1
|
Akakpo AS, Halidou Sidibe R, Téclessou JN, Kassang P, Gnossike P, Mouhari-Touré A, Kombaté K, Pitché P, Saka B. Clinical profile: etiology of keloids and quality of life of patients in a hospital setting in Lomé (Togo). Ann Dermatol Venereol 2024; 151:103240. [PMID: 38306722 DOI: 10.1016/j.annder.2023.103240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Revised: 05/31/2023] [Accepted: 09/27/2023] [Indexed: 02/04/2024]
Affiliation(s)
- A-S Akakpo
- Dermatology Department, Sylvanus Olympio Campus University Hospital, Lomé, Togo.
| | - R Halidou Sidibe
- Dermatology Department, Sylvanus Olympio Campus University Hospital, Lomé, Togo
| | - J-N Téclessou
- Dermatology Department, Campus University Hospital, Lomé, Togo
| | - P Kassang
- Dermatology Department, Sylvanus Olympio Campus University Hospital, Lomé, Togo
| | | | - A Mouhari-Touré
- Dermatology Department, Kara University Hospital, Lomé University, Togo
| | - K Kombaté
- Dermatology Department, Campus University Hospital, Lomé, Togo
| | - P Pitché
- Dermatology Department, Sylvanus Olympio Campus University Hospital, Lomé, Togo
| | - B Saka
- Dermatology Department, Sylvanus Olympio Campus University Hospital, Lomé, Togo
| |
Collapse
|
2
|
Akakpo AS, Téclessou JN, Akolly DAE, Gbeasor-Komlanvi FA, Kassang P, Mouhari-Toure A, Kombaté K, Saka B, Pitché P. Cosmetics used in children in sub-Saharan Africa and the desire for a lighter skin tone. Ann Dermatol Venereol 2021; 148:259-261. [PMID: 34756483 DOI: 10.1016/j.annder.2021.05.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2020] [Revised: 03/19/2021] [Accepted: 05/10/2021] [Indexed: 10/20/2022]
Affiliation(s)
- A-S Akakpo
- Service de dermatologie et IST, CHU Sylvanus Olympio, Université de Lomé, 14 BP 200, Lomé, Togo.
| | - J N Téclessou
- Service de dermatologie et IST, CHU Campus, Université de Lomé, 13279 Lomé, Togo
| | - D A E Akolly
- Service de pédiatrie, CHU Sylvanus Olympio, Université de Lomé, 14 BP 200, Lomé, Togo
| | | | - P Kassang
- Service de dermatologie et IST, CHU Sylvanus Olympio, Université de Lomé, 14 BP 200, Lomé, Togo
| | - A Mouhari-Toure
- Service de dermatologie et IST, CHU Kara, Université de Kara, BP 18, Kara, Togo
| | - K Kombaté
- Service de dermatologie et IST, CHU Campus, Université de Lomé, 13279 Lomé, Togo
| | - B Saka
- Service de dermatologie et IST, CHU Sylvanus Olympio, Université de Lomé, 14 BP 200, Lomé, Togo
| | - P Pitché
- Service de dermatologie et IST, CHU Sylvanus Olympio, Université de Lomé, 14 BP 200, Lomé, Togo
| |
Collapse
|
3
|
Kassang P, Akakpo AS, Téclessou JN, Esso B, Mahamadou G, Mouhari-Toure A, Kombaté K, Tchangai-Walla K, Pitché P, Saka B. Risk factors associated with recurrence of leg erysipelas in Togo. Ann Dermatol Venereol 2021; 148:253-255. [PMID: 34218937 DOI: 10.1016/j.annder.2021.04.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2021] [Revised: 02/10/2021] [Accepted: 04/22/2021] [Indexed: 12/01/2022]
Affiliation(s)
- P Kassang
- Service de Dermatologie et IST, CHU Sylvanus Olympio, Université de Lomé, BP: 30785, Lomé, Togo
| | - A S Akakpo
- Service de Dermatologie et IST, CHU Sylvanus Olympio, Université de Lomé, BP: 30785, Lomé, Togo
| | - J N Téclessou
- Service de Dermatologie et IST, CHU Campus, Université de Lomé, Lomé, Togo
| | - B Esso
- Service de Dermatologie et IST, CHU Sylvanus Olympio, Université de Lomé, BP: 30785, Lomé, Togo
| | - G Mahamadou
- Service de Dermatologie et IST, CHU Sylvanus Olympio, Université de Lomé, BP: 30785, Lomé, Togo
| | - A Mouhari-Toure
- Service de Dermatologie et IST, CHU Kara, Université de Kara, Kara, Togo
| | - K Kombaté
- Service de Dermatologie et IST, CHU Campus, Université de Lomé, Lomé, Togo
| | - K Tchangai-Walla
- Service de Dermatologie et IST, CHU Sylvanus Olympio, Université de Lomé, BP: 30785, Lomé, Togo
| | - P Pitché
- Service de Dermatologie et IST, CHU Sylvanus Olympio, Université de Lomé, BP: 30785, Lomé, Togo
| | - B Saka
- Service de Dermatologie et IST, CHU Sylvanus Olympio, Université de Lomé, BP: 30785, Lomé, Togo.
