Epidemiology and Clinical Study of Pediatric Psoriasis on Black Skin in Dakar, Senegal

Abstract

Abstract:Introduction: In subsaharian African countries there are so few data concerning the psoriasis of the child. Our objective was to determine the epidemiological, clinical and therapeutic aspects of the pediatric psoriasis in a dermatology unit, at Dakar in Senegal. Patients and methods: This was an 8 years (2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011) retrospective study conducted at the Dermatological clinic of HALD. All patients under 16 years old with psoriasis were included. Results: We report 40 cases of psoriasis of the child. The sex ratio was 1.05 and the average age of 6 years. The atopic status was found in 4 cases as follows: 3 cases of asthma and 1 case of atopic dermatitis. The average time of consultation was 5 months. The way the patients consulted was: 28 cases consulted a general practitioner, 6 cases seen by a paramedic and 5 patients consulted a traditional healer. The pruritus was present in 14 patients. The psoriasis vulgaris was the predominant form with 20 cases. The other forms were: 12 cases of guttate psoriasis, 6 cases of psoriasis universalis, 1 case in pustular and 1 case erythrodermic. The topical glucocorticoids were prescribed in all the patients. The recurrence was found in 5 cases and 8 patients were lost of follow up. Conclusion: Psoriasis is a rare and benign condition in children with predominance of simple forms such as psoriasis vulgaris.

Is the Unavailability of Partograph a Reason for its Low Usage? The Case of Jimma University Medical Center

“…The partakers were also agreed with the importance of its utilization and improvement in its usage when compared with the past threefour years even though it is still not customarily used because of the characteristics of the hospital which is the only teaching and referral hospital in South West part of the country where number of students from diverse disciplines are practicing and rotating once in a while, cases with sundry obstetrics complications referred from the close to health facilities which makes the case loads of the hospital demanding and upshot in less the utilization of the it. This finding is consistent with the study conducted among health professionals in Amhara region that indicated as more than half of the care providers had good knowledge of partograph and the format was presented attached to the client charts but only in less than one third it was properly filled to monitor the progress of labor [4].…”