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Infantile Hemangiomas: Epidemio-Clinical Profile and Therapeutic Difficulties in Côte d’Ivoire

Journal of Cosmetics, Dermatological Sciences and Applications 2017年第4期7卷 362-367页

作者： Ahogo Kouadio Celestin allou ange sylvain Golli Blaise Kanga Kouamé allou Konan David Department of Dermatology CHU of Treichville Abidjan Cote d’Ivoire

Introduction :Infantile haemangiomas are the most common benign vascular tumours of infants. In Western countries, they have been the subject of several studies. However, in sub-Saharan Africa, few works are devoted to them. We initiated this work to contribute to a better knowledge of infantile haemangiomas in our work context. Material and Methods: This is a cross-sectional descriptive and analytical study carried out in the Dermatology Department of C.H.U. Treichville from November 2014 to December 2016;All children with infantile haemangiomas have been taken into account, in the study. Results: We counted 42 cases of haemangiomas on 4600 paediatric dermatoses, a prevalence of 0.9%. The sex ratio was 0.35. The age of our patients ranged from 2 days to 5 years. 76.2% of patients consulted after the age of 2 months. 26.9% of patients were born premature. 54% of the haemangiomas started with an erythematous macula. 52.4% had a size between 1 and 3 cm. Superficial haemangiomas (52.38%) and mixed haemangiomas (42.85%) were the most common clinical forms. The ulcerated forms represented 9.5%. The lesions were preferentially located in the cervico-facial region (71.4%) and resulted in aesthetic prejudice in 47% of cases. 3 patients (7.14%) were treated with propranolol. 37 patients (88.1%) used self-medication using poultice. Conclusion: Infantile haemangiomas are infrequent in Cote d’Ivoire. They sit mainly in the cervico-facial area. The ulcerated forms are not negligible and they sometimes cause a significant aesthetic prejudice. Their management is sometimes difficult because of the unavailability of propranolol.

关键词： Haemangiomas Children Cote d’Ivoire

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Dermatomyositis: Epidemio-Clinical Profile, Therapeutic and Evolutive Aspects in Cote d’Ivoire

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Journal of Cosmetics, Dermatological Sciences and Applications 2018年第4期8卷 244-248页

作者： Kouadio Celestin Ahogo Kanga Kouame Kouassi Yao Isidore Kouassi KouameAlexandre allou ange sylvain Department of Dermatology University Hospital Center of TreichvilleAbidjanCote d’Ivoire

Introduction: Dermatomyositis is a rare pathology with severe prognosis. Its prevalence varies from one part of the earth to another and its clinical aspects are multiple. In Western countries, they have been the subject of several studies. However few studies have been devoted to this disease in sub-Saharan Africa. We initiated this work to contribute to a better knowledge of dermatomyositis in our work context. Material and Methods: This is a retrospective, descriptive and analytical study carried out in the Dermatology Department of the University Hospital Center of Treichville from January 2006 to December 2015. All Patients with dermatomyositis have been taken into account in the study. Results: The hospital prevalence of dermatomyositis in our work was 1.38%. The age of our patients ranged from 11 to 79 years with an average of 41 years. The sex ratio was 0.48. The delay before the first consultation ranged from 1 week to 1 year 9 months with an average of 5 months. Cutaneous manifestations were the first signs observed including post-in-flammatory hyperpigmentation and erythro-eodema. Muscular manifestations were dominated by muscular pain (81.08%). muscular enzymes were consistently elevated in biological examinations. The duration of hospitalization was 3 weeks in average. Oral corticotherapy (94.59%) was the most used therapy. A clinical improvement was observed on average 4 months after treatment. The death rate was 16.22%. Conclusion: Dermatomyositis is infrequent in Côte d’Ivoire. It involves mostly young woman. The cutaneous manifestations are often the first signs observed, hence the importance of the dermatologist in its screening and early management.

关键词： Dermatomyositis Corticotherapy Cote d’Ivoire

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Epidemio-Clinical Profile of Skin Conditions in Pediatric Dermatology Consultation of the University Hospital of Treichville

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Journal of Cosmetics, Dermatological Sciences and Applications 2018年第4期8卷 272-277页

作者： Kouadio Celestin Ahogo Kouame Kanga Kouassi Kouame Alexandre allou ange sylvain Enoh Jacob Balliet Gbiagohi Sandrine Department of Dermatology-Venerology CHU TreichvilleAbidjanCote d’Ivoire Department of Pediatric CHU TreichvilleAbidjanCote d’Ivoire

