Si la prevalence des allergies longtemps croissante semble stabilisee dans les pays industrialise... more Si la prevalence des allergies longtemps croissante semble stabilisee dans les pays industrialises, elle est en augmentation dans les pays en developpement. Peu d’etudes sur les allergenes sensibilisants ont ete publiees au Burkina Faso. L’objectif de notre etude etait de decrire le profil de sensibilisation des patients symptomatiques ayant realise un prick-test. Nous avons realise une etude retrospective, dans une structure sanitaire privee de Ouagadougou de mars 2015 a avril 2016. La population d’etude etait les patients, ayant des manifestations d’allure allergique, chez qui un prick-test a ete realise. Quatorze allergenes ont ete testes. Nous avons colliges 93 patients dont 60,22 % (56) de sexe masculin et 39,78 % (37) de sexe feminin. L’âge median etait de 19 ans +/- 18. Les enfants representaient 52,22 % (49). Les manifestations respiratoires representaient 62,37 %, celles cutanees 20,43 %, celles ophtalmologiques 8,60 %. Le taux de sensibilisation etait 95,69 % (89/93). Les ...
OBJECTIVE The aim of this case-control study was to identify risk factors associated with necroti... more OBJECTIVE The aim of this case-control study was to identify risk factors associated with necrotizing fasciitis (NF) of the lower limbs. PATIENTS AND METHODS We conducted a prospective case-control study in hospital dermatology departments in 5 sub-Saharan African countries over a 2-year period (April 2017 to July 2019). The cases were patients with NF of the lower limbs and the controls were patients with leg erysipelas. Each case was matched with two controls for age (±5 years) and sex. We analyzed local and general factors. RESULTS During the study period, 159 cases (73 females, 86 males) were matched with 318 controls. The mean age was 48.5±15.8 years for cases and 46.5±16.2 years for controls (P=0.24). The main local signs of NF were cutaneous necrosis (83.7%), pain (75.5%) and induration (42.1%). Multivariate analysis showed the following to be independent risk factors associated with NF of the lower limbs: obesity (odds ratio [OR]=2.10; 95% confidence interval [CI]: 1.21-3.42...
La cysticercose est liee au developpement chez l'homme de larves cysticerques de Taenia soliu... more La cysticercose est liee au developpement chez l'homme de larves cysticerques de Taenia solium. Les localisations sous-cutanees sont frequentes et peuvent etre a l'origine de complications graves, comme les atteintes neurologiques. Nous rapportons six cas de cysticercose sous-cutanee generalisee, pour insister sur leur gravite et leurs complications possibles. Il s'agissait de cinq hommes et d'une femme consultant pour des lesions nodulaires disseminees sur le corps; l'âge allait de 25 a 57 ans. Trois avaient des complications neurologiques, telles que des crises convulsives et des cephalees. Les nodules etaient douloureux chez un patient. Une education sanitaire doit etre menee pour eradiquer cette affection liee a l'hygiene precaire et sensibiliser les patients afin qu'ils consultent tot, avant la diffusion des lesions.
Resume Introduction A travers l’histoire de deux familles atteintes d’ichtyose, nous relatons les... more Resume Introduction A travers l’histoire de deux familles atteintes d’ichtyose, nous relatons les difficultes de prise en charge et d’integration sociale inherentes a ces maladies genetiques. Observations Famille n o 1 : un berger de 38 ans et son epouse de 25 ans presentaient tous deux une ichtyose lamellaire evoluant en continu depuis l’enfance. Ils avaient donne naissance a deux enfants decedes et a un nouveau-ne vivant, qui tous presentaient une ichtyose lamellaire. Famille n o 2 : une femme de 45 ans, menagere, etait recue en consultation avec ses trois derniers enfants âges de 8 ans, 6 ans et 1 an et demi. Selon la mere, tous les trois etaient couverts a la naissance d’une membrane ressemblant a du plastique qui se craquelait lors de mouvements, et avaient des yeux rouges. L’examen notait, chez les trois enfants, un tableau d’ichtyose lamellaire avec un ectropion, des oreilles mal ourlees et une brachydactylie. Ils avaient un retard staturo-ponderal mais un developpement psychomoteur normal. Il n’y avait pas de consanguinite entre les parents. Discussion Dans ces deux familles, le caractere affichant de la dermatose etait responsable de discrimination et de rejet de la societe. Les conditions de vie precaires des parents et le cout eleve de la prise en charge dans le contexte africain favorisent la degradation de la qualite de vie et aggravent les difficultes d’integration sociale, source de descolarisation avec un avenir reserve pour ces enfants.
