Pattern of skin disorders in a rural community in Lagos State, Nigeria

Abstract

Background: Skin disorders are commonly found in the community. In most circumstances, they are easily treatable and preventable. Social and environmental factors play a key role in the epidemiology of skin disease. It is important to assess the dermatological needs of a community as this will help address specific needs. The objective of this study was to identify the skin disorders in a rural community.

Methods: This was a cross-sectional study carried out in Epeme, a rural community in Lagos state, South west Nigeria. All consenting adults and children with parental consent that presented for the screening programme were recruited. A self-reported questionnaire was administered by face-to face interview. Socio-demographic data were collected. All those with a skin disease or complaint were further questioned and a clinical examination carried out and findings recorded.

Results: There were 263 individuals screened; 156 adults and 107 children. Mean age of adults was 38.04 ± 13.04 years and children 9.50 ± 4.67 years. Thirty adults (19.2%) and 27 (25.2%) children had a skin disorder identified clinically. Among the adults the following categories of skin disorders were found: infection 12 (7.6%), disorders of sebaceous glands 5 (3.2%), pigmentary disorders 2 (1.2%) and pruritus 1 (0.6%). Among children, 21 (19.6%) had skin infections, 2 (1.8%) each with eczema and sebaceous gland disorder. Majority of the infections in children were of fungal aetiology.

Conclusion: Infections still remain the major skin disorders in rural communities in Nigeria where dermatologic healthcare is not readily available and accessible.

Keywords: pattern, skin disorders, skin infection, rural, community, Nigeria