{"title":"Manifestations cutanées de la trypanosomiase humaine africaine gambiense (THA).","authors":"Ansoumane Kourouma, Mamadou Camara, Mariama Layba Camara, Mamadou Baïlo Diallo, Omar Camara, Moïse Kagbadouno, Bruno Bucheton","doi":"10.3917/spub.251.0173","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Cutaneous manifestations of HAT are common and often go unrecognized by healthcare providers. The objective of this research was to describe the epidemiological, therapeutic, and progressive aspects of the cutaneous manifestations of HAT.</p><p><strong>Patients and methods: </strong>This is an ambispective, descriptive, and analytical study of HAT patients presentingcutaneous manifestations, treated and monitored at the center from 01/01/2018 to 12/31/2023. The variables analyzed were epidemiological, clinical, paraclinical, therapeutic, and progressive.</p><p><strong>Results: </strong>The prevalence of cutaneous signs was 67.9%, and the most represented data were: the age group ≥ 20 years (74.4%) with a sex ratio of 1.31; activities with lower risk of HAT (58.4%), passive patients (55.2%); patients in phase II (99.2%), pruritus (100%) of severe intensity (50%), scratching lesions (78.4%) localized on the thorax (82.6%), upper (75 .5%) and lower (54.1%) limbs, and abdomen (50.9%); therapeutic abstinence (82.4%), and the association of other dermatological diseases (23.2%). The average evolution of skin signs was six months, and on average after two months 96.7% of the patients monitored were completely cured. The factors significantly associated with scratching lesions in multivariate analysis were thoracic location (p: 0.0006), age group from 0 to 19 years (p: 0.03), activities with a higher risk of HAT (p: 0.03), and leukorachia ≥100cel/μl (p: 0.01).</p><p><strong>Conclusion: </strong>Scraping lesions on the thorax are highly indicative of HAT.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 1","pages":"173-181"},"PeriodicalIF":0.3000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sante Publique","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3917/spub.251.0173","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: Cutaneous manifestations of HAT are common and often go unrecognized by healthcare providers. The objective of this research was to describe the epidemiological, therapeutic, and progressive aspects of the cutaneous manifestations of HAT.
Patients and methods: This is an ambispective, descriptive, and analytical study of HAT patients presentingcutaneous manifestations, treated and monitored at the center from 01/01/2018 to 12/31/2023. The variables analyzed were epidemiological, clinical, paraclinical, therapeutic, and progressive.
Results: The prevalence of cutaneous signs was 67.9%, and the most represented data were: the age group ≥ 20 years (74.4%) with a sex ratio of 1.31; activities with lower risk of HAT (58.4%), passive patients (55.2%); patients in phase II (99.2%), pruritus (100%) of severe intensity (50%), scratching lesions (78.4%) localized on the thorax (82.6%), upper (75 .5%) and lower (54.1%) limbs, and abdomen (50.9%); therapeutic abstinence (82.4%), and the association of other dermatological diseases (23.2%). The average evolution of skin signs was six months, and on average after two months 96.7% of the patients monitored were completely cured. The factors significantly associated with scratching lesions in multivariate analysis were thoracic location (p: 0.0006), age group from 0 to 19 years (p: 0.03), activities with a higher risk of HAT (p: 0.03), and leukorachia ≥100cel/μl (p: 0.01).
Conclusion: Scraping lesions on the thorax are highly indicative of HAT.
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La revue Santé Publique s’adresse à l’ensemble des acteurs de santé publique qu’ils soient décideurs,
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des travaux de recherche, des évaluations, des analyses d’action, des réflexions sur des interventions
de santé, des opinions, relevant des champs de la santé publique et de l’analyse des services de
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Santé publique est une revue à comité de lecture, multidisciplinaire et généraliste, qui publie sur
l’ensemble des thèmes de la santé publique parmi lesquels : accès et recours aux soins, déterminants
et inégalités sociales de santé, prévention, éducation pour la santé, promotion de la santé,
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et santé perçue, santé scolaire, santé et travail, systèmes de santé, systèmes d’information, veille
sanitaire, déterminants de la consommation de soins, organisation et économie des différents
secteurs de production de soins (hôpital, médicament, etc.), évaluation médico-économique
d’activités de soins ou de prévention et de programmes de santé, planification des ressources,
politiques de régulation et de financement, etc
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