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Delaleu J, Duverger L, Shourick J, Tirgan MH, Algain M, Tounkara T, Kourouma S, Bagot M, Petit A. Suppurative keloids: a complication of severe keloid disease. Int J Dermatol 2021; 60:1392-1396. [PMID: 33973653 DOI: 10.1111/ijd.15641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/15/2020] [Revised: 04/07/2021] [Accepted: 04/08/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND Some keloids show cystic cavities that give rise to acute inflammatory flares and oozing. These suppurative keloids (SK) have rarely been systematically studied. We conducted a retrospective cohort study to evaluate SK frequency and its risk factors. We also reviewed microbiological analyses as well as the histological features of removed SKs. METHODS Between July 1, 2015, and September 30, 2016, all adult patients attending a specialized keloid clinic were asked to participate. Clinical information and microbiological results were extracted from each patient's file. Histological features were observed and interpreted. RESULTS In this study, we observed an SK rate of 26% for a mean keloid history of 17.2 years. Male gender, African ancestry, and a family history of keloids were significantly associated with suppuration. Microbiological examination revealed commensal skin flora 7/9 (77.8%), Staphylococcus aureus 1/9 (11.1%), and Enterococcus faecalis 1/9 (11.1%). CONCLUSION Suppuration is a common complication of keloids occurring in patients with severe keloid disease and may arise from pilosebaceous occlusion and aseptic inflammation.
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Affiliation(s)
- Jeremie Delaleu
- Dermatology Department, APHP, Saint Louis University Hospital, Paris, France.,University of Paris, Paris, France
| | - Lucie Duverger
- Pathology Department, APHP, Saint Louis University Hospital, Paris, France
| | - Jason Shourick
- Dermatology Department, APHP, Saint Louis University Hospital, Paris, France
| | | | - Maysoon Algain
- Dermatology Department, APHP, Saint Louis University Hospital, Paris, France.,Dermatology Department, King Abdulaziz University Hospital, Jeddah, Saudi Arabia
| | - Thierno Tounkara
- Dermatology Department, Gamal Abdel Nasser University of Conakry, Conakry, Guinea
| | - Sarah Kourouma
- Dermatology Department, APHP, Saint Louis University Hospital, Paris, France.,Dermatology Department, Treichville University Hospital, Abidjan, Ivory Coast
| | - Martine Bagot
- Dermatology Department, APHP, Saint Louis University Hospital, Paris, France.,University of Paris, Paris, France
| | - Antoine Petit
- Dermatology Department, APHP, Saint Louis University Hospital, Paris, France
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Kassi K, Kouame K, Kouassi A, Allou A, Kouassi I, Kourouma S, Ecra E, Sangare A. Quality of life in black African patients with keloid scars. Dermatol Reports 2020; 12:8312. [PMID: 33408828 PMCID: PMC7772769 DOI: 10.4081/dr.2020.8312] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2019] [Accepted: 05/24/2020] [Indexed: 11/23/2022] Open
Abstract
A keloid scar is a benign skin tumor and we aimed to assess the Quality of Life (QoL) of black Africans with keloid scars based on the Dermatology Life Quality Index (DLQI). We conducted a cross-sectional descriptive study in the department of dermatology of the teaching hospital of Treichville in Ivory Coast. We recruited 132 patients with keloid and 3612 dermatoses without keloid: The prevalence was 3.50% (132/3753). We included 120 patients aged from 16 to 63 years old, the sex ratio was 0.46 (38/82) and the mean age was 34.20 years. Keloid scars were mostly secondary to skin trauma in 30.00 % and infection in 21.67%. The commonest site was the ear in 29.17 %. We reported Keloid with pain in 53.33% and pruritus in 95.00%. We observed psychological impact in 65.83%. The DLQI scores were moderate and high in 61.66 %. QoL was impacted significantly when keloid was associated with pain (p=0.046), pruritus (p=0.81) and functional disorders (p=0.29). The DLQI score could be a valuable tool to assess QoL in black African patients with keloid, for better treatment option.