| |
Collapse
|
4
|
Pitché P, Diata AB, Faye O, Tounkara TM, Niamba P, Mouhari-Toure A, Ly F, Soumah MM, Some-Korsaga N, Akakpo AS, Diané BF, Cissé M, Niang S, Traore A, Saka B. Risk factors associated with necrotizing fasciitis of the lower limbs: A multicenter case-control study. Ann Dermatol Venereol 2021; 148:161-164. [PMID: 33558036 DOI: 10.1016/j.annder.2020.08.056] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2020] [Revised: 06/29/2020] [Accepted: 08/31/2020] [Indexed: 12/20/2022]
Abstract
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), diabetes (OR=3.97; 95% CI: 1.95-6.13), nicotine addiction (OR=5.07; 95% CI: 2.20-11.70), use of non-steroidal anti-inflammatory drugs (NSAIDs) (OR=7.85; 95% CI 4.60-14.21) and voluntary cosmetic depigmentation (OR=2.29; 95% CI: 1.19-3.73). CONCLUSION Our study documents the role of NSAID use at the onset of symptoms as a risk factor for NF of the lower limbs. However, the originality of our study consists in the identification of voluntary cosmetic depigmentation as a risk factor for NF of the lower limbs in sub-Saharan Africa patients. Our results also identified typical overarching factors such as diabetes, obesity and nicotine addiction. Knowing these factors and taking them into account will enable optimization of management strategies for these conditions.
Collapse
Affiliation(s)
- P Pitché
- Department of Dermatology, Sylvanus Olympio University Hospital, Université de Lomé, Lomé, Togo.
| | - A-B Diata
- Department of Dermatology, Le Dantec University Hospital, Université Cheik Anta Diop, Dakar, Senegal
| | - O Faye
- Department of Dermatology-STD, Donka University Hospital, Université de Conakry, Conakry, Guinea
| | - T-M Tounkara
- Department of Dermatology, CNAM, Université de Bamako, Bamako, Mali
| | - P Niamba
- Department of Dermatology, Yaldago Ouédraogo University Hospital, Université de Ouagadougou, Ouagadougou, Burkina Faso
| | - A Mouhari-Toure
- Department of Dermatology, Kara University Hospital, Université de Kara, Kara, Togo
| | - F Ly
- Department of Dermatology, Le Dantec University Hospital, Université Cheik Anta Diop, Dakar, Senegal
| | - M-M Soumah
- Department of Dermatology-STD, Donka University Hospital, Université de Conakry, Conakry, Guinea
| | - N Some-Korsaga
- Department of Dermatology, Yaldago Ouédraogo University Hospital, Université de Ouagadougou, Ouagadougou, Burkina Faso
| | - A-S Akakpo
- Department of Dermatology, Sylvanus Olympio University Hospital, Université de Lomé, Lomé, Togo
| | - B-F Diané
- Department of Dermatology-STD, Donka University Hospital, Université de Conakry, Conakry, Guinea
| | - M Cissé
- Department of Dermatology-STD, Donka University Hospital, Université de Conakry, Conakry, Guinea
| | - S Niang
- Department of Dermatology, Le Dantec University Hospital, Université Cheik Anta Diop, Dakar, Senegal
| | - A Traore
- Department of Dermatology, Yaldago Ouédraogo University Hospital, Université de Ouagadougou, Ouagadougou, Burkina Faso
| | - B Saka
- Department of Dermatology, Sylvanus Olympio University Hospital, Université de Lomé, Lomé, Togo
| |
Collapse
|
5
|
Saka B, Akakpo AS, Téclessou JN, Mouhari-Toure A, Kassang P, Gnossike P, Elegbédé Moise Y, Mahamadou G, Kpélévi KC, Kombaté K, Pitché P. [Risk factors associated with acne keloidalis nuchae, in black subjects: A case-control study]. Ann Dermatol Venereol 2020; 147:350-354. [PMID: 32081453 DOI: 10.1016/j.annder.2020.01.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2019] [Revised: 12/21/2019] [Accepted: 01/16/2020] [Indexed: 11/15/2022]
Abstract
