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

Skin pathology of the elderly patients: Case of black African

Background: Skin diseases of the elderly subjects have clinical signs which are different from those of the young people. The purpose of this study was to determine the skin diseases that led elderly people to consult at the Department of Dermatology at the University Teaching Hospital in Bouaké, Côte d’Ivoire. Methods: That was a descriptive cross-sectional study conducting between January 1, 2015 and December 31, 2015 and including patients 65 years and older who were diagnosed with skin diseases the Department of Dermatology at the University Teaching Hospital in Bouaké, Côte d’Ivoire. Results: During the study period, 109 patients aged 65 years and older (1.8%) were recruited. These patients consulted for 227 diagnoses. The average age of the patients was 71.8 and sex ratio was 0.7. Mycoses were the major reason for consultation (18.7%) followed by pruritus (17.9%), eczema (13.1%), and (9.0%) tumors with 76.5% of benign tumors and (5.1%) disorders of keratinization. Leg ulcers were 2.1%. Mycoses were represented by intertrigo (52.9%) and dermatomycosis of the glabrous skin (25.7%). Kaposi sarcoma and keloid were the most frequent tumors. Conclusion: Our study shows a predominance of mycosis, eczema, and pruritus in the elderly subjects. Mycoses and pruritus could result from the weather and the skin aging, respectively

Fixed pigmented erythema due to cimetidine

Fixed pigmented erythema (EPF) is pathognomonic of drug-induced toxicity. Antisecretory drugs are among the most commonly not responsible drugs. EPF secondary to cimetidine administration has rarely been described. We report an EPF case during a cimetidine-based treatment in Bouake. A 43-year-old patient, HIV negative, consults for an EPF located on both sides of the breasts, on the 5th day of an antiulcer treatment comprising compressed cimetidine and gastric dressing based on phosphatase d ‘aluminum. The diagnosis is made in front of the characteristic aspect of the lesion of EPF and the early reappearance of lesions recurring exactly in the same places, after the reintroduction of cimetidine. The discovery of an EPF imposes a strict etiological approach in search of the responsible drug. During anti-ulcer treatment, the practitioner should bear in mind the potential role of cimetidine