Chronic leg ulcers in hospitalized patients in Lomé, Togo: 125 cases

Saka, Bayaki; Abilogoun-Chokki, A.E.; Akakpo, S.; Teclessou, Julienne Noudé; Soga, G.; Mahamadou, G.; Gnassingbé, W.; Mouhari-Touré, A.; Kombate, K.; Dosseh, E.D.; Pitché, Vincent Palokinam

doi:10.1684/mst.2018.0804

Cited by 3 publications

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“…Comorbidities in the present study had a similar proportion to those found in other studies, and SAH and DM were the most frequent diseases found in patients with CLEU 17,19,24,31 . Among several assessed comorbidities, Matos et al found occurrence of pressure injuries to be possibly associated only to neurological diseases and visual impairment 22 .…”

Section: Discussionsupporting

confidence: 90%

“…In such study, 77.5% of ulcers were associated to CVU, and 14.5% out of the total were associated to lymphoedema 31 . In a study with 125 inpatients with CLEU in Togo, the main etiologies were infections, responsible for 49.6% of lesions -in this population; just 16.8% of lesions were venous ulcers 19 . In the same way, infections caused 50% of chronic ulcers in 44 outpatients in Malawi 20 .…”

Section: Discussionmentioning

confidence: 88%

“…A study 5 performed in 2014 assessed 41 patients with CLEU in the city of Bauru, state of São Paulo, and the mean age of patients was 61.78 years, analogous to the one found in this study (65.10 years), with a predominance of male patients (58.54%) that was also similar to the one in this study (58.82%) 5 . In studies performed in other countries 17,19,20 , there was a greater variation in the mean age of chronic ulcer patients: from 38 years in Malawi and 56.6 years in Togo, to 69.9 years in Germany -reflecting differences in life expectancy and patient profile in these populations. The majority of our patients were elderly: 72.05% were 60 years or older -a bigger rate than in other studies in Brazil, from 46.53% to 61% 4,5,24 .…”

Section: Discussionmentioning

confidence: 90%

“…Besides that, socioeconomic status of the individual and of the population seems to also affect healing 4 . In the least developed or developing countries, the main causes of CLEU are infectious and neoplastic 19,20 . There are few studies about the clinical and epidemiological profile of CLEU patients in Brazil, a country characterized by a double burden of diseases: while better life expectancy has led to an increase in chronic diseases such as DM and vascular disease, there is still a high prevalence of infectious diseases and of food insecurity resulting in malnutrition [21][22][23][24] .…”

Section: Introductionmentioning

confidence: 99%

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Epidemiological profile of patients with chronic lower extremity ulcers in two public hospitals in southern Brazil

Kliemann,

Pagliosa,

Matias

et al. 2024

PJDV

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Objective:The objective of this study was to typify the clinical and epidemiologic profile of outpatients with chronic lower extremity ulcers in two reference centers of the public health system in Paraná state, in Southern Brazil. Methods: Demographic, clinical, and anthropometric data about the patients were collected at each assessment, as well as information on the etiology, size, and duration of ulcers. Results: There were 68 study participants, 40 (58.82%) men and 28 (41.18%) women, with an average age of 65.1 (± 13.6) years and an average 1.6 ulcers per patient. The average duration of ulcers was 9.7 (± 12.2) years, and the average size of the largest lesion of each patient was 80.0 (± 140.0) cm². Regarding body mass index, 19 (27.94%) patients were eutrophic, 21 (30.88%) were overweight, 23 (33.82%) were obese and 5 (7.35%) were underweight. The most common etiology was venous ulcers, present in 39 (57.35%) patients. Conclusion: The clinical and epidemiologic profile of patients is similar to that in developed nations. There was a longer time since onset and a larger average size of ulcers than described in the medical literature.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 90%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Epidemiological profile of patients with chronic lower extremity ulcers in two public hospitals in southern Brazil

