Hyperuricémie et goutte en zone intertropicale

Mijiyawa, M; Bouglouga, O.

doi:10.1016/s1169-8330(02)00029-7

Cited by 5 publications

(12 citation statements)

References 23 publications

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“…Our results are superior to those reported by Djaha et al in Abidjon 1.6% [18] and by Bardin et al who noted a frequency of 1 to 1.5% in France [19]. Throughout the world, several prevalences have been reported both in the general population and in hospital series [20,21]. Gout is a ubiquitous pathology.…”

Section: Discussioncontrasting

confidence: 84%

“…On this aspect we think that genetics would have its share of responsibility [20]. In our series the frequency of gout increases with age as in several other studies carried out in Africa and around the world [20,22]. The average age of patients in our series is 59.51 years.…”

Section: Discussionsupporting

confidence: 64%

“…It has similarities in frequency in other parts of the world while it is extremely common in the aboriginal populations of the Pacific and South Asia. On this aspect we think that genetics would have its share of responsibility [20]. In our series the frequency of gout increases with age as in several other studies carried out in Africa and around the world [20,22].…”

Section: Discussionsupporting

confidence: 62%

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Gouty arthropathy in the rheumatology department at the University Hospital Center of Brazzaville: About 100 cases

ANGALLA Affleck Romaric Ledier,

LAMINI N'SOUNDHAT Norbert Edgard,

AKOLI EKOYA

et al. 2024

Int. J. Sci. Res. Arch.

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Objective: Describe the characteristics of gouty arthropathy at the University Hospital Center of Brazzaville. Patients and Methods: This was a descriptive and cross-sectional study with a retrospective recruitment method, conducted from March 1, 2002 to March 1 , 2012 , i.e. Ten (10) years. It was based on the analysis of the medical files of patients seen in hospitalization in the Rheumatology department of the Brazzaville University Hospital. On the basis of anamnestic, clinical, paraclinical, therapeutic and evolutionary data, we searched for elements in favor of gout. The diagnosis of gout was made on the basis of the ACR1977 criteria. Results: There were 100 cases of gout with a male predominance in 87 cases (87%) and a sex ratio of 6.69. The average age was 59.51 years, with extremes of 37 and 94 years. 56% of our patients were overweight, 33% obese and 11% had a normal BMI. The average duration of progression of gout before consultation was 4.9 years with extremes of 1 and 31 years. The big toe was the most common site of arthritis (62%). Polyarthritis was found in 40% of cases, oligoarthritis 34 % and monoarthritis in 26% of cases. Tophus were found in 17 patients (17%), of whom 5% had ulcerated tophi. Swelling of soft tissues was the most common radiographic anomaly found in 21 cases (21%), followed by narrowing of the joint space 14 cases (14%), erosions and geodes 11 cases (11%). Conclusion: gouty arthropathy retains its place in the Rheumatology department of Brazzaville University Hospital with a slight increase in frequency. Its epidemiological and clinical profile is almost the same in all parts of the world.

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Section: Discussioncontrasting

confidence: 84%

Section: Discussionsupporting

confidence: 64%

Section: Discussionsupporting

confidence: 62%

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Gouty arthropathy in the rheumatology department at the University Hospital Center of Brazzaville: About 100 cases

ANGALLA Affleck Romaric Ledier,

LAMINI N'SOUNDHAT Norbert Edgard,

AKOLI EKOYA

et al. 2024

Int. J. Sci. Res. Arch.

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“…The prevalence of HU is from 15-20% by men and 5-10% among women [8], can even reach 35% by man and 8,7% by woman in the developing countries [9].…”

Section: Introductionmentioning

confidence: 98%

Prevalence of Hyperuricemia (HU) in Arterial Hypertension

Oumar¹,

Menta²,

Kéita³

et al. 2015

SJCM

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Abstract:Introduction: Hyperuricemia constitutes a risk for many organs and its prevalence is high ranging from 15-20% up to 35% in developing countries. HU relation to arterial hypertension was pointed out in the end of the XIX century and is recognized as independent cardiovascular risk factor. Thus HU is less studied in our environment which justifies our work to determine prevalence and with HU associated factors among hypertensive patients followed in the Cardiology department in the Mother Child Hospital "Le Luxembourg". Methodology: It's was a cross-sectional study in the Mother-Child Hospital "Le Luxembourg" in Bamako. All patients with complete labor tests were included making a sample of 51 hypertensive outpatients seen from July 2010 to January 2011. For any included patient, socio-demographic and biological variables were collected. In the same way a chest radiography, an ECG and an echocardiography were realized. Patients were asked about their knowledge about HU Hyperuricemia was defined as an uricemia > 420 µmol/l for men and 360 µmol/l for women. Microsoft Excel 2007 was used to gather data and SPSS version 12 to perform analyzes. Results: Mean age of the sample was 56,35 years, the sex-ratio Male: Female 0,76. Hyperuricemia, hypercreatininemia and hyperglycemia were found respectively in 66,7,33,3% and 23,5% of the cases. 78,4% of the patients had stated to have heard about hyperuricemia, 27,5% knew their hyperuricemia. The socio-demographic characteristics did not present a statistically significant difference. Conclusion: Hyperuricemia as a cardiovascular risk factor, had to be researched and managed more agressively. The very high proportion of patients with a hyperuricemia requires to detect it among hypertensive patients, to carry out an early treatment and thus to reduce the cardiovascular risk of the patient.

