Polyarthrite rhumatoïde : étude de 486 observations au Sénégal

Niasse, Moustapha; Ndongo, S.; Ndao, Awa Cheikh; Diallo, R.; Diaw, C.A.B.; Diouf, C.; Diallo, S.

doi:10.1016/s1169-8330(16)30665-2

Cited by 2 publications

(9 citation statements)

References 3 publications

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“…The predominance of women and the mean age at onset in our patients are in line with data in the Maghreb, Black African and Western literature [8] [9] [10] [11] [12]. In our series, the mean age at diagnosis was 48.1 ± 18.9 years, in line with the mean age of 47.3 years in the series by Dia et al [10] and 51.35 years in the series by Niasse et al [5]. A stable gender distribution over the five decades was described, with an average female predominance of about 87.5% [12].…”

Section: Epidemiological Datasupporting

confidence: 92%

“…In terms of symptoms, bone, general and urinary signs predominated in our series and those in the literature [1]- [12]. In the series by Niasse et al [5] in a rheumatology unit, osteoporosis and renal lithiasis were the most frequently described presentations. The prevalence of osteoporosis and osteopenia leading to the diagnosis of HPP has quadrupled in thirty years, rising from 10% in 1985 to 44%…”

Section: Clinical and Biological Datasupporting

confidence: 50%

“…Two other Senegalese studies had evaluated this condition externally. These were the series of 22 cases reported by Niasse et al [5] in a rheumatology department over a period of 17 years and the series of 10 cases reported by Dia et al [10] over a period of 14 years. These results support the assertion that PPH was much more frequent than previously described, thanks to the systematic measurement of calcium levels.…”

Section: Epidemiological Datamentioning

confidence: 97%

“…8.3 cases per 100,000 [2] [3] [4]. In Senegal, Niasse et al [5] reported 22 cases in the rheumatology department of Aristide le Dantec Hospital, with a prevalence of 0.02%. PHP is mainly seen from the fifth decade onwards [6] [7].…”

Section: Introductionmentioning

confidence: 99%

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Primary Hyperparathyroidia at the Abass Ndao Hospital Center: About 29 Cases

Diédhiou,

Ndour,

Dieng

et al. 2023

OJIM

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Introduction: In Senegal, there is very little data on primary hyperparathyroidism despite an overall upward epidemiological trend. The objective was to describe its epidemiological, clinical, therapeutic and evolutionary aspects. Materials and Methods: This was a cross-sectional, descriptive study, conducted over 5 years (from January 01, 2018 to December 31, 2022) at the National Abass Ndao Hospital Center and including all confirmed cases of primary hyperparathyroidism. Results: Twenty-nine patients were included with a female predominance (86.20%) and an average age of 48.10 ± 18.93 years. The discovery of hyperparathyroidism was fortuitous in 79.31% of cases. The main clinical manifestations were osteoarticular (62%) and urinary (34.5%). On average, serum calcium measured was 109.2 ± 7.92 mg/l, corrected serum calcium 111.3 ± 6.25 mg/l, urinary calcium 421.9 ± 96.45 mg/24h and parathormone at 145 ± 159.71 pg/ml. Among the patients, 25 had hypercalcemia (86.2%) and all had 24-hour hypercalciuria. The diagnosis was retained in view of the elevated parathyroid hormone (PTH) values in all patients. Cervical ultrasound objectified a parathyroid adenoma in 27.58% of cases and 12 patients or 46.2% had presented a scintigraphy in favor of a parathyroid adenoma. We found 01 cases of multiple endocrine neoplasia type 2. Bone densitometry performed in 10 patients found osteoporosis in 60% of cases (6 patients) and osteopenia in 40% of cases (4 patients). Surgical treatment was performed in 12 patients (41.4%). The histology of the surgical specimens was in favor of a parathyroid adenoma in all cases. Among the operated patients, the evolution was marked by a cure rate of 100%. Conclusion: The symptomatology of primary hyperparathyroidism remains mainly osteoarticular and urinary. Surgery has proven its effectiveness in our series.

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Section: Epidemiological Datasupporting

confidence: 92%

Section: Clinical and Biological Datasupporting

confidence: 50%

Section: Epidemiological Datamentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Primary Hyperparathyroidia at the Abass Ndao Hospital Center: About 29 Cases

Diédhiou,

Ndour,

Dieng

et al. 2023

OJIM

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“…et au Sénégal(Niasse et al, 2016), mais la boutonnière était la principale déformation au Congo(Bileckot & Malonga, 1998;Ledier et al, 2023).La polyarthrite rhumatoïde est relativement bénigne au Niger. Cette relative bénignité était attestée par la rareté des nodules rhumatoïdes qui étaient retrouvé chez 12 (12,12 %) malades sur 99 patients et par la quasi absence des manifestations systémique.…”

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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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Polyarthrite rhumatoïde : étude de 486 observations au Sénégal

Cited by 2 publications

References 3 publications

Primary Hyperparathyroidia at the Abass Ndao Hospital Center: About 29 Cases

Primary Hyperparathyroidia at the Abass Ndao Hospital Center: About 29 Cases

Polyarthrite Rhumatoïde au Niger : États des Lieux

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