Kliemann,

Pagliosa,

Matias

et al. 2024

PJDV

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“…Соотношение пациентов, страдающих СД2 и ВБ, по одним данным, составляет 1 : 2 [12], а по другим -2 : 1 [13]. Течение хронических язв кожи голеней всегда усугубляется наличием СД2 [14,15].…”

Section: Introductionunclassified

Варикозна Хвороба Та Коморбідний Цукровий Діабет. Повідомлення 1. Зміни Показників Вуглеводного Метаболізму В Крові З Ліктьових Й Уражених Вен Нижніх Кінцівок

Syniachenko¹,

Yermolaieva²,

Pylypenko³

et al. 2021

Mìžnarodnij endokrinologìčnij žurnal

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Резюме. Актуальность. В некоторых регионах варикозной болезнью вен нижних конечностей (ВБ) страдает до 1/4 взрослого населения, причем заболеваемость ежегодно увеличивается. Фактором риска распространенности и тяжелого течения ВБ является сахарный диабет 2-го типа (СД2). Считается, что каждый пятый больной с трофическими язвами кожи голеней вследствие ВБ страдает СД2. Такая коморбидная патология наносит существенный медицинский, социальный и экономический ущерб больным людям и обществу в целом. Цель: изучить характер течения ВБ и коморбидного СД2, оценить клинико-патогенетическую значимость изменений показателей углеводного метаболизма.

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The Changes of “Carbohydrate Microelementosis” in the Blood From Cubital and Affected Veins of the Lower Extremities of Patients With Varicous Vein Disease and Comorbid Diabetes Mellitus Type-2

Shaprinskiy,

Pylypenko,

Semenenko

et al. 2024

Khark. Surg. Sch.

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Abstract. Varicose veins become the most important general medical problem in patients with various comorbid pathologies. A risk factor for the occurrence and adverse course of varicose veins is comorbid diabetes, which significantly worsens the quality of life of such people. According to research, the course of chronic leg skin ulcers is mutually reinforced by the presence of varicose veins and diabetes. The purpose and the objectives of the research: to study the clinical and pathogenetic significance of the changes in the indicators of microelements involved in carbohydrate metabolism in the body of patients with VVD and comorbid DM. Material and methods. Under the survey there were 162 patients with VVD (19% of men and 81% of women with the average age of 50 years) among whom the ratio of classes II, III, IV, V and VI of venous insufficiency was 1:1:3:1:2. DM occurred in 14% of the cases while the distribution of mild, moderate and severe forms of the disease was 1:2:4 and the distribution of the phases of compensation, subcompensation and decompensation 1:4:6. The content of the indicators of chromium (Cr), manganese (Mn), selenium (Se) and zinc (Zn) was studied in the blood from the cubital vein and the affected vein of the lower extremities using atomic absorption spectrometry (SolAAr- Mk2-MOZe, United Kingdom). Results. Among the microelements associated with carbohydrate metabolism varicous vein disease is characterized by hypozincaemia (mostly in men) that is accompanied by lower blood levels of Cr, Se and Zn from varicose veins correlating with the indicators of carbohydrate metabolism (insulin, C-peptide, fructosamine), it depends on the severity of varicous vein disease, the values of the vascular vegetative index and the presence of comorbid diabetes mellitus (Cr, Zn). Conclusion: trace elements associated with carbohydrate metabolism are involved in the pathogenetic constructs of both VVD and comorbid diabetes.

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Chronic leg ulcers in hospitalized patients in Lomé, Togo: 125 cases

Cited by 3 publications

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Epidemiological profile of patients with chronic lower extremity ulcers in two public hospitals in southern Brazil

Epidemiological profile of patients with chronic lower extremity ulcers in two public hospitals in southern Brazil

Варикозна Хвороба Та Коморбідний Цукровий Діабет. Повідомлення 1. Зміни Показників Вуглеводного Метаболізму В Крові З Ліктьових Й Уражених Вен Нижніх Кінцівок

The Changes of “Carbohydrate Microelementosis” in the Blood From Cubital and Affected Veins of the Lower Extremities of Patients With Varicous Vein Disease and Comorbid Diabetes Mellitus Type-2

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