http://www.archivesofpathology.org/doi/pdf/10.5858/arpa.2012-0041-RA

Devon C. Gimbel and Teklu Bekele Legesse, (2013) Dermatopathology Practice in Ethiopia. Archives of Pathology & Laboratory Medicine: June 2013, Vol. 137, No. 6, pp. 798-804.

SPECIAL SECTION–CONTRIBUTIONS OF ANATOMIC PATHOLOGY TO WOMEN'S AND PERINATAL HEALTH

Dermatopathology Practice in Ethiopia

Devon C. Gimbel , MD; Teklu Bekele Legesse , MD

From the Dermatopathology Unit, Pathology Service, Massachusetts General Hospital, Boston, Massachusetts (Dr Gimbel); and the Department of Pathology, Armauer Hansen Research Institute, Addis Ababa, Ethiopia (Dr Legesse).

Context.—Dermatologic diseases are extremely common among the Ethiopian population and are a significant cause of morbidity. However, few studies exist in the literature that describe the incidence and clinical and histologic features of biopsied cutaneous lesions.

Objectives.—To categorize the cutaneous diseases observed in skin biopsies at the All African Leprosy Rehabilitation and Training Center (ALERT) in Addis Ababa, Ethiopia, and to describe the clinical and histologic features of dermatopathologic diagnoses most frequently encountered in this practice setting.

Data Sources.—Pathology reports of 2342 cutaneous specimens received at ALERT in Addis Ababa, Ethiopia, were reviewed to determine the range and frequency of cutaneous diseases and dermatoses diagnosed from January 2007 through December 2010.

Conclusions.—The range of cutaneous diseases observed in skin biopsies at ALERT was varied and included inflammatory dermatoses (27%), infectious diseases (24%), and malignant and benign cutaneous neoplasms (22% and 20%, respectively). The most common conditions observed in this study were squamous cell carcinoma (8% of total cases), eczema (6% of total cases), leishmaniasis (6% of total cases), tuberculosis (6% of total cases), and benign nevi (4% of total cases).