OBJECTIVE The aim of this case-control study was to identify risk factors associated with acne keloidalis nuchae (AKN), seen in a dermatology clinic in Lomé (Togo). PATIENTS AND METHODS This was a case-control study conducted from January to December 2018. Patients were recruited at outpatients dermatological clinics and controls were recruited at outpatients dermatological clinics and then in other hospital departments. RESULTS We recruited 303 consenting subjects, comprising 101 patients with AKN and 202 controls case-matched by age (±5 years). The mean patient age was 34.9±10.7 years vs. 35.6±11.2 years for controls. The most frequently observed AKN lesions were papules (73/101; 72.2%), fibrous scars (42/101; 41.5%) and folliculitis/pustules (41/101; 40.6%). In multivariate analysis, the following factors were associated with AKN: excess weight (adjusted odds ratio=4.8; 95% CI=[2.3-11.7]) or obesity (OR=9.2; 95% CI=[2.1-34.2]), bleeding during hairdressing either occasionally (aOR=13.9; 95% CI=[5.1-40.0]) or systematically (aOR=22.1; 95% CI=[6.2-40.7]), hairdressing procedures less than once per week (aOR=10.1; 95% CI=[3.2-50.8]), and extremely close cropping of hair (aOR=4.9; 95% CI=[2.8-15.5]). CONCLUSION AKN is common in young adults. Excess weight or obesity, bleeding during hairdressing, and frequency and style of hairdressing are all associated factors. The results of this study stress the importance of limiting injury during hairdressing, and of refraining from shaving or cropping hair without a trimmer. Since management of AKN is extremely difficult, identification of associated risk factors allows suitable preventive approaches to be adopted.
Collapse
Affiliation(s)
- B Saka
- Service de dermatologie et IST, CHU Sylvanus Olympio, Lomé, Togo
| | - A-S Akakpo
- Service de dermatologie et IST, CHU Sylvanus Olympio, Lomé, Togo.
| | - J-N Téclessou
- Service de dermatologie et IST, CHU Campus, Lomé, Togo
| | | | - P Kassang
- Service de dermatologie et IST, CHU Sylvanus Olympio, Lomé, Togo
| | - P Gnossike
- Service de dermatologie et IST, CHU Sylvanus Olympio, Lomé, Togo
| | | | - G Mahamadou
- Service de dermatologie et IST, CHU Sylvanus Olympio, Lomé, Togo
| | - K-C Kpélévi
- Service de dermatologie et IST, CHU Sylvanus Olympio, Lomé, Togo
| | - K Kombaté
- Service de dermatologie et IST, CHU Campus, Lomé, Togo
| | - P Pitché
- Service de dermatologie et IST, CHU Sylvanus Olympio, Lomé, Togo
| |
Collapse
|
6
|
Akakpo AS, Saka B, Téclessou JN, Mouhari-Toure A, Amegbor K, Kassang P, Kombaté K, Pitché P. [Atypical Localization of a Case of Leprosy in Lomé (Togo)]. ACTA ACUST UNITED AC 2019; 112:133-136. [PMID: 31825189 DOI: 10.3166/bspe-2019-0095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2019] [Accepted: 10/29/2019] [Indexed: 11/20/2022]
Abstract
This was a 50-year-old woman with a selling activity living in Lomé who came for a consultation in March 2016 for a facial flushing that had been going on for 2 months without pain or pruritus. On examination, there was a single, erythemato-squamous closet of the right hemiface. There was no infiltration of the right ear. There was moderate cutaneous heat compared to the left hemiface which was without any lesion. Examination of nails, hair, palms and plants was normal. There was no hypertrophy of the peripheral nerves (superficial cervical plexus, ulnar, median). The face was not fixed. Complementary examinations noted a normal blood count and negative HIV status. Histology performed on a biopsy fragment concluded tuberculoid leprosy. The patient was first put on WHO multidrug therapy during 6 months. But one month after stopping this treatment, the lesions resumed. She was referred to a multibacillary leprosy protocol during one year. She had been seen 4 months after stopping treatment, without recurrence. It is important not to ignore leprosy in case of atypical erythema of the face even in the absence of other evocative signs and to perform a biopsy to the slightest doubt.
