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1
Hill DR, 2000. Health Problems in a large cohort of Americans traveling to developing countries. J Travel Med 7 :259–266.
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Caumes E, Carrière J, Guermonprez G, Bricaire F, Danis M, Gentilini M, 1995. Dermatoses associated with travel to tropical countries: a prospective study of the diagnosis and management of 269 patients presenting to a tropical disease unit. Clin Infect Dis 20 :542–548.
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Herwaldt BL, Stokes SL, Juranek DD, 1993. American cutaneous leishmaniasis in US travelers. Ann Intern Med 118 :779–784.
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Bouchaud O, Houzé S, Schiemann R, Durand R, Ralaimazava P, Ruggeri C, Coulaud JP, 2000. Cutaneous larva migrans in travelers: a prospective study, with assessment of therapy with ivermectin. Clin Infect Dis 31 :493–498.
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Ansart S, Perez L, Vergely O, Danis M, Bricaire F, Caumes E, 2005. Illnesses in travelers returning from the tropics: a prospective study of 622 patients. J Travel Med 12 :312–318.
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Freedman DO, Weld LH, Kozarsky PE, Fisk T, Robins R, von Sonnenburg F, Keystone JS, Pandey P, Cetron MS, 2006. Spectrum of disease and relation to place of exposure among ill returned travelers. N Engl J Med 354 :119–130.
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7
Hochedez P, Vinsentini P, Ansart S, Caumes E, 2004. Changes in the pattern of health disorders diagnosed among two cohorts of French travelers to Nepal, 17 years apart. J Travel Med 11 :1–6.
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8
Caumes E, Le Bris V, Couzigou C, Menard A, Janier M, Flahault A, 2004. Dermatoses associated with travel to Burkina Faso and diagnosed by means of teledermatology. Br J Dermatol 150 :312–316.
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Schlagenhauf P, Tschopp A, Johnson R, Nothdurft HD, Beck B, Schwartz E, Herold M, Krebs B, Veit O, Allwinn R, Steffen R, 2003. Tolerability of malaria chemoprophylaxis in non-immune travellers to sub-Saharan Africa: multicentre, randomised, double blind, four arm study. BMJ 327 :1078–1082.
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Menard A, dos Santos G, Dekumyoy P, Ranque S, Delmont J, Danis M, Bricaire F, Caumes E, 2003. Imported cutaneous gnathostomiasis: report of five cases. Trans R Soc Trop Med Hyg 97 :200–202.
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SPECTRUM OF DERMATOSES IN 165 TRAVELERS RETURNING FROM THE TROPICS WITH SKIN DISEASES
The spectrum of dermatoses occurring in travelers returning from tropical areas is poorly documented. We analyzed the relative frequency of travel-associated dermatoses and their possible relationships to travel characteristics in all persons who came to our hospital between November 2002 and May 2003 for a cutaneous disorder related to travel in a tropical country. One hundred sixty-five travelers were included. The main dermatoses identified were infectious cellulitis (12.7%), scabies (10.3%), and pruritus of unknown origin (PUO) (9.1%). Tropical dermatoses accounted for 33.9% of the cutaneous disorders. Univariate analysis showed statistically significant correlations of infectious cellulitis with females, PUO with older age and immigrant status, pyoderma with expatriate status, scabies with tourism and travel to Africa, myiasis with tourism and travel to Africa and America, filariasis with travel to Africa and immigrant status, and cutaneous larva migrans with tourism. Dermatoses diagnosed in travelers returning from the tropics seemed to be influenced by traveler status and region visited.