03630nas a2200433   4500000000100000008004100001653001500042653001000057653002100067653001300088653001000101653001100111653001100122653000900133653001600142653001500158653002100173653002100194653001800215653001600233100001400249700001200263700001400275700001100289700001400300700001700314700001500331700001100346700001100357700001300368700001500381700001400396245008700410856008000497300000600577490000700583520259200590022001403182       2012                            d10aAdolescent10aAdult10aAge Distribution10aCameroon10aChild10aFemale10aHumans10aMale10aMiddle Aged10aPrevalence10aRural Population10aSex Distribution10aSkin Diseases10aYoung Adult1 aBissek AZ1 aTabah E1 aKouotou E1 aSini V1 aYepnjio F1 aNditanchou R1 aNchufor RN1 aDefo D1 aDema F1 aFonsah J1 aNjamnshi A1 aMuna WF T00aThe spectrum of skin diseases in a rural setting in Cameroon (sub-Saharan Africa).  uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3445843/pdf/1471-5945-12-7.pdf  a70 v123 a<p><strong>BACKGROUND: </strong>Skin disorders are generally considered to be more prevalent in the rural areas of Cameroon. This study was carried out to verify this assumption by describing the spectrum of skin disorders in a rural setting of Cameroon.</p>

<p><strong>METHODS: </strong>We carried out a community-based clinical skin examination of 400 consenting subjects from 4 villages of Cameroon: Nyamanga (27%), Yebekolo (24%), Mbangassina (23%) and Bilomo (26%).</p>

<p><strong>RESULTS: </strong>The overall prevalence of skin diseases in our sample was 62% {95% CI: 57.2%, 66.8%} (248/400). The commonest skin disorders were: fungal infections (25.4%), parasitic infestations (21.4%), atrophic skin disorders (11.7%), hypertrophic skin disorders (9.7%), disorders of skin appendages {acne} (8.9%), benign neoplasm (6.5%), bacterial skin infections (5.2%), pigmentation disorders (4.8%), and dermatitis/eczema (4.0%). Skin infections and infestations constituted 52.82% of all skin disorders. The overall prevalence of infectious and parasitic infestation was 32.75% {95%CI: 28.17%, 37.59%} (131/400) as against 29.25% {95%CI: 24.83%, 33.98%} (117/400) for non-infectious disorders.Among people with skin infections/parasitic infestations, those with fungal infections and onchocercal skin lesions were the most prevalent, accounting for 48.1% (63/131) and 35.1% (46/131); and an overall prevalence of 15.75% {95%CI: 12.3%, 19.7%} (63/400) and 11.5% {95%CI: 8.5%, 15.0%} (46/400) respectively.There was secondary bacterial infection in 12.1% {95%CI: 8.31%, 16.82%} (30/248) of subjects with skin diseases. Hypertrophic and atrophic disorders of the skin were mainly keloids (9.68%), scarification marks (6.05%) and burn scars (5.65%). Skin diseases like dermatitis and eczema (4.03%), malignant tumours and pigmentation disorders were rare in our sample.The proportion of subjects diagnosed with skin disorders after examination (62.8%) was significantly higher than the proportion of 40.8% that declared having skin diseases (p &lt; 0.0001).</p>

<p><strong>CONCLUSION: </strong>The prevalence of skin diseases in the rural Mbam valley is alarming, dominated by easily treatable or preventable skin infections and their magnitude is highly neglected by the community, contrasting with findings in the urban setting. Similar studies are needed in other ecological/demographic settings of the country in order to construct a better understanding of the epidemiology of skin disorders. This would lead to the development of national policies to improve skin care.</p>
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