Risk factors associated with acquiring superficial fungal infections in school children in South Western Nigeria: a comparative study

Introduction: Superficial fungal infections (SFI) are caused mainly by dermatophytes and yeasts. SFI is of major public health concern and is a common cause of skin disease among school children.Objectives: The aim of this study was to identify the risk factors associated with acquiring superficial fungal infections in school children in Ile-Ife, South West Nigeria as this will assist in instituting appropriate interventions.Methods: A total of 560 children; 280 with superficial fungal infections as subjects and 280 age and sex matched school children as controls were recruited through multistage sampling method from 10 primary schools (private and public owned) in Ile-Ife, Nigeria.Discussion: Pupils were aged 5-16 years with a mean age of 9.42±2.00. Risk factors documented in this study included poor living conditions, use of barbers’ clippers, low socio-economic status, poor hygiene, attendance of public schools and not living with both parents. The last four factors remained significant on binary logistic regression.Conclusion: The study shows that the risk for acquiring superficial fungal infections remains high in school children and in communities with low socio-economic positions.Keywords: Risk factors, school children, skin, superficial fungal infection

Risk factors associated with acquiring superficial fungal infections in school children in South Western Nigeria: a comparative study.

Introduction: Superficial fungal infections (SFI) are caused mainly by dermatophytes and yeasts. SFI is of major public health concern and is a common cause of skin disease among school children. Objectives: The aim of this study was to identify the risk factors associated with acquiring superficial fungal infections in school children in Ile-Ife, South West Nigeria as this will assist in instituting appropriate interventions. Methods: A total of 560 children; 280 with superficial fungal infections as subjects and 280 age and sex matched school children as controls were recruited through multistage sampling method from 10 primary schools (private and public owned) in Ile-Ife, Nigeria. Discussion: Pupils were aged 5-16 years with a mean age of 9.42\ub12.00. Risk factors documented in this study included poor living conditions, use of barbers\u2019 clippers, low socio-economic status, poor hygiene, attendance of public schools and not living with both parents. The last four factors remained significant on binary logistic regression. Conclusion: The study shows that the risk for acquiring superficial fungal infections remains high in school children and in communities with low socio-economic positions

The Prevalence and Pattern of Superficial Fungal Infections among School Children in Ile-Ife, South-Western Nigeria

Fungal infections of the skin and nails are common global problems with attendant morbidity among affected individuals. Children are mostly affected due to predisposing factors such as overcrowding and low socioeconomic factors. The aim of this study was to determine the prevalence and the clinical patterns of superficial fungal infections among primary school children in Ile-Ife. A multistage sampling was conducted to select eight hundred pupils from ten primary schools in Ile-Ife. Data on epidemiological characteristics and clinical history was collected using a semistructured questionnaire and skin scrapings were done. The prevalence of superficial fungal infections among the 800 respondents was 35.0%. Male pupils constituted 51.0% of respondents while the females were 49.0%. The mean age for all the respondents was 9.42 ± 2.00. Tinea capitis was the commonest infection with a prevalence of 26.9% and tinea unguium, tinea corporis, and tinea faciei had a prevalence of 0.8%, 0.6%, and 0.5%, respectively. Tinea manuum had the least prevalence of 0.1%. Pityriasis versicolor had a prevalence of 4.4%. Microsporum audouinii was the leading organism isolated. The study shows that the prevalence of superficial fungal infection (SFI) among primary school children in Ile-Ife is high with tinea capitis as the commonest SFI

Familial vitiligo in mother and child; the genetic theory connection

Vitiligo is an acquired loss of skin pigment of unknown etiology. It frequently occurs in familial clusters thereby favoring the genetic theory for its pathogenesis. Several genes have been described in association with vitiligo and it is often thought to be polygenic with variable expressivity. We present two cases of familial vitiligo occurring in a mother and her child with a more severe presentation in the child. These cases of familial vitiligo portray the genetic theory with associated features suggesting genetic anticipation

Fixed drug eruption induced by Fixed drug eruption induced by Moringa oleifera Moringa oleifera leaf leaf extracts - A case report extracts - A case report

Fixed drug eruption (FDE) is a commonly encounter cutaneous drug reaction at the dermatology clinics. The diagnosis is made when a characteristic lesion occurred repeatedly at the same site following re-exposure to the precipitating agent. We are presenting Moringa oleifera as a cause of FDE in a 55 year old man making the plant part of the growing list of implicating agents causing FDE. The mechanism by which it causes the lesion may not be completely understood but may probably be due to high sulphur content in the leaf extracts. The sulphur may serve as hapten and activate CD 8+ effector/memory T- cell leading to generation of proinflammatory cytokines such as interferon-gamma which causes tissue damage

Vitiligo on tribal mark: A demostration of Wolf’s isotopic response

Background: Wolf’s isotopic response is the development of new lesions on old scar. Although this phenomenon is uncommon, most of the reported cases have been associated with development new lesions on the previously healed scar of herpes zoster infections. Case Report: Our patient is 74 year old woman with generalized vitiligo who demonstrated Wolf’s isotopic response by developing new lesions of vitiligo along the track of old scar (tribal mark). Conclusion: The exhibition of Wolf’s Isotopic response on old tribal mark, may transform a benign, asymptomatic tribal mark into a clinically significant feature which may aid the diagnosis of vitiligo

Évolution des écosystèmes : représentation et compréhension /

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Psychodermatological Disorders in Patients With Primary Psychiatric Conditions: Cross-Sectional Study

BackgroundPsychodermatological disorders (PDs) and their associations with mental health problems are one of the most frequent research themes in dermatology outpatient settings. Surprisingly, very few studies have been conducted to evaluate PDs among patients with primary psychiatric conditions. As such, the relationship between preexisting psychiatric conditions and comorbid PDs is underrepresented in the literature. ObjectiveThis study examined the prevalence and distribution of PDs among adults with primary psychiatric conditions and determined their association with underlying psychiatric diagnoses. MethodsWe conducted a cross-sectional analysis at a tertiary health care facility in southwestern Nigeria. Comorbid PDs were identified and classified using preexisting classification systems. A bivariate analysis was conducted to determine the association between PDs and underlying psychiatric conditions. The level of statistical significance was set at P<.05. ResultsThe study included 107 patients with mental health disorders, of whom 64 (59.8%) were female. The mean age of the patients was 40.73 (SD 13.08) years. A total of 75 (75/107, 70%) patients had at least one comorbid PD. The prevalence of PDs was highest in patients with affective disorders (15/20, 75%) and least in those with schizophrenia (45/66, 68%). PDs associated with delusions or hallucinations and somatoform symptoms were 9 and 13 times more frequent in patients with anxiety disorders compared to those with other psychiatric conditions (P=.01; odds ratio [OR] 9.88, 95% CI 1.67-58.34 and P=.003; OR 13.13, 95% CI 2.34-73.65), respectively. In contrast, patients with schizophrenia were significantly less likely to be diagnosed with dermatoses resulting from delusions or hallucinations (P=.002; OR 0.04, 95% CI 0.00-0.75). A weak but significant negative association was also found between psychophysiological PDs and anxiety disorders (ϕ=–0.236; P=.02). ConclusionsThis study provides important insights into the overwhelming burden of psychodermatological conditions in patients with mental health disorders and specific associations with underlying psychiatric diagnosis