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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Etiology and incidence of chronic ulcers in Blantyre, Malawi
International Journal of Dermatology, Volume 45, No. 8, Year 2006
Notification
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Description
Background: Little information is available on the incidence and etiology of chronic ulcers in the tropics. Therefore, the incidence and etiology of chronic skin ulcers were assessed in out-patients at the Department of Dermatology and in in-patients at the Departments of Dermatology, Surgery, Medicine, and Pediatrics, Queen Elizabeth Central Hospital (QECH), Blantyre, Malawi. Method: In a 10-week study period, 44 patients (31 males, 70%) with chronic skin ulcers were diagnosed from 6292 patients seen by the departments involved. Results: The mean age of patients with ulcers was 38 years (range, 9 months to 82 years). The most frequent cause of ulcers was bacterial infection (n = 22), followed by malignancy (n = 11) and trauma (n = 7). Conclusion: In contrast with developed countries, venous and diabetic ulcers were uncommon. In addition to bacterial infections, a surprisingly large number of malignancies were found in this study. We speculate that human immunodeficiency virus (HIV) infection, which is seen with a high prevalence at QECH, is a contributing factor. Because of the large number of malignancies, we recommend early histopathologic investigation of chronic ulcers in this part of Africa. © 2006 The International Society of Dermatology.
Authors & Co-Authors
Zeegelaar, Jim E.
Netherlands, Amsterdam
Amsterdam Umc - University of Amsterdam
Malawi, Zomba
University of Malawi
Stroïnk, Aimee C.
Netherlands, Amsterdam
Amsterdam Umc - University of Amsterdam
Malawi, Zomba
University of Malawi
Steketee, Willemyn H.
Netherlands, Amsterdam
Amsterdam Umc - University of Amsterdam
Malawi, Zomba
University of Malawi
Faber, William R.
Netherlands, Amsterdam
Amsterdam Umc - University of Amsterdam
Malawi, Zomba
University of Malawi
van der Wal, Allard C.
Netherlands, Amsterdam
Amsterdam Umc - University of Amsterdam
Malawi, Zomba
University of Malawi
Komolafe, Isaac O.O.
Netherlands, Amsterdam
Amsterdam Umc - University of Amsterdam
Malawi, Zomba
University of Malawi
Dzamalala, Charles P.
Netherlands, Amsterdam
Amsterdam Umc - University of Amsterdam
Malawi, Zomba
University of Malawi
Chibwana, C.
Netherlands, Amsterdam
Amsterdam Umc - University of Amsterdam
Malawi, Zomba
University of Malawi
Wendte, Johannes F.
Netherlands, Amsterdam
Amsterdam Umc - University of Amsterdam
Malawi, Zomba
University of Malawi
Zijlstra, Eduard Evert
Netherlands, Amsterdam
Amsterdam Umc - University of Amsterdam
Malawi, Zomba
University of Malawi
Statistics
Citations: 10
Authors: 10
Affiliations: 2
Identifiers
Doi:
10.1111/j.1365-4632.2006.02858.x
ISSN:
00119059
e-ISSN:
13654632
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Cross Sectional Study
Cohort Study
Study Locations
Malawi