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Affiliation(s)
- Komenan Kassi
- Department of dermatology and venerology, Training and research units of medical sciences, University of Felix Houphouet-Boigny of Abidjan, Côte d’Ivoire
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Kourouma S, Petit A, Battistella M, Bagot M, Algain M. Suppurations intra-chéloïdiennes : étude descriptive. Ann Dermatol Venereol 2017. [DOI: 10.1016/j.annder.2017.09.364] [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: 11/17/2022]
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Kaloga M, Dioussé P, Diatta BA, Bammo M, Kourouma S, Diabate A, Gueye N, Dione H, Diallo M, Diop BM. Squamous Cell Carcinoma in African Children with Xeroderma Pigmentosum: Three Case Reports. Case Rep Dermatol 2016; 8:311-318. [PMID: 27920683 PMCID: PMC5126593 DOI: 10.1159/000452438] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2016] [Accepted: 10/11/2016] [Indexed: 12/23/2022] Open
Abstract
INTRODUCTION Xeroderma pigmentosum is a rare autosomal recessive genetic disease. This disease predisposes patients to early-onset skin cancers, particularly squamous cell carcinoma. Here, we report 3 pediatric cases, including 2 deaths. OBSERVATION The subjects included 2 boys and 1 girl with skin type VI. All subjects were from consanguineous marriages, and the average age was 7.6 years. The patients all had ulcerative budding tumor lesions in the cephalic region, and the mean disease duration was 18 months. In all 3 cases, the diagnosis of xeroderma pigmentosum was made before the poikilodermal appearance of sun-exposed areas and photophobia. Neurological-type mental retardation was noted in 1 case. Histology confirmed squamous cell carcinoma in all 3 cases. The evolutions were marked by the death of 2 children (cases 1 and 3). In one case, the outcome was favorable following cancer excision and subsequent chemotherapy with adjuvant radiotherapy. CONCLUSION Squamous cell carcinoma is a serious complication related to xeroderma pigmentosum in Sub-Saharan Africa. Prevention is based on the early diagnosis of xeroderma pigmentosum, black skin photoprotection, screening and early treatment of lesions, and genetic counseling.
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Affiliation(s)
- Mamadou Kaloga
- Dermatology, University of Cocody, Abidjan, Côte d'Ivoire
| | - Pauline Dioussé
- Dermatology, Faculty of Health Sciences, University of Thies, Thies, Senegal
| | - Boubacar Ahy Diatta
- Dermatology, Hospital Aristide Le Dantec, Cheikh Anta Diop University, Dakar, Senegal
| | - Mariama Bammo
- Dermatology, Regional Hospital Thies, Thies, Senegal
| | - Sarah Kourouma
- Dermatology, University of Cocody, Abidjan, Côte d'Ivoire
| | - Almamy Diabate
- Dermatology, University Alassane Ouattara, Bouake, Côte d'Ivoire
| | - Ndiaga Gueye
- Dermatology, Regional Hospital Thies, Thies, Senegal
| | - Haby Dione
- Dermatology, Faculty of Health Sciences, University of Thies, Thies, Senegal
| | - Moussa Diallo
- Dermatology, Hospital Aristide Le Dantec, Cheikh Anta Diop University, Dakar, Senegal
| | - Bernard Marcel Diop
- Dermatology, Faculty of Health Sciences, University of Thies, Thies, Senegal
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Kourouma S, Gbery IP, Kaloga M, Ecra EJ, Sangaré A, Kouassi IY, Kassi K, Kouassi AK, Yoboué PY. [Cutaneous depigmentation in black female population for cosmetic purposes: results of a KAP survey conducted in Abidjan (Ivory Coast)]. Pan Afr Med J 2016; 24:159. [PMID: 27795757 PMCID: PMC5072819 DOI: 10.11604/pamj.2016.24.159.8315] [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] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2015] [Accepted: 12/01/2015] [Indexed: 12/04/2022] Open
Abstract
INTRODUCTION Cutaneous depigmentation for cosmeticis purposes is a widespread practice among black African women. It has many complications that have been well documented for decades. However, the reasons of practitioners are not well known. The aim of our study was to understand the motivating reasons of these women in order to conduct a communication campaign for behavior change. METHODS We performed a cross-sectional KAP survey (Knowledge/Attitudes/Practices) at the Dermatology Department of the University Hospital of Treichville (Abidjan) Data were analyzed using Epi Info 3.5.1. and 6.04 software. RESULTS Practitioners were mostly young urban single, literate and professionally active women (20-40 years). Cutaneous depigmentation and its consequences were known to women, however, they thought that women with the lightest complexion were more attractive. They were influenced by media and friends. The most frequently observed complications were exogenous ochronosis and stretch marks. The local means of communication remained what essentially sustained the information needs of these women, because they help them to change their behavior. CONCLUSION The development of local communication strategies for behavior change seems necessary to stop the phenomenon of cutaneous depigmentation for cosmetic purposes in black female population in Abidjan.
