Cutaneous Manifestations of Schistosomiasis
Human schistosomiasis remains a public health problem in many parts of the world, mostly affecting poor rural communities. Two hundred forty to 400 million people are infected in large parts of Africa, the Arabic Peninsula, South America and East and Southeast Asia . In Africa live millions of people who require chemotherapy for schistosomiasis in order to prevent complications such as hepatic fibrosis, portal hypertension, urinary tract obstruction, hydronephrosis and bladder cancer, as well as sequelae involving the reproductive tract [1, 2]. Of the 78 countries considered endemic for schistosomiasis, 52 countries have populations requiring preventive chemotherapy. The total number of people in need of preventive chemotherapy for 2012 was estimated 249 million, of which 114.3 million were school age children, vulnerable through contacts to contaminated waters. Severe morbidity starts to occur in adolescents or even in childhood . In women urogenital schistosomiasis may be also a risk factor for HIV infection. Recently, autochthonous schistosomiasis has reappeared in southern Europe . The disease with its various, often serious, complications disables rather than kills.
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