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[Scalp pediculosis in school environment in the city of Abidjan: prevalence and influence of socioeconomic conditions].

Hair samples from 2,209 children aged between 4 and 15 years were analyzed in March and April 1997 in an epidemiological study. We found that the prevalence of scalp pediculosis in schools in Abidjan was 18.51%. The girls were more frequently infected than the boys (24.88% for girls and 11.85% for boys). The children most frequently affected were those aged 14 to 15 years (24%) or 6 to 7 years (23. 21%). The children least affected were those aged 12 to 13 years (15. 21%) or 10 to 11 years (16.21%). Socioeconomic conditions, particularly the monthly incomes of the parents, cramped conditions and the collective use of washing facilities and bedding affected the prevalence of scalp pediculosis. Measures to deal with scalp pediculosis in schools should take into account socioeconomic and psychological factors, which are as important as the drug treatment for scalp pediculosis.

Adolescent↗

[Recurrence of erosive pustular scalp dermatosis after a skin graft].

INTRODUCTION: Erosive pustular dermatosis of the scalp is a rare and chronic dermatosis of unknown etiology with non specific histology and without effective treatment. It affects mostly old women. We have observed a 80 year-old male suffering from an erosive pustular dermatosis of the scalp following application of 5 p. 100 fluorouracile cream (Efudex) and his resistance to various treatments including skin graft. OBSERVATION: An 80 year-old man had been suffering, for many years from recurrent episodes of pustules, erosions and crusts of the scalp, following treatment with 5 p. 100 fluorouracile cream for skin lesions diagnosed as actinic keratosis. Different topical and systemic treatments were tried without much improvement. A skin graft of the scalp lesional area was finally done, showing a severe recurrence as a Koebner's reaction. Despite this recurrence, we have observed an easier control with a topical mixture of steroid and antibiotic. CONCLUSION: This recurrence of erosive pustular dermatosis of the scalp following skin graft had never been previously observed before, showing that removing affected skin did not control the disease, suggesting that anti-inflammatory agents probably originating from trauma persist.

Aged↗

Arthropathy associated with cystic acne, hidradenitis suppurativa, and perifolliculitis capitis abscedens et suffodiens: treatment with isotretinoin.

A patient with arthropathy associated with cystic acne, hidradenitis suppurativa, and perifolliculitis capitis abscedens et suffodiens who showed a dramatic response to isotretinoin is described. This, to our knowledge, is the first report documenting effective treatment of this condition, whose nosologic position with respect to other spondyloarthropathies associated with cutaneous disease is considered.

Acne Vulgaris↗

Cutis verticis gyrata (case reports of rare causes).

Two cases of cutis verticis gyrata (CVG) one in association with a saccular aneurysm of the internal carotid artery and another with intraventricular ependymoma are reported. Not only is CVG rare, its association with intracranial aneurysms has not been reported in the literature. This paper documents those rare associations and gives a short review of CVG.

Adult↗

Treatment and prevention of head lice and scabies.

The latest issue of Effectiveness Matters (Box 1) summarises research evidence on the effectiveness of interventions for treating head lice and scabies. It is based on the findings of two systematic reviews carried out by the Cochrane Infectious Diseases Review Group.

Adult↗

[The myasthenic syndrome after chloroquine].

The author presents a case of a 52-year old woman who suffered from dermatitis seborrhoica. She was treated with chloroquine. During the third month of treatment with chloroquine the symptoms of myasthenia appeared and led to hospitalization. The neurological and additional examinations confirmed the diagnosis. Four days after withdrawal of chloroquine treatment the myasthenic symptoms began to disappear and they finally ceased after two weeks. At this all other drugs were also withdrawn. The control examination after two months showed normal neurological status.

Chloroquine↗