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
<div style="text-align:justify;"> <span style="font-family:Verdana;"><strong>Objective:</strong> This study was focused on depression rate and associated factors in chronic ...<div style="text-align:justify;"> <span style="font-family:Verdana;"><strong>Objective:</strong> This study was focused on depression rate and associated factors in chronic lumbosciatica in sub-Saharan African black patients. <strong>Patients and Methods:</strong> 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. <strong>Results: </strong>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). <strong>Conclusion: </strong>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.</span> </div>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<div style="text-align:justify;"> <span style="font-family:Verdana;"><strong>Objective:</strong> This study was focused on depression rate and associated factors in chronic lumbosciatica in sub-Saharan African black patients. <strong>Patients and Methods:</strong> 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. <strong>Results: </strong>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). <strong>Conclusion: </strong>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.</span> </div>