Introduction: Dermatoses are common in the pediatric population. They have certain particularities such as the prevalence of the diaper dermatitis and genetic disorders. Paediatric dermatological problems are common, with some conditions requiring specialist consultation. Often appropriate diagnosis and therapy are sometime delayed in certain countries. Few studies have focused on pediatric aspects of skin diseases in Côte d’Ivoire. We initiated this work to contribute to a better knowledge of pediatric skin conditions in our work context. Material and Methods: This is a cross-sectional prospective, descriptive and analytical study carried out in the Dermatology Department of the University Hospital of Treichville from January 2015 to December 2017. Data from the study were collected on a survey card that included socio-demographic characteristics and clinical aspects. All children with cutaneous and mucosal disease seen in pediatric dermatology consultation have been taken into account in the study. Results: 11,487 patients were seen in dermatology consultation during the period of our study with only 302 children, a prevalence of 2.6%. The sex ratio was 0.9. The main reason for consultation was pruritus (22.65%). In 63.9% of the cases the child was referred by a family member whereas more than 1/3 of the children (39.07%) had previously been consulted by a pediatrician. Among children referred with a skin diagnosis, the half had a correct diagnosis The most prevalent disorders by category were dermatitis (57.9%) and infections (29.5%). Multiple diagnosis were made in 9.27% of the patients. The most common pathologies encountered were prurigo (23.2%), scabies (12.9%) and atopic dermatitis (9.6%). The lesions were mainly located on the head (23.31%) and the lower limbs (20.51%). In almost all cases (99.3%), the diagnosis was essentially clinical. Conclusion: Pediatric dermatoses are numerous and varied. They are dominated by Prurigo and Scabies. This study inv

关键词： Dermatoses Children Cote d’Ivoire

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Contribution of Dermatopathology in the Diagnosis of Cutaneous Diseases in Côte d’Ivoire

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Journal of Cosmetics, Dermatological Sciences and Applications 2017年第4期7卷 318-323页

作者： Kouadio Célestin Ahogo Kouame Kanga ange sylvain allou Sylvanus Koui Bitti Adé Odo Department of Dermatology CHU of Treichville Abidjan Cote d’Ivoire Department of Histopathology CHU of Treichville Abidjan Cote d’Ivoire

Introduction: Dermatopathology is a fundamental complementary examination for the diagnosis of certain skin conditions when the clinic is hesitant. We therefore initiated this work in order to determine the contribution of dermatopathology in the diagnostic management of certain dermatoses at the Treichville University Hospital Centre of Abidjan. Material and methods: This is a cross-sectional descriptive study with data collection from medical records in the dermatology-venereology and pathological anatomy departments of the Treichville University Hospital Centre. Results: We included and analyzed 184 patients with a sex ratio of 1.2. 46.2% of lesions were generalized with 2% mucosal localization. Erythematosquamous lesions (24.45%) and papules (22.82%) were the most biopsied lesions. The single biopsy sample accounted for 71.2% of the cases and the lesion size ranged from 0.5 cm to 10 cm. Biopsy parts of the lesion alone accounted for 65.2% versus 34.8% for those straddling healthy skin and lesion. Histological diagnosis was established in 91.3%. Kaposi disease accounted for 14.9% of cases followed by psoriasis 11.3%. In the case of three diagnostic hypotheses, the concordance was 84.8%. It was 76.6% for two hypotheses mentioned and 52.3% for a single hypothesis. Conclusion: This work shows that in more than half of the cases, the clinical hypotheses and the histological diagnosis match. It suggests however to continue the training of dermatologists to improve the skin biopsies and invites to initiate clinicopathological confrontations to better refine the diagnoses.

关键词： Dermatosis Histopathology Biopsy

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Giant Myositis Ossificans Circumscribed Post Traumatic of Gluteus and Adductor Muscles: Case Report

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Open Journal of Orthopedics 2015年第6期5卷 157-162页

作者： Koné Samba Touré Stanislas Bana Abdoulaye Dogba Eric Doukouré Brahima Ngandeu Nawé Astrid Koffi Gérard Vangah Marius Mègné Estelle allou sylvain Service de Chirurgie Orthopédique et Traumatologique C.H.U de Cocody Abidjan Ivory Coast Service d’Anatomie Pathologie du C.H.U de Cocody Abidjan Ivory Coast Service de Rhumatologie C.H.U de Cocody Abidjan Ivory Coast Service de Chirurgie Orthopédique et Traumatologique C.H.U de Bouake Bouake Ivory Coast

Myositis ossificans circumscribed is a bone and cartilage heterotopic non neoplastic proliferation inside the soft tissues. It is a benign focal heterotopic ossification process of soft tissues, and a rare disorder that occurs spontaneously or after local trauma. Clinical and radiographic appearances are quite hustler. A careful histological examination of biopsy straightens diagnosis is necessary. There is no consensus in support (surgical or/and medical). From Benign prognosis, evolution of this pathology is usually favorable. The authors report a case of giant myositis ossificans circumscribed post-traumatic localized on gluteus and adductor muscles of the right hip on a 26-year-old man. Through a review of literature the mechanism, the diagnostic methods and therapeutic will be discussed.

关键词： Giant Myositis Ossifying Gluteus and Adductor Muscles Biopsy

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