Is vitiligo associated with wearing plastic shoes in a podoconiosis endemic region of Ethiopia?

Jul 13, 2020

Vitiligo is a disease which causes loss of skin color in blotches and is a highly stigmatized condition, especially in Africa. This is because the society associates vitiligo with curses and supernatural causes including punishment from God . Shoe wearing is the pillar of the national strategy to eliminate podoconiosis. Of a total of 460 cases of vitiligo, 41% cases  were shoe-contact vitiligo.As vitiligo is stigmatizing, there is a real risk that communities may be discouraged from wearing shoes. This has public health implications on podoconious control and prevention of soil-transmitted helminths. The Journal of Infection in Developing Countries

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