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 simple reference for analysis and administration of universal epidermis ailments, together with leprosy. pores and skin affliction is frequently missed as a trivial but if care is taken to make the correct prognosis and institute the right kind remedy, the administration of epidermis illnesses usually ends up in nice development and pride for the sufferer and healthiness care paintings alike. Required remedies don't need to be pricey and come in the community. in lots of situations epidermis affliction might be a hallmark of different difficulties, fairly if encouraged by means of concommitant HIV an infection. The frequent advent of antiretroviral remedy (ARV) has led to particular epidermis problems as a result of immune reconstitution syndrome (IRIS), as a result right analysis and therapy provision are vital matters handled during this advisor.

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Fig. 41. Bilateral lagophtalmos. Loss of facial expression may lead to social isolation. Eyes are in danger of exposure and drying out, eventually leading to blindness. Fig. 42. Enlarged great auricular nerve in a BL patient. Fig. 43. Test for loss of sensation (light touch). Fig. 44. Palpating the radiocutaneous nerve. No other clinical or laboratory test has the same high sensitivity and specificity. Fig. 45. The ulnar nerve is felt just behind and above the medial epicondyle. 43 42 44 39 45 LEPROSY COMPLICATIONS Complications of leprosy are the reactions which cause nerve damage and the sequelae of this nerve damage; loss of sensation and loss of muscle strength, with ulceration and deformity as consequence.

Plane warts on the back of a 25 year old HIV positive woman. GENITAL WARTS / CONDYLOMATA ACUMINATA Condylomata acuminata or genital warts are caused by HPV and are transmitted by direct contact, usually through sexual intercourse, sometimes by infected hands. Transmission is also possible from mother to child during childbirth. Genital warts may show accelerated growth in pregnancy followed by spontaneous reduction after childbirth. Excessive growth occurs in immune suppressed patients. Patients should have syphilis serology checked.

Exposure to sunlight aggravates the lesions and causes an increase in symptoms, such as itch and irritation. Management of chronic discoid lupus erythematodes - Sunprotection! Wear a sunhat, protective clothing, and stay out of the sun as much as possible. Use a sunscreen when outdoors (see albinism). g. betamethasone 0,1% once daily. If this is not effective after 2 months, this treatment should be stopped, as there is already a high risk of skin atrophy. - Chloroquine 150 mg/hydroxychloroquine 200 mg once daily for 6-8 weeks.

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