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Ankylosing Spondylitis in Sub-Saharan Africa: A Series of 48 Cases Reported in Burkina Faso (West Africa)

Open Journal of Rheumatology and Autoimmune Diseases 2018年第3期8卷 87-92页

作者： Wendlassida Joelle Zabsonre Tiendrebeogo Serge Aime Sawadogo Fulgence Kabore Alain Ilboudo Charles Sougue enselme zongo Camille Sompougdou Moussa Ouédraogo Evariste Tiendrebeogo Dieu-Donne Ouedraogo Rheumatology Department Bogodogo District Hospital Ouagadougou Burkina Faso Université Ouaga I Pr Joseph Ki-Zerbo Ouagadougou Burkina Faso Department of Basic and Mixed Sciences Université Ouaga I Pr Joseph Ki-Zerbo Ouagadougou Burkina Faso

Background: Ankylosing spondylitis is rare in sub-Saharan Africa. The purpose of our study was to report cases of AS in a black African population and to see the influence of gender. Method: It was a retrospective study conducted in the Rheumatology Department of Ouagadougou University Hospital, Ouagadougou, from March 2006 to February 28, 2015 for a period of nine years. All the patients who went under a rheumatology consultation during the study period were included. Patients with AS defined by the modified New York criteria were selected. Result: Forty-eight (0.61%) cases of AS were diagnosed among 7806 patients received in the rheumatology department during the study period. The search for the HLA B27 antigen in 20 patients was positive in 11 (55%). Half of the patients (50%) had a BASDAI score ≥ 4. Sacroiliitis was observed in all patients;it was stage 4 in 8 patients. Comparing by sex, there was no statistically significant difference by gender. Conclusion: Prevalence of ankylosing spondylitis increases. The presentation is similar to that of the caucasian series.

关键词： Ankylosing Spondylitis Black African Gender

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Frequency and Factors Associated with Depression during Chronic Lumbosciatica in Sub-Saharan African Black Patients

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Open Journal of Rheumatology and Autoimmune Diseases 2020年第4期10卷 157-163页

作者： Charles Sougué Joëlle W. S. Tiendrébeogo Fulgence Kaboré enselme Y. zongo Nicole D. B. Ahongbonon Camille Sompougdou Yirozounlomian Tiaho Dieu-Donné Ouédraogo Department of Rheumatology University Hospital Center of Bogodogo Ouagadougou Burkina Faso Department of Internal Medicine Sour&#244 Sanou University Hospital Center Bobo Dioulasso Burkina Faso Department of Medicine Regional University Hospital Center of Ouahigouya Ouahigouya Burkina Faso Department of Physical Medicine and Rehabilitation University Hospital Center of Bogodogo Ouagadougou Burkina Faso

Objective: This study was focused on depression rate and associated factors in chronic lumbosciatica in sub-Saharan African black patients. Patients and Methods: We conducted a prospective descriptive and analytical study in chronic lumbosciatica cases seen in rheumatology/internal medicine, neurology and neurosurgery departement at the Yalgado ouédraogo University Hospital Center from April 31, 2016 to July 31, 2016. The diagnosis of depression was based on Hamilton scale. Its frequency was evaluated and the associated factors were analyzed. Results: One hundred and forty-nine patients were included in the study. Their average age was 49.5 years and the sex ratio was 0.42 (44 men/105 women). Thirty-eight patients lived alone (25.5%). Pain intensity was severe in 46 patients (30.9%) and moderate in 77 patients (51.7%). Neuropathic pain was present in 108 patients (72.5%). One hundred and ten patients had depression (73.8%). Depression was severe in 38 patients (25.5%), moderate in 35 patients (23.5%), and mild in 37 patients (24.8%). Factors associated with depression were living alone (Odds-Ratio 3.5), high (Odds-Ratio 11.1) or moderate (Odds-Ratio 5.9) intensity of pain, and the presence of neuropathic pain (Odds-Ratio 2.5). Conclusion: Depression was frequent during chronic lumbosciatica in sub-Saharan African black patients. Its associated factors were living alone, presence of moderate or severe pain, and neuropathic pain.

关键词： Depression Lumbosciatica Africa Burkina Faso

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