Objective: To describe the main clinical and epidemiological characterestics of non-ocular onchocerciasis manifestations in Sierra Leone.
Methods:
One hundred and sixteen civilian patients from different areas in
Sierra Leon were seen at the Jordanian Field Hospital in the period
between August to the beginning of December 2000. All patients were
diagnosed with onchocerciasis by at least one hip skin snip test.
Results:
The frequency of the disease was generally low (13%) and 67% of the
patients were in their fourth and fifth decades. The commonest
presentation was pruritis, followed by pigmentary changes, either acute
or with chronic papular changes. Skin nodules were documented in 15
patients, ( 13%), and lizard skin was seen in 8 patients (6%). However,
leopard skin (three cases), scrotal and lymph node enlargement (two
cases) were the least frequent manifestations.
Conclusion:
Onchocerciasis has been found to be one of the major health problems
worldwide, especially in Africa. Ivermectin administration and the
onchocerciasis control program are effective in reducing disease
incidence.
Key words: Dermatological onchocerciasis, Lizard skin, Leopard skin, Sierra Leon, West Africa.
JRMS Dec 2002; 9(2): 23-26
IntroductionOnchocerciasis is a parasitic disease caused by Onchocerca volvulus, is considered to be one of the leading causes of blindness in the developing world. The Savanna zones of west and central Africa are considered to be the classical homes of the disease. This disease has extended to Yemen, the southern part of Saudi Arabia and Central America (1).
About 86 million people around the world now stand the risk of acquiring the nematode with 18 million people already infected. While 99% of identified cases occur in tropical Africa, the rest of scattered foci exist in Latin America. The disease is transmitted by the small simulium black fly, which is an obligate intermediate host of Onchocerca volvulus. These flies breed in the fast flowing rivers, and cause the disease commonly known as river blindness. Flies are sometimes found up to 4 km away from the river (2). Adult females release approximately 1000 microfilaria per day over 9 to 14 years. The cycle continues after the intake of blood meal by black flies (3).
Onchocerciasis clinical manifestations differ from patient to patient, and from one area to another. Clinically, onchocerciasis takes the following three forms: 1. Eye Disease. 2. Subcutaneous nodules and 3. Dermatitis (4).
Less common are weight loss and lymphatic involvement including lymph nodes enlargement. The skin manifestations of the disease iclude:
1. Rash, which is maculopapular usually associated with itching and scratching marks.
2. Leopard skin, which is a patchy depigmentation and usually presents over the skin.
3. Lizard skin, which is atrophy and scaling of the skin, is commonly present on the buttocks and thighs. It involves the whole skin and depicts the appearance of early aging.
4. Lymphoedema, which makes the skin thick, especially in the groin and leads to “ hanging groin” (5).
MethodsDuring the United Nations Mission in Sierra Leone, a Jordanian field hospital was prepared to receive about 60 civilian patients daily. During the period from the first of August to the the beginning of December 2000, any patient with dermatological problem was investigated for onchocerciasis both clinically and parasitologically. “An onchocercal patient” is defined to be any patient with any skin lesion with or without visiual problem with positive skin snip test for onchocercal microfilaria regardless of the microfilarial load per mg of skin snip”.
Skin snip test was done by raising the skin apart with the head of a needle and cutting a small fragment with a blade, the amount of the skin snip is usually 1 mg. This is usually sufficient to give a good concentration for microfilaria, by adding a drop of normal saline and checking the slide under a microscope at low power; the microfilariae could be seen emerging from the tissue. Two hip skin snips were done for every patient and read two times; instantly and after half an hour. The study was conducted over the 4-month period.
ResultsThe patients were evaluated through a complete clinical examination, as well as systemic diseases and other extra-dermatological pathologies. Scabies, and cutaneous leishmaniasis were neglected. Though 892 patients were seen with skin problems, only 116 of them were diagnosed as Onchocercal patients, with the following breakdown in gender: 60 of them were females (52%) and 56 were males (48%).
Sixty seven percent of patients were in the 30-49 years age group (Fig. 1), seventy four patients, (64%) had at least two types of Onchocercal skin lesions.
![](data:image/png;base64,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)
Fig. 1. Age distribution in decades of 116 patients with onchocerciasis.
Generally, the frequency of the disease among the patients seen at the hospital was low (13%), with pruritis dominating all other features, in 86 patients (74%) as shown in Fig. 2. Pigmentary changes in the form of acute or chronic popular dermatitis, were present in 50 patients (43%), (Fig. 3). Skin nodules (Fig. 4 ) were seen in 15 patients, with the majority of them in the iliac crest (Fig. 5).
![](data:image/png;base64,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)
Fig. 2. Dermatological Presentation of 116 patients (74 patients have 2 or more pathologies).
![](data:image/png;base64,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)
Fig. 3. Dermatitis in a Lebanese patient with onchocerciasis.
![](data:image/png;base64,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)
Fig. 4. Skin nodules.
Fig. 5. The distribution of skin nodules.
Depigmentation (Leopard skin) and skin atrophy (Lizard skin ) were seen only in 3 and 8 patients (Fig. 6 and 7, respectively).
Scrotal and lymph node enlargement were the least frequent and occurred in 2 cases.
Fig. 6. Leopard skin, more prominent at the left chin
Fig. 7. Lizard skin, more prominent at the forearm.
DiscussionThis is a study of 116 patients diagnosed as having dermatological Onchocerciasis at three districts in Sierra Leone: Bo, Kenema and Porto Loko. Generally, the course of the disease has changed due to the following two important reasons: The implementation of Onchocerciasis control program (OCP) in West Africa for the past twenty years (6) and the introduction and administration of Ivermectin drug (Mectizan), which is a well-tolerated, and highly effective microfilaricidal drug (7).
As previously mentioned, diagnosis of Onchocerciasis in this study, depended on positive skin snip test in symptomatic patients. There were differences in the prevalence of microfilarial diseases in different parts of Africa. The prevalence rate of dermatological Onchocerciasis was low (13%), compared to other parts of Africa: 23%, 34.4%, >30%, 48%, 60.5% (8-12) in: Ethiopia, Burundi, Ghana, Uganda, and Ivory Coast, respectively. The prevalence was almost the same in the two sexes but increased with age. The sharp decline in the sixth decade and above can be partly explained by the lower life expectancy in that part of the world.
Similar to other studies (10-12), the most common manifestation of the disease among patients was itching which was closely followed by pigmentary dermatitis (acute and chronic papular lesions). Skin nodules represented 13% of cases which was less than or equal to half of the documented cases in Burundi and Taraba river valley (9,13), Nigeria. Clinical manifestations which are usually associated with high microfilarial density and prolonged exposure such as lizard and leopard skin are now rare. This positive change augments the efficacy of Ivermectin donation program (14).
Lastly, Sierra Leone, which was considered to be hyperendemic area (15,16) can now be regarded as meso- hypoendemic, mostly due to the result of Ivermectin administration and the effort of the onchocerciasis control program (OCP). In order to confirm these facts, further studies are needed in other African countries where the OCP and Ivermectin donation program are implemented.
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