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Common Malignant Cutaneous Conditions Among Albinos in Kenya Publisher



Emadi SE1, 8 ; Suleh AJ2 ; Babamahmoodi F3 ; Ahangarkani F4 ; Chelimo VB2 ; Mutai B2 ; Raeeskarami SR5, 8 ; Ghanadan A6 ; Emadi SN7, 8
Authors
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Authors Affiliations
  1. 1. Mazandaran University of Medical Sciences, Sari, Iran
  2. 2. Mbagathi District Hospital, University of Nairobi, Nairobi, Kenya
  3. 3. Antimicrobial resistance research center, Mazandaran University of Medical Sciences, Sari, Iran
  4. 4. Antimicrobial Resistance Research Center, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran
  5. 5. Department of Pediatric, Imam Khomeini hospital, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Department of Dermatopathology, Razi hospital, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Skin Research Center, Razi Hospital, Tehran University of Medical Sciences, Tehran, Iran
  8. 8. Iranian Red Crescent Society, Tehran, Iran

Source: Medical Journal of the Islamic Republic of Iran Published:2017


Abstract

Background: Albinos in Africa are at constant risk of developing skin cancer due to the damage caused by ultra-violet exposure. This study identifies the common skin conditions among albinos in Kenya as a country located along the equator. Methods: In this descriptive study on albino patients who were admitted to Mbagathi District Hospital in Nairobi, Kenya the census method was used for sampling and a total of 151 albinos were registered. All necessary data including age, gender, type, site and the number of skin lesions were recorded. Suspected patients with malignant and premalignant lesions were studied individually through skin biopsy and histopathological investigation. Finally, the collected data were analyzed using SPSS software. Results: Albinos with serious skin lesions were 121(80%) patients. Females were 64 (52.9%). The frequency of the following premalignant and malignant skin lesions including actinic-cheilitis, solar elastosis, actinic keratosis (AK), basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) were 17.88%, 11.92%, 37.08%, 7.94% and 5.29%, respectively. Hands (20.52%), face (19.20%), head (18.18%), shoulder (14.56%) and neck (7.94%) were the most affected areas by malignant and premalignant lesions. Conclusions: BCC was the most common type of cutaneous malignancy on the face and shoulders while AK was the most common cutaneous pre-malignancy on the hands and face in albinos in Kenya. Therefore, appropriate physical protection, avoiding any trauma when carrying sharp, heavy or rough instruments by the shoulder and hands, and finally urgent and quality treatment for any lesion even a small erosion and ulcer, especially on exposed areas in albinos, are recommended. © Iran University of Medical Sciences.
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