| Autor: |
P, Pitché, B, Diatta, O, Faye, B-F, Diané, A, Sangaré, P, Niamba, C, Mandengue, L, Kobengue, B, Saka, A, Diop, F, Ly, M-T, Dieng, A, Dicko, M-M, Soumah, M, Cissé, S-H, Kourouma, Y-I, Kouassi, T, Boukari, S, Akakpo, K, Tchangaï-Walla |
| Jazyk: |
francouzština |
| Rok vydání: |
2015 |
| Předmět: |
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| Zdroj: |
Annales de dermatologie et de venereologie. 142(11) |
| ISSN: |
0151-9638 |
| Popis: |
Acute bacterial cellulitis of the leg (erysipelas) is a common problem involving considerable morbidity in dermatology practice in Africa. Previous studies conducted in Europe and North Africa have highlighted lymphoedema and toe-web intertrigo as independent factors associated with leg erysipelas. The aim of this case-control study was to identify risk factors associated with leg erysipelas in sub-Saharan Africa, within a different socio-economic and culture context.We conducted a prospective case-control study in hospital dermatology departments in 8 sub-Saharan African countries over a 12-month period (October 2013 to September 2014). Each case of acute leg cellulitis was matched with 2 controls for age (±5 years) and sex. We analysed the general and local factors.During the study period, 364 cases (223 female, 141 male) were matched with 728 controls. The mean age was 42.15±15.15 years for patients and 42.11±36 years for controls. Multivariate analysis showed the following to be independent risk factors associated with leg erysipelas in our study: obesity (odds ratio [OR]=2.82 ; 95% confidence interval: 2.11-3.76), lymphoedema (OR=3.87, 95%CI: 2.17-6.89), voluntary cosmetic depigmentation (OR=4.29, 95%CI: 2.35-7.83), neglected traumatic wound (OR=37.2, 95%CI: 24.9-57.72) and toe-web intertrigo (OR=37.86, 95%CI: 22.27-64.5).The results of this study confirms the major role of local risk factors (toe-web intertrigo, lymphoedema) previously identified in other geographical settings. However, the originality of our study consists of the identification of voluntary cosmetic depigmentation as a risk factor for leg erysipelas in sub-Saharan Africa. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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