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July 1969


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3 E 69th St New York 10021

Arch Dermatol. 1969;100(1):118-119. doi:10.1001/archderm.1969.01610250124034

To the Editor.—  I have enjoyed reading the informative article "Skin Diseases in Kenya" by Verhagen et al (Arch Derm98:577 [Dec] 1968) and would like to add a few comments.In a paper presented at the XII International Congress of Dermatology1 stressed the role of altitude in the pattern of diseases in the tropics of Latin America. In the low lands up to 1,000 ft above sea level, the hot and humid climate favors the growth of bacterial and fungal infections. As the altitude increases the temperature decreases at the rate of 1° F for every 330 ft. As a result, the pattern of the flora changes and the prevalence of skin diseases also changes. At higher altitude, from 10,000 to 13,000 ft, on the heavily populated plateaus of tropical America, diseases of temperate climates, such as "winter" eczemas, are common. The high incidence of various forms

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