Les polymyosites et dermatomyosites de l’adulte. Étude multicentrique tunisienne

Toumi, S.; Gnaya, H.; Braham, A.; Laouani-Kechrid, C.

doi:10.1016/j.revmed.2008.03.321

Cited by 3 publications

(6 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It is known that cutaneous lesions may precede by several months or years muscular manifestations [13] hence their importance. On Caucasian skins, these cutaneous lesions are typical and easily recognized by physician front of erythema associated with periorbital edema which is a very characteristic sign of the disease [14]. In our study, heliotrope rash was seldom found.…”

Section: Figure 1: Lesion With Hyperpigmented Bordersupporting

confidence: 41%

Dermatological Manifestations of Connective Tissue Diseases in Black People

Joseph¹

2015

J Clin Exp Dermatol Res

View full text Add to dashboard Cite

Abstract:Objectives: This study aims at contributing to provide a better knowledge of dermatological manifestations of Connective Tissue Diseases (CTDs) in dark-skinned patients. Though they appear visible and unsightly on black skins, cutaneous manifestations are often misleading and not really known by clinicians.Methods: This is a cross-sectional and descriptive study base on the patient's medical records concerning those consulted and admitted at the department of Dermatology of the Teaching Hospital of Treichville (Abidjan, Côte d'Ivoire), for CTDs over the time period of 10 years, from January 02, 2002 to December 31, 2011. We included in this study, dark-skinned patients consulted or admitted in the department for Connective Tissue Diseases.Results: Over the period of ten years, 42 499 patients were consulted for various dermatoses. Of those patients, we found 364 cases of CTDs about 0.8% of cases. In frequency order, these CTDs were as follows: Cutaneous Lupus Erythematosus (0.46%), Systemic Scleroderma (0.26%), Dermatomyositis (0.07%), Systemic Lupus (0.05%) and Sub-acute Lupus (0.0%); as a rule, dermatological manifestations were similar to those in white people. However, we have some particular aspects related to erythematous lesions, Raynaud's syndrome and pigmentary disorders which take misleading aspects in black people. Conclusion:The dermatological manifestation of CTDs in black people is polymorphous and moreover misleading. In our environment of poverty and where immunological examinations are very costly, a good knowledge of these clinical signs could guide biological and immunological evaluation and contribute to early diagnosis.

show abstract

Section: Figure 1: Lesion With Hyperpigmented Bordersupporting

confidence: 41%

Dermatological Manifestations of Connective Tissue Diseases in Black People

Joseph¹

2015

J Clin Exp Dermatol Res

View full text Add to dashboard Cite

show abstract

“…La prédominance de l'érythroedeme péri-orbitaire (66 %) au cours de la dermatomyosite est également rapportée dans les autres séries de la littérature [16,[22][23][24]. De même, les papules de Gottron décrites dans 30% des cas dans la littérature [25], étaient retrouvées dans 14,3% des cas dans notre étude.…”

Section: Discussionunclassified

“…Concernant les atteintes musculaires, nos résultats sont similaires à ceux obtenus en Tunisie (94,3%) [21,23].…”

Section: Discussionunclassified

Untitled

2022

Our Dermatol Online

View full text Add to dashboard Cite

Introduction:The general objective was to determine the epidemiological, clinical, paraclinical, therapeutic and evolutionary aspects of connectivitis in the dermatology department of the CHU Aristide Le Dantec. Patients and methods: This was a retrospective and descriptive study conducted in the Dermatology Department of the University Hospital Center (UHC) Aristide Le Dantec (HALD) of Dakar between January 2009 and December 2019. Their diagnoses were retained according to the international criteria validated in the course of connectivites Results: We identified 290 cases of connectivitis. Systemic scleroderma was the most frequent in 34.42% (n=94), followed by systemic lupus in 25.86% (n=75), mixed connectivities in 22,06% (n=64) and dermatomyositis in 19,32% (n=56). Cancer was associated with dermatomyositis in 11 cases and with systemic scleroderma in 3 cases. The mean age of our patients was 38.23 years. The sex ratio was 4.2 and the mean duration of evolution was 25 months. Dermatological manifestations were constant, found in all patients. In systemic lupus, they were dominated by discoid lupus lesions found in 40% and hypochromic spots (86%) in systemic scleroderma. In dermatomyositis, skin lesions were dominated by periorbital erythroedema (66.07%). Joint manifestations were found in 56.89% of cases (n= 165), muscular manifestations in 41.37% of cases (n= 120) and pleuropulmonary manifestations in 31.3% of cases (n=91). Neuropsychiatric manifestations were noted in 5.17% of cases (n=15). All our patients were treated with corticosteroid therapy and 12.06% of them had received immunosuppressive treatment, the most commonly used molecules being methotrexate (3.44%) and cyclophosphamide (8.27%). Hydroxychloroquine was prescribed in 59.31% of patients, while D-penicillamine was prescribed in 42.06% of patients, 100% of whom were treated for systemic scleroderma. The main complications encountered were infectious complications in 83 cases (28.6%). Visceral complications, a type of visceral insufficiency, were noted in 4.13% of cases. Conclusion: Our study demonstrates the frequency of connectivitis in the dermatology department. Its particularity was the predominance of systemic scleroderma over lupus which was classically the first connectivite in dermatology services. The delay in diagnosis noted is correlated with visceral attacks; hence the importance of a better knowledge of these affections for an early management.

show abstract

“…Elle appartient au groupe des myopathies inflammatoires idiopathiques [1,2]. L'atteinte cardiaque au cours de la DM est fréquente, elle est la troisième cause de décès après les néoplasies et les complications respiratoires.…”

Section: Discussionunclassified

“…La péricardite, plus rare au cours des DM, a été constatée chez 7 à 12 % des patients [4]. Toutefois, dans une série tunisienne, l'atteinte du péricarde représentait 50 % des atteintes cardiaques [2]. Cette atteinte péricardique semble plus fréquente dans les formes infantiles de la DM (23 à 54 %).…”

Section: Discussionunclassified