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Affiliation(s)
- Sarah Kourouma
- Centre de Dermatologie du CHU de Treichville d'Abidjan, Côte d'Ivoire
| | | | - Mamadou Kaloga
- Centre de Dermatologie du CHU de Treichville d'Abidjan, Côte d'Ivoire
| | | | - Abdoulaye Sangaré
- Centre de Dermatologie du CHU de Treichville d'Abidjan, Côte d'Ivoire
| | | | - Komenan Kassi
- Centre de Dermatologie du CHU de Treichville d'Abidjan, Côte d'Ivoire
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Allou A, Kassi K, Kouamé K, Kouassi K, Gbery I, Ahogo C, Kouassi Y, Kourouma S, Kaloga M, Ecra E, Sangaré A, Yobouet P, Kanga J. F7 : L’encéphalocèle, erreur diagnostique et danger thérapeutique en pratique dermatologique. Ann Dermatol Venereol 2016. [DOI: 10.1016/s0151-9638(16)30114-4] [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: 11/28/2022]
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Ecra E, Kouassi Y, Gbery I, Kourouma S, Kaloga M, Sangaré A. CO 25 : Représentations socioculturelles des patients atteints de dermatoses au CHU de Treichville. Ann Dermatol Venereol 2016. [DOI: 10.1016/s0151-9638(16)30152-1] [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: 11/28/2022]
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Kourouma S, Petit A. CO 07: Les suppurations intracheloidiennes : étude rétrospective. Ann Dermatol Venereol 2016. [DOI: 10.1016/s0151-9638(16)30134-x] [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]
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Kourouma S, Bourrat E. P 63 : Xeroderma pigmentosum de type A (XPA) chez un enfant de phototype VI l’enfant : une présentation neurologique, un diagnostic dermatologique. Ann Dermatol Venereol 2016. [DOI: 10.1016/s0151-9638(16)30238-1] [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]
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Ahogo K, Bamba V, Kaloga M, Gbery I, Allou A, Cissé L, Azagoh K, Kassi K, Kouamé K, Kouassi K, Ecra E, Kouassi Y, Kourouma S, Yobouet P, Kanga J. P 83 : Association d’une aplasie cutanée congénitale et d’une épidermolyse bulleuse congénitale (Syndrome de BART) : une observation inhabituelle sur peau noire. Ann Dermatol Venereol 2016. [DOI: 10.1016/s0151-9638(16)30258-7] [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: 11/16/2022]
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Kaloga M, Kouassi Y, Kourouma S, Ecra E, Gbery I, Gbandama K, Allou A, Ahogo K, Kassi K, Kouassi K, Kouamé K, Sangaré A, Yobouet P, Kanga J. CO 47 : Aspects épidémiologique et clinique des patients vus en consultation de dermatologie du CHU de Treichville. Ann Dermatol Venereol 2016. [DOI: 10.1016/s0151-9638(16)30174-0] [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: 11/27/2022]
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Kaloga M, Kourouma S, Kouassi YI, Ecra EJ, Gbery IP, Allou AS, Diabate A, Djeha D, Sangaré A, Yoboue YP. Allergy to Red Meat: A Diagnosis Made by the Patient and Confirmed by an Assay for IgE Antibodies Specific for Alpha-1,3-Galactose. Case Rep Dermatol 2016; 8:10-3. [PMID: 26933408 PMCID: PMC4772536 DOI: 10.1159/000443631] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
We report the first case of allergy to red meat observed in Ivory Coast. A 49-year-old male presented with pruritus. The diagnosis of allergy to red meat was confirmed by an assay for IgE antibodies specific for alpha-1,3 galactose. Interestingly, the disease was considered a spell to the patient who was suspected of being a sorcerer by the community.