Collapse
Affiliation(s)
- A S Akakpo
- Service de dermatologie et IST, CHU Sylvanus Olympio, Université de Lomé, Togo
| | - B Saka
- Service de dermatologie et IST, CHU Sylvanus Olympio, Université de Lomé, Togo
| | - J N Téclessou
- Service de dermatologie et IST, CHU Campus, Université de Lomé, Togo
| | - A Mouhari-Toure
- Service de dermatologie et IST, CHU Kara, Université de Kara, Togo
| | - K Amegbor
- Service d'anatomie pathologique, CHU Sylvanus Olympio, Université de Lomé, Togo
| | - P Kassang
- Service de dermatologie et IST, CHU Sylvanus Olympio, Université de Lomé, Togo
| | - K Kombaté
- Service de dermatologie et IST, CHU Campus, Université de Lomé, Togo
| | - P Pitché
- Service de dermatologie et IST, CHU Sylvanus Olympio, Université de Lomé, Togo
| |
Collapse
|
7
|
Saka B, Akakpo AS, Teclessou J, Kassang P, Lowa P, Takassi E, Mahamadou G, Mouhari-Toure A, Kombaté K, Pitché P. [Cutaneous lichen planus following Stevens-Johnson syndrome: Wolf's isotopic response]. Ann Dermatol Venereol 2019; 146:847-849. [PMID: 31627928 DOI: 10.1016/j.annder.2019.09.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2018] [Revised: 07/27/2019] [Accepted: 09/18/2019] [Indexed: 10/25/2022]
Affiliation(s)
- B Saka
- Service de dermatologie et IST, université de Lomé, CHU Sylvanus Olympio, 30785 Lomé, Togo.
| | - A S Akakpo
- Service de dermatologie et IST, université de Lomé, CHU Sylvanus Olympio, 30785 Lomé, Togo
| | - J Teclessou
- Service de dermatologie et IST, université de Lomé, CHU Campus, Lomé, Togo
| | - P Kassang
- Service de dermatologie et IST, université de Lomé, CHU Sylvanus Olympio, 30785 Lomé, Togo
| | - P Lowa
- Service de dermatologie et IST, université de Lomé, CHU Sylvanus Olympio, 30785 Lomé, Togo
| | - E Takassi
- Service de pédiatrie, université de Lomé, CHU Sylvanus Olympio, Lomé, Togo
| | - G Mahamadou
- Service de dermatologie et IST, université de Lomé, CHU Sylvanus Olympio, 30785 Lomé, Togo
| | - A Mouhari-Toure
- Service de dermatologie et IST, université de Kara, CHU Kara, Lomé, Togo
| | - K Kombaté
- Service de dermatologie et IST, université de Lomé, CHU Campus, Lomé, Togo
| | - P Pitché
- Service de dermatologie et IST, université de Lomé, CHU Sylvanus Olympio, 30785 Lomé, Togo
| |
Collapse
|
8
|
Saka B, Akakpo AS, Bassowa A, Dapam AN, Mahamadou G, Teclessou JN, Mouhari-Toure A, Laouali AY, Mensah E, Kombaté K, Pitché P. Non-nucleoside reverse transcriptase inhibitors (NNRTIs)-induced Stevens-Johnson syndrome and gynecomastia in an HIV-infected child: A case report. Ann Dermatol Venereol 2018; 145:773-776. [PMID: 30301570 DOI: 10.1016/j.annder.2018.07.022] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2017] [Revised: 03/14/2018] [Accepted: 07/25/2018] [Indexed: 10/28/2022]
Abstract
BACKGROUND Non-nucleoside reverse transcriptase inhibitors (NNRTIs) are antiretroviral drugs often used in the first-line treatment regimen of HIV1 infection worldwide. We report a case of successive gynecomastia and Stevens-Johnson syndrome (SJS) respectively induced by efavirenz and nevirapine in a single patient. CASE REPORT A 16-year-old boy, HIV1-infected since birth, was started on antiretroviral treatment (ART) in August 2015 and was taking a regimen comprising abacavir, lamivudine and efavirenz. In April 2016, when his weight reached 35kg, abacavir was replaced with tenofovir. Bilateral breast enlargement, previously hidden by the patient, was diagnosed