By Colette van Hees, Ben Naafs
This up-to-date, photo-illustrated consultant, which covers Southern, East and West Africa, presents a brief and simple reference for prognosis and administration of universal dermis illnesses, together with leprosy. pores and skin illness is frequently ignored as a trivial but if care is taken to make the correct analysis and institute the correct remedy, the administration of pores and skin illnesses usually ends up in nice development and delight for the sufferer and wellbeing and fitness care paintings alike. Required remedies don't need to be pricey and come in the community. in lots of instances dermis ailment may be a hallmark of different difficulties, rather if prompted via concommitant HIV an infection. The common advent of antiretroviral therapy (ARV) has ended in particular dermis issues because of immune reconstitution syndrome (IRIS), hence right analysis and remedy provision are vital concerns handled during this consultant.
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Extra info for Common Skin Diseases in Africa : an Illustrated Guide
1. A slow form which develops in 2-3 months. A hard indurated plaque with surrounding severely constricting oedema forms and compromises the circulation in the affected limb, leading to ischaemia and necrosis. 2. A fast form which develops in 2-4 weeks. A painless papule or nodule forms and ulcerates, extending rapidly. The typical ulcer has undermined edges. The patient is not sick and there is no oedema. Very extensive ulceration and secondary infection may occur and lead to sepsis, tetanus and death.
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. Reactions Two types of reactions are recognised, the Reversal Reaction (RR) and Erythema Nodosum Leprosum (ENL).
Fig. 80. Multiple lesions of molluscum contagiosum on the eye lids and face of a 39 year old woman with immunosuppression. Fig. 81. Removing a molluscum with a curette. 60 80 81 Management of molluscum contagiosum - Prick the centre with a sharpened matchstick and press out contents. - Curettage with a sharp curette or lance with a pin. - Use betadine solution or scrub after the above until dry. - Caustic pencil (silver nitrate pencil) for small molluscum. - Caustic treatment with 80% phenol or 50-88% trichloro acidic acid.