Husain Yahya1. 1. Dermatology Unit, Department of Medicine, Barau Dikko Specialist Hospital, Kaduna, Nigeria.
Abstract
BACKGROUND: We report our experience on the pattern of skin disease in Kaduna, north-central Nigeria over a 6-year period, and compare it with a similar survey conducted in the same area 30 years ago and with surveys from Nigeria and from other parts of Africa. METHODS: The medical records of new patients attending the dermatology outpatient clinics of Barau Dikko Specialist Hospital and Habbat Medical Center from March 2000 to December 2005 were retrieved. Demographic data (age and sex) and the diagnoses of skin disease were extracted and analyzed. RESULTS: A total of 5982 cases was seen. Forty-nine per cent were males and 51% were females. One-third of the patients were aged under 20 years, and three quarters were aged below 40 years. Eczematous dermatitis was the most common skin disorder seen, making up 35% of cases, and had replaced dermatophyte infections and scabies, which were the most dominant skin diseases 30 years previously (now constituting 6% and 1.4% of cases, respectively). Atopic dermatitis had more than doubled in frequency (13.8% vs. 5.2%), and contact dermatitis had tripled in frequency (5.8% vs. 1.8%). Acne vulgaris (6.7%), pigmentary disorders (3.9%), urticaria (3.6%), papular urticaria (3.6%), hair disorders (3.3%), lichen simplex chronicus (3%), viral warts (2.9%), and drug eruptions (2.7%) had also increased. Human immunodeficiency virus-related skin disease constituted 4.3% of cases, with pruritic papular eruption being the most common condition. CONCLUSION: These changes in skin disease can be attributed mainly to an increase in urbanization and improved socio-economic conditions.
BACKGROUND: We report our experience on the pattern of skin disease in Kaduna, north-central Nigeria over a 6-year period, and compare it with a similar survey conducted in the same area 30 years ago and with surveys from Nigeria and from other parts of Africa. METHODS: The medical records of new patients attending the dermatology outpatient clinics of Barau Dikko Specialist Hospital and Habbat Medical Center from March 2000 to December 2005 were retrieved. Demographic data (age and sex) and the diagnoses of skin disease were extracted and analyzed. RESULTS: A total of 5982 cases was seen. Forty-nine per cent were males and 51% were females. One-third of the patients were aged under 20 years, and three quarters were aged below 40 years. Eczematous dermatitis was the most common skin disorder seen, making up 35% of cases, and had replaced dermatophyte infections and scabies, which were the most dominant skin diseases 30 years previously (now constituting 6% and 1.4% of cases, respectively). Atopic dermatitis had more than doubled in frequency (13.8% vs. 5.2%), and contact dermatitis had tripled in frequency (5.8% vs. 1.8%). Acne vulgaris (6.7%), pigmentary disorders (3.9%), urticaria (3.6%), papular urticaria (3.6%), hair disorders (3.3%), lichen simplex chronicus (3%), viral warts (2.9%), and drug eruptions (2.7%) had also increased. Human immunodeficiency virus-related skin disease constituted 4.3% of cases, with pruritic papular eruption being the most common condition. CONCLUSION: These changes in skin disease can be attributed mainly to an increase in urbanization and improved socio-economic conditions.
Authors: Anne-Cécile Zoung-Kanyi Bissek; Earnest Njih Tabah; Emmanuel Kouotou; Victor Sini; Faustin N Yepnjio; Rogers Nditanchou; Roland N Nchufor; Defo Defo; Fidèle Dema; Julius Y Fonsah; Alfred K Njamnshi; Walinjom F T Muna Journal: BMC Dermatol Date: 2012-06-21
Authors: Sugat A Jawade; Vishal S Chugh; Sneha K Gohil; Amit S Mistry; Dipak D Umrigar Journal: Indian J Dermatol Date: 2015 Nov-Dec Impact factor: 1.494
Authors: Evelyne Halpert; Elizabeth Borrero; Milciades Ibañez-Pinilla; Pablo Chaparro; Jorge Molina; Maritza Torres; Elizabeth García Journal: World Allergy Organ J Date: 2017-11-07 Impact factor: 4.084