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Skitioui M, Seck A, Niang SO, Fikhar A, Touré B. The treatment of mature permanent teeth with irreversible pulpitis by cervical pulpotomy: A systematic review. AUST ENDOD J 2023; 49 Suppl 1:488-493. [PMID: 36149016 DOI: 10.1111/aej.12694] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2022] [Revised: 07/08/2022] [Accepted: 09/09/2022] [Indexed: 01/13/2023]
Abstract
Pulpotomy has been used in primary teeth and immature permanent teeth. However, with the advent of new bioactive material, the procedure is shifting towards permanent teeth with mature apices of roots. The objective of this systematic review was to evaluate the success of pulpotomy on mature permanent teeth with acute irreversible pulpitis and to compare it with root canal treatment or between the effectiveness of the bioactive material used. The following databases were searched: PubMed, Cochrane Library: Cochrane Central Register of Controlled Trials, Embase, ClinicalTrials.gov, International Clinical Trials Registry Platform. After using the keywords predefined, the electronic search yielded a total of 86 articles. After undergoing a thorough screening and eligibility process, only four articles were finally selected. Unexpectedly, pulpotomy demonstrated a better tendency for success in such cases over the years. This shows that pulpotomy is not inferior to root canal treatment for permanent treatment of irreversible pulpitis. In addition, the results obtained showed that pulpotomy is rapid, biologically reliable and more cost-effective in all situations compared to root canal therapy. Complete pulpotomy appears to have a high success rate as a permanent treatment of irreversible pulpitis and could be considered as an alternative to root canal therapy. Pulpotomy is not inferior to root canal treatment for a permanent treatment of irreversible pulpitis. In addition, the results obtained have shown that complete pulpotomy is faster and more profitable in all situations compared to root canal treatment. Furthermore, with the advent of new so-called bioactive materials, the use of this therapeutic is increasingly considered. This is why a review based on studies of reliable articles is above all necessary to be able to generalise the indication of this therapy.
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Affiliation(s)
- Mohamed Skitioui
- Department of Conservative Dentistry and Endodontics, Faculty of Dental Medicine, College of Health Sciences, International University of Rabat, Rabat, Morocco
| | - Anta Seck
- Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, University Cheikh Anta Diop, Dakar, Senegal
| | - Seydina Ousmane Niang
- Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, University Cheikh Anta Diop, Dakar, Senegal
| | - Anass Fikhar
- Department of Conservative Dentistry and Endodontics, Faculty of Dental Medicine, Mohammed V University in Rabat, Rabat, Morocco
| | - Babacar Touré
- Department of Conservative Dentistry and Endodontics, Faculty of Dental Medicine, College of Health Sciences, International University of Rabat, Rabat, Morocco
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Seck A, Ndiaye D, Niang SO, Leye Benoist F, Fioretti F, Toure B. Evaluation of complete pulpotomy with Biodentine® on mature permanent molars with signs and symptoms of symptomatic irreversible pulpitis: 12 months follow-up. J Endod 2021; 48:312-319. [PMID: 34974080 DOI: 10.1016/j.joen.2021.12.008] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [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: 06/16/2021] [Revised: 12/21/2021] [Accepted: 12/21/2021] [Indexed: 12/26/2022]
Abstract
INTRODUCTION Complete pulpotomy is the removal of the coronal portion of a vital pulp and is a means of preserving the vitality of the remaining root portion. The objective of this study was to evaluate the 12-month success rate of complete pulpotomy with Biodentine® on mature permanent molars with signs and symptoms of symptomatic irreversible pulpitis. MATERIALS AND METHODS A total of 68 molars diagnosed with symptomatic irreversible pulpitis in 68 patients aged 20 years and older were included in this study. The exclusion criteria were intraoperative clinical signs of pulp necrosis on the molar to be treated such as no bleeding, or uncontrollable pulp hemorrhage (more than 5 min of hemostasis) on at least one canal. A complete pulpotomy with Biodentine® was performed on molars with symptomatic irreversible pulpitis by the same operator and with the same protocol. At 12-month post-operative follow-up was conducted to evaluate clinical and radiological success. RESULTS A total of 66 patients received complete pulpotomy. Fifty-two could be examined at 12 months postoperatively. Clinical and radiological analysis at 12 months postoperatively revealed a success rate of 87% (45/52 molars) and a failure rate of 13% (7/52 molars). There was a relationship between age, tooth type, pre-operative periapical condition and treatment success with P<0.05. CONCLUSION Compliance with the indications and protocol for complete pulpotomy with Biodentine® on mature permanent molars with symptomatic irreversible pulpitis gives positive results at 12 month follow-up.
