Objective: To study the epidemiological and diagnostic features of chronic rheumatic disease (CRD) in a black population in sub-Saharan Africa. Patients and Methods: Retrospective descriptive study over eight years (J...Objective: To study the epidemiological and diagnostic features of chronic rheumatic disease (CRD) in a black population in sub-Saharan Africa. Patients and Methods: Retrospective descriptive study over eight years (January 2005 to December 2012) of patients seen for CRD in rheumatology hospitalization at the CHU de Cocody in Abidjan, Côte d’Ivoire. Results: Of 3147 hospitalized patients, 92 had CRD, a frequency of 2.9%. The mean age of patients was 43.50 ± 15.6 years (extremes: 10 to 79 years). The sex ratio was 0.08 (7 men and 85 women). The socio-economic level was low in 44 patients (47.8%), medium in 44 patients (47.8%), and high in 4 patients (4.4%). The reasons for consultation were polyarthritis (64.1%), polyarthralgia (30.4%), and oligoarthritis (5.4%). The mean duration of symptomatology was 19 months (range: 3 to 20 years). The mean length of hospital stay was 14.2 ± 7.7 days (range: 2 to 36 days). The CRD observed were: rheumatoid arthritis (59.8%), systemic lupus erythematosus (23.9%), mixed connective tissue disease (6.5%), undifferentiated connective tissue disease (3.3%), polymyositis (3.3%), systemic scleroderma (2.2%), and systemic vasculitis (1%). Conclusion: CRD is not uncommon in rheumatology hospitals in Abidjan. Diagnostic delays are long, and rheumatoid arthritis and systemic lupus erythematosus are the most frequently encountered conditions.展开更多
Objectives: To describe the clinical profile of juvenile idiopathic arthritis (JIA) in a semi-rural Ivorian setting: the rheumatology department of the Bouaké University Hospital (CHU.B). Patients and methods: Th...Objectives: To describe the clinical profile of juvenile idiopathic arthritis (JIA) in a semi-rural Ivorian setting: the rheumatology department of the Bouaké University Hospital (CHU.B). Patients and methods: This was a descriptive cross-sectional study from January 2018 to December 2023 in the rheumatology department of the CHU.B. The study focused on the epidemiological, diagnostic and therapeutic data of children followed for JIA on the basis of the classification criteria of the International League of Associations for Rheumatology (ILAR). Excel 2019 software was used to analyse the data. Results: Over a 6-year period, JIA represented 0.29% (11/3780) of all rheumatological conditions and 1.40% (11/782) of childhood rheumatic diseases. The mean age of the children at diagnosis was 13.09 ± 3.01 years, and the mean age at onset of the disease was 8.54 years. There were 6 girls and 5 boys. Joint involvement was the main reason for consultation and hospitalisation, accounting for 81.81% (9) of cases. There was a family history in 3 children (27.3%). The clinical forms were as follows: systemic 27.27% (3), oligoarticular 27.27% (3), polyarticular with rheumatoid factor negative 27.27% (3), polyarticular with rheumatoid factor positive 9.09 (1), arthritis with enthesitis 9.09 (1). JIA was discovered at steinbrocker functional stages II and III. Treatment included NSAIDs 72.72% (8), corticosteroid therapy combined with methotrexate and hydroxychloroquine 54.54% (6) and rehabilitation 63.63% (7). Conclusion: JIA is a little-known disease in the semi-rural environment of Côte d’Ivoire. It is characterised by a long delay in diagnosis in relation to poverty and the lack of recourse to alternative medicine in our populations;hence, it is important to raise awareness of the condition among the population and practitioners. Multidisciplinary intervention would improve the diagnosis and management of children with JIA.展开更多
文摘Objective: To study the epidemiological and diagnostic features of chronic rheumatic disease (CRD) in a black population in sub-Saharan Africa. Patients and Methods: Retrospective descriptive study over eight years (January 2005 to December 2012) of patients seen for CRD in rheumatology hospitalization at the CHU de Cocody in Abidjan, Côte d’Ivoire. Results: Of 3147 hospitalized patients, 92 had CRD, a frequency of 2.9%. The mean age of patients was 43.50 ± 15.6 years (extremes: 10 to 79 years). The sex ratio was 0.08 (7 men and 85 women). The socio-economic level was low in 44 patients (47.8%), medium in 44 patients (47.8%), and high in 4 patients (4.4%). The reasons for consultation were polyarthritis (64.1%), polyarthralgia (30.4%), and oligoarthritis (5.4%). The mean duration of symptomatology was 19 months (range: 3 to 20 years). The mean length of hospital stay was 14.2 ± 7.7 days (range: 2 to 36 days). The CRD observed were: rheumatoid arthritis (59.8%), systemic lupus erythematosus (23.9%), mixed connective tissue disease (6.5%), undifferentiated connective tissue disease (3.3%), polymyositis (3.3%), systemic scleroderma (2.2%), and systemic vasculitis (1%). Conclusion: CRD is not uncommon in rheumatology hospitals in Abidjan. Diagnostic delays are long, and rheumatoid arthritis and systemic lupus erythematosus are the most frequently encountered conditions.
文摘Objectives: To describe the clinical profile of juvenile idiopathic arthritis (JIA) in a semi-rural Ivorian setting: the rheumatology department of the Bouaké University Hospital (CHU.B). Patients and methods: This was a descriptive cross-sectional study from January 2018 to December 2023 in the rheumatology department of the CHU.B. The study focused on the epidemiological, diagnostic and therapeutic data of children followed for JIA on the basis of the classification criteria of the International League of Associations for Rheumatology (ILAR). Excel 2019 software was used to analyse the data. Results: Over a 6-year period, JIA represented 0.29% (11/3780) of all rheumatological conditions and 1.40% (11/782) of childhood rheumatic diseases. The mean age of the children at diagnosis was 13.09 ± 3.01 years, and the mean age at onset of the disease was 8.54 years. There were 6 girls and 5 boys. Joint involvement was the main reason for consultation and hospitalisation, accounting for 81.81% (9) of cases. There was a family history in 3 children (27.3%). The clinical forms were as follows: systemic 27.27% (3), oligoarticular 27.27% (3), polyarticular with rheumatoid factor negative 27.27% (3), polyarticular with rheumatoid factor positive 9.09 (1), arthritis with enthesitis 9.09 (1). JIA was discovered at steinbrocker functional stages II and III. Treatment included NSAIDs 72.72% (8), corticosteroid therapy combined with methotrexate and hydroxychloroquine 54.54% (6) and rehabilitation 63.63% (7). Conclusion: JIA is a little-known disease in the semi-rural environment of Côte d’Ivoire. It is characterised by a long delay in diagnosis in relation to poverty and the lack of recourse to alternative medicine in our populations;hence, it is important to raise awareness of the condition among the population and practitioners. Multidisciplinary intervention would improve the diagnosis and management of children with JIA.
