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Is vitiligo associated with wearing plastic shoes in a podoconiosis endemic region of Ethiopia?

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Show simple item record Enbiale, W. en_US Abebe, K. en_US Debru, B. en_US van Griensven, J. en_US Takarinda, K. en_US Manzi, M. en_US Zachariah, R. en_US 2020-08-25T09:54:19Z 2020-08-25T09:54:19Z 2020 en_US
dc.identifier.issn 1972-2680 en_US
dc.identifier.doi en_US
dc.identifier.other ITG-C4A; DCS; U-HIVNTD; JIF; DOI; CPDF; Abstract; ITMPUB; DSPACE68 en_US
dc.description.abstract INTRODUCTION: Endemic non-filarial elephantiasis also known as podoconiosis often affects bare footed farmers and is endemic in Ethiopia. The disease is prevented by wearing shoes. We recently observed several patients presenting to a dermatology clinic with skin depigmentation after wearing plastic shoes ("shoe-contact vitiligo") which may deter shoe-wearing. We report on their sociodemographic and clinical characteristics. METHODOLOGY: This is a retrospective study of 17 months at tertiary level Hospital in Ethiopia. Patient data was retrieved from medical record department. We compared sociodemographic and clinical characteristics of patients presenting with idiopathic and shoe-contact vitiligo. Data was presented descriptively. RESULTS: Of 460 vitiligo cases, 190 (41%) were shoe-contact vitiligo and the rest, idiopathic. The former was more common in females (Odds Ratio, OR = 2.5, P < 0.001) and those in rural areas (OR = 4.8, P < 0.001). Fifty-five percent with shoe-contact vitiligo had itching and/or burning sensation, compared to just 2% with idiopathic vitiligo (P < 0.001) and some had ulcerations (8%). Idiopathic vitiligo had no such findings. Skin discoloration occurred within three weeks (on average) after wearing plastic shoes, 91% of lesions were symmetrical and involved areas of the feet covered with plastic shoes. Symmetric lesions were observed in only 11% of idiopathic vitiligo (OR = 81, P < 0.001). CONCLUSIONS: Shoe-contact vitiligo was significantly associated with wearing cheap plastic shoes. The exact chemical culprit(s) needs to be identified. This will allow introducing quality control regulations and rigorous monitoring of shoe production sites. en_US
dc.language English en_US
dc.relation.uri en_US
dc.subject Podoconiosis en_US
dc.subject Elephantiasis en_US
dc.subject Vitiligo en_US
dc.subject Foot en_US
dc.subject Shoes en_US
dc.subject Ethiopia en_US
dc.subject Africa-East en_US
dc.title Is vitiligo associated with wearing plastic shoes in a podoconiosis endemic region of Ethiopia? en_US
dc.type Article en_US
dc.citation.issue 6.1 en_US
dc.citation.jtitle Journal of Infection in Developing Countries en_US
dc.citation.volume 14 en_US
dc.citation.pages 22S-27S en_US
dc.citation.abbreviation J Infect Dev Ctries en_US

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