FREIE VORTRÄGE II 45
POSTER ASHY DERMATOSIS AND LICHEN PLANUS PIGMENTOSUS. A CLINICO- PATHOLOGICAL STUDY IN THE REPUBLIC OF YEMEN Almalmi M., Al-Kordofani Y., Al-Awlaqi S. M., Hussien K. A., Soyer P., Starz H., Ghazarian D., Grossmann H. Al-Kuwait University Hospital, Department of Dermatology and Venerology, Sana’a, Yemen Ashy Dermatosis (AD) and Erythema Dyschromicum Perstans (EPD) is a clinical syndrome of unknown origin which was reported first in El-Salvador in 1957, later in Venezuela in 1961 (Latin America) and in the USA in 1966. In Japan it was diagnosed as Lichen Planus Pigmentosus (LPP) in 1956. This descriptive prospective study was done in the Dermatology Out Patients Department of Sana’a University Faculty of Medicine, Al-Kuwait University Hospital, Sana’a, Republic of Yemen. The objectives of the study are: 1. To assess the clinical and histopatho-logical characteristics of patients with AD and LPP, and define differences or similarities of the study populations of 33. 2. To find out the relation of socioeconomic status in Yemeni patients with AD and LPP. 3. To compare the proportion of AD and LPP in Republic of Yemen with the other studies fulfilled in Latin America, North America, Europe, Japan, and India. 33 Yemeni patients, 11 females and 22 males, 6–70 years old presented with itchy and non itchy gray-blue, dark brown hypo- and hyperpigmented maculo-papulopatches skin eruptions in the face, neck, trunk and upper and lower limbs, of several months duration. Complete blood image, tests for syphilis, skin scraping for fungi, Wood’s light, rheumatoid factor, stool and urine analyses showed no abnormalities. A skin biopsy with subse-quent histopathological examination was done on all selected patients. The clinical data, investigations and the histopathological findings showed that 23 patients (5 females and 18 males) suffered from AD and 10 (6 females <strong>und</strong> 3 males) of LPP. AD or EDP (0,087%) and LPP (0,038%) are very rare in our population. These two diseases are different clinically but similar histopathologically. The exact etiology is unknown but racial, nutritional and environmental factors are suspected. This is because of the fact that most of those patients were poor and working as farmers and street vendors exposed to sunlight, and persons having skin type III were more affected as in Latin America. 46