Common Skin Diseases in Africa : an Illustrated Guide by Colette van Hees, Ben Naafs

By Colette van Hees, Ben Naafs

This up-to-date, photo-illustrated advisor, which covers Southern, East and West Africa, offers a brief and straightforward reference for analysis and administration of universal pores and skin illnesses, together with leprosy. epidermis sickness is frequently missed as a trivial but if care is taken to make the correct prognosis and institute the correct remedy, the administration of dermis ailments usually ends up in nice development and delight for the sufferer and overall healthiness care paintings alike. Required remedies don't need to be dear and come in the neighborhood. in lots of circumstances epidermis ailment could be a trademark of different difficulties, fairly if stimulated via concommitant HIV an infection. The frequent creation of antiretroviral remedy (ARV) has led to particular pores and skin issues as a result of immune reconstitution syndrome (IRIS), consequently right analysis and therapy provision are vital matters handled during this advisor.

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Herpes Zoster as the first sign of HIV infection in a 3 1/2 year old boy. Fig. 58 & 59. Mutilating scars of herpes zoster in a 27 year old woman. 58 59 49 HERPES SIMPLEX - LIPS & GENITALS 50 The common presentations of a herpes simplex virus infection are the "cold sores" or "fever blisters" on the lip (herpes labialis) and the genital herpes infection. After a few days of prodromal burning sensation, a group of blisters appear, which quickly break down to form superficial ulcers. The primary infection may be accompanied by constitutional symptoms such as fever, malaise and anorexia and take up to 3 weeks to heal.

Fig. 91. Onchonodules (Courtesy Dr. L. Leiker). 90 Onchocerciasis or river blindness is a chronic infection of the skin and the eyes by the filaria Onchocercus volvulus. It is transmitted by female blackflies which are typically found near fast moving water. People living in these areas get infected again and again, thereby accumulating hundreds to thousands of microfilariae in the skin and the eyes, where they move around freely. In the skin this causes severe itch as the major presenting complaint.

Patients should have syphilis serology checked. Women with genital warts should have a Pap smear taken. 58 Fig. 76. Condylomata acuminata on glans penis and foreskin of a 30 year old man. 76 Management of condylomata acuminata - Podophyllin 10-25% solution. Protect the skin surrounding the warts with vaseline. Apply podophyllin carefully to the warts with the back of a matchstick. Leave it on for 4 to 6 hours then wash off with water and soap. Repeat weekly until cleared. Podophyllin is contra-indicated in pregnancy!

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