Background: Psoriasis is a chronic, displaying inflammatory dermatosis. The evaluation of the psy... more Background: Psoriasis is a chronic, displaying inflammatory dermatosis. The evaluation of the psychosocial impact of chronic dermatoses on the quality of life of patients may help to orientate the objectives of management in order to improve their daily life, hence the interest of our study with the objective to evaluate the impact of psoriasis on the quality of life of patients followed in the dermatology, venereology, and rheumatology departments of the city of Ouagadougou, Burkina Faso. Patients and Method: This was a descriptive, cross-sectional study that took place from March 1 to June 28, 2019, in six public hospitals in the city of Ouagadougou. The Dermatology Life Quality Index (DLQI) and Psoriasis Disability Index (PDI) were the quality of life tools employed for this study. Results: Forty-eight (48) patients with psoriasis met the inclusion criteria. The mean age of the patients was 46.20 years, ranging from 22 to 79 years. There were 18 females and 30 males, with a sex ratio of 1.6. The measurement of the patients' QoL by the DLQI reported a mean score of 9.14 out of 30. There was a low impact of the disease on the QoL for seventeen patients. The evaluation of the QOL with the PDI noted an alteration of daily activities (3.95/15) and alteration of the patients' psychosocial relationships (2.66/18). The analysis of the QoL according to sociodemographic and clinical variables noted an alteration significantly related to age, level of education, and severity of the disease. An alteration in professional relationships was significant in female patients. An alteration in the different dimensions of the QoL was more significant in patients with a low level of education. The duration of the disease seemed to have no impact on the patients' quality of life. Daily activities were significantly altered for patients with a PASI between 7 and 10. The DLQI did not correlate with disease severity (PASI) (r = 0.228; p = 0.120), unlike the PDI (r = 0.371; p = 0.009). Conclusion: The QoL of psoriatic patients in Ouagadougou seemed to be slightly altered. This alteration was more significant for females. Professional relationships were altered for young subjects while daily activities were altered for those older.
Cutaneous tuberculosis is a rare, extra-pulmonary form of tuberculosis caused by mycobacteria of ... more Cutaneous tuberculosis is a rare, extra-pulmonary form of tuberculosis caused by mycobacteria of the tuberculosis complex. It is characterized by clinical polymorphism often posing a difficult diagnostic challenge. Herein, we report a case of cutaneous tuberculosis in its warty form located on the nose. This was a 57-year-old patient who was infected in the classroom three months previously while taking lessons from a woman with pulmonary tuberculosis. A facial examination revealed a blackish, papillomatous patch invading almost the entire nose, with a keratotic surface spreading over the wings of the nose. The diagnosis of verrucous tuberculosis was reached on the basis of epidemiological, clinical, and paraclinical arguments. Under anti-tuberculosis treatment for six months, the lesion had healed without sequelae. The diagnosis of verrucous cutaneous tuberculosis must be established in the presence of any chronic and crusty lesion. The management responds to the treatment protocol...
