Podoconiosis – non‐filarial geochemical elephantiasis – a neglected tropical disease?
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Auteurs : Pietro Nenoff [Allemagne] ; Jan Christoph Simon [Allemagne] ; Grace K. Muylowa [Ouganda] ; Gail Davey [Éthiopie]Source :
- JDDG: Journal der Deutschen Dermatologischen Gesellschaft [ 1610-0379 ] ; 2010-01.
Abstract
Podoconiosis or mossy foot is a form of non‐filarial lymphedema. This geo‐chemical elephantiasis is a disabling condition caused by the passage of microparticles of silica and aluminum silicates through the skin of people walking barefoot in areas with a high content of soil of volcanic origin. Podoconiosis is widespread in tropical Africa, Central America and North India, yet it remains a neglected and under‐researched condition. The disabling effects of podoco‐niosis cause great hardship to patients. It adversely affects the economic (reduced productivity and absenteeism), social (marriage, education, etc.) and psychological (social stigma) well‐being of those affected. Podoconiosis can be prevented; the main primary preventive measure is protective footwear. Secondary measures include a strict hygiene regimen and compression therapy, which can reverse initial lesions. Tertiary approaches include surgical management, such as shaving operations to reduce hyperplastic and verru‐cous elephantiasis.
Url:
DOI: 10.1111/j.1610-0387.2009.07099.x
Affiliations:
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This geo‐chemical elephantiasis is a disabling condition caused by the passage of microparticles of silica and aluminum silicates through the skin of people walking barefoot in areas with a high content of soil of volcanic origin. Podoconiosis is widespread in tropical Africa, Central America and North India, yet it remains a neglected and under‐researched condition. The disabling effects of podoco‐niosis cause great hardship to patients. It adversely affects the economic (reduced productivity and absenteeism), social (marriage, education, etc.) and psychological (social stigma) well‐being of those affected. Podoconiosis can be prevented; the main primary preventive measure is protective footwear. Secondary measures include a strict hygiene regimen and compression therapy, which can reverse initial lesions. 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