two years after the start of ART. History-taking, physical examination and laboratory tests ruled out known causes of gynecomastia, and efavirenz was thus considered the most likely cause. This drug was then withdrawn and replaced with nevirapine in July 2017. Thirty-three days after the patient started nevirapine treatment, a skin rash appeared. Physical examination revealed erythematous macules and flaccid bullae with estimated skin detachment of 10%. There were also conjunctival, buccal and genital lesions. A diagnosis was made of SJS induced by nevirapine. Three months after withdrawal of efavirenz, breast size decreased by 3cm on the left breast and 2cm on the right breast; two months after the SJS, cutaneous sequelae alone persisted, such as diffuse hyperchromic macules. DISCUSSION Recognition of gynecomastia as a side-effect of efavirenz is important to allow the condition to be treated while it is still potentially reversible. Moreover, when efavirenz is replaced, a protease inhibitor should be preferred to nevirapine.
Collapse
Affiliation(s)
- B Saka
- Service de dermatologie et IST, CHU Sylvanus Olympio, BP 30785, Lomé, Togo.
| | - A S Akakpo
- Service de dermatologie et IST, CHU Sylvanus Olympio, BP 30785, Lomé, Togo
| | - A Bassowa
- Service de gynécologie et d'obstétrique, CHU Sylvanus Olympio, Lomé, Togo
| | - A N Dapam
- Association Espoir Vie Togo (EVT), Lomé, Togo
| | - G Mahamadou
- Service de dermatologie et IST, CHU Sylvanus Olympio, BP 30785, Lomé, Togo
| | - J N Teclessou
- Service de dermatologie et IST, CHU Sylvanus Olympio, BP 30785, Lomé, Togo
| | - A Mouhari-Toure
- Service de dermatologie et IST, CHU Sylvanus Olympio, BP 30785, Lomé, Togo
| | - A Y Laouali
- Service de dermatologie et IST, CHU Sylvanus Olympio, BP 30785, Lomé, Togo
| | - E Mensah
- Association Espoir Vie Togo (EVT), Lomé, Togo
| | - K Kombaté
- Service de dermatologie et IST, CHU Sylvanus Olympio, BP 30785, Lomé, Togo
| | - P Pitché
- Service de dermatologie et IST, CHU Sylvanus Olympio, BP 30785, Lomé, Togo
| |
Collapse
|
9
|
Teclessou JN, Akakpo AS, Saka B, Mouhari-Toure A, Kombate K, Pitche P. Lichenoid dermatoses in hospitals in Lomé, Togo: 959 cases. Med Sante Trop 2018; 28:261-264. [PMID: 30105987 DOI: 10.1684/mst.2018.0805] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
The aim of this study was to describe the epidemiologic, clinical, and therapeutic profiles of cases of lichenoid dermatosis in Lomé, together with their outcomes. This retrospective descriptive study reviewed records of patients receiving care for lichenoid dermatosis from January 1997 to December 2016 in the dermatology departments of Lomé. In total, 959 (2.2%) cases of lichenoid dermatoses including 813 (84.8%) of lichen planus and 123 (12.8%) of lichen striatus were recorded. The mean age of the patients was 29.60 +/- 14 years and the sex ratio (M/F) was 0.7. Lichen planus was papular and found most often on the lower limbs (56.0%). Lichen striatus was banded along the lines of Blaschko, mainly on the lower limbs (55.3%). There were 23 patients with lichen nitidus lesions, most often on the trunk (47.8%). The treatment was based on corticosteroid therapy. Recurrences were noted in 40 (11.6%) cases of lichen planus and 4 (3.2%) of lichen striatus. This study shows that the principal lichenoid dermatoses in Lomé are lichen planus, and their management is based on corticosteroid treatment.
