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Research Article
Dermatoses in Ivorian Rural Areas: A Case Study of the Health District of Zouan Hounien
Issue:
Volume 8, Issue 1, June 2025
Pages:
1-5
Received:
17 December 2024
Accepted:
2 January 2025
Published:
23 January 2025
Abstract: Objective: To improve the management of skin diseases in rural areas of the Zouan-Hounien health district. Materials and Methods: This was a prospective, cross-sectional, descriptive study conducted over five (5) days, from December 13, 2023, to December 17, 2023, in villages within the Zouan-Hounien health district. Results: The study included 558 patients. The age group of 0-5 years was the most represented (16%). There were more women (54%) than men. Majority were farmers (31.4%) and single (52%). Infectious dermatoses were the most common (80.1%), with fungal infections being predominant (42.5%). Scabies was the only parasitic condition (100%), frequently affecting farmers (31.1%) and children aged 0-5 years (47.6%). Among bacterial dermatoses, boils were the most prevalent (66.7%). Molluscum contagiosum was the dominant viral dermatological condition (75%). Urticaria was the leading immuno-inflammatory dermatosis (59.5%), often observed among farmers (16.4%) and the 56-85 age group (24.6%). Lipoma was the only reported tumor-related dermatosis (1 case). There were only six (6) cases of sexually transmitted infections (1.1%). Other dermatoses were primarily sweat rash (44%). Conclusion: Skin diseases in rural areas of the Zouan-Hounien were predominantly infections. In light of these findings, it is necessary to strengthen the capacity of paramedical personnel to improve the management of skin diseases in rural settings. In the absence of a specialist in every village, implementing tele dermatology should be considered to bridge this gap.
Abstract: Objective: To improve the management of skin diseases in rural areas of the Zouan-Hounien health district. Materials and Methods: This was a prospective, cross-sectional, descriptive study conducted over five (5) days, from December 13, 2023, to December 17, 2023, in villages within the Zouan-Hounien health district. Results: The study included 558...
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Case Report
Lumps and Bumps on Hands: A Diagnostic Clue
Anil Balkrishna Bhokare*
Issue:
Volume 8, Issue 1, June 2025
Pages:
6-10
Received:
1 January 2025
Accepted:
2 February 2025
Published:
26 February 2025
Abstract: In dermatology clinics we routinely come across cases of lesions on the hands. Patients may present with papules, vesicles, nodules on the hands. Such lumps and bumps on hands can be a manifestation of various diseases, ranging from benign lesions to systemic conditions. Routinely the rash on hands indicates primary skin disease. But lesions on hands can be seen in inflammatory conditions like psoriasis, eczema, rheumatoid arthritis, gout or infective diseases like bacterial (folliculitis, anthrax), viral (pox virus, herpetic whitlow, molluscum, wart), mycobacterial (tuberculosis verrucose cutis, lupus vulgaris), fungal infections (sporotrichosis). Few benign lesions like keratoacanthoma, ganglion or malignant conditions like SCC, Melanoma may present. A thorough examination and diagnosis of these lesions can provide valuable insights into underlying conditions. Here I am sharing interesting clinical cases highlighting the significance of hand lesions in diagnosing diseases like infective (secondary syphilis) and inflammatory conditions (gout, psoriatic arthritis) as well as clues to variety of systemic diseases (leprosy, tuberous xanthoma). Lumps and bumps on hands can serve as a valuable diagnostic clue to various diseases. The diagnosis of hand lesions is mostly clinical and depends on the clinical history and exploratory objective findings. A proper history taking, thorough clinical and systemic examination, combined with laboratory tests can aid in accurate diagnosis and timely management. Hand lesions may be a window of systemic disease.
Abstract: In dermatology clinics we routinely come across cases of lesions on the hands. Patients may present with papules, vesicles, nodules on the hands. Such lumps and bumps on hands can be a manifestation of various diseases, ranging from benign lesions to systemic conditions. Routinely the rash on hands indicates primary skin disease. But lesions on han...
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Research Article
New Proposed Classification for Psychodermatosis Based on the Complex Interaction Between the Brain and Skin
Cristiane Amaria Caldas Queiroz,
Josiane Dantas Viana Barbosa,
Milena Soares,
Leticia de Alencar Pereira Rodrigues,
Robert Schooley,
Roberto Badaro*
Issue:
Volume 8, Issue 1, June 2025
Pages:
11-21
Received:
28 January 2025
Accepted:
22 February 2025
Published:
21 March 2025
DOI:
10.11648/j.ijcd.20250801.13
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Views:
Abstract: The literature describes several dermatological conditions that are not caused by external agents but result from the complex interaction between the brain and the skin. This interaction gives rise to a variety of dermatological lesions, which can be broadly classified into two major categories: psychogenic dermatoses and psychosomatic dermatoses. In this article, we present three cases of Psychodermatosis to illustrate a proposed detailed classification based on the underlying mechanisms and clinical manifestations of these conditions. The cases include: (1) crusty, greasy, brownish facial lesions; (2) excoriated lesions with post-inflammatory hypopigmentation, alopecia, and fractured hairs—characteristic of trichotillomania; and (3) lichenified plaques on the dorsum of the feet, leaving hyperpigmented and atrophic hypopigmented scars, typical of factitious dermatitis. We propose a refined dermatological classification of Psychodermatosis, encompassing two primary categories: (1) cutaneous diseases associated with psychiatric disorders and (2) psychiatric conditions linked to specific cutaneous disorders known to be influenced by psychosomatic factors.
Abstract: The literature describes several dermatological conditions that are not caused by external agents but result from the complex interaction between the brain and the skin. This interaction gives rise to a variety of dermatological lesions, which can be broadly classified into two major categories: psychogenic dermatoses and psychosomatic dermatoses. ...
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