Angiomas are vascular abnormalities that affect less than 1% of the world's population. Data ... more Angiomas are vascular abnormalities that affect less than 1% of the world's population. Data on these disorders in Africa are limited. The purpose of our work was to study the epidemiological and clinical aspects of angiomas in the Dermatology-Venerology Department of the University Hospital of Yalgado Ouedraogo in Ouagadougou (Burkina Faso) to contribute to improving knowledge of this group of pathologies in our region. This cross-sectional descriptive, retrospective, and prospective study covers cases from 1998 through 2014. We identified 61 patients with angioma, 67.2% of them younger than 30 months. The sex ratio was 0.56. Vascular tumors (hemangiomas) accounted for 43 cases (70.5%) and vascular malformations 18 (29.5%). Lesions appeared between 0 and 15 days of life in 57.4% of cases. Their size ranged from 1 to 3 cm in 49.2% of cases. They were most frequently located on the head (49.2%). The most frequent clinical forms were cutaneous hemangiomas (tuberous) (36 cases), fo...
But. La filariose lymphatique maladie tropicale negligee, debilitante a transmission vectorielle ... more But. La filariose lymphatique maladie tropicale negligee, debilitante a transmission vectorielle existe en Afrique, Asie et Amerique du Sud. Pres de 119 millions de personnes en sont infectees. L’une des strategies de lutte consiste en l’interruption de la transmission du parasite par l’administration annuelle d’une dose unique de diethylcarbamazine ou d’ivermectine-albendazole aux personnes exposees en zone d’endemie (prevalence microfilaremie > 1%). Apres onze tours de traitement de masse (TDM), nous avons voulu evaluer l’impact du TDM sur la transmission du parasite. Methodologie. Une etude prospective transversale menee dans 6 sites de fevrier a mars 2014. Ont ete inclus toutes personnes residentes consentantes âges de plus de 5 ans. Les variables etudiees etaient la frequence du lymphoedeme et de l’hydrocele, la prevalence de la microfilaremie, la densite parasitaire moyenne et la transmission du parasite. Resultats. Nous avons recrute 2773 personnes (1302 hommes et 1471 fem...
Introduction. Les epidermolyses bulleuses hereditaires (EBH), genodermatoses rares. Nous rapporto... more Introduction. Les epidermolyses bulleuses hereditaires (EBH), genodermatoses rares. Nous rapportons deux cas, issus d’un mariage consanguin au Burkina. Observation. Il s’agit d’un frere et de sa sœur âges de 7 ans et 12 ans, recus pour des bulles generalisees prurigineuses evoluant depuis la naissance. L’examen notait des bulles hemorragiques, des placards exulcero-crouteux, sur le tronc, les membres, une atteinte ungueale, evoquant tant une EBH jonctionnelle qu’une EBH simple. L’histopathologie etait en faveur d’une EBJ montrant un clivage a la jonction dermo epidermique. Conclusion. Le diagnostic du type d’EBH est difficile dans notre contexte sans immunomicroscopie electronique. ABSTRACT Introduction. Hereditary epidermolysis bullosa (EBH) are rare genodermatosis. We report two cases, from a consanguineous marriage Observation. These are the cases of two sibling patients, aged 7 and 12 years, with generalized pruritic bubbles evolving for the birth. Examination revealed hemorrhag...
Journal of the European Academy of Dermatology and Venereology, 2019
Background SCORing for Atopic Dermatitis (SCORAD) is a tool developed by the European Task Force ... more Background SCORing for Atopic Dermatitis (SCORAD) is a tool developed by the European Task Force on Atopic Dermatitis (AD) which is used by physicians to assess AD severity during consultations with their patients. Patient-Oriented SCORAD (PO-SCORAD) is a self-assessment tool for use by patients which has been validated in a study performed in European countries. However, there is currently no adapted tool for evaluating AD severity in black skin. Objective To evaluate the performance of the version of the PO-SCORAD specifically adapted for black skin patients (children and adults) with AD. Methods In this multicenter, cross-sectional and non-interventional study, children and adults with AD were recruited during regular consultations. This international study was performed in seven sub-Saharan countries (Benin, Burkina Faso, Cameroon, Ivory Coast, Gabon, Mali and Senegal). During the consultation, AD severity was assessed by the physician using SCORAD score and by the patients or parents using PO-SCORAD. Results One hundred and thirteen patients were included, 72 children and 41 adults, mainly females (61.6%). SCORAD assessed by physicians and PO-SCORAD assessed by patients/parents were well correlated (r = 0.66, P < 0.0001). Correlation coefficients for SCORAD and PO-SCORAD subscale scores were also good, except for symptom intensity criteria. Conclusion Altogether, these data indicate that PO-SCORAD for black skin correlates well with SCORAD and is therefore a valuable tool, which requires no specific level of education, for use by black skin patients with AD.
