Clinical profile of ankylosing spondylitis patients in Togo

Houzou, P; Koffi-Tessio, V; Oniankitan, Sadat; Sossou, Kodzo; Fianyo, Eyram; Tagbor, Komi C.; Kakpovi, Kodjo; Atake, Awaki-Esso; Oniankitan, Owonayo; Mijiyawa, M

doi:10.1016/j.ejr.2021.07.002

Cited by 6 publications

(3 citation statements)

References 23 publications

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“…The prevalence in Western literature is around 0.1% to 1.9% in the general population [5], it is 0.02% in Latin America [6], and 0.25% in Asia [6]. As for the work carried out in sub-Saharan Africa, two types of epidemiological profiles emerge from the literature: the rare or even exceptional nature of AS, particularly in the oldest studies [7] [8], contrasting in the most recent studies of an increasing frequency of AS with large cohorts superimposed on those of the Maghreb and the West [9] [10]. Rare studies on this condition have been conducted in Guinea and have reported a hospital prevalence of 3.32% with a male predominance [11] [12].…”

Section: Introductionmentioning

confidence: 99%

Ankylosing Spondylitis in a West African Hospital

Barry¹,

Bah²,

Bah³

et al. 2023

OJRA

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Introduction: Ankylosing spondylitis (AS) is an inflammatory rheumatic disease characterized by predominant axial and peripheral (enthesitis, sacroiliitis) involvement affecting young subjects aged 30 to 40 years, 80% to 98% of cases are associated with HLA-B27. Objective: To determine the epidemiological profile of ankylosing spondylitis in the rheumatology department of the Ignace Deen National Hospital in Conakry (Guinea). Materials and Methods: This was a descriptive cross-sectional study carried out within the said department over a period of 18 months from July 1, 2018 to December 31, 2020, including all patients seen in consultation and/or hospitalized in the department in which the diagnosis of ankylosing spondylitis had been retained according to the modified New York criterion. The parameters studied were sociodemographic, clinical, paraclinical and therapeutic. Result: We collected 73 cases or 4.1% of ankylosing spondylitis out of a total of 1781 patients seen during the study period. The male gender was represented with 54.8% for a sex ratio of 1.2 M/F. The average age of our patients was 32.18 ± 12.44 years with extremes ranging from 17 to 54 years. Axial involvement was present in 89.9% of cases with a lumbar predominance (95.2%), followed by the sacroiliac seat (35.5%), cervical (14.5%) and dorsal at 4.8%. The pain was chronic in 93.2% of cases. The most common drug treatment was taking analgesics and NSAIDs (100%) followed by cortisone infiltration (41.1%), corticosteroids (30%), and physiotherapy (21.9%). Ankylosing spondylitis represents 83% of spondyloarthritis followed by undifferentiated spondyloarthritis (9.1%) and juvenile spondylitis (3.4%) were the most common conditions.

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Section: Introductionmentioning

confidence: 99%

Ankylosing Spondylitis in a West African Hospital

Barry¹,

Bah²,

Bah³

et al. 2023

OJRA

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“…Ankylosing spondylitis (AS) known as autoimmune disease with chronic inflammation within sacroiliac and spine bone, characterized with bamboo spine. 1,2 Its prevalence usually young adults male patients, especially between 20 to 30 years old. It has strong associated with human leukocyte antigen (HLA-B27) in most of the cases.…”

Section: Introductionmentioning

confidence: 99%

“…It has strong associated with human leukocyte antigen (HLA-B27) in most of the cases. 2 Patient with AS usually take anti-inflammatory drugs prescribed by rheumatologists. In late stage, AS patients may have cervical as well as the temporomandibular joint involvement that can lead to the difficult airway.…”

Section: Introductionmentioning

confidence: 99%

Difficult airway management in an ankylosing spondylitis case using video laryngoscope: a case report

Limalvin¹,

Kurniawan²

2023

Int J Res Med Sci

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I Ankylosing spondylitis (AS) known as autoimmune disease with chronic inflammation within vertebral bone, characterized with bamboo spine. AS with cervical and temporomandibular joint involvement can lead to difficult airway. In this report, we present an AS patient with severe ARDS (acute respiratory distress syndrome) due to COVID-19 who was successfully intubated using video laryngoscope. A-37 years old male, came to emergency room in agitated condition, history of AS with cervical spine and temporomandibular joint involvement, history of pulmonary tuberculosis in 2008, and haven’t been vaccinated (COVID-19). This patient was diagnosed with severe ARDS due to COVID-19 with GCS 3-1-3, respiratory rate 36 times per minute, maximum peripheral saturation only 90% with Jackson Rees and pCO2 103 mmHg. These conditions are indication for endotracheal intubation. With the aid of video laryngoscope, endotracheal intubation was successfully performed. Improvements of peripheral saturation and blood gas analysis were obtained after intubation. This patient was included in the criteria for intubation due to respiratory rate over 30 times per minute and pCO2 more than 100 mmHg. Based on difficult airway predictor (MOANS, LEMON, RODS and SHORT), this patient was categorized as hard to ventilate and hard to intubate so it is necessary to prepare supraglottic airway device if intubation fails or surgical cricothyrotomy if intubation and supraglottic device fail. In difficult airway conditions, endotracheal intubation is ideally performed without muscle relaxants or awake intubation. The use of video laryngoscope is a recommended procedure in difficult airway management as in AS patient or in head and neck trauma cases. The availability of video laryngoscope in every hospital will maximize airway management in emergency room in Indonesia.

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