Mycobacterium ulcerans

Objective. The usual preferential site of BU is in the limbs. In our experience, we noticed atypical and often misleading sites which pose serious issues for the diagnosis and often for the treatment. Methods. This is a retrospective study conducted over a period of ten years of BU treatment at the Department of Dermatology of the University Teaching Hospital of Treichville (Abidjan, Côte d’Ivoire). We included in this study all BU cases with atypical site diagnosed clinically and confirmed either by the histology, by smear, or by PCR. Results. Epidemiologically, the age of patients ranged from 3 to 72 years with a median age of 14.2 years. Children aged less than 15 years were affected in almost 80% of case. The clinical table was dominated by ulcerated forms in 82.1% of cases. The unusual topography mostly observed was that of the torso (thorax, back, and abdomen) in 76.8% of cases. Conclusion. BU is an endemic disease in Côte d’Ivoire where it constitutes a serious public health issue. Several years following its first cases, BU still is little known. This dermatosis may present atypical misleading clinical aspects which must be ignored

Epidemiological, Clinical, and Paraclinic Aspect of Cutaneous Sarcoidosis in Black Africans

The specific objectives were to identify the epidemiology of cutaneous sarcoidosis and describe the clinical and laboratory aspects of the disease. Materials and Methods. We performed a descriptive cross-sectional study involving 24 referred cases of cutaneous sarcoidosis in 25 years (1990–2014) collected at Venereology Dermatology Department of the University Hospital of Treichville (Abidjan) both in consultation and in hospitalization. Results. The hospital frequency was one case per year. The average age was 42 years, ranging from 9 to 64. The sex ratio was 1. The shortest time interval between the appearance of the skin lesion and consultation of Dermatology Department at CHU Treichville was 3 months. The elementary lesions were represented primarily by a papule (18 cases), placard (3 cases), and nodule (2 cases) and mainly sat on the face and neck in 8 cases (38%). Extra cutaneous lesions were dominated by ganglion and respiratory involvement with 5 cases each followed by musculoskeletal damage in 3 cases. Chest radiography showed abnormality in 13 cases (54%). The pulmonary function test performed in 13 patients found 7 cases (54%) having restrictive ventilatory syndrome and 6 cases (46%) being normal. A tuberculin anergy was found in 11 cases (61%)

Confluent and Reticulated Papillomatosis of Gougerot-Carteaud on Black Skin: Two Observations

Confluent and reticulated papillomatosis of Goujerot-Carteaud is a rare and benign skin disease characterized by flat papules taking a reticulated appearance. It is a skin disease of unknown etiology and nosology that is always discussed. This disease preferentially involves the chest and interscapular regions. It is a condition probably underdiagnosed in black skin because it generally simulates a pigmented tinea versicolor. This pathology withstands antifungal treatment but has a particular sensitivity to cyclines thus constituting a distinguishing criterion, useful for diagnosis which should be evoked in front of these reticulated confluent papules

Confluent and Reticulated Papillomatosis of Gougerot-Carteaud on Black Skin: Two Observations

Confluent and reticulated papillomatosis of Goujerot-Carteaud is a rare and benign skin disease characterized by flat papules taking a reticulated appearance. It is a skin disease of unknown etiology and nosology that is always discussed. This disease preferentially involves the chest and interscapular regions. It is a condition probably underdiagnosed in black skin because it generally simulates a pigmented tinea versicolor. This pathology withstands antifungal treatment but has a particular sensitivity to cyclines thus constituting a distinguishing criterion, useful for diagnosis which should be evoked in front of these reticulated confluent papules

Atopic dermatitis in children: Epidemiological and clinical aspects in Côte d'Ivoire

Few studies have been devoted to atopic dermatitis in children in sub-Saharan Africa. We therefore make this study in Côte d’Ivoire in order to contribute to a better knowledge of atopic dermatitis in children on black skin. In our study the prevalence was 9.2%. The duration of the disease before the consultation ranged from 3-45 days. Atopic dermatitis occurs more frequently in children from2 to 5 years old. More than half of the patients had a history of atopy and the lesions generally were localized in the folds. 60% of the lesions were dry and were trigged by dust. The pruritus was often insomnia and the scratching leads to hyperpigmentation of the lower eyelid; a characteristic sign on black skin not often reported in the literature

Dépigmentation cutanée cosmétique des femmes noires: résultats d’une enquête CAP à Abidjan (Côte d’Ivoire)

