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Background. Vitiligo is not a well-studied disease in Ethiopia. Therefore, this study assessed its clinico-epidemiological profile and treatment patterns. Methods. An institutional-based cross-sectional study was conducted in conveniently selected dermatologic clinics of Mekelle city, Ethiopia. A two-phased study was conducted, in which the first was to determine prevalence of vitiligo while the second phase was to describe the clinico-epidemiological profile and treatment pattern of vitiligo. Four-hundred three randomly selected dermatological patients were included in the first phase study. The second phase study included vitiligo cases from the first phase study and additional vitiligo cases found in a two months period prospective study. Results. Of the 403 randomly selected dermatological patients who presented in the year 2017 to 2019, the prevalence of vitiligo was 13.15%. Of the 79 cases with vitiligo, nearly two-thirds (50, 63.3%) were males with five years as the median age at onset of the disease. Positive family history of vitiligo was recorded in about one-third (25, 31.6%) of the cases. Limbs (48, 44.5%) followed by the head and neck (26, 24%) were the most commonly affected parts of the body at the onset of the disease. The most prevalent clinical form of vitiligo was vulgaris (39.2%) followed by the focal type (26.6%). Emotional upset (24, 33.8%) and physical traumas (23, 32.4%) were the frequently reported triggering factors of vitiligo. Three-fourths (75.5%) of the cases had prescriptions of topical corticosteroids, and 24.5% of them had prescriptions of sun screen lotion. Conclusion. The prevalence of vitiligo was found to be high. The clinico-epidemiological profile of vitiligo in Ethiopia was similar with that found globally. However, treatment options of vitiligo were very limited in Ethiopia.

Whether or not the source of aortic pathology is Marfan syndrome (MFS) or other processes leading to development of abdominal aorta aneurysms (AAA), the awareness of pathology may lead to an emotional upset and low assessment of satisfaction with life.To assess, in regard to MFS patients with aortic pathology and to abdominal aortic aneurysm patients: 1) whether or not self-efficacy (SE) and health locus of control (HLoC) affect the patients' satisfaction with life; 2) whether the two groups of patients differ in terms of mental dispositions.The study population consisted of 16 MFS patients with aortic pathology and 16 AAA patients, 9 men and 7 women in each group. The mean age of the MFS patients was 28.5 ±8.214, and of the AAA patients 64.25 ±7.019. The following scales were applied: Generalized Self-Efficacy Scale, Satisfaction With Life Scale, Multidimensional Health Locus of Control Scale.Abdominal aorta aneurysms patients compared to MFS patients gave a higher rating for SE (In patients with aortic diseases, special attention must be paid to the state of personal resources (PR). Interactions made by medical professionals should focus on enhancing PR supporting the patients' self-knowledge on their SE. This will help to improve their satisfaction with life and form a positive attitude to the illness.Niezależnie od tego, czy źródłem choroby aorty jest zespół Marfana (MFS) lub inne procesy prowadzące do rozwoju tętniaków aorty brzusznej (AAA), świadomość choroby może prowadzić do zaburzeń emocjonalnych oraz niskiej oceny satysfakcji z życia.Ocena pacjentów z MFS z patologią aorty oraz pacjentów z tętniakiem aorty brzusznej: 1) czy skuteczność własna (SE) i umiejscowienie kontroli zdrowia (HLBadaniem objęto 16 chorych z MFS z patologią aortalną oraz 16 pacjentów z AAA. W każdej grupie było 9 mężczyzn i 7 kobiet. Średni wiek pacjentów z MFS wynosił 28,5 ±8,214 roku, a pacjentów z AAA – 64,25 ±7,019. Zastosowano następujące skale: Skalę uogólnionej własnej skuteczności, Wielowymiarową skalę umiejscowienia kontroli zdrowia oraz Skalę satysfakcji z życia.Pacjenci z AAA oceniali swoją SE wyżej niż pacjenci z MFS (U pacjentów z chorobami aorty należy zwrócić szczególną uwagę na stan zasobów osobistych (PR). Działania prowadzone przez pracowników ochrony zdrowia powinny skupiać się na edukacji i wspieraniu pacjentów. Pomoże to zwiększyć satysfakcję pacjentów z życia oraz poprawi ich podejście do choroby.

We report a 10-year-old boy with mild developmental delay and epilepsy with new events of right back tickling and emotional upset. These initially appeared behavioral, causing postulation of habit behaviors or psychogenic nonepileptic seizures. Several ictal and interictal EEGs were unrevealing. Continuous EEG revealed only poorly localized frontal ictal activity. Given that his clinical symptoms suggested a parietal localization, double-density EEG electrodes were placed to better localize the epileptogenic and symptomatogenic zones. These revealed evolution of left greater than right frontoparietal discharges consistent with seizures at the time of the attacks. Medical management has significantly reduced the patient's seizures.