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Affiliation(s)
- Anta Seck
- Department of Conservative Dentistry and Endodontics, Department of Odontostomatology, Faculty of Medicine, Pharmacy and Odontology, Cheikh Anta Diop University, Dakar, Sénégal.
| | - Diouma Ndiaye
- Department of Conservative Dentistry and Endodontics, Department of Odontostomatology, Faculty of Medicine, Pharmacy and Odontology, Cheikh Anta Diop University, Dakar, Sénégal
| | - Seydina Ousmane Niang
- Department of Conservative Dentistry and Endodontics, Department of Odontostomatology, Faculty of Medicine, Pharmacy and Odontology, Cheikh Anta Diop University, Dakar, Sénégal
| | - Fatou Leye Benoist
- Department of Conservative Dentistry and Endodontics, Department of Odontostomatology, Faculty of Medicine, Pharmacy and Odontology, Cheikh Anta Diop University, Dakar, Sénégal
| | - Florence Fioretti
- University of Strasbourg, Faculty of Dental Surgery of Strasbourg, INSERM UMR 1260, Pôle de Médecine et Chirurgie Bucco-Dentaire des Hôpitaux Universitaires de Strasbourg, France
| | - Babacar Toure
- Department of Conservative Dentistry and Endodontics, Department of Odontostomatology, Faculty of Medicine, Pharmacy and Odontology, Cheikh Anta Diop University, Dakar, Sénégal
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Ndiaye ML, Gassama BC, Niang SO, Lecor PA, Ndiaye A, Toure B. Distal pathologies of the second molar in the presence of the mandibular third molar: Study by panoramic radiography. Advances in Oral and Maxillofacial Surgery 2021. [DOI: 10.1016/j.adoms.2021.100090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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Diadie S, Ndiaye M, Diatta BA, Diallo M, Diop K, Deh A, Dieng MT, Kane A, Niang SO. Non-tubercular caseous adenopathy in Senegal. Med Sante Trop 2018; 28:255-256. [PMID: 30270827 DOI: 10.1684/mst.2018.0793] [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 authors report the case of a 22-year-old man referred seven months after the onset of papulo-nodular skin lesions, lymphadenopathy, splenomegaly and hepatomegaly. Mycologic and histologic examination of skin lesions enabled the diagnosis of African histoplasmosis, by Histoplasma capsulatum var duboisii. The lymph nodes were caseous. The culture in Lowenstein-Jensen medium was negative.
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Affiliation(s)
- S Diadie
- Service de dermatologie, hôpital Aristide LeDantec, 3001 Dakar, Sénégal
| | - M Ndiaye
- Service de dermatologie, hôpital Aristide LeDantec, 3001 Dakar, Sénégal
| | - B A Diatta
- Service de dermatologie, hôpital Aristide LeDantec, 3001 Dakar, Sénégal
| | - M Diallo
- Service de dermatologie, hôpital Aristide LeDantec, 3001 Dakar, Sénégal
| | - K Diop
- Service de dermatologie, hôpital Aristide LeDantec, 3001 Dakar, Sénégal
| | - A Deh
- Service de dermatologie, hôpital Aristide LeDantec, 3001 Dakar, Sénégal
| | - M T Dieng
- Service de dermatologie, hôpital Aristide LeDantec, 3001 Dakar, Sénégal
| | - A Kane
- Service de dermatologie, hôpital Aristide LeDantec, 3001 Dakar, Sénégal
| | - S O Niang
- Service de dermatologie, hôpital Aristide LeDantec, 3001 Dakar, Sénégal
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Ndiaye D, Diongue K, Bane K, Seck A, Niang SO, Lèye Benoist F, Ndiaye D, Touré B. [Efficacy of sodium hydroxide at 2.5 %, chlorhexidine gluconate at 0.5 % and calcium hydroxide against Candida albicans]. J Mycol Med 2016; 26:317-322. [PMID: 27198757 DOI: 10.1016/j.mycmed.2016.04.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2016] [Revised: 03/16/2016] [Accepted: 04/06/2016] [Indexed: 11/19/2022]
Abstract
INTRODUCTION Endodontic flora is dominated in the apical part of the channels by strict anaerobic and some facultative anaerobic bacteria but also by Candida yeasts, especially Candida albicans species that are involved in the maintenance and persistence of endodontic infections. Their elimination of the canal system in practice by chemo-mechanical methods of disinfection is not always guaranteed. Thus, this in vitro study was performed to determine the sensitivity of C. albicans with sodium hypochlorite (NaOCl) dosed at 2.5 %, the chlorhexidine digluconate 0.5 % and calcium hydroxide used in inter-session medication. METHODS The diffusion method was used initially to test the sensitivity of C. albicans strains with the above products. Then a dilution technique has allowed us to determine the minimum inhibitory concentration of these active products on C. albicans. RESULTS Strains from infected pulp teeth of patients showed a sensitivity of C. albicans to sodium hypochlorite to a minimum inhibitory concentration less than 70μg/mL and 30μg/mL for chlorhexidine. CONCLUSION This study demonstrated a sensitivity of C. albicans to sodium hypochlorite and chlorhexidine.
