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108 Tigray RHB; T.M.A.; IISMAN onlus; Italian Cooperation - HSDPwith cutaneous atypical and spread manifestations. Pruritus was one of themost common symptoms encountered in patients with HIV. In the latestages of HIV infection with a low CD4 count we observed the combinationof the above mentioned skin infections especially viral like molluscum contagiosumand superficial mycosis, whereas we didn’t observe Kaposi’s sarcoma,reported as common manifestation of advances HIV infection stages. Inthe early stage, with a relatively high CD4 count, we observed muco-cutaneousdisorders like herpes zoster and vaginal candidiasis. These results indicatethat all patients with these skin conditions should be counselled and testedfor HIV infection.Moreover, through the support-supervision of health facilities, the interviewof the health workers and a workshop held at the end of the first year inMekele we will have other expected outcomes and data from the study areas.This also give the opportunity to organize with the health workers a series ofsensitization campaigns at village level in order to promote early diagnosisand prevention of many common skin diseases and STI.This operational research represents an attempt to improve the implementationcapacity of the health system and the health status of people in theTigray region through the access to new services like dermatology and theprevention of communicable diseases such as HIV/AIDS. Hence, the dermatologistshave a central role in the detection of these conditions and in thetraining of the local health staff.
7. HIV and skin: an operational research (O.R.) in Tigray region, Ethiopia 109References:1. Rigopoulos D, Paparizos V., Katsambas A., Cutaneous markers of HIV infection, ClinDermatol, 2004; 22:487-982. Kreuter A, Schugt I, Hartmann M, Rasokat H, Altmeyer P, Brockmeyer NH.,Dermatological diseases and signs of HIV infection., Eur J Med Res. 2002 Feb21;7(2):57-623. Wolday D, Messele T, Prevalent infectious diseases in patients with HIV/AIDS inEthiopia, Ethiop Med J. 2003 Apr;41(2):189-203.4. Holmes CB, Losina E, Walensky RP, Yazdanpanah Y, Freedberg KA. Review of humanimmunodeficiency virus type 1-related opportunistic infections in sub-Saharan Africa.Clin Infect Dis. 2003 Mar 1;36(5):652-62. Epub 2003 Feb 17.5. Hotez P, Remme J, Buss P, Alleyne G, Morel C, Breman J. Combating tropical infectiousdiseases: report of the diseases control priorities in Developing Countries project.Clin Infect Dis 2004;38:871-86. http://www.who.int/hac/crises/eth/background/Ethiopia_Aug06.pdf7. Tigray Regional Health Bureau HMIS. Tigray Health Bureau Profile 1997 EthiopianCalendar (2005 Gregorian Calendar)8. W Hladik, I Shabbir, A Jelaludin, A Woldu, M Tsehaynesh, W Tadesse. HIV/AIDS inEthiopia: where is the epidemic heading? Sex Transm Infect 2006;82(Suppl I):i32–i35.doi: 10.1136/sti.2005.0165929. Singh F, Rudikoff D. HIV-associated pruritus: etiology and management. Am J ClinDermatol 2003;4(3):177-8810. Mbuagbaw J, Eyong I, Alemnji G, Mpoudi N, Same-Ekobo A. Patterns of skin manifestationsand their relationships with CD4 counts among HIV/AIDS patients inCameroon. Int J Derm 2006, 45, 280–28411. Figueroa JI, Fuller LC, Abraha A, Hay RJ. Dermatology in southwestern Ethiopia: rationalefor a community approach. Int J Dermatol 1998;37:752-8.
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