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Affiliation(s)
- Mamadou Kaloga
- Department of Dermatology and Infectiology, School of Medicine, Félix Houphouët-Boigny University, BP V166, Abidjan, Ivory Coast
| | - Sarah Kourouma
- Department of Dermatology and Infectiology, School of Medicine, Félix Houphouët-Boigny University, BP V166, Abidjan, Ivory Coast
| | - Yao Isidore Kouassi
- Department of Dermatology and Infectiology, School of Medicine, Félix Houphouët-Boigny University, BP V166, Abidjan, Ivory Coast
| | - Elidje Joseph Ecra
- Department of Dermatology and Infectiology, School of Medicine, Félix Houphouët-Boigny University, BP V166, Abidjan, Ivory Coast
| | - Ildevert Patrice Gbery
- Department of Dermatology and Infectiology, School of Medicine, Félix Houphouët-Boigny University, BP V166, Abidjan, Ivory Coast
| | - Ange S Allou
- Department of Dermatology and Infectiology, School of Medicine, Félix Houphouët-Boigny University, BP V166, Abidjan, Ivory Coast
| | - Almamy Diabate
- Department of Dermatology, Alassane Ouattara University, Bouaké, Ivory Coast
| | - Djokouehi Djeha
- Department of Dermatology and Infectiology, School of Medicine, Félix Houphouët-Boigny University, BP V166, Abidjan, Ivory Coast
| | - Abdoulaye Sangaré
- Department of Dermatology and Infectiology, School of Medicine, Félix Houphouët-Boigny University, BP V166, Abidjan, Ivory Coast
| | - Yao Pauline Yoboue
- Department of Dermatology and Infectiology, School of Medicine, Félix Houphouët-Boigny University, BP V166, Abidjan, Ivory Coast
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Cissé AF, Camara N, Diallo LL, Morel Y, Koné S, Camara MI, Koumbassa ML, Tafsir D, Soumah D, Djigué BS, Camara OB, Barry M, Bangoura SA, Kourouma S, Da Silva L, Cissé A. [Gayet-Wernicke's encephalopathy. A study of 13 cases observed in a refugee population hospitalized at the Conakry Teaching Hospital]. ACTA ACUST UNITED AC 2009; 101:402-3. [PMID: 19192610 DOI: 10.3185/pathexo3191] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
The authors report 13 cases of Gayet-Wernicke's encephalopathy observed in 13 patients of a refugee population. 11 presented the classical triad: oculomotor signs, cerebral ataxia and state of confusion and in 2 patients, only 2 symptoms were noted. The etiological factors: chronic alcoholism, malnutrition, uncontrollable vomiting, HIV and tuberculosis were identified. The outcome was evaluated on the basis of the disappearance of symptoms after treatment with 500 mg of thiamine in 7 patients, 1 death and 5 patients progressed toward Korsakoff amnesic syndrome.
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Affiliation(s)
- A F Cissé
- Service de neurologie, CHU Conakry Guinée.
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Cissé A, Cissé AF, Touré A, Souaré IS, Bah H, Kourouma S, Cissé B, Koulibaly M, Morel Y, Diaby MM, Koné S, Ka ML, Doukouré M. [Clinical and tomographic aspects of 29 cases of phakomatosis in Guinea]. Med Trop (Mars) 2006; 66:247-51. [PMID: 16924815] [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: 05/11/2023]
Abstract
The purpose of this report is to describe 29 cases of phakomatosis including 18 cases of tuberous sclerosis (Bourneville) and 11 cases of neurofibromatosis (von Recklinghausen) observed over a 10-year period at the Neurology Department of the University Hospital Centre in Conakry, Guinea. Findings during this period were consistent with those classically reported in the literature: high frequency of advanced skin lesions coalescing into massive tumours, occurrence of seizures of all types and development of a wide variety of complications as a result of late diagnosis. Our experience underscores the need for follow-up and surveillance of these patients by somatic studies based on neurological, ophthalmologic and tomographic data depending on clinical findings.
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Affiliation(s)
- A Cissé
- Service de Neurologie, CHU Conakry, Guinée.
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Cissé A, Souaré IS, Kourouma S, Béavogui K, Dia H, Koulibaly M, Barry M, Doukouré M, Cissé M. [Subacute sclerosing panencephalitis. Study of 32 cases observed in Conakry, Guinea]. Bull Soc Pathol Exot 2000; 93:108-10. [PMID: 10863613] [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: 02/16/2023]
Abstract
Thirty two cases of subacute sclerosing panencephalitis were reported. Diagnosis was based on epidemiological, clinical and electroencephalographic data; myoclonies and alterations of intellectual functions were the most frequent symptoms.
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Affiliation(s)
- A Cissé
- Service de neurologie, Hôpital Ignace Deen, Conakry, Guinée
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