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Affiliation(s)
- D Ndiaye
- Département d'odontologie, université Cheikh Anta Diop-Dakar BP 5005 Dakar, Sénégal.
| | - K Diongue
- Laboratoire de parasitologie et de mycologie, CHU Le Dantec, BP 16477, Dakar, Sénégal
| | - K Bane
- Département d'odontologie, université Cheikh Anta Diop-Dakar BP 5005 Dakar, Sénégal
| | - A Seck
- Département d'odontologie, université Cheikh Anta Diop-Dakar BP 5005 Dakar, Sénégal
| | - S O Niang
- Département d'odontologie, université Cheikh Anta Diop-Dakar BP 5005 Dakar, Sénégal
| | - F Lèye Benoist
- Département d'odontologie, université Cheikh Anta Diop-Dakar BP 5005 Dakar, Sénégal
| | - D Ndiaye
- Laboratoire de parasitologie et de mycologie, CHU Le Dantec, BP 16477, Dakar, Sénégal
| | - B Touré
- Département d'odontologie, université Cheikh Anta Diop-Dakar BP 5005 Dakar, Sénégal
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Diadie S, Diatta B, Ndiaye M, Gaye M, Sow D, Ndiaye MT, Seck B, Diallo S, Diop A, Diallo M, Ly F, Niang SO, Kane A, Dieng MT. [Multifocal histoplasmosis due to Histoplasma capsulatum var. duboisii in a 22 year-old Senegalese patient without proven immunodepression]. J Mycol Med 2016; 26:265-70. [PMID: 27158080 DOI: 10.1016/j.mycmed.2016.03.004] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [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: 12/28/2015] [Revised: 03/03/2016] [Accepted: 03/30/2016] [Indexed: 10/21/2022]
Abstract
The authors report a case of multifocal African histoplasmosis with polymorphic skin involvement occuring in a patient without proven immunosuppression. He was a young 22-year-old patient from eastern Senegal - but born in Ouganda - who presented with polymorphic skin lesions: ombilicated papulo-nodules, gums and ulcerative and budding lesions. He showed lymphadenopathies without clinical inflammation and with a cheesy appearance of the biopsy but without tuberculosis and also hepatosplenic and bone involvement. Mycological samples of the skin and lymph nodes biopsies revealed yeasts of Histoplasma capsulatum var. duboisii with a positive culture on Sabouraud medium. HIV serology, HTLV1et 2, the serum proteins electrophoresis were unremarkable. Treatment with amphotericin B was irregular because of its inaccessibility in the national territory and its cost. The patient died of sepsis together with the aggravation of his disease.
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Affiliation(s)
- S Diadie
- Service de dermatologie, l'hôpital Aristide-Le-Dantec, Dakar, Sénégal.
| | - B Diatta
- Service de dermatologie, l'hôpital Aristide-Le-Dantec, Dakar, Sénégal.
| | - M Ndiaye
- Service de dermatologie, l'hôpital Aristide-Le-Dantec, Dakar, Sénégal.
| | - M Gaye
- Service d'anatomopathologie de l'hôpital Aristide-Le-Dantec, Dakar, Sénégal.
| | - D Sow
- Service de parasitologie, CHNU Fann-Dakar, Dakar, Sénégal.
