<p>Mossy foot in Ethiopia (otherwise known as podoconiosis) affects at least 5% of the population of South Central Ethiopia (Davey, 2010) and is recorded in many other countries. It is caused by exposure to irritant soil as a consequence of wearing no footwear and an absence of basic skin care. The pathogenesis includes a failure of the initial lymphatics of the skin and a consequent impairment of the barrier function of the epidermis.</p>