Clinical spectrum of rheumatologic diseases in a department of rheumatology in Ouagadougou (Burkina Faso)

Abstract

The aim of this study is to review over a period of 5 years the clinical spectrum of rheumatic diseases seen in a tertiary hospital in Ouagadougou, Burkina Faso. A retrospective study of case records was conducted from March 1, 2006 to March 30, 2011 in the Rheumatology service, Department of Internal Medicine of the University Hospital Yalgado Ouedraogo. Of the 4,084 patients seen, 2,381 were women (58.30%) and 1,703 were men (41.70%). The mean age at disease onset was 42.12 years, ranging from 3 to 92 years. Among the rheumatologic conditions, mechanical and degenerative disorders were the most common, found in 3,053 cases (74.76%). Among these cases, spinal pathology predominated, especially low back pain (19.93 %). The frequency of osteoarthritis was 19.70 % (804 cases) with a predominance of knee osteoarthritis (657 cases). Infectious pathology was dominated by osteoarticular tuberculosis (48 cases), particularly Pott's disease (43.68% of infectious diseases). Among the cases of inflammatory arthritides, rheumatoid arthritis was the leading cause (116 cases or 2.84%). It was followed by spondyloarthropathies in which arthritis related to HIV predominated (21 out of 81 cases). Metabolic diseases were mainly represented by the gout (162 cases or 3.96%) with male predominance. Comorbidities included high blood pressure (46.57%), diabetes mellitus (13.78%), hemoglobinopathies (9.66%), epigastric pain (7.25%), and peptic ulcer confirmed by endoscopy (6.75%). Rheumatology in Burkina Faso is booming. The profile of rheumatologic diseases in Burkina Faso, after 5 years of practice, confirms the diversity and importance of these conditions dominated by a degenerative pathology of the spine and limbs, including infectious diseases such as Pott's disease and the inflammatory and metabolic diseases.

Prevalence and factors associated with self-medication in rheumatology in Sub-Saharan Africa

“…The mean age of patients who practiced self-medication for rheumatic diseases was 45.5 years, which is lower than that reported by a study conducted in France (65 years) (2). This mean age was similar to that of patients generally observed in the rheumatology department (11). Three factors appear to be statistically associated with self-medication for rheumatic diseases (gender, education level, and occupation) in our study.…”

Cardiovascular damage during lupus in black African subjects

“…The cardiac lesions occurred after variable time length ranging from 3 to 15 years [3][4][5]. In SubSaharanAfrica, SL is the most documented connective tissue disorder [6], and cardiac lesions are diagnosed in 12 to 30% of cases [7][8][9]. In our study, only females were affected by SL.In African and Western publications, more than 85% of females are affected [6,9].…”

“…Age range of 30 to 40 years is the favourite one for disease onset. Ouédraogo in Burkina Faso [8] reported a mean age of 38.2 years, while Kombate in Togo reported 32 years [9], and Delegny in Martinique 30 years [3]. Patients affected by SL, have globally high frequency of traditional cardiovascular risk factors (hypertension, diabetes, dyslipidaemia, age, sex, hyperhomocysteinaemia) [10].…”

Joint damage in hiv positive patients

“…По этой причине наличие симметричного и в ряде случаев деструктивного полиартрита у больных ВИЧ-инфекцией нередко классифицировали как «ревматои-доподобный» артрит [32]. В эпоху ВААРТ стала общепри-знанной возможность наличия «истинного» РА у больных ВИЧ-инфекцией с частотой 0,1-5% [13,[33][34][35][36]. В ходе мультицентрового когортного исследования, выполнен-ного французскими авторами, выявлено 46 больных РА в сочетании с ВИЧ-инфекцией.…”