The Incidence of Skin Diseases in a Nigerian Teaching Hospital Dermatological Clinic.

Shrank, Alan B.; Harman, R.R.M.

doi:10.1111/j.1365-2133.1966.tb12213.x

Cited by 71 publications

(54 citation statements)

References 8 publications

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“…Miliaria is a heat-related dermatosis, and is often found in persons not used to hot and humid environments. It has been reported to be more common in Europeans living in a tropical zone than in native residents;28 and was also one of the most common diseases affecting US military personnel situated in the tropics during World War II 29. That such a condition should now be seen commonly among adolescent native residents of the tropics, may not be unconnected to the reality of the rising temperatures brought about by global warming.…”

Section: Discussionmentioning

confidence: 99%

Dermatologic conditions in teenage adolescents in Nigeria

Henshaw¹,

Olasode²,

Ogedegbe³

et al. 2014

AHMT

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BackgroundSkin disorders are common in adolescents, and the impact on quality of life can be enormous, particularly when viewed against the backdrop of the visibility of skin diseases and the psychologically vulnerable period of adolescence. However, few studies have documented the magnitude of skin disorders in this subset of individuals. We therefore estimated the point prevalence and pattern of dermatologic conditions in adolescents attending various secondary schools in Calabar, Southern Nigeria.MethodsUsing a structured questionnaire, relevant sociodemographic information was obtained from 1,447 teenage adolescents from eight secondary schools. Thereafter, a whole body examination was conducted to determine the presence and types of skin disorders seen.ResultsSkin diseases were seen in 929 students. The point prevalence was higher in males (72.1%) than in females (58.3%). Private schools had a higher prevalence than public schools. The six most common dermatoses were acne vulgaris, pityriasis versicolor, nevi, tinea, miliaria, and keloid/hypertrophic scars, and accounted for over 80% of the dermatoses seen.ConclusionThe point prevalence of dermatoses in senior secondary school adolescents was 64.2%. Although a large number of skin disorders were observed, only a handful accounted for a significant proportion of the diseases seen. This increases the ease of training community health workers in the recognition and treatment of common skin diseases. Age, race, and climatic factors are important determinants of skin diseases in adolescents in Nigeria.

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Section: Discussionmentioning

confidence: 99%

Dermatologic conditions in teenage adolescents in Nigeria

Henshaw¹,

Olasode²,

Ogedegbe³

et al. 2014

AHMT

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“…Shrank and Harman [6] reported a frequency of 2.2% in the Ibadan province of Nigeria from 1961 to 1963, while the Figure in a skin clinic in Kaduna, Northern Nigeria, was 4.8% among all outpatients in 1974. [7] However, a recent study from another skin clinic in Kaduna, Nigeria, reported a reduced frequency of DCPA (0.4%).…”

Section: Introduction Introductionmentioning

confidence: 99%

Dermatitis cruris pustulosa et atrophicans

Kaimal¹,

D’Souza²,

Kumari³

2009

Indian J Dermatol Venereol Leprol

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Dermatitis cruris pustulosa et atrophicans (DCPA) is a distinctive type of chronic superficial folliculitis, primarily affecting the lower limbs. It is characterized by symmetrical follicular pustules of both legs, with cutaneous edema, resulting in alopecia, atrophy and scarring. It was first described by Clarke, from West Nigeria, in 1952 and well illustrated in his book "Skin diseases in the African," under the initial label of "Nigerian shin disease." Subsequently, it was described in India as well, in 1964, and continues to be a problem in dermatology clinics across the country. It is predominantly a disease of men and has a high prevalence in some geographical regions; up to 3-4% in Madras, South India. Some unique features that distinguish DCPA from banal pustular folliculitis include its peculiar localization to the legs, extreme chronicity, resistance to therapy and inevitable alopecia and atrophy of the involved skin, with little postinflammatory hyper- or hypopigmentation. Further, even in the presence of extensive lesions, there are no systemic features. Coagulase-positive Staphylococcus aureus is known to have a role in the etiology of DCPA, but the exact etiopathogenesis still needs to be elucidated. Immunological postulates such as hypergammaglobulinemia have been put forward to explain the chronicity of the condition. A number of therapeutic agents have been tried in various studies, including cotrimoxazole, psoralen with ultraviolet A (PUVA) therapy, ciprofloxacin, pentoxifylline, rifampicin, dapsone, minocycline and mupirocin (topical) with variable success rates. Although a well-recognized entity in dermatology clinics in tropical countries, DCPA has received little attention in the dermatological literature and has only a few studies to its credit. Its unique clinical picture, unclear etiopathogenesis and resistance to therapy afford a vast scope for further investigation and study.

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“…At any point in time, between one-quarter and twothirds of a population may be suffering from some form of skin disease. Studies conducted in Nigeria have observed changing trends in the pattern and presentation of skin diseases [3][4][5][6][7][8] as, according to the model of epidemiologic transition described by Harper and Armelagos, we transit from the age of pestilence and famine to the age of degenerative man-made diseases. 2 In addition, patterns of skin disease are changing in developing economies as the disease profile shifts from one of predominantly infectious to one of non-infectious disease.…”

Section: Introductionmentioning

confidence: 99%

“…1 Recent local and global estimates of disease have confirmed that prevalences of non-communicable diseases are increasing disproportionately to frequencies of communicable diseases. 9 Reports from Lagos and Ibadan in South-West (SW) Nigeria, [3][4][5] Enugu in the South-East (SE), 6 and Kaduna in the North-Central (NC) 7,8 zones have signified a shift from the traditional predominance of infectious skin diseases to the present dominance of non-infectious skin diseases, most consistently in SW Nigeria. Studies conducted in Nigeria have observed changing trends in the pattern and presentation of skin diseases [3][4][5][6][7][8] as, according to the model of epidemiologic transition described by Harper and Armelagos, we transit from the age of pestilence and famine to the age of degenerative man-made diseases.…”

Section: Introductionmentioning

confidence: 99%