| | - M T Ndiaye
- Service de dermatologie, l'hôpital Aristide-Le-Dantec, Dakar, Sénégal.
| | - B Seck
- Service de dermatologie, l'hôpital Aristide-Le-Dantec, Dakar, Sénégal.
| | - S Diallo
- Service de dermatologie, l'hôpital Aristide-Le-Dantec, Dakar, Sénégal.
| | - A Diop
- Service de dermatologie, l'hôpital Aristide-Le-Dantec, Dakar, Sénégal.
| | - M Diallo
- Service de dermatologie, l'hôpital Aristide-Le-Dantec, Dakar, Sénégal.
| | - F Ly
- Service de dermatologie, l'hôpital Aristide-Le-Dantec, Dakar, Sénégal.
| | - S O Niang
- Service de dermatologie, l'hôpital Aristide-Le-Dantec, Dakar, Sénégal.
| | - A Kane
- Service de dermatologie, l'hôpital Aristide-Le-Dantec, Dakar, Sénégal.
| | - M T Dieng
- Service de dermatologie, l'hôpital Aristide-Le-Dantec, Dakar, Sénégal.
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Niang SO, Ndiaye M, Ly F, Diallo M, Bouksani S, Diop A, Diatta BA, Dieng MT, Kane A. The vitiligo in senegal. ISRN Dermatol 2012; 2012:932163. [PMID: 22363865 PMCID: PMC3265217 DOI: 10.5402/2012/932163] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/22/2011] [Accepted: 09/20/2011] [Indexed: 11/23/2022]
Abstract
The aim of our study was to determine the epidemiological and clinical aspects of vitiligo in the largest dermatology department of Senegal. A cross-sectional and descriptive study in a period of 5 months was performed covering all the vitiligo cases. Fifty patients were identified (26 women and 24 men). The mean age was 26.5 years. A family history of vitiligo was found in 11 cases and a psychoaffective disturbance in 6 cases. The clinical forms distinguished were generalized vitiligo (n = 33), localized vitiligo (n = 16), vitiligo universalis (n = 4), and segmental vitiligo (n = 1). The Koebner phenomenon was found in 7 cases. Associated diseases were atopic dermatitis (n = 2), contact dermatitis (n = 1), diabetes (n = 1), and Graves' disease (n = 1). The disgraceful character of Vitiligo was the predominance of generalized forms and the elective localization in sun-exposed areas. The family character, the psychoaffective disturbances, the Koebner phenomenon increased by the lifestyle and the itching dermatosis were the aggravating factors.
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Affiliation(s)
- S O Niang
- Department of Dermatology, Aristide Le Dantec Hospital, BP 3001, Dakar, Senegal
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Diallo M, Niang SO, Tounkara T, Fricker A, Mbaye PS. [Unusual presentation of mycetoma caused by Actinomadurella pelletieri on the scalp]. Med Trop (Mars) 2011; 71:179-180. [PMID: 21695879] [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: 05/30/2023]
Abstract
INTRODUCTION Mycetoma is chronic inflammatory process characterized by areas of tumefaction with draining sinus tracts. It affects the foot in 80% of cases. The purpose of this report is to describe a case that posed a diagnostic challenge due to unusual scalp location and clinical presentation. OBSERVATION A 23-year-old woman residing in a rural zone of Senegal consulted for indolent lesions ongoing on the scalp for 2 years. Physical examination showed two soft tumid lesions measuring about 3 cm in diameter on the vertex. The surface of the lesions was crusty but showed no sign of granules. Skull x-ray was normal. Skin biopsy demonstrated a polymorphous granulomatous infiltrate with foci of suppuration circumscribing small, irregular grains with radiating filaments. Mycological culture on Lowenstein medium demonstrated Actinomadurella pelletiere. Treatment with cotrimoxazole for 8 months led to significant regression of the lesions. DISCUSSION The mycetoma described in this report posed a diagnostic challenge because of its unusual scalp location and especially its tumoral or pseudo-cystic presentation. This clinical form of mycetoma must be taken into account for diagnosis in any patient from endemic areas.
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Affiliation(s)
- M Diallo
- Service de Dermatologie, CHU, France.
