Vitiligo on black skin: epidemiological and clinical aspects in dermatology, Cotonou (Benin)
| Autor: | Florencia do Ango-Padonou, Hugues Adegbidi, Félix Atadokpèdé, Christiane Koudoukpo, H. Yedomon, Bayaki Saka, Bérénice Dégboé |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Vitiligo Black People Comorbidity Dermatology Upper Extremity Atopy Young Adult 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Epidemiology Diabetes Mellitus Hypersensitivity medicine Benin Humans Genitalia Family history skin and connective tissue diseases Retrospective Studies integumentary system business.industry Thyroid disease Torso Alopecia Retrospective cohort study medicine.disease Thyroid Diseases Lower Extremity Face 030220 oncology & carcinogenesis Female Leprosy business Neck |
| Zdroj: | International Journal of Dermatology. 56:92-96 |
| ISSN: | 0011-9059 |
| Popis: | Background Vitiligo is unsightly on darkly pigmented skin and leads important stigmatization because of the mix-up with leprosy. Patients and methods We analyzed retrospectively the epidemiological and clinical patterns of vitiligo on darkly pigmented skin between 1988 and 2008 in the Department of Dermatology in Cotonou (Benin). The diagnosis was made based on the clinical characteristics of vitiligo. Results Two hundred and forty-six patients were seen, representing 0.9% of new consultations. The gender ratio was 1 : 1, and the mean age of patients was 25.9 years. The mean duration of the lesions was 30.9 months. Among the 246 patients, an associated pathology was found in 26% of cases. These included atopy (23.2%), diabetes (1.6%), thyroid disease (0.8%), and alopecia (0.4%). A family history of vitiligo was present in 1.2% of cases. The sites of the lesions were in descending order of frequency: head (60.6%), lower limbs (40.2%), upper limbs (33.3%), trunk (22.4%), genitals (13.0%), and neck (8.9%). On the head, the most common sites affected were the lips (65.1%), cheek (20.8%), and ears (16.8%). According to the different clinical forms, vitiligo was achromic (76%), speckled (12.6%), and trichromic (11.4%). Vitiligo vulgaris was the commonest form of the disease (52.4%), followed by localized vitiligo (36.2%), segmental vitiligo (9.8%), and vitiligo universalis (1.6%). Triggering factors were identified in 4.5% of patients. Conclusion Our survey shows that the patterns of vitiligo are similar to that reported from other African countries with a few distinguishing particularities. |
| Databáze: | OpenAIRE |
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