{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T12:44:42Z","timestamp":1791981882436,"version":"4.4.0"},"reference-count":28,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:00:00Z","timestamp":1791158400000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Scabies is a common parasitic skin disease with substantial morbidity, particularly in resource\u2010limited settings. Although the typical anatomical distribution of scabies lesions is well recognized, atypical presentations may complicate clinical recognition and diagnosis. Evidence describing the anatomical distribution of scabies lesions in Somalia remains limited. This study assessed the anatomical distribution of scabies lesions and factors associated with typical anatomical\u2010site involvement among patients attending a dermatology center in Mogadishu, Somalia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A facility\u2010based cross\u2010sectional study was conducted at Olad Dermatology Center in Mogadishu, Somalia, from April to June 2025. Patients with a final clinical diagnosis of scabies, based on clinical assessment informed by the 2020 International Alliance for the Control of Scabies (IACS) Consensus Criteria, were included. Dermoscopy and laboratory confirmation were unavailable at the study site. Data on sociodemographic, household, socioeconomic, behavioral, hygiene, and clinical characteristics were collected using a structured questionnaire and clinical examination checklist. Because typical anatomical\u2010site involvement was a common outcome, multivariable Poisson regression with robust variance was used to estimate adjusted prevalence ratios (APRs) and 95% confidence intervals (CIs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 423 patient records, 195 (46.1%) had a final clinical diagnosis of scabies. Of these, 146\/195 (74.9%) had typical and 49\/195 (25.1%) had atypical anatomical\u2010site involvement. The finger\/interdigital region was the most frequently affected site (102\/195, 52.3%). In multivariable analysis, participants with a monthly income of USD 300 or more had a higher prevalence of typical\u2010site involvement than those earning less than USD 300 (APR\u2009=\u20091.42, 95% CI: 1.17\u20131.73;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001). Primary education was associated with a lower prevalence of typical\u2010site involvement compared with illiteracy (APR\u2009=\u20090.77, 95% CI: 0.61\u20130.96;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.021). Participants who reported no person with itching in their household or neighborhood also had a lower prevalence of typical\u2010site involvement (APR\u2009=\u20090.71, 95% CI: 0.57\u20130.88;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002). Other covariates were not independently associated with typical\u2010site involvement after adjustment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Typical anatomical\u2010site involvement predominated, although approximately one\u2010quarter of patients had atypical anatomical\u2010site involvement. Higher monthly income was associated with a higher prevalence of typical\u2010site involvement, whereas primary education and absence of an itching contact were associated with lower prevalence. These findings should be interpreted cautiously given the cross\u2010sectional design, the relatively small number of atypical\u2010site cases, and the limited number of participants in some subgroups. Further multicenter studies with larger samples and confirmatory diagnostic methods are needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.73343","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T07:10:16Z","timestamp":1791184216000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Anatomical Distribution of Scabies Lesions and Factors Associated With Typical Anatomical\u2010Site Involvement Among Patients Attending a Dermatology Center in Mogadishu, Somalia: A Facility\u2010Based Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-6639-2971","authenticated-orcid":false,"given":"Ahmed Saed","family":"Hussein","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Health Sciences Jamhuriya University of Science and Technology Mogadishu Somalia"},{"name":"Center for Graduate Studies Jamhuriya University of Science and Technology (JUST) Mogadishu Somalia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed Adam","family":"Mahamud","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sciences Jamhuriya University of Science and Technology Mogadishu Somalia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,5]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.4274\/eamr.galenos.2024.75547"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.3238\/arztebl.m2021.0296"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00436-024-08173-6"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-0691.2012.03798.x"},{"key":"e_1_2_12_6_1","unstructured":"\u201cScabies [Internet] \u201d World Health Organization published 2023 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