Sante (Montrouge, France)最新文献

{"title":"[Laboratory diagnostic and prognostic factors: Multiple myeloma in Morocco].","authors":"Moncef Amrani Hassani,&nbsp;Ahmed Filali Baba,&nbsp;Meryem Alami,&nbsp;Hazar Lahlou","doi":"10.1684/san.2010.0214","DOIUrl":"https://doi.org/10.1684/san.2010.0214","url":null,"abstract":"<p><p>ObjectivesThe purpose of this retrospective study was to clarify the factors for a laboratory diagnosis of multiple myeloma (Kahler's disease) and assess their prognostic value.MethodsThe study of all 10 patients with multiple myeloma seen during 2009 in the department of internal medicine and the haematology laboratory of HASSAN II University Hospital Centre in Fez. Work-ups for all patients included hemograms, sedimentation speed, electrophoresis of serum and urinary proteins, myelograms, creatinemia, calcemia, ß2-microglobulin, LDH and CRP.ResultsIn this series, the average age of the patients was 59 years and the sex ratio 1.3 (men). The laboratory tests showed anemia below 12 g/dl in 80% of the cases, with IgG accounting for 50% of the cases. The median concentration of the monoclonal component was 28 g/l. The prognostic assessments showed an increase in ß2-microglobulins and creatinemia in one case. CRP was elevated in all patients.ConclusionThe results from this study are consistent with those from other series. Protein electrophoresis and myelography results are major diagnostic elements, because they make it possible to rule out a monoclonal gammopathy of undetermined significance, for which treatment differs completely from that for multiple myeloma. ß2-microglobulin and CRP are independent prognostic factors providing important information about survival.</p>","PeriodicalId":79375,"journal":{"name":"Sante (Montrouge, France)","volume":"20 4","pages":"209-13"},"PeriodicalIF":0.0,"publicationDate":"2010-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29672069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Failure to offer parasitology screening to vulnerable migrants in France: Epidemiology and consequences].","authors":"François Deniaud,&nbsp;Charles Rouessé,&nbsp;Anne Collignon,&nbsp;Anita Domingo,&nbsp;Laurent Rigal","doi":"10.1684/san.2010.0210","DOIUrl":"https://doi.org/10.1684/san.2010.0210","url":null,"abstract":"<p><p>The \"Consultations de Diagnostic et d'Orientation\" (CDO), created in 1998 by the Paris Health Department, are medical consultations for vulnerable populations, which are held in municipal clinics, free of charge. More than two-thirds of CDO patients come from Africa. Our study was designed to assess and analyze whether these clinics offered consulting migrants screening for intestinal parasitic and Schistosoma haematobium infections.Material and methodsThis retrospective study included all immigrants attending CDO for the first time at four Parisian municipal free clinics during 2003. Univariate and multivariate analysis adjusted for age, sex, and geographic origin were conducted. An interview with one of the CDO physicians provided qualitative data to round out the quantitative data from the record analysis.ResultsThe study included 503 migrants eligible for screening for intestinal parasitic infections because they come from regions where these infections are endemic; among them 481 were also eligible for urine screening for Schistosoma haematobium (SH). The sociodemographic characteristics for the entire sample (not significantly different from the 481-person subgroup) were: sex ratio (M/W): 4:1; more than 50% were 35 years old or younger; and more than 50% had no health insurance coverage. Overall, around 80% came from sub-Saharan Africa, around 16% from North Africa or the Middle East, and 4.5% from Asia or South America. Screening for intestinal or urinary parasitic infections was not offered to 3 out of 5 migrants from endemic areas. Screening for intestinal parasites was offered less often to migrants from regions other than sub-Saharan Africa, to those older than 35 years of age, and to those without abdominal symptoms. Schistosoma haematobium urine screening was proposed less often to those from North Africa or the Middle East, to those older than 35 years of age, and to those without either abdominal or genitourinary symptoms. Microscopic examination of urine for Schistosoma haematobium was performed for 171 patients; 22 positive results were reported, with viable SH eggs (13%). Microscopic examination of stool for ova and parasites was performed for 161 patients; 32 had positive results (20%). These included 14 cases of Entamoeba histolytica/dispar (our laboratory cannot distinguish the 2 strains).DiscussionThe failure to offer screening affects sub-Saharan Africans less than other migrants, perhaps because of a particular visibility due to their mass (they are the most prominent subgroup of migrants) or their higher frequency of abdominal/genitourinary symptoms. Nevertheless, more than 50% of them were not asked to undergo parasite screening, although they are the group with the highest rate of intestinal/urinary parasitosis. The most common and dangerous parasite found was Schistosoma haematobium; we do not know the pathogenicity of the Entamoeba found. Reasons for the frequent failure to suggest these screenings may include t","PeriodicalId":79375,"journal":{"name":"Sante (Montrouge, France)","volume":"20 4","pages":"201-8"},"PeriodicalIF":0.0,"publicationDate":"2010-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29672064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Aspects of the epidemiology, diagnosis and management of sickle cell osteomyelitis in children in Africa].","authors":"Faustin Félicien Mouafo Tambo,&nbsp;Marcellin Ngowe Ngowe,&nbsp;Ondobo Gervais Andze,&nbsp;Maurice Aurélien Sosso","doi":"10.1684/san.2010.0212","DOIUrl":"https://doi.org/10.1684/san.2010.0212","url":null,"abstract":"<p><p>IntroductionSickle cell osteomyelitis in children is one of the complications of osteoarthritis in sickle cell disease.ObjectiveTo describe the epidemiology, diagnosis and treatment of sickle cell osteomyelitis in children in Africa to improve management.Tools and methodA review of records showed that from April 2004 through September 2009, eleven cases of osteomyelitis in children aged 0 to 