[Chronic kidney failure in Togo: clinical, laboratory, and etiological aspects].

Autor:	Sabi KA; Centre hospitalier universitaire de Lomé Tokoin, Service de cardiologie, néphrologie et hémodialyse, Lomé, Togo. macskat78@yahoo.fr, Gnionsahe DA, Amedegnato D
Jazyk:	francouzština
Zdroj:	Medecine tropicale : revue du Corps de sante colonial [Med Trop (Mars)] 2011 Feb; Vol. 71 (1), pp. 74-6.
Abstrakt:	Objectives: Determine clinical, laboratory, and etiological aspects of chronic kidney failure (CKF) in Togo. Patients and Methods: This retrospective study was focused on the 11-year period from 1st January 1995 to 31st December 2005. Review was carried out on the medical files of 398 patients hospitalized for CKF in various departments of Lomé-Tokoin University Hospital. For lack of kidney biopsy findings, nephropathy was classified on the basis of semiological criteria. Results: Male predominance with a sex ratio of 1.34 was noted. Mean age was 42.6 years. Most patients presented extrarenal signs including hematological changes (94.5%), digestive tube manifestations (68.3%), and cardiovascular disease (55%). Most patients (75.5%) had end-stage disease with creatinine clearance below 10 ml/min. Ultrasound demonstrated stage III kidney damage in 42.8% of cases. Chronic glomerulonephritis (40.2%) was the main etiology, followed by chronic interstitial kidney failure (20.9%) and nephroangioscerosis (17.6%). Conclusion: The clinical and laboratory presentation of CKF in Togo is unremarkable but has a rich semiological background.
Databáze:	MEDLINE
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