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Niang SO, Kane A, Sy TN, Diallo M, Dieng MT, Ndiaye B. [Scrofuloderma in Dakar: 128 cases]. Ann Dermatol Venereol 2008; 135:230. [PMID: 18374859 DOI: 10.1016/j.annder.2007.11.017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2007] [Accepted: 11/09/2007] [Indexed: 11/30/2022]
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Niang SO. [Contact dermatitis in Dakar]. Dakar Med 2007; 52:7-12. [PMID: 19102084] [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: 05/27/2023]
Abstract
Because of the widespread repartition of allergens, allergic contact dermatitis is the most common inflammatory skin disease. It's the best model of dilated hypersensibility mediated by T lymphocytes cells. Atopic dermatitis and irritative dermatitis are to be distinguished to contact dermatitis. The aetiological diagnosis is the most important step of management of patients with that disease because it's the best way to avoid recurrences. The identification of cause is based on aetiological interrogatory and epicutaneous tests with 23 allergens completed with personnel products and specialised tests. Contact dermatitis can be classified according to results of aetiological management. In occupational contact dermatitis, contact dermatitis due to drugs, to metals, cosmetics, clothes and accessory and proteins. Management of patients with contact dermatitis is based on individual eviction, protection, cosmetovigilance, declaration of occupational dermatosis and allergovigilance.
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MESH Headings
- Adrenal Cortex Hormones/administration & dosage
- Adrenal Cortex Hormones/therapeutic use
- Allergens
- Anti-Bacterial Agents/administration & dosage
- Anti-Bacterial Agents/therapeutic use
- Dermatitis, Allergic Contact/diagnosis
- Dermatitis, Allergic Contact/drug therapy
- Dermatitis, Allergic Contact/epidemiology
- Dermatitis, Allergic Contact/etiology
- Dermatitis, Allergic Contact/physiopathology
- Dermatitis, Allergic Contact/prevention & control
- Dermatitis, Occupational/diagnosis
- Dermatitis, Occupational/drug therapy
- Dermatitis, Occupational/epidemiology
- Dermatitis, Occupational/etiology
- Dermatitis, Occupational/physiopathology
- Dermatitis, Occupational/prevention & control
- Diagnosis, Differential
- Drug Therapy, Combination
- Histamine Antagonists/administration & dosage
- Histamine Antagonists/therapeutic use
- Humans
- Senegal/epidemiology
- Skin Tests
- Time Factors
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Affiliation(s)
- S O Niang
- Service de Dermatologie, CHU Le Dantec BP 3001.
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Diallo M, Niang SO, Kane A, Dieng MT, Ndiaye B. [Antiphospholipid antibodies syndrome in dermatology in Dakar: 11 case report]. Dakar Med 2007; 52:41-45. [PMID: 19102091] [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: 05/27/2023]
Abstract
INTRODUCTION Our aim was to report the cutaneous features of antiphospholipid antibodies syndrome in Dermatology in Dakar. METHODS Our study was retrospective from January 2000 to December 2001. All patients were diagnosed according to the criteria of the international consensus statement in 1999 on the antiphospholipid antibodies. RESULTS Eleven cases (all female) were collected with a median age of 28 years. A systemic lupus was associated in 7 cases, a scleroderma in 1 case and mix connectivity in 1 case. The dermatological manifestations found in all patients were necrosis of the extremities (4 cases), purpuric lesions (4), cutaneous ulcers (3), acrocyanosis (2), livedo (1) and subungual splinter hemorrhage (1). The obstetrical incidents were noted in 82% of cases; there were precocious and repeated abortions (in 5 cases), foetal loss (in 4 patients), precocious delivery (in 2 cases), lateness of growth in uterus (in 1 case). It was an arterial thrombosis in 2 cases. The mean level of anticardiolipin antibodies was 60 UGPL and a dissociation of the syphilitic serology was present in 9 patients. A severe thrombopenia in 1 case was observed. The evolution was favorable in 7 patients. In other cases, we noted foetal loss in 2 cases and distal necrosis relapse in 2 cases. CONCLUSION Cutaneous manifestations are diverse. They can be lupus involvements or microcirculatory thrombosis and they make the diagnostic easy.
