Of the 37 new leprosy cases, 9 (24.3%) were children, 25 (67.6%) had 1–5 leprosy lesions and 8 (21.6%) had grade 2 disability. The most frequent location of leprosy lesions was the head and neck (24.1%), arms (24.1%), chest (17.2%), legs (13.8%), back (13.8%) and abdomen (7.0%). Between 2006 and 2011, trends of leprosy prevalence and detection increased, prevalence/detection ratios were over 1 and cure rates by cohort analysis of 2009 multibacillary and 2010 paucibacillary cases were 33% and 63% respectively far below the expected 80% although the national prevalence remained at less than 1 case per 10,000 population.ConclusionLeprosy was still an important public health problem in Malawi. Improving knowledge and skills of health workers, registration and recording of data, contact tracing, decentralisation and integration of treatment to health centres and introduction of leprosy awareness days and community-based surveillance could help to improve early detection, treatment, case holding and prevention of disabilities.

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Section: Discussionsupporting

confidence: 92%

“…Recent population-based prevalence estimates of skin conditions are not well documented in Malawi except 1980s data from Karonga [21,22]. This study therefore provided an update that skin conditions were still a major public health problem affecting 18% of the population aged 5 years or more.…”

Section: Discussionmentioning

confidence: 91%

Burden of leprosy in Malawi: community camp-based cross-sectional study

Msyamboza

Mawaya

Kubwalo

et al. 2012

BMC Int Health Hum Rights

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“…Pityriasis versicolor is a common finding in Ethiopia (13.6% of the total cases of superficial fungal infection). This finding correlates with similar findings in Malawi: 8% of the study group had extensive pityriasis versicolor, while 9.9% had a mild form of pityriasis versicolor 10 . Pityriasis versicolor is caused by a normal flora of the human skin ( Malassezia furfur ).…”

Section: Discussionsupporting

confidence: 90%

Pattern of skin diseases at the University Teaching Hospital, Addis Ababa, Ethiopia

Shibeshi

2000

Int J Dermatology

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“…Relatively higher rate of T. versicolor (7.7%) was reported in hospital based study in Cairo (14). In Northern Malawi, much higher rate (17.9%) was observed among the total population (22).The difference in the prevalence rates of T. versicolor among different surveys has been devoted mainly to individual susceptibility. In addition, environmental factors may play a role with higher prevalence rate in tropical climate than in temperate one.…”

Section: Infective Skin Diseasesmentioning

confidence: 93%

Trends in the pattern of skin diseases in the last four decades at Assiut University Hospital - Upper Egypt

Hofny¹

2015

cderm

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SummaryThe pattern of skin diseases represents an index for community development and quality of provided health care, and it is important to build community-directed health care strategies. This study aimed to describe the current pattern of skin diseases and to assess the change in the pattern of dermatological diseases for patients attending Assiut University Hospital by comparing the study findings with the results of a similar previous study conducted in the period 1969-1973. The study was a retrospective hospital-based study. Medical records of the patients presented with any skin disorders were reviewed and the diagnosis was classified according to International Classification of Diseases ICD (10th version 2010). Results. A total of 57,884 patients were registered during the period 2008-2012 compared to 50,000 patients in the period 1969-1973. Our study demonstrated that the rate of the infectious skin diseases represents a respectable portion (37.9%) but, in the previous study it was 50.8% (p<0.001). However, viral infections were increasing from 4.5 to 18.7%. Generally, non-infectious skin diseases showed higher percentages in the present study than the previous study (62 vs 49.2%). The rate of dermatitis was increasing from 15.6% in the year 1976 to 24.5% in year 2012 particularly contact dermatitis. Conclusion. There is a trend of increasing non-infectious skin diseases particularly contact dermatitis. On the other hand infectious skin diseases still occupied major portion particularly viral infections. Further studies on the trend of skin diseases in the community are needed.KEY WORDS: trend; skin diseases pattern.

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The epidemiology of pityriasis versicolor in Malawi, Africa

Cited by 18 publications

References 7 publications

Burden of leprosy in Malawi: community camp-based cross-sectional study

Burden of leprosy in Malawi: community camp-based cross-sectional study

Pattern of skin diseases at the University Teaching Hospital, Addis Ababa, Ethiopia

Trends in the pattern of skin diseases in the last four decades at Assiut University Hospital - Upper Egypt

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