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“…C'est une affection multifactorielle : environnementale, hormonale et immunologique surtout (30 %) qui peut expliquer la disparité épidémiologique dans un pays et intra ethnique au sein d'un même pays (Shapira et al, 2010). La prévalence de la polyarthrite rhumatoïde dans les populations adultes des différentes régions du monde semble relativement uniforme, à l'exception notable de l'Australie et de la Jamaïque, où la prévalence est élevée (Shapira et al, 2010), et de l'Afrique subsaharienne, où cette maladie est rare (Hijmans et al, 1964;Mijiyawa, 1995;Shapira et al, 2010). Au cours des trois dernières décennies en Afrique subsaharienne, il y a eu de plus en plus d'études sur la polyarthrite rhumatoïde, probablement dû à l'augmentation du nombre de spécialistes notamment en rhumatologie.…”

Section: Introductionunclassified

Polyarthrite Rhumatoïde au Niger : États des Lieux

Tinni,

Tchenadoyo Bayala,

Aziz

et al. 2024

ESJ

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Objectif : faire une revue des données de la littérature sur les aspects épidémiologiques, cliniques, paracliniques et thérapeutiques de la polyarthrite rhumatoïde au Niger. Méthodes : Cette revue des données de la littérature sur la polyarthrite rhumatoïde au Niger a été réalisée en utilisant les bases de données MEDLINE (via PUBMED) et de Google Scholar. Les critères d’inclusion comprenaient des études publiées chez des adultes de plus de 18 ans ayant reçu un diagnostic de polyarthrite rhumatoïde. L’extraction des données a été réalisée grâce à un formulaire préétabli. Résultats : La recherche dans la littérature a identifié 5 articles. Finalement, quatre articles ont été inclus pour la revue. La fréquence de la polyarthrite rhumatoïde a été rapportée dans trois études, celle-ci variait de 1,24% à 3,7%. Le genre féminin représentait 79 (79,79%) des patients. L’âge moyen globale était de 43,41 ans. Le délai moyen avant le diagnostic était de 53,2 mois. La polyarthrite rhumatoïde a été diagnostiqué en utilisant les critères ACR 1987 et les critères ACR/EULAR 2010. Tous les patients avaient consulté pour une polyarthrite. Le coup de vent cubital était retrouvé chez 27 (27,27%) patients. Les nodules rhumatoïdes ont été retrouvé chez 12 (12,12%) patients. Les facteurs rhumatoïdes étaient positifs chez 56 (56,56%) patients. Les anticorps anti peptides cycliques citrullinés étaient positif chez 7 (7,07%) patients. Le méthotrexate était le traitement de fond chez 67 (67,67%) patients et l’hydroxychloroquine chez 43 (43,43%) patients. Conclusion : Le diagnostic de la polyarthrite est tardif au Niger. La création d’un registre national des patients ayant une polyarthrite rhumatoïde permettra un meilleur suivi des patients. Objective: To review the epidemiologic, clinical, paraclinical and therapeutic aspects of rheumatoid arthritis in Niger. Methods: This review of literature on rheumatoid arthritis in Niger was conducted using MEDLINE (via PUBMED) and Google Scholar databases. Inclusion criteria included studies published in adults over 18 years of age with a diagnosis of rheumatoid arthritis. Data extraction was done using a pre-designed form. Results: The literature search identified 5 articles. Four articles were finally included in the review. The frequency of rheumatoid arthritis was reported in three studies and ranged from 1.24% to 3.7%. Females accounted for 79 (79.79%) of the patients. The mean age was 43.41 years. The mean time to diagnosis was 53.2 months. Rheumatoid arthritis was diagnosed according to ACR 1987 and ACR/EULAR 2010 criteria. All patients had a history of polyarthritis. Ulnar gale was found in 27 (27.27%) patients. Rheumatoid nodules were found in 12 (12.12%) patients. Rheumatoid factors were positive in 56 (56.56%) patients. Anti-cyclic citrullinated peptide antibodies were positive in 7 (7.07%) patients. Methotrexate was the background treatment in 67 (67.67%) patients and hydroxychloroquine in 43 (43.43%) patients. Conclusion: Polyarthritis is diagnosed late in Niger. The creation of a national registry of rheumatoid arthritis patients will allow better follow-up of patients.

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Hyperuricémie et goutte en zone intertropicale

Cited by 5 publications

References 23 publications

Gouty arthropathy in the rheumatology department at the University Hospital Center of Brazzaville: About 100 cases

Gouty arthropathy in the rheumatology department at the University Hospital Center of Brazzaville: About 100 cases

Prevalence of Hyperuricemia (HU) in Arterial Hypertension

Polyarthrite Rhumatoïde au Niger : États des Lieux

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