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Affiliation(s)
- M Diallo
- Service de Dermatologie Hôpital Aristide LeDantec, Dakar, Sénégal
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Niang SO, Dieng MT, Kane A, Diop SN, Ndiaye B. [Sarcoidosis in Dakar: 30 case reports]. Dakar Med 2007; 52:216-222. [PMID: 19097405] [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: 05/27/2023]
Abstract
INTRODUCTION Sarcoidosis cases had been rarely reported in Senegal in spite of the high frequency of sarcoidosis in black people. The purpose of this work was to determine the epidemiological, clinical and evaluative profile of sarcoidosis in Dakar. MATERIAL AND METHODS We performed a multicentric retrospective trial in order to characterise sarcoidosis cases in Senegal from 1968 to 2004. RESULTS Twenty cases (21 females and 9 men) were observed. The average age was 40 years. Duration before first medical attention was up to one year in 20 cases. Ten patients received an anti tuberculosis treatment before sarcoidosis diagnosis. Sarcoidosis was a systemic disease in 76% of cases and only cutaneous in 24%. Cutaneous lesions were found in 66,66% of cases. Presenting features were cutaneous (46%), general (30%), rheumatoid, (16,6%), Lofgren syndrome (3 cases). The cutaneous lesions were specific in 94% of cases as small nodules (50%), placards (20%), great nodules (15%) and scars sarcoidosis (10%). Extra cutaneous involvement were pulmonary (73,33%), lymphadenopathy (66,66%), and rheumatoid (20%). Pulmonary tuberculosis was associated in 4 cases. DISCUSSION Our data confirmed rarity of sarcoidosis in Senegal opposite to the high reported frequency in other black population in developed country. Clinical features were polymorph and the systemic forms predominant. Tuberculosis may be rule out in order to avoid miss diagnosis.
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Affiliation(s)
- S O Niang
- 1- Service de Dermatologie, Hôpital Aristide Le Dantec, BP 3001 Dakar 2 - Service de Medecine Interne. H6pital Abass Ndao.
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Niang SO, Diallo M, Kane A, Bocoum TI, Dieng MT, Ndiaye B. [Elephantiasic pretibial myxoedema: study of five cases]. Dakar Med 2007; 52:95-99. [PMID: 19102101] [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: 05/27/2023]
Abstract
INTRODUCTION Elephantiasic myxoedema is very rare. We report 5 pretibial myxoedema cases observed in the Dermatological department of Le Dantec hospital in Dakar. PATIENTS AND METHODS Our 5 cases were 3 women (age: 52, 45 and 18 years) and 2 men (age: 54 and 32 years). RESULTS All the cases were enormous, multinodular pachydermic, bilateral, elephantiasis in the low leg and associated to Graves 'disease. The duration was 4 month to 12 year. In 3 cases there was a Diamond syndrome which is a severe form. The cutaneous lesions were not influenced by medical treatment of thyroid disease. Systemic steroids achieved improvement of the elephantiasis in 1 case. CONCLUSION Elephantiasis is a very unusual presentation of pretibial myxoedema and its occurrence doesn't depend to the intensity of thyrotoxicosis and its evolution. However in our cases, it was a severity indicator factor, like Diamond syndrome. Local and systemic steroids give very rarely improvement.
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Affiliation(s)
- S O Niang
- Service de Dermatologie, CHU Le Dantec BP 3001, Dakar Sénégal.
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Affiliation(s)
- Assane Kane
- Dermatology Service and Mycology Laboratory, Hospital A. Le Dantec, and Dermatology Service, Social Hygiene Institute, Dakar, Senegal.
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Dieng MT, Niang SO, Diop B, Ndiaye B. [Actinomycetomas in Senegal: study of 90 cases]. Bull Soc Pathol Exot 2005; 98:18-20. [PMID: 15915967] [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: 05/02/2023]
Abstract
Mycetoma is a pathological process during which eumycetomic (fungal) or actinomycotic causative agents from exogenous source produce grains. Medical treatment is available for actinomycetomas and surgery is still the main treatment for eumycetoma. We report 90 cases of actinomycetoma occuring in male adult patients coming mainly from central Senegal. Patients living far from health structures consult after a long evolution period for tumors and pains which prevent them from carrying out their activities. The three etiological agents in our patients were Actinomadura pelletieri (60 cases), Actinomadura madurae (25 cases) and Streptomyces somaliensis (5 cases). The three clinical features are inflammatory forms (75 cases) mainly due to Actinomadura pelletieri, tumoral forms (13 cases) and cystic forms (2 cases). Lesions are localized on the foot in 50% of cases and in other part of the body for the other half. Bone damage was observed in 55% of cases. 83% of the patients were cured after a one-year treatment of sulfametoxazole adminstered orally. Two patients died of visceral involvement.
