title: Dermatitis of the folds in black Africans in Bamako, Mali.
abstract: Dermatitis of the folds (intertrigo) is a frequent reason for attending consultations, particularly in Africa, where the hot and humid climate constitute an aggravating factor. It is a complex pathology with multiple and intricate etiologies. The aim of this study was to describe epidemiological and etiological aspects of dermatitis of the folds in black-skinned subjects in Bamako (Mali). We conducted a transversal descriptive survey of cases of localized dermatitis of the folds of the skin in dermatology clinics in Bamako. In total, 141 cases of intertrigo were identified: 96 female subjects (68%) and 45 male subjects. The average age of patients was 30 ± 18 years (2-80 years). The majority of patients were seen between March and June; 52% of patients had already received treatment before the consultation. The lesions affected skin folds of the groin area and/or area between the buttocks in 95 patients (57.4%), and folds of the armpits and area under the breasts were affected in 46 cases (42.6%). Eczema, erythrasma, and fungal disease were the most frequently observed pathologies. Of interest to this study is the topographical approach that a dermatologist must adopt when diagnosing certain forms of dermatitis. In populations with specific cultural practices, apart from a thorough knowledge of these specific factors, treatment of these conditions requires certain harmful attitudes and behaviors to be abandoned.
authors.affiliation: Department of Dermatology, CNAM Ex Institut Marchoux, PO Box 251 Faculty of Medicine, University of Bamako, Bamako, Mali. somitak@yahoo.fr
authors.forename: Somita
authors.initials: S
authors.lastname: Keita
authors.forename: Ousmane
authors.initials: O
authors.lastname: Faye
authors.forename: Aboubacrine
authors.initials: A
authors.lastname: Traoré
authors.forename: Adama
authors.initials: A
authors.lastname: Dicko
authors.forename: Siritio
authors.initials: S
authors.lastname: Berthe
authors.forename: Pierre
authors.initials: P
authors.lastname: Traore
authors.forename: Karim
authors.initials: K
authors.lastname: Coulibaly
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D044383:Black People; D002648:Child; D002675:Child, Preschool; D003358:Cosmetics / Q000009:adverse effects; D003469:Culture; D004485:Eczema / Q000150:complications; D005260:Female; D006801:Humans; D007402:Intertrigo / Q000453:epidemiology* / Q000209:etiology / Q000473:pathology; D008297:Male; D008302:Mali / Q000453:epidemiology; D008875:Middle Aged; D012307:Risk Factors; D014005:Tinea / Q000150:complications; D055815:Young Adult
chemical_list: D003358:Cosmetics