Introduction: Erysipelas of the leg is a common and serious infection. We carried out this study ... more Introduction: Erysipelas of the leg is a common and serious infection. We carried out this study aiming at describing the epidemiological and clinical characteristics, and assessing the risks factors associated with the local complications of erysipelas of the leg in sub-Saharan Africa. Methods: This was a prospective multicentric study carried out in the dermatology units of Hospitals located in seven sub-Saharan African countries during a period of 12 months. Patients aged 15 and above with a first episode of erysipelas of the leg were recruited. Results: In this study, 562 patients were recruited, having a mean age of 43.7±16.9 years and a sex-ratio (M/F) of 0.67. Patients infected on one leg were 562 while those infected with two were 27. Bullous forms of the disease were observed in 95 patients, while purpuric forms were observed in 167 patients. The existence of a point of entry (485 cases), obesity (230), lymph edema (130) and the use of bleaching agents (97) were the mains risk factors. Complications during the course of the infection such as necrotizing fasciitis (34 cases) and abscesses (63 cases) were observed. They were due to the use of antibiotics and non-steroidal anti-inflammatory treatments, and the use of cataplasm. Conclusion: This study reveals that existence of a point of entry, obesity and lymph edema, and the use of bleaching agents were the mains risk factors influencing the local complications of erysipelas of the leg. Necrotizing fasciitis and abscesses were influenced by the use of antibiotics and non-steroidal anti-inflammatory treatments, and the use of cataplasm.
Si la prevalence des allergies longtemps croissante semble stabilisee dans les pays industrialise... more Si la prevalence des allergies longtemps croissante semble stabilisee dans les pays industrialises, elle est en augmentation dans les pays en developpement. Peu d’etudes sur les allergenes sensibilisants ont ete publiees au Burkina Faso. L’objectif de notre etude etait de decrire le profil de sensibilisation des patients symptomatiques ayant realise un prick-test. Nous avons realise une etude retrospective, dans une structure sanitaire privee de Ouagadougou de mars 2015 a avril 2016. La population d’etude etait les patients, ayant des manifestations d’allure allergique, chez qui un prick-test a ete realise. Quatorze allergenes ont ete testes. Nous avons colliges 93 patients dont 60,22 % (56) de sexe masculin et 39,78 % (37) de sexe feminin. L’âge median etait de 19 ans +/- 18. Les enfants representaient 52,22 % (49). Les manifestations respiratoires representaient 62,37 %, celles cutanees 20,43 %, celles ophtalmologiques 8,60 %. Le taux de sensibilisation etait 95,69 % (89/93). Les ...
OBJECTIVE The aim of this case-control study was to identify risk factors associated with necroti... more OBJECTIVE The aim of this case-control study was to identify risk factors associated with necrotizing fasciitis (NF) of the lower limbs. PATIENTS AND METHODS We conducted a prospective case-control study in hospital dermatology departments in 5 sub-Saharan African countries over a 2-year period (April 2017 to July 2019). The cases were patients with NF of the lower limbs and the controls were patients with leg erysipelas. Each case was matched with two controls for age (±5 years) and sex. We analyzed local and general factors. RESULTS During the study period, 159 cases (73 females, 86 males) were matched with 318 controls. The mean age was 48.5±15.8 years for cases and 46.5±16.2 years for controls (P=0.24). The main local signs of NF were cutaneous necrosis (83.7%), pain (75.5%) and induration (42.1%). Multivariate analysis showed the following to be independent risk factors associated with NF of the lower limbs: obesity (odds ratio [OR]=2.10; 95% confidence interval [CI]: 1.21-3.42...
