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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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Evaluation of Therapeutic Adherence in Patients Suffering from Chronic Inflammatory Rheumatism in the Rheumatology Wards of Lomé (Togo)

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Open Journal of Rheumatology and Autoimmune Diseases 2023年第4期13卷 88-97页

作者： Eyram Fianyo wendlassida Joëlle Stéphanie zabsonre tiendrebeogo Viwalé Etonam Sika Koffi-Tessio Kodjo Kakpovi Owonayo Oniankitan Moustafa Mijiyawa Department of Medicine and Specialities Faculty of Health Sciences University of Lomé Lomé Togo Department of Medicine and Specialities Health Sciences Training and Research Unit University Joseph Ki-Zerbo Ouagadougou Burkina Faso Department of Medicine and Specialities Faculty of Health Sciences University of Kara Kara Togo

Objectives: Therapeutic compliance can be defined as the degree of adequacy between a patient’s behaviour and his doctor’s recommendations. Non-adherence to treatment has serious consequences in terms of morbidity and mortality. Our aim was to assess adherence among patients treated for chronic inflammatory rheumatism in Lomé. Patients and Methods: This was a multicentre cross-sectional study conducted from January 2015 to December 2021. Patients aged 18 years or older, treated in the rheumatology departments of the Sylvanus Olympio University Hospital or the Bè Hospital during the study period, were included if they were diagnosed with chronic inflammatory rheumatism and started on disease-modifying therapy. Adherence was assessed using the Compliance Questionnaire Rheumatology 19 questionnaire, with a threshold for good compliance set at 80%. Results: Out of 13,214 patients received, 159 suffered from chronic inflammatory rheumatism (hospital frequency 1.5%), and 60 met the inclusion criteria for our study. There were 55 women (91.7%) and 5 men (8.3%), giving a sex-ratio of 1/11. The mean age was 49.5 ± 13.5 years (extremes: 19 and 78 years). Rheumatoid arthritis (68.3%) was the most common rheumatic disease, followed by undefined rheumatic diseases (16.6%) and spondyloarthritis (8.3%). Average compliance with treatment was 76.9% ± 12.4% (extremes 29.8 and 91.2). There was no statistically significant difference according to the type of rheumatism. Conclusion: Overall compliance was poor, with a Compliance Questionnaire Rheumatology 19 of less than 80%. It was non-significantly influenced by socioeconomic status, disease severity and duration of progression.

关键词： Therapeutic Adherence Non-Adherence Chronic Inflammatory Rheumatism Black Africa

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Frequency, Risk Factors and Clinical Forms of Neuropathies in Diabetics in Hospitals in Burkina Faso

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Journal of Diabetes Mellitus 2018年第3期8卷 70-83页

作者： Alfred Anselme Dabilgou Herve Tieno joelle zabsonre tiendrebeogo Valentin NYameogo Christian Manuel Zett Athanase Millogo Department of Neurology Yalgado Ouedraogo University Teaching HospitalOuagadougouBurkina Faso Department of Internal Medicine Yalgado Ouedraogo University Teaching HospitalOuagadougouBurkina Faso Department of Rheumatology Yalgado Ouedraogo University Teaching HospitalOuagadougouBurkina Faso Cardiology Department Yalgado Ouedraogo University Teaching HospitalOuagadougouBurkina Faso Department of Internal Medicine Yalgado Ouedraogo University Teaching HospitalBobo-DioulassoBurkina Faso

Introduction: Diabetic neuropathy is one of the most common chronic complications of diabetes. Most of the studies on the subject in the sub region, particularly in Burkina Faso, dealt it with the study of the complications of diabetes, or one of its components. Our study was designed to study in particular in all its aspects, by searching for its peculiarities in our context, for improvement of its support. Methodology: This is a cross-sectional descriptive study carried out in 150 diabetic patients aged at least 15 years followed in the Department of Internal Medicine at Yalgado Ouedraogo University Teaching Hospital. All patients included had agreed to participate in our survey after informed consent. We collected the data during the period from 2015 November to 2016 June. Each patient was evaluated by the DN4 questionnaire and clinically by a neurological examination. We determinated the frequency, the sociodemographic, clinical and therapeutic characteristics of diabetes neuropathy and its related factors. Results: The frequency of diabetic neuropathy was 80.7%. Peripheral neuropathies were seen in 81.8% of cases and autonomic neuropathies in 72.7% of cases. Autonomic neuropathy was dominated by the DAN (59.1%), and erectile dysfunction (44%). There was a high comorbidity with physical inactivity (66.9%), obesity (49.4%) and hypertension (38.8%). There were poorly controlled patients in 38.8%. A link was found between T2DM and neuropathy (p = 0.014). Painful diabetes was related to the quality of glycemic control (p = 0.007), and hypertension (p = 0.021). A link was also found between tobacco consumption (p < 0.001), male (p < 0.001), and urogenital autonomic neuropathy. Conclusion: Diabetic neuropathies are very common in our context and could be a haunting to the practitioner with the progression of diabetes and its corollary of degenerative complications. There was a significant association between Type 2 Diabetes mellitus and the presence of peripheral diab

关键词： Prevalence Risk Factor Neuropathy Diabetes Mellitus Burkina Faso

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