The pattern of mucocutaneous disorders in HIV infected children attending care and treatment in Tikur Anbesa specialized hospital, Addis Ababa, Ethiopia

Endayehu, Yichalal; Mekasha, Amha; Daba, Firehiwot

doi:10.1186/1471-5945-13-12

Cited by 13 publications

(21 citation statements)

References 7 publications

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“…The predominance of girls may be due to the fact that they were the most numerous at the consultation during the study period. Moreover, the same observation is made in the series of Traore A et al [4] in Burkina Faso and Endayehu Y et al [6] in Ethiopia. WHO clinical stage III indicates the late detection of HIV infection in these children.…”

Section: Discussionsupporting

confidence: 76%

“…Fungal infections are the most common cutaneous presentation, with a reported prevalence of 44% to 69% [7] [10]. They are at the forefront of cutaneo-mucosal manifestations in HIV-infected children [2] [5] [6] [11] [12].…”

Section: Discussionmentioning

confidence: 99%

“…In tropical areas, some dermatoses are often indicative of HIV infection [4] [5]. In Sub-Saharan Africa, the prevalence of mucocutaneous disorders in paediatric HIV ranges from 72.6% to 96.5% [4] [6].…”

Section: Introductionmentioning

confidence: 99%

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Skin Manifestations of HIV Infection in Children in Pediatric Services of Conakry University Hospital (Guinea)

Soumah¹,

Bangoura²,

Keita³

et al. 2018

JCDSA

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Introduction: Dermatological manifestations during HIV infection play a diagnostic and prognostic role. They are observed in 83% -98% of patients at the late stage of AIDS and 58% -75% at an early stage of AIDS. The objective of this study was to determine the prevalence of skin diseases in HIV in children, describes the demographic profile and identify key dermatoses. Material and methods: This was a prospective study of descriptive kind conducted from August 25, 2009 to February 25, 2010. It involved children infected with HIV followed in pediatric services at the University Hospital of Conakry. All children were examined by an experienced dermatologist. The diagnosis of dermatosis was made according to the clinical signs. The stages of HIV infection were determined according to the WHO classification. Each child received retroviral serology rapid tests according to national algorithm. Results: Among 119 HIV-positive children 65 showed mucocutaneous manifestations, there are 34 girls and 31 boys, all HIV-1 infected with 66.16% in stage III disease. The average age was 7 years, ranging from 11 months to 15 years. 66.15% of the children were from married mothers and more than half of the mothers were illiterate. They were all positive for HIV1. Oral candidiasis (38.46%), prurigo (29.23%) and molluscum contagiosum (7.69%) were the most common skin diseases; 52.31% had at least two associated dermatoses. The candidiasis-prurigo combination (26.47%) was the most common. Dermatosis was often associated with other conditions: malaria (30.76%), pulmonary tuberculosis (25.61%) and malnutrition (12.30%). Discussion: With 65 cases diagnosed in six months our study shows that skin diseases are common in HIV among children in Guinea. The prevalence and socio-demographic How to cite this paper: Soumah, M.M., 40 J. Cosmetics, Dermatological Sciences and Applications characteristics are close to those reported by sub saharian and North African authors. A special feature of the study is that most mothers are illiterate and are infected with HIV, which would have favored the contamination of these children. Conclusion: In Sub-Saharan Africa where the rate of pediatric HIV infection is increasing, it is important to identify the mucocutaneous manifestations for optimal care.

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Section: Discussionsupporting

confidence: 76%

Section: Discussionmentioning

confidence: 99%

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Skin Manifestations of HIV Infection in Children in Pediatric Services of Conakry University Hospital (Guinea)

Soumah¹,

Bangoura²,

Keita³

et al. 2018

JCDSA

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“…are common skin infections among people living with HIV/AIDS [2]. Skin disorders in children living with HIV/AIDS may have atypical presentation, be inclined to be more severe and may diagnosed wrongly [6].…”

Section: Introductionmentioning

confidence: 99%

“…These skin or mucocutaneous disorders may provide an early clue to the presence of pediatric HIV infection and often more severe and more difficult to treat than in the immune-competent child. Skin disorders are common in children in Ethiopia, where nearly four out of five (72.6–79%) children living with HIV/AIDS develop at least one skin type infection [6, 7].…”

Section: Introductionmentioning

confidence: 99%

Patterns of common skin infections among children living with HIV/AIDS in Hawassa City, Ethiopia: a cross sectional study

et al. 2018

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ObjectivesSkin disorders are the most common health problems seen among HIV positive patients. It presents with a variety of manifestations which can cause significant morbidity. This study was aimed to assess the prevalence of common skin problems among children living with HIV/AIDS at Hawassa University Comprehensive Specialized Hospital, Hawassa, Ethiopia, 2017/2018. Hospital based cross-sectional study was conducted among 125 children living with HIV/AIDS who were recruited through simple random sampling techniques from February to April 2017. Pre-tested, structured questionnaires were used to collect the data.ResultAmong a total of 125 study participants, 72 (57.6%) of the children were males and 97 (77.6%) were in the age range of 10–14 years. 90 (72%) of participants had different kinds of skin problems. Among those who had one kind of common skin infection, 53 (42.4%) were males. Viral skin infections that accounts 48 (53.3%), were the leading cause of skin infections followed by 43 (47.8%), 33(36.7%) and 22 (24.7%) fungal infections, inflammatory and bacterial skin infections respectively. Among all children who were taking ART, only 2.4% of the children had skin related side effects.Electronic supplementary materialThe online version of this article (10.1186/s13104-018-3991-4) contains supplementary material, which is available to authorized users.

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Dermatoses of the Neonate

Paige

2016

Rook's Textbook of Dermatology, Ninth Edition

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Rashes in the first 4 weeks of life are common and can be alarming for both parents and medical staff. Many of these are entirely innocent and resolve spontaneously and reassurance of the parents is all that is required. It is important to be aware of such ‘benign’ rashes (as well as the appearance of preterm and post‐term skin) when assessing genuine pathology in the neonate. Pathological dermatoses may arise by a number of different mechanisms. Iatrogenic causes (medical procedures) can cause rashes/lesions both in utero and in the neonatal period. Transplacental transfer of antibodies, infection or malignant cells from mother to child is another mechanism for causing neonatal rashes. Infection can also be passed on from attendant medical staff. Finally, primary dermatoses may present early in the neonatal period, especially genodermatoses such as collodion baby and epidermolysis bullosa.

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The pattern of mucocutaneous disorders in HIV infected children attending care and treatment in Tikur Anbesa specialized hospital, Addis Ababa, Ethiopia

Cited by 13 publications

References 7 publications

Skin Manifestations of HIV Infection in Children in Pediatric Services of Conakry University Hospital (Guinea)

Skin Manifestations of HIV Infection in Children in Pediatric Services of Conakry University Hospital (Guinea)

Patterns of common skin infections among children living with HIV/AIDS in Hawassa City, Ethiopia: a cross sectional study

Dermatoses of the Neonate

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