Introduction: la dépigmentation cutanée cosmétique est une pratique largement répandue chez les femmes noires en Afrique. Elle comporte de nombreuses complications bien décrites depuis des décennies. Cependant, les motivations des pratiquantes ne sont pas bien connues. Notre étude avait pour objectif d'appréhender les raisons et les motivations de ces femmes afin de pouvoir mener une action de communication en vue d'un changement de comportement. Méthodes: nous avons mené une étude transversale qui a consisté en une enquête CAP (Connaissances/Attitudes/Pratiques) au centre de Dermatologie du CHU de Treichville d'Abidjan. Les données ont été analysées par les logiciels Epi Info 3.5.1. et 6.04. Résultats: les pratiquantes étaient surtout des femmes urbaines jeunes (20-40 ans), célibataires, lettrées et professionnellement actives. La dépigmentation cutanée et ses conséquences étaient connues des femmes Cependant, elles désiraient être plus belles grâce à un teint plus clair et étaient influencées par les médias et leurs amies proches. Les complications les plus fréquemment observées étaient l'ochronose exogène et les vergetures. Les moyens de communication de proximité étaient les plus souhaités par les utilisatrices pour les aider à changer de comportement. Conclusion: l'élaboration de stratégies de communication de proximité visant un changement de comportement semble nécessaire pour enrayer le phénomène de dépigmentation cosmétique des femmes à Abidjan. The Pan African Medical Journal 2016;2

Avaliação da Qualidade de Vida de Crianças Africanas com Dermatite atópica pela escala CDLQI

Introduction: Atopic dermatitis (AD) is a chronic inflammatory disease that affects both children and adults. The main symptom is pruritus, which has an important impact on quality of life (QoL). The objective of our study was to assess the impact of AD on the quality of life of children through the CDLQI score. Population and Methods: We performed a cross-sectional survey, with descriptive and analytical aims, carried out on the basis of prospective recruitment, carried out over a period of 7 months from December 2017 to June 2018. The study included children (5-16 years) with AD selected during dermatology consultations at the Centre Hospitalier Universitaire of Treichville. Data collected included the socio-demographic characteristics of patients and their AD and the results of a questionnaire on the severity score (SCORAD) and the quality of life index in these children (CDLQI). Results: We included 60 children, mainly within the group from 05 to 09 years (57%). CDLQI average score was 9.9 and mean SCORAD 24. Pruritus, insomnia and sadness had more impact on QoL. We found a strong association between the severity of AD objectified by SCORAD and the CDLQI. Conclusion: The study reveals a high impact of AD on the QoL of children in Abidjan mainly through pruritus, insomnia and sadness. It opens up reflection on the need for education for AD management and the prospect of creating an atopy school in Côte d’Ivoire.Introdução: A dermatite atópica (AD) é uma doença inflamatória crónica que afeta crianças e adultos. O prurido é um dos principais sintomas e o que tem um impacto importante na qualidade de vida. O objetivo do estudo é avaliar o impacto da AD na qualidade de vida da criança pela escala de CDLQI. População e Métodos: Durante um período de 7 meses, entre Dezembro 2017 e Junho de 2018, efectuámos um estudo “cross-sectional” descritivo e analítico com base num recrutamento prospetivo que incluiu crianças (5-16 anos) com AD selecionadas durante a consulta de Dermatologia do Centre Hospitalier Universitaire de Treichville. Os dados recolhidos incluíram características sociodemográficas da população e da AD e os resultados de questionários que avaliam a gravidade da AD (SCORAD) e a qualidade de vida destas crianças (CDLQI). Resultados: Foram incluídas 60 crianças, sobretudo do grupo dos 5 aos 9 anos (57%). Os índices médios das escalas do CDLQI e SCORAD foram 9,9 e 24, respetivamente. O prurido, a insónia e a tristeza causaram o maior impacto na qualidade de vida. Encontrámos uma correlação forte entre a severidade da AD objetivada pelo SCORAD e a escala CDLQI. Conclusão: O estudo revela um elevado impacto da AD na qualidade de vida das crianças em Abidjan, especialmente causado pelo prurido, insónia e tristeza. Estes dados chamam a atenção para a necessidade de uma educação especial para abordagem terapêutica global e para a perspetiva de criar uma escola de atopia na Costa do Marfim