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Recognition and management of congenital ichthyosis in a low-income setting

We report the case of a 3-week old girl in The Gambia who presented to hospital with an undiagnosed skin disorder evolving since birth. Using telemedicine to seek specialist dermatology advice abroad, she was diagnosed with and managed for suspected congenital lamellar ichthyosis. Poor early recogni...

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Autores principales: Saso, Anja, Dowsing, Benjamin, Forrest, Karen, Glover, Mary
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6706671/
https://www.ncbi.nlm.nih.gov/pubmed/31434665
http://dx.doi.org/10.1136/bcr-2018-228313
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author Saso, Anja
Dowsing, Benjamin
Forrest, Karen
Glover, Mary
author_facet Saso, Anja
Dowsing, Benjamin
Forrest, Karen
Glover, Mary
author_sort Saso, Anja
collection PubMed
description We report the case of a 3-week old girl in The Gambia who presented to hospital with an undiagnosed skin disorder evolving since birth. Using telemedicine to seek specialist dermatology advice abroad, she was diagnosed with and managed for suspected congenital lamellar ichthyosis. Poor early recognition and limited resources, for both acute and chronic care, created significant challenges to optimal management; these were overcome, in part, by adopting a common sense, back-to-basics approach to treatment and by empowering the parents to take ownership of their infant’s daily skin and eye care. This case highlights key global health issues associated with managing chronic, often debilitating, paediatric dermatological conditions in a low-income setting; namely, poor access to important diagnostic tools and medications, lack of experience and expertise in the management of severe skin disease and its associated complications, absence of long-term community support, alternative health beliefs and risk of sociocultural stigma.
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spelling pubmed-67066712019-09-06 Recognition and management of congenital ichthyosis in a low-income setting Saso, Anja Dowsing, Benjamin Forrest, Karen Glover, Mary BMJ Case Rep Global Health We report the case of a 3-week old girl in The Gambia who presented to hospital with an undiagnosed skin disorder evolving since birth. Using telemedicine to seek specialist dermatology advice abroad, she was diagnosed with and managed for suspected congenital lamellar ichthyosis. Poor early recognition and limited resources, for both acute and chronic care, created significant challenges to optimal management; these were overcome, in part, by adopting a common sense, back-to-basics approach to treatment and by empowering the parents to take ownership of their infant’s daily skin and eye care. This case highlights key global health issues associated with managing chronic, often debilitating, paediatric dermatological conditions in a low-income setting; namely, poor access to important diagnostic tools and medications, lack of experience and expertise in the management of severe skin disease and its associated complications, absence of long-term community support, alternative health beliefs and risk of sociocultural stigma. BMJ Publishing Group 2019-08-20 /pmc/articles/PMC6706671/ /pubmed/31434665 http://dx.doi.org/10.1136/bcr-2018-228313 Text en © BMJ Publishing Group Limited 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Global Health
Saso, Anja
Dowsing, Benjamin
Forrest, Karen
Glover, Mary
Recognition and management of congenital ichthyosis in a low-income setting
title Recognition and management of congenital ichthyosis in a low-income setting
title_full Recognition and management of congenital ichthyosis in a low-income setting
title_fullStr Recognition and management of congenital ichthyosis in a low-income setting
title_full_unstemmed Recognition and management of congenital ichthyosis in a low-income setting
title_short Recognition and management of congenital ichthyosis in a low-income setting
title_sort recognition and management of congenital ichthyosis in a low-income setting
topic Global Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6706671/
https://www.ncbi.nlm.nih.gov/pubmed/31434665
http://dx.doi.org/10.1136/bcr-2018-228313
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