La cysticercose est liee au developpement chez l'homme de larves cysticerques de Taenia soliu... more La cysticercose est liee au developpement chez l'homme de larves cysticerques de Taenia solium. Les localisations sous-cutanees sont frequentes et peuvent etre a l'origine de complications graves, comme les atteintes neurologiques. Nous rapportons six cas de cysticercose sous-cutanee generalisee, pour insister sur leur gravite et leurs complications possibles. Il s'agissait de cinq hommes et d'une femme consultant pour des lesions nodulaires disseminees sur le corps; l'âge allait de 25 a 57 ans. Trois avaient des complications neurologiques, telles que des crises convulsives et des cephalees. Les nodules etaient douloureux chez un patient. Une education sanitaire doit etre menee pour eradiquer cette affection liee a l'hygiene precaire et sensibiliser les patients afin qu'ils consultent tot, avant la diffusion des lesions.
Resume Introduction A travers l’histoire de deux familles atteintes d’ichtyose, nous relatons les... more Resume Introduction A travers l’histoire de deux familles atteintes d’ichtyose, nous relatons les difficultes de prise en charge et d’integration sociale inherentes a ces maladies genetiques. Observations Famille n o 1 : un berger de 38 ans et son epouse de 25 ans presentaient tous deux une ichtyose lamellaire evoluant en continu depuis l’enfance. Ils avaient donne naissance a deux enfants decedes et a un nouveau-ne vivant, qui tous presentaient une ichtyose lamellaire. Famille n o 2 : une femme de 45 ans, menagere, etait recue en consultation avec ses trois derniers enfants âges de 8 ans, 6 ans et 1 an et demi. Selon la mere, tous les trois etaient couverts a la naissance d’une membrane ressemblant a du plastique qui se craquelait lors de mouvements, et avaient des yeux rouges. L’examen notait, chez les trois enfants, un tableau d’ichtyose lamellaire avec un ectropion, des oreilles mal ourlees et une brachydactylie. Ils avaient un retard staturo-ponderal mais un developpement psychomoteur normal. Il n’y avait pas de consanguinite entre les parents. Discussion Dans ces deux familles, le caractere affichant de la dermatose etait responsable de discrimination et de rejet de la societe. Les conditions de vie precaires des parents et le cout eleve de la prise en charge dans le contexte africain favorisent la degradation de la qualite de vie et aggravent les difficultes d’integration sociale, source de descolarisation avec un avenir reserve pour ces enfants.
Background: Psoriasis is a chronic, displaying inflammatory dermatosis. The evaluation of the psy... more Background: Psoriasis is a chronic, displaying inflammatory dermatosis. The evaluation of the psychosocial impact of chronic dermatoses on the quality of life of patients may help to orientate the objectives of management in order to improve their daily life, hence the interest of our study with the objective to evaluate the impact of psoriasis on the quality of life of patients followed in the dermatology, venereology, and rheumatology departments of the city of Ouagadougou, Burkina Faso. Patients and Method: This was a descriptive, cross-sectional study that took place from March 1 to June 28, 2019, in six public hospitals in the city of Ouagadougou. The Dermatology Life Quality Index (DLQI) and Psoriasis Disability Index (PDI) were the quality of life tools employed for this study. Results: Forty-eight (48) patients with psoriasis met the inclusion criteria. The mean age of the patients was 46.20 years, ranging from 22 to 79 years. There were 18 females and 30 males, with a sex ratio of 1.6. The measurement of the patients' QoL by the DLQI reported a mean score of 9.14 out of 30. There was a low impact of the disease on the QoL for seventeen patients. The evaluation of the QOL with the PDI noted an alteration of daily activities (3.95/15) and alteration of the patients' psychosocial relationships (2.66/18). The analysis of the QoL according to sociodemographic and clinical variables noted an alteration significantly related to age, level of education, and severity of the disease. An alteration in professional relationships was significant in female patients. An alteration in the different dimensions of the QoL was more significant in patients with a low level of education. The duration of the disease seemed to have no impact on the patients' quality of life. Daily activities were significantly altered for patients with a PASI between 7 and 10. The DLQI did not correlate with disease severity (PASI) (r = 0.228; p = 0.120), unlike the PDI (r = 0.371; p = 0.009). Conclusion: The QoL of psoriatic patients in Ouagadougou seemed to be slightly altered. This alteration was more significant for females. Professional relationships were altered for young subjects while daily activities were altered for those older.
