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The handle http://hdl.handle.net/1887/20277 holds various files of this Leiden University dissertation.

Author: Hogewoning, Arjan

Title: Skin diseases among schoolchildren in Africa

Date: 2012-12-13

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Skin diseases among schoolchildren in Africa

Arjan Hogewoning

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The printing of this thesis was financially supported by African Tiger Holding LTD. Accra, Ghana

The Koornzaayer Foundation, The Netherlands

ISBN: 978-94-6191-497-2

Cover: In Zicht Grafisch Ontwerp Layout: In Zicht Grafisch Ontwerp Print: Ipskamp Drukkers BV, Enschede

© Arjan Hogewoning, 2012

All rights reserved. No part of this thesis may be reproduced or printed in any form or by any means, electronically, mechanically, including photocopy, recording or any information storage and retrieval system without written permission of the author.

Skin diseases among schoolchildren in Africa

Proefschrift

ter verkrijging van

de graad van Doctor aan de Universiteit Leiden, op gezag van Rector Magnificus prof.mr. P.F. van der Heijden,

volgens besluit van het College voor Promoties te verdedigen op donderdag 13 december 2012

klokke 15:00 uur

door

Adriaan Anne Hogewoning geboren te Dordrecht

in 1960

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Aan mijn ouders

Voor Door, Pieter, Anne en Benjamin

Photograph of Dr. Albert Schweitzer, by Maria Austria and given to the author by Pieter M.Mentzel

“It was in front of three iles situated on the river Ogooué near the village of Igendja, 80 km downstream of Lambaréné, that I got the vision, one day in September 1915,

that “Reverence for life” is the elementary principle of ethics and real humanity”

Albert Schweitzer

Promotiecommissie:

Promotores

Prof. dr. W. Bergman Prof. dr. M. Yazdanbakhsh Co-promotor

Dr. A.P.M. Lavrijsen Overige leden

Prof. dr. M.H. Vermeer Dr. L.G. Visser

Prof. dr. H.J.C. de Vries (AMC, Amsterdam)

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Contents

Chapter 1 General introduction 9 Chapter 2 Skin diseases among schoolchildren in Ghana, Gabon and Rwanda 21 Chapter 3 Prevalence of symptomatic tinea capitis and associated causative 41

organisms in the Greater Accra Region, Ghana

Chapter 4 Prevalence and causative fungal species of tinea capitis among 53 schoolchildren in Gabon

Chapter 5 Point and period prevalences of eczema in rural and urban 65 schoolchildren in Ghana, Gabon and Rwanda

Chapter 6 Allergic characteristics of urban schoolchildren with atopic eczema 81 in Ghana

Chapter 7 Prevalence and risk factors of inflammatory acne vulgaris in rural 97 and urban Ghanaian schoolchildren

Chapter 8 Skin diseases and conditions among children in sub-Sahara Africa 113 A Practical Guide for Healthcare workers

Chapter 9 General Discussion 195

Summary and concluding remarks 205

Chapter 10 Nederlandse Samenvatting 211

List of Publications 215

Curriculum Vitae 217

Dankwoord | Acknowledgements 219

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