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Affiliation(s)
- M T Dieng
- Service de dermatologie, CHU Le Dantec, BP 3001, Dakar, Sénégal.
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Dieng MT, Niang SO, Ly F, Bathily T, Ndiaye B. [Necrotizing dermatitis due to Vibrio Vulnificus]. Ann Dermatol Venereol 2001; 128:653-5. [PMID: 11427803] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/20/2023]
Abstract
BACKGROUND Vibrio vulnificus is a Gram-negative halophilic pathogen for man that can cause septicemia in patients with chronic liver disease. In healthy subjects, infections are generally local or regional. We report two cases of necrotizing dermo-hypodermitis due to Vibrio vulnificus. CASE REPORTS The first patient was a 21-year-old fisherman who developed extensive necrotizing dermo-hypodermitis 24 hours after a penetrating scratch with a fish bone. The second patient was also a fisherman. This 35-year-old man developed a massive area of necrotic tissue on the left leg, also 48 hours after a penetrating fish bone scratch. Both patients exhibited neutrophil hyperleukocytosis and thrombocytopenia. Bacteriological study of the pus and damaged tissue identified Vibrio vulnificus. Blood cultures were negative. Liver tests and liver ultrasound were normal. The course was favorable in both cases with antibiotic treatment and excision of the necrotic tissue. DISCUSSION For these two cases of Vibrio vulnificus necrotizing dermo-hypodermitis, the diagnosis was based on epidemiological, clinical and bacteriological arguments. Neither of these patients had liver disease, explaining the limited locoregional nature of the infection. The severity of the skin necrosis and its rapid course are related to the toxins produced by V. vulnificus. Curative medical and surgical care is generally effective in cases without septicemia and prognosis is good. Education of exposed subjects, fishermen and patients with chronic liver disease, should be helpful for prevention.
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Affiliation(s)
- M T Dieng
- Service de Dermatologie, CHU Le Dantec, Dakar, Sénégal
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Dieng MT, Niang SO, Dangou JM, Ndiaye B. [Xeroderma pigmentosum: report of 6 cases in Dakar]. Bull Cancer 2001; 88:199-202. [PMID: 11257594] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/19/2023]
Abstract
We report 6 cases of black Senegalese boys with xeroderma pigmentosum. They were between 2 and 16 year-old and presented features of hypersensitivity to UV (keratosis, lentigines, poikilodermia and photophobia). Our cases were remarkable by the early occurrence of squamous cell and basal cell carcinoma located in photoexposed sites causing the death of 5 of them. Xeroderma pigmentosum must be considered as the first preneoplastic genodermatosis.
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Affiliation(s)
- M T Dieng
- Service de dermatologie, BP 3001, Hôpital A.-Le Dantec, Dakar, Sénégal
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Kane A, Kane A, Ba SA, Barry F, Dieng MT, Sarr M, Diousse P, Diop IB, Ly F, Hane L, Niang SO, Ndiaye NB, Ndiaye B, Diouf SM. [Cardiovascular manifestations in systemic scleroderma]. Presse Med 1997; 26:796-800. [PMID: 9205481] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
Abstract
OBJECTIVES Patients with systemic scleroderma often have latent heart disease which could play an important role in morbidity and mortality. We therefore conducted a prospective study of cardiovascular manifestations in patients with systemic scleroderma. PATIENTS AND METHODS A prospective cross-sectional study included 29 patients with systemic scleroderma who underwent a complete cardiovascular work-up including physical examination, electrocardiogram, chest x-ray and Doppler-echocardiogram from July 1993 to February 1996. RESULTS Hypertension was observed in 6 patients (20.7%) and was positively correlated with age (p = 0.007). Raynaud syndrome was also found in 6 patients (20.6%). Heart disease was observed in 14 patients (48.3%) and was positively correlated with age and lack of treatment for scleroderma (p = 0.008). Myocardial disease was the most frequent (11 patients, 37.9%), followed by pericardial disease and valve disease (4 cases each, 13.8%). Rhythm and conduction disorders were found in 2 (6.9%) and 8 (27.6%) of the patients. CONCLUSION Cardiovascular manifestations are frequent but often latent in patients with systemic scleroderma. This finding emphasizes the importance of routine cardiovascular work-up in all patients with scleroderma.
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Affiliation(s)
- A Kane
- Hôpital de Dantec, Service de Cardiologie, Dakar, Sénégal
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