Cutaneous tuberculosis is a rare, extra-pulmonary form of tuberculosis caused by mycobacteria of ... more Cutaneous tuberculosis is a rare, extra-pulmonary form of tuberculosis caused by mycobacteria of the tuberculosis complex. It is characterized by clinical polymorphism often posing a difficult diagnostic challenge. Herein, we report a case of cutaneous tuberculosis in its warty form located on the nose. This was a 57-year-old patient who was infected in the classroom three months previously while taking lessons from a woman with pulmonary tuberculosis. A facial examination revealed a blackish, papillomatous patch invading almost the entire nose, with a keratotic surface spreading over the wings of the nose. The diagnosis of verrucous tuberculosis was reached on the basis of epidemiological, clinical, and paraclinical arguments. Under anti-tuberculosis treatment for six months, the lesion had healed without sequelae. The diagnosis of verrucous cutaneous tuberculosis must be established in the presence of any chronic and crusty lesion. The management responds to the treatment protocol...
Angiomas are vascular abnormalities that affect less than 1% of the world's population. Data ... more Angiomas are vascular abnormalities that affect less than 1% of the world's population. Data on these disorders in Africa are limited. The purpose of our work was to study the epidemiological and clinical aspects of angiomas in the Dermatology-Venerology Department of the University Hospital of Yalgado Ouedraogo in Ouagadougou (Burkina Faso) to contribute to improving knowledge of this group of pathologies in our region. This cross-sectional descriptive, retrospective, and prospective study covers cases from 1998 through 2014. We identified 61 patients with angioma, 67.2% of them younger than 30 months. The sex ratio was 0.56. Vascular tumors (hemangiomas) accounted for 43 cases (70.5%) and vascular malformations 18 (29.5%). Lesions appeared between 0 and 15 days of life in 57.4% of cases. Their size ranged from 1 to 3 cm in 49.2% of cases. They were most frequently located on the head (49.2%). The most frequent clinical forms were cutaneous hemangiomas (tuberous) (36 cases), fo...
But. La filariose lymphatique maladie tropicale negligee, debilitante a transmission vectorielle ... more But. La filariose lymphatique maladie tropicale negligee, debilitante a transmission vectorielle existe en Afrique, Asie et Amerique du Sud. Pres de 119 millions de personnes en sont infectees. L’une des strategies de lutte consiste en l’interruption de la transmission du parasite par l’administration annuelle d’une dose unique de diethylcarbamazine ou d’ivermectine-albendazole aux personnes exposees en zone d’endemie (prevalence microfilaremie > 1%). Apres onze tours de traitement de masse (TDM), nous avons voulu evaluer l’impact du TDM sur la transmission du parasite. Methodologie. Une etude prospective transversale menee dans 6 sites de fevrier a mars 2014. Ont ete inclus toutes personnes residentes consentantes âges de plus de 5 ans. Les variables etudiees etaient la frequence du lymphoedeme et de l’hydrocele, la prevalence de la microfilaremie, la densite parasitaire moyenne et la transmission du parasite. Resultats. Nous avons recrute 2773 personnes (1302 hommes et 1471 fem...
Introduction. Les epidermolyses bulleuses hereditaires (EBH), genodermatoses rares. Nous rapporto... more Introduction. Les epidermolyses bulleuses hereditaires (EBH), genodermatoses rares. Nous rapportons deux cas, issus d’un mariage consanguin au Burkina. Observation. Il s’agit d’un frere et de sa sœur âges de 7 ans et 12 ans, recus pour des bulles generalisees prurigineuses evoluant depuis la naissance. L’examen notait des bulles hemorragiques, des placards exulcero-crouteux, sur le tronc, les membres, une atteinte ungueale, evoquant tant une EBH jonctionnelle qu’une EBH simple. L’histopathologie etait en faveur d’une EBJ montrant un clivage a la jonction dermo epidermique. Conclusion. Le diagnostic du type d’EBH est difficile dans notre contexte sans immunomicroscopie electronique. ABSTRACT Introduction. Hereditary epidermolysis bullosa (EBH) are rare genodermatosis. We report two cases, from a consanguineous marriage Observation. These are the cases of two sibling patients, aged 7 and 12 years, with generalized pruritic bubbles evolving for the birth. Examination revealed hemorrhag...
Journal of the European Academy of Dermatology and Venereology, 2019
Background SCORing for Atopic Dermatitis (SCORAD) is a tool developed by the European Task Force ... more Background SCORing for Atopic Dermatitis (SCORAD) is a tool developed by the European Task Force on Atopic Dermatitis (AD) which is used by physicians to assess AD severity during consultations with their patients. Patient-Oriented SCORAD (PO-SCORAD) is a self-assessment tool for use by patients which has been validated in a study performed in European countries. However, there is currently no adapted tool for evaluating AD severity in black skin. Objective To evaluate the performance of the version of the PO-SCORAD specifically adapted for black skin patients (children and adults) with AD. Methods In this multicenter, cross-sectional and non-interventional study, children and adults with AD were recruited during regular consultations. This international study was performed in seven sub-Saharan countries (Benin, Burkina Faso, Cameroon, Ivory Coast, Gabon, Mali and Senegal). During the consultation, AD severity was assessed by the physician using SCORAD score and by the patients or parents using PO-SCORAD. Results One hundred and thirteen patients were included, 72 children and 41 adults, mainly females (61.6%). SCORAD assessed by physicians and PO-SCORAD assessed by patients/parents were well correlated (r = 0.66, P < 0.0001). Correlation coefficients for SCORAD and PO-SCORAD subscale scores were also good, except for symptom intensity criteria. Conclusion Altogether, these data indicate that PO-SCORAD for black skin correlates well with SCORAD and is therefore a valuable tool, which requires no specific level of education, for use by black skin patients with AD.
Introduction: Erysipelas of the leg is a common and serious infection. We carried out this study ... more Introduction: Erysipelas of the leg is a common and serious infection. We carried out this study aiming at describing the epidemiological and clinical characteristics, and assessing the risks factors associated with the local complications of erysipelas of the leg in sub-Saharan Africa. Methods: This was a prospective multicentric study carried out in the dermatology units of Hospitals located in seven sub-Saharan African countries during a period of 12 months. Patients aged 15 and above with a first episode of erysipelas of the leg were recruited. Results: In this study, 562 patients were recruited, having a mean age of 43.7±16.9 years and a sex-ratio (M/F) of 0.67. Patients infected on one leg were 562 while those infected with two were 27. Bullous forms of the disease were observed in 95 patients, while purpuric forms were observed in 167 patients. The existence of a point of entry (485 cases), obesity (230), lymph edema (130) and the use of bleaching agents (97) were the mains risk factors. Complications during the course of the infection such as necrotizing fasciitis (34 cases) and abscesses (63 cases) were observed. They were due to the use of antibiotics and non-steroidal anti-inflammatory treatments, and the use of cataplasm. Conclusion: This study reveals that existence of a point of entry, obesity and lymph edema, and the use of bleaching agents were the mains risk factors influencing the local complications of erysipelas of the leg. Necrotizing fasciitis and abscesses were influenced by the use of antibiotics and non-steroidal anti-inflammatory treatments, and the use of cataplasm.
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Papers by Pascal Niamba