Background: Abdominal obesity is often associated with type 2 diabetes, especially in the context of metabolic syndrome. The objective of this study was to determine the prevalence of corpuscular and abdominal obesity in type 2 diabetes in the two major cities in southern Benin. Methods: It was a multicentric, prospective, descriptive and analytical study that had as framework the center for screening and monitoring of diabetes "Banque d'insuline" of Cotonou, the Polyclinic Atinkanmey of Cotonou and the Internal Medicine Department of the Departmental University Hospital of Ouémé-Plateau in Porto-Novo. The study was a six-month period (March-August 2014). Results: We included a total of 400 type 2 diabetics. Women represented 66% of the study population with a sex ratio of 0.52. The mean age of patients was 55.6 ± 10.3 years with extremes of 28 and 87 years. The prevalence of corpuscular obesity (BMI ≥ 30 Kg/m 2) was 38.5% in our study population. For the gender, it was 48.5% in women and 19.1% in men with a statistically significant difference (p = 0.0001). The overall prevalence of abdominal obesity in our study population was 87.8%. Almost all of our diabetic women (99.2%) had abdominal obesity versus 65.4% in men (p = 0.0001). All the patients with type 2 diabetes having corpuscular obesity had also abdominal obesity. This abdominal obesity was observed in 80.1% of non-obese diabetic (p = 0.0001). On the contrary, the majority of patients with abdominal obesity (56.12%) had a BMI below 30 kg/m 2. Conclusion: This study shows a high prevalence of abdominal obesity (87.8%) in our study population compared with the corpuscular obesity (38.5%). Hence, the importance of measuring waist circumference is more than BMI in diabetic patients.
The haemorrhoidal disease is a very common disorder in proctology. It is favoured by many factors. Although benign, its treatment is difficult. Our aim is to study the epidemiological, clinical and anuscopic of haemorrhoidal disease. This was a cross sectional, descriptive and prospective study covering a three-month period from 06 January 2014 to 10 April 2014. It involved patients seen in gastroenterology consultation in internal medicine of the National Teaching Hospital of Cotonou and in the digestive diseases Unit of the Hospital of Menontin. We recorded 182 patients including 57 cases of haemorrhoidal disease, a prevalence of 31.3%. The sex ratio was 1.10. The average age was 43 years with extremes of 18 and 88 years. Anal events were dominated by rectal bleeding (54.4%) with a predominance of internal haemorrhoidal disease (87.7%). Stage 2 evolution of the disease was the most represented (65.4%). Haemorrhoidal disease is a common disorder seen mainly in actively producing people (young adult) with a male predominance.
Introduction: Systemic inflammatory diseases (autoimmune and autoinflammatory) are quite infrequent and challenging to diagnose. The intent of this study is to determine the hospital frequency, clinical, and immunological aspects of these diseases in the internal medicine department of the CNHU-HKM of Cotonou. Methods: This was a cross-sectional, descriptive study that was conducted from March 30 to October 30, 2018, and involved patients followed in the Internal Medicine Department of the CNHU-HKM for systemic inflammatory diseases Results: During the study period (7 months), 699 patients had consulted the service. We counted 23 patients for our study, i.e. a frequency of 3.3%. The average age was 44 (±12) years with extremes of 24 to 64 years. The majority of our patients were women with a sex ratio (M/F) of 0.09. Prolonged fever was the primary reason for admission (34.8%), followed by polyarthralgia (25%). Systemic lupus was the most represented (52.2%), followed by scleroderma (13%), mixed connectivity (13%). As for the class of systemic inflammatory diseases, systemic autoimmune diseases were the most represented (87.0%). Anti-nuclear antibodies were the most frequent (56.5%). Conclusion: Systemic inflammatory diseases are little known in Benin Republic. In fact, their clinical and immunological presentations are quite polymorphic.
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