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<p class="abstract"><strong>Background:</strong> Skin disorders can be a significant cause of distress to both children and their care-givers. The scope of prevalent skin disorders differ from one country to the other. Therefore an insight into the occurrence, patterns and distribution of skin disorders in a target group will be beneficial to inform care and provide support that is relevant to that target population. The aim of this study is to determine the skin problems prevalent amongst children that are five years and below managed at the University of Port Harcourt Teaching Hospital, Alakahia, Nigeria.</p><p class="abstract"><strong>Methods: </strong>This was a retrospective cross sectional study of children five years and below that visited the dermatology outpatient clinic at the University of Port Harcourt Teaching Hospital, Alakahia between the period of January 2006 and December 2015.</p><p class="abstract"><strong>Results:</strong> There was equal ratio of male to female patients with slight female preponderance. The eleven most common lesions were papular urticaria, atopic dermatitis, scabies, warts, vitiligo, molluscum contagiosum, tinea corporis, impetigo, seborrhoeic dermatitis, pityriasis rosea and tinea capitis.</p><p class="abstract"><strong>Conclusions: </strong>Skin disorders are common among children under five years. Allergic skin disorders, bacterial, viral and fungal skin infections, skin infestation (scabies) and pigmentary disorders (vitiligo) are major skin manifestations in this study.</p>

The unique thing about this case is that it is the first reported case of bullous pemphigoid in the elderly that has been clinically diagnosed with histologic findings highly suggestive of this blistering disorder although an immunofluorescence could not be done due to unavailability in the centre. Patient was managed successfully and discharged home with improvement on subsequent hospital visits. This case report shows how diagnosis of an immunobullous disease was made and managed in a resource poor setting. A descriptive summary of 65-year old black Nigerian woman with bullous pemphigoid covering history, physical examination and management. The main diagnosis was bullous pemphigoid in a recently diagnosed type 2 diabetic. Patient was placed on corticosteroids as well as immunosuppressive agents and diabetes was managed with subcutaneous insulin and oral hypoglycemics with appropriate wound care. Patient showed remarkable improvement after management and was discharged home with subsequent follow up in the clinics. Bullous Pemphigoid (BP) can be diagnosed clinically with a high index of suspicion with the aid of skin biopsy and histology, and can be managed successfully even in a resource poor centre where immunofluorescence facilities are lacking.