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Effectiveness of a simple lymphoedema treatment regimen in podoconiosis management in southern ethiopia: one year follow-up.

Sikorski, C; Ashine, M; Zeleke, Z; Davey, G; (2010) Effectiveness of a simple lymphoedema treatment regimen in podoconiosis management in southern ethiopia: one year follow-up. PLoS Negl Trop Dis , 4 (11) , Article e902. 10.1371/journal.pntd.0000902. Green open access

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Abstract

Podoconiosis is a non-filarial elephantiasis caused by long-term barefoot exposure to volcanic soils in endemic areas. Irritant silicate particles penetrate the skin, causing a progressive, debilitating lymphoedema of the lower leg, often starting in the second decade of life. A simple patient-led treatment approach appropriate for resource poor settings has been developed, comprising (1) education on aetiology and prevention of podoconiosis, (2) foot hygiene (daily washing with soap, water and an antiseptic), (3) the regular use of emollient, (4) elevation of the limb at night, and (5) emphasis on the consistent use of shoes and socks.

Type: Article
Title: Effectiveness of a simple lymphoedema treatment regimen in podoconiosis management in southern ethiopia: one year follow-up.
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1371/journal.pntd.0000902
Publisher version: http://dx.doi.org/10.1371/journal.pntd.0000902
Language: English
Additional information: © 2010 Sikorski et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Funding: GD receives a partial salary on project grant 079791 from the Wellcome Trust. The Wellcome Trust had no direct role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. Competing interests: MA and ZZ are employed by the Mossy Foot Treatment and Prevention Association to deliver treatment and care to patients with podoconiosis. This may result in bias toward finding the treatment regimen described to be effective.
Keywords: Adolescent, Adult, Disease Management, Elephantiasis, Filarial, Emollients, Ethiopia, Female, Follow-Up Studies, Humans, Hygiene, Lymphedema, Male, Middle Aged, Rural Health, Young Adult
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute for Global Health
URI: http://discovery.ucl.ac.uk/id/eprint/1383635
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