Background:  Skin diseases form a major part of the total spectrum  of health problems. The type and distribution of skin diseases in any community reflects genetic constitution,  nutritional  status,  social and hygienic standards,  customs and occupations.  The objective of this study was to investigate the pattern of distribution of skin diseases  in a rural area from Upper Egypt, and its correlation with socio• demographic and environmental factors.

Methods:  Patients were recruited to obtain a free  dermatological  examination  during  a  field visit to a village (Gazerat Shandawil) from Sohag Govemorate,  Upper Egypt.  Data were recorded and analyzed using SPSS 9 program.

Results: The total number of patients was 709 with predominance of females (517/709,  72.9%) over males (192/709,  27.1 %). Children (199/709), and adolescents (254/709, 35.8%)  were the largest   groups   affected. Prevalence infective skin diseases (69.1 %)  was significantly higher than infective ones (30.9%); (P< 0.05). Appendageal skin disorders  represented (30.9%), out of which hair falling constituted  12.4%  and acne   vulgaris   12.1  % . Allergic   skin   diseases constituted 30.2% with high prevalence of papular urticaria (18.2%).  Bacterial  infections accounted for 24% of cases.

Conclusion: Our study indicated that skin diseases  predominately  affected young females in a rural area in Upper Egypt. Prevalence of non• infectious skin diseases was  significantly higher than infectious  ones.