Document Detail


Clinical and parasitological aspects of itching caused by onchocerciasis in Morogoro, Tanzania.
MedLine Citation:
PMID:  11214098     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A clinical and parasitological assessment of onchodermatitis was conducted in a rural area of Morogoro district, Tanzania. The study population consisted of 1,005 individuals aged > or = 5 years: 749 from a hyper-endemic community and 256 from a hypo-endemic. The prevalence of troublesome itching was 67.0% in the hyper-endemic community but only 5% (13/256) in the hypo-endemic. The corresponding prevalences of nodules among the adult male subjects were 77.7% (171/220) and 2.3% (2/86). The most common onchocercal skin lesion in the hyper-endemic community was chronic papular onchodermatitis (CPOD) manifested by itching, which was often very severe. There was a strong association between skin itching and endemicity (r = 0.75; P < 0.001). The prevalence of CPOD in the hyper-endemic community was significantly higher in males than females (P< 0.001). CPOD was only observed in subjects aged > or = 7 years. Many of the subjects were checked for microfilaridermia, by skin-snipping. The prevalence of microfilaridermia [58.2% (393/675) v. 6.2% (3/48)] and its geometric mean intensity (8.9 v. 1.0 microfilariae/mg skin snip) were both higher in the hyper-endemic community than the hypo-endemic. Itching appears to be related to reactive onchodermatitis.
Authors:
W H Makunde; F M Salum; J J Massaga; M S Alilio
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Annals of tropical medicine and parasitology     Volume:  94     ISSN:  0003-4983     ISO Abbreviation:  Ann Trop Med Parasitol     Publication Date:  2000 Dec 
Date Detail:
Created Date:  2001-02-13     Completed Date:  2001-03-01     Revised Date:  2009-05-18    
Medline Journal Info:
Nlm Unique ID:  2985178R     Medline TA:  Ann Trop Med Parasitol     Country:  England    
Other Details:
Languages:  eng     Pagination:  793-9     Citation Subset:  IM    
Affiliation:
National Institute for Medical Research, Tanga, Tanzania. nimr.amani@tanga.net
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Factors
Aged
Child
Comorbidity
Endemic Diseases*
Female
Humans
Male
Middle Aged
Onchocerciasis / epidemiology*
Prevalence
Pruritus / epidemiology*,  parasitology
Sex Factors
Skin / parasitology
Tanzania / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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