Collapse
Affiliation(s)
- J N Teclessou
- Service de dermatologie-vénérologie Lomé, Faculté des sciences de la santé, Université de Lomé, Togo
| | - A S Akakpo
- Service de dermatologie-vénérologie Lomé, Faculté des sciences de la santé, Université de Lomé, Togo
| | - B Saka
- Service de dermatologie-vénérologie Lomé, Faculté des sciences de la santé, Université de Lomé, Togo
| | - A Mouhari-Toure
- Service de dermatologie-vénérologie, CHU Kara, Faculté des sciences de la santé, Université de Kara, Togo
| | - K Kombate
- Service de dermatologie-vénérologie Lomé, Faculté des sciences de la santé, Université de Lomé, Togo
| | - P Pitche
- Service de dermatologie-vénérologie Lomé, Faculté des sciences de la santé, Université de Lomé, Togo
| |
Collapse
|
10
|
Akakpo AS, Saka B, Téclessou JN, Djalogue L, Mahamadou G, Mouhari-Touré A, Gottara WS, Kombaté K, Tchangai-Walla K, Pitché P. [Vascular Cutaneous Abnormalities in Togo: a 120-Case Study]. Bull Soc Pathol Exot 2018; 111:278-282. [PMID: 30950595 DOI: 10.3166/bspe-2019-0053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/24/2018] [Accepted: 12/08/2018] [Indexed: 06/09/2023]
Abstract
The purpose of this study was to describe the epidemio-clinical profile, and treatment of vascular cutaneous abnormalities in Togo. It was a retrospective study of patients recorded in dermatology for vascular cutaneous abnormality between 1998 and 2017. During the study period, 120 (0.1%) of 88,869 patients received in dermatology have consulted for vascular cutaneous abnormalities. Their mean age was 25.3 months and the sex-ratio (M/F) 0.4. The most recurring vascular cutaneous abnormalities were vascular tumors (97 cases; 80.8%), mainly infantile hemangioma (IH) (93 cases; 77.5%). The mean time of onset of IH after birth was 2.9 months. The IH (54 cases; 50.5%) and port wine stains (8 cases, 53.3%) were predominantly localized at the cephalic region and Klippel-Trenaunay syndrome cases on lower limbs. We opted for a therapeutic abstention in the majority of the patients (50 cases of IH, 16 cases of simple vascular abnormalities, all Klippel-Trenaunay syndrome cases and telegiectasia cases). Of the 43 IH cases treated, the main drugs used were corticosteroids (23 cases of which 17 between 1998 and 2011 and 6 from 2012) followed by propranolol (11 cases from 2012). We had a favorable response in 9 of the 15 patients seen again. Cutaneous vascular abnormalities are very rare in dermatology in Togo and are dominated by IH with female predominance. In IH treatments, propranolol use, started in 2012 in Togo, is increasing when corticotherapy has declined.
Collapse
Affiliation(s)
- A S Akakpo
- Service de dermatologie et IST, CHU Sylvanus-Olympio, université de Lomé, Togo
| | - B Saka
- Service de dermatologie et IST, CHU Sylvanus-Olympio, université de Lomé, Togo
| | - J N Téclessou
- Service de dermatologie et IST, CHU Campus, université de Lomé, Togo
| | - L Djalogue
- Service de médecine interne, CHU de Kara, université de Kara, Togo
| | - G Mahamadou
- Service de dermatologie et IST, CHU Sylvanus-Olympio, université de Lomé, Togo
| | - A Mouhari-Touré
- Service de dermatologie et IST, CHU de Kara, université de Kara, Togo
| | - W Soga Gottara
- Service de dermatologie et IST, CHU Sylvanus-Olympio, université de Lomé, Togo
| | - K Kombaté
- Service de dermatologie et IST, CHU Campus, université de Lomé, Togo
| | - K Tchangai-Walla
- Service de dermatologie et IST, CHU Sylvanus-Olympio, université de Lomé, Togo
| | - P Pitché
- Service de dermatologie et IST, CHU Sylvanus-Olympio, université de Lomé, Togo
| |
Collapse
|
11
|
Teclessou JN, Saka B, Akakpo AS, Tabe-Djato GL, Amedifou YDC, Mouhari-Toure A, Kobara B, Kombaté K, Pitché P. [Retrospective Study of Leprosy in Togo (2000-2014): about 2,630 cases]. Bull Soc Pathol Exot 2018; 111:99-103. [PMID: 30789236 DOI: 10.3166/bspe-2018-0021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/30/2017] [Accepted: 03/23/2018] [Indexed: 06/09/2023]
Abstract
The aim of this retrospective study carried out from January 2000 to December 2014 was to determine and map the epidemiological evolutionary trends and the clinical forms of leprosy cases notified in Togo. All the 2,630 new leprosy cases notified by all districts to the National Leprosy/Buruli Ulcer Control Program (PNLLUB-Togo) were included. The mean annual incidence was 175 cases with extremes of 73 to 266 cases. The median age of patients was 40 years, and the sex-ratio was 1.13. Children aged 0 to 15 accounted for 5.5% of the cases. The plateau region in the center of the country had the highest annual incidence (around 800 cases). Multibacillary forms accounted for 74.2% of cases. All patients were treated with multidrug therapy (MDT). WHO grade 2 disease was found in 15% of patients and 9.5% were lost to follow-up. Our results confirm that leprosy is no longer a major public health problem in Togo. However, the high incidence of leprosy in some areas of the country, could permit a resurgence of the disease.
Collapse
Affiliation(s)
- J N Teclessou
- Service de dermatologie-vénérologie, CHU de Lomé, faculté des sciences de la santé, université de Lomé, Togo
| | - B Saka
- Service de dermatologie-vénérologie, CHU de Lomé, faculté des sciences de la santé, université de Lomé, Togo
| | - A S Akakpo
- Service de dermatologie-vénérologie, CHU de Lomé, faculté des sciences de la santé, université de Lomé, Togo
| | | | - Y D C Amedifou
- Association allemande de lutte contre la lèpre et la tuberculose, DAHW, Togo
| | - A Mouhari-Toure
- Service de dermatologie-vénérologie, CHU de Kara, faculté des sciences de la santé, université de Kara, Togo
| | - B Kobara
- Programme national de lutte contre la lèpre, l'ulcère de Buruli et le pian, PNLLUB, Togo
| | - K Kombaté
- Service de dermatologie-vénérologie, CHU de Lomé, faculté des sciences de la santé, université de Lomé, Togo
| | - P Pitché
- Service de dermatologie-vénérologie, CHU de Lomé, faculté des sciences de la santé, université de Lomé, Togo
| |
Collapse
|
12
|
Tatagan A, Mouhari-Toure A, Saka B, Akakpo AS, Kombate D, Tchama R, Singo A, Mpélé K, Pitche P. [Knowledge, attitudes and practices about prevention of mother to child transmission of HIV (PMTCT) among pregnant women in antenatal clinic at 2010 in Togo]. Med Trop (Mars) 2011; 71:472-476. [PMID: 22235620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
PURPOSE The purpose of this study carried out among pregnant women in antenatal clinics in Togo was to evaluate knowledge, attitudes and practices related to prevention of mother-to-child transmission of HIV (PMTCT). METHODS A qualitative cross-sectional study was conducted in 22 antenatal clinics. Data were collected by interviewing all pregnant women examined from January 18th to February 4th, 2010. RESULTS A consecutive series of 210 pregnant women was compiled. The women identified sexual relations (93.8%), objects soiled with blood (80.5%) and transmission from mother to child (27.1%) as routes of HIV transmission. A large majority (77.1%) agreed that unprotected sexual relations raised the risk of HIV transmission to the child and most (61%) expressed willingness to use condoms during pregnancy or breastfeeding, A high percentage (68.1%) believed that contamination during pregnancy increased the risk of HIV transmission to the child, and 61% knew that the risk of HIV transmission to the child was higher for mixed breastfeeding than for exclusive breastfeeding. The acceptance rate for HIV testing was 92.4%. The percentage of women who never used condoms (male or female) was 51% and the percentage considering that HIV-positive woman should not have children was 29.5%. CONCLUSION The results of this study indicate that pregnant women in Togo have fairly good knowledge about HIV/AIDS. Attitudes towards PMTCT were generally positive but some behaviors such as condom use still require improvement.
Collapse
Affiliation(s)
- A Tatagan
- Service de pédiatrie, CHU Tokoin, Université de Lomé
| | | | | | | | | | | | | | | | | |
Collapse
|