A clinical classification and grading system of the cutaneous changes in onchocerciasis

doi:10.1111/j.1365-2133.1993.tb11844.x

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Wiley InterScience

British Journal of Dermatology

Volume 129 Issue 3, Pages 260 - 269

Published Online: 29 Jul 2006

An Official Journal of the British Association of Dermatologists

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A clinical classification and grading system of the cutaneous changes in onchocerciasis

M.E. MURDOCH.* ^† R.J. HAY, ^† C.D. MACKENZIE, **J.F. WILLIAMS, ^†† H.W. GHALIB, ^‡‡ S. COUSENS, ^¶ A. ABIOSE* ^‡ B.R. JONES ^§

*Department of Ophthalmology. Ahmadu Bello University Teaching Hospital. ^‡ National Eye Centre, Kaduna, Nigeria ^§ Institute of Ophthalmology, London, U.K. ^† St John's and Institute of Dermatology. UMDS (St Thomas's campus) ^¶ Tropical Epidemiology Unit, London School of Hygiene and Tropical Medicine, London, U.K. **Pathology ^†† Microbiology, Michigan State University, U.S.A. ^‡‡ MSU-NIH/Sudan Medical Parasitology Research Project, Khartoum. Sudan

Correspondence to Dr M.E.Murdoch, Wellcome Research Centre for Parasitic Diseases, Department of Biology, Imperial College of Science, Technology and Medicine, Prince Consort Road, London SW7 2BB, U.K.

ABSTRACT

Although onchocerciasis is one of the most important diseases of the skin and eye in the tropical world, to date there has been no formal consensus regarding the description and terminology of skin lesions. Furthermore, the contribution of cutaneous pathology to the morbidity and socio-economic effects of the disease has been largely neglected. We present a clinical classification and grading system for recording the cutaneous changes of onchocerciasis, and propose that this system be used as a standard method of description to convey clinical information between workers in all endemic areas to assist local and comparative research.

Accepted for publication 2 March 1993

DIGITAL OBJECT IDENTIFIER (DOI)

10.1111/j.1365-2133.1993.tb11844.x About DOI