Accepted for Publication: August 2, 2013.
Published Online: March 12, 2014. doi:10.1001/jamadermatol.2013.7321.
Study concept and design: Azfar, Bilker, Gelfand, Kovarik.
Acquisition of data: Azfar, Lee, Castelo-Soccio, Greenberg, Kovarik.
Analysis and interpretation of data: Azfar, Bilker, Gelfand, Kovarik.
Drafting of the manuscript: Azfar.
Critical revision of the manuscript for important intellectual content: All authors.
Statistical analysis: Azfar, Bilker.
Obtained funding: Azfar, Kovarik.
Administrative, technical, or material support: Azfar, Kovarik.
Study supervision: Gelfand, Kovarik.
Conflict of Interest Disclosures: Dr Gelfand reported receiving grants from Amgen, Pfizer, Novartis, and Abbott and is a consultant for Amgen, Abbott, Pfizer, Novartis, Celgene, and Centocor. No other disclosures were reported.
Funding/Support: This work was supported by grants F32-AR056799 (Dr Azfar) and K24-AR064310 (Dr Gelfand) from the National Institute for Arthritis and Musculoskeletal and Skin Diseases (NIAMS), a grant from the Center for Public Health Initiatives (Dr Azfar and Kovarik), funding from the Center for AIDS Research through the University of Pennsylvania (Drs Kovarik and Azfar), and dermatology departmental training grant T32 from the University of Pennsylvania (Dr Castelo-Soccio).
Role of the Sponsor: The funding sources had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.
Additional Contributions: Worship Muzangwa, RN, Gordana Cavric, MD, PhD, and Zola Musimar, MB, BCh, at the Princess Marina Hospital; Diana Dickinson, MD, at the Independence Surgery Centre; and colleagues at the Princess Marina Hospital and the Athlone Hospital, the Infectious Disease Care Centre, the Botswana-UPenn Partnership, the Ministry of Health of the Government of Botswana, ClickDiagnostics, and the Medical University of Graz provided logistical assistance in implementing this study.