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Skin disorders among travellers returning from tropical and non-tropical countries consulting a travel medicine clinic.
Trop Med Int Health. 2011 Nov; 16(11):1457-64.TM

Abstract

OBJECTIVE

To evaluate the causes and risks for imported skin disorders among travellers.

METHODS

Data of 34,162 travellers returning from tropical and non-tropical countries and presenting at the outpatient travel medicine clinic of the University of Munich, Germany, between 1999 and 2009 were analyzed for this study. Of these, 12.2% were diagnosed with skin disorders.

RESULTS

Main destinations visited were Asia (40%), Africa (27%) and Latin America (21%). Tourism in the form of adventure travel/backpacking (47%) and package holidays (23%) was the most common purpose of travel. The leading causes of skin disorders were arthropodal (23%), bacterial (22%), helminthic (11%), protozoan (6%), viral (6%), allergic (5%) and fungal (4%). The 10 most frequently diagnosed specific skin diseases associated with specific destinations were insect bites (17%, Southern Europe), cutaneous larva migrans (8%, Asia and Latin America), cutaneous leishmaniasis (2.4%, Mediterranean Region/Middle East), dengue fever (1.5%, Asia), rickettsioses (1.3%, Southern Africa), myiasis (0.8%, Central America), filarioses (0.7%, Africa), tick bites (0.6%, Central/Eastern Europe), schistosomiasis (0.6%, Africa) and tungiasis (0.6%, Africa). Travellers in sub-Saharan Africa had the highest relative risk of acquiring skin disorders.

CONCLUSION

As more than 20% of all skin disorders among returned travellers were caused by arthropods and about 50% by infectious pathogens, pre-travel consultations should include specific prophylaxis and consider the most important risk factor for the travel destination.

Authors+Show Affiliations

Department of Infectious Diseases and Tropical Medicine, University Hospital, Ludwig-Maximilians University of Munich, Germany. herbinger@lrz.uni-muenchen.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21767336

Citation

Herbinger, K-H, et al. "Skin Disorders Among Travellers Returning From Tropical and Non-tropical Countries Consulting a Travel Medicine Clinic." Tropical Medicine & International Health : TM & IH, vol. 16, no. 11, 2011, pp. 1457-64.
Herbinger KH, Siess C, Nothdurft HD, et al. Skin disorders among travellers returning from tropical and non-tropical countries consulting a travel medicine clinic. Trop Med Int Health. 2011;16(11):1457-64.
Herbinger, K. H., Siess, C., Nothdurft, H. D., von Sonnenburg, F., & Löscher, T. (2011). Skin disorders among travellers returning from tropical and non-tropical countries consulting a travel medicine clinic. Tropical Medicine & International Health : TM & IH, 16(11), 1457-64. https://doi.org/10.1111/j.1365-3156.2011.02840.x
Herbinger KH, et al. Skin Disorders Among Travellers Returning From Tropical and Non-tropical Countries Consulting a Travel Medicine Clinic. Trop Med Int Health. 2011;16(11):1457-64. PubMed PMID: 21767336.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Skin disorders among travellers returning from tropical and non-tropical countries consulting a travel medicine clinic. AU - Herbinger,K-H, AU - Siess,C, AU - Nothdurft,H D, AU - von Sonnenburg,F, AU - Löscher,T, Y1 - 2011/07/18/ PY - 2011/7/20/entrez PY - 2011/7/20/pubmed PY - 2012/10/17/medline SP - 1457 EP - 64 JF - Tropical medicine & international health : TM & IH JO - Trop Med Int Health VL - 16 IS - 11 N2 - OBJECTIVE: To evaluate the causes and risks for imported skin disorders among travellers. METHODS: Data of 34,162 travellers returning from tropical and non-tropical countries and presenting at the outpatient travel medicine clinic of the University of Munich, Germany, between 1999 and 2009 were analyzed for this study. Of these, 12.2% were diagnosed with skin disorders. RESULTS: Main destinations visited were Asia (40%), Africa (27%) and Latin America (21%). Tourism in the form of adventure travel/backpacking (47%) and package holidays (23%) was the most common purpose of travel. The leading causes of skin disorders were arthropodal (23%), bacterial (22%), helminthic (11%), protozoan (6%), viral (6%), allergic (5%) and fungal (4%). The 10 most frequently diagnosed specific skin diseases associated with specific destinations were insect bites (17%, Southern Europe), cutaneous larva migrans (8%, Asia and Latin America), cutaneous leishmaniasis (2.4%, Mediterranean Region/Middle East), dengue fever (1.5%, Asia), rickettsioses (1.3%, Southern Africa), myiasis (0.8%, Central America), filarioses (0.7%, Africa), tick bites (0.6%, Central/Eastern Europe), schistosomiasis (0.6%, Africa) and tungiasis (0.6%, Africa). Travellers in sub-Saharan Africa had the highest relative risk of acquiring skin disorders. CONCLUSION: As more than 20% of all skin disorders among returned travellers were caused by arthropods and about 50% by infectious pathogens, pre-travel consultations should include specific prophylaxis and consider the most important risk factor for the travel destination. SN - 1365-3156 UR - https://www.unboundmedicine.com/medline/citation/21767336/Skin_disorders_among_travellers_returning_from_tropical_and_non_tropical_countries_consulting_a_travel_medicine_clinic_ L2 - https://doi.org/10.1111/j.1365-3156.2011.02840.x DB - PRIME DP - Unbound Medicine ER -