TITLE

The spectrum of dermatological disorders among primary school children in Dar es Salaam

AUTHOR(S)
Ewaldo V. Komba; Yassin M. Mgonda
PUB. DATE
January 2010
SOURCE
BMC Public Health;2010, Vol. 10, p765
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Dermatologic disorders are common in many countries but the spectrum varies greatly. Many studies have reported a significant burden of skin diseases in school children. The objective of this study was to determine the current spectrum of dermatological disorders in primary school children in Dar es Salaam city. Methods: Primary school children were recruited by multistage sampling. Detailed interview, dermatological examination and appropriate laboratory investigations were performed. Data was analyzed using the 'Statistical Package for Social Sciences' (SPSS) program version 10.0 and EPI6. A p-value of < 0.5 was significant. Results: A total of 420 children were recruited (51% males; mean age 11.4 ± 2.8 years; range 6-19 years). The overall point prevalence of any skin disorder was 57.3% and it was 61.9% and 52.6% in males and females respectively (p = 0.05). Infectious dermatoses accounted for 30.4% with superficial fungal infections (dermatophytoses and pityriasis versicolor) being the commonest (20%). Dermatophytoses were diagnosed in 11.4% (48/420); the prevalence in males and females being 12.6% and 10.1% respectively (p = 0.41) and higher (21.8%) in the age-group 6-10 years (p = 0.045). Fungal cultures were positive in 42/48 children (88%). All three dermatophyte genera were isolated. Tinea capitis was the commonest disease among culture-positive dermatophytoses (30/42; 71.4%) with an overall prevalence of 7.1% (30/420) followed by tinea pedis (11/42; 26.1%) whose overall prevalence was 2.6%. Microsporum canis was common in tinea capitis (14/30; 46.7%) followed by Trichophyton violaceum (6/30; 20%). Trichophyton rubrum was common in tinea pedis (5/11; 45.5%). Thirty six children (8.6%) had pityriasis versicolor which was more prevalent (6/27; 22.l2%) in the age group 16-19 years (p = 0.0004). The other common infectious dermatoses were pyodermas (4%) and pediculosis capitis (3.6%). Common non-infectious dermatoses were: acne vulgaris (36.4%), non-specific dermatoses (10.7%), non-specific ulcers (5%) and atopic eczema (2.6%). Rare conditions (prevalence < 1%) included: vitiligo, alopecia areata and intertrigo. The majority of the affected children (67.2%) did not seek any medical assistance. Conclusions: Skin disorders are common in primary school children; infectious dermatoses are still rampant and many children do not seek medical assistance.
ACCESSION #
57224539

 

Related Articles

  • Nodulo-ulcerative lesions over the nose. Inamadar, Arun C.; Palit, Aparna; Kulkarni, N.H.; Guggarigoudar, S.P.; Yelikar, B.R. // Indian Journal of Dermatology, Venereology & Leprology;May/Jun2004, Vol. 70 Issue 3, p197 

    Presents a quiz that asks readers to diagnose the case of a 41-year-old agricultural worker with asymptomatic nodulo-ulcerative lesions on the nose and adjacent areas, hoarseness of voice and difficulty in swallowing. Symptoms; Case description; Implications on dermatology, venereology and...

  • Disseminated Penicillium marneffei in a patient infected with human immunodeficiency virus. Vilar, F. J.; Hunt, R.; Wilkins, E. G. L.; Wilson, G.; Jones, N. P. // International Journal of STD & AIDS;Feb2000, Vol. 11 Issue 2, p126 

    Summary: A case of a 31-year-old man with systemic Penicillium marneffei infection acquired in Thailand and who developed endophthalmitis is described. This presentation has not previously been reported. He responded to combined treatment with intravenous and intravitreal amphotericin.

  • Asitretin ile Tedavi Edilen Bir Akrokeratozis Verrüsiformis Olgusu. Güler, Ebru; Ferahbaş, Ayten; Utaş, Serap; Kontaş, Olgun // Archives of the Turkish Dermatology & Venerology / Turkderm;2009, Vol. 43 Issue 1, p35 

    Acrokeratosis Verruciformis is a rare autosomal dominant genodermatosis. Typically, the lesions are small, verrucous, flat papules on the dorsal aspects of the hands and feet, elbows and knees. Herein, we report a sporodic case of acrokeratosis verruciformis, succesfully treated with acitretin,...

  • Clinical: The Basics - Cutaneous warts. Thakkar, Raj // GP: General Practitioner;10/21/2011, p37 

    The article presents information related to cutaneous warts in immunocompe-tent patients. It is stated that scratching a wart may tranfer the HPV virus. It is noted that in immunocompetent people, between 65 and 80 percent of lesions will be cleared within two years without treatment. It is...

  • 1993 ESDR SCIENTIFIC MEETING.  // Journal of Investigative Dermatology;Dec92, Vol. 99 Issue 6, p722 

    The 1993 Scientific Meeting related to dermatology will be held from April 3 through April 6, 1993 in the Congress Centre in Amsterdam, the Netherlands.

  • Inflammatory pruritic nodules and plaques on the face. Rao, Raghavendra; Prabhu, Smitha; George, Mamatha; Shenoi, Shrutakirthi D. // Indian Journal of Dermatology, Venereology & Leprology;Mar2007, Vol. 73 Issue 2, p161 

    The article presents a case report involving a 31-year-old male schoolteacher presented with mildly pruritic erythematous crusted plaques and nodules studded with pustules on chin and left malar region. Physical and systemic examination were conducted to find out the etiology of the disease. The...

  • The isomorphic phenomenon of Koebner. Thappa, Devinder Mohan // Indian Journal of Dermatology, Venereology & Leprology;May/Jun2004, Vol. 70 Issue 3, p187 

    Discusses key issues concerning the Koebner phenomenon, one of the most well known isomorphic phenomena in dermatology that is well documented in a number of skin diseases. Definition; Historical background; Types and causes of Koebner phenomenon.

  • SPECTRUM OF NON-INFECTIOUS ERYTHEMATOUS, PAPULAR AND SQUAMOUS LESIONS OF THE SKIN. D'Costa, Grace; Bharambe, Bhavana M. // Indian Journal of Dermatology;Jul-Sep2010, Vol. 55 Issue 3, p225 

    Background: Dermatopathologists base their diagnostic approach on the tissue reaction pattern. This study mainly includes the interpretation of two major tissue reaction patterns, the psoriasiform and the lichenoid reactions, with clinicopathological correlation. Aims: To analyze the spectrum of...

  • Antimicrobial Peptides: Potential Use in Skin Infections. Ulvatne, Hilde // American Journal of Clinical Dermatology;2003, Vol. 4 Issue 9, p591 

    Antimicrobial peptides are part of the natural defense against infections in all phyla, including humans. Antimicrobial peptides are considered to be promising alternatives to conventional antimicrobials. Antimicrobial peptides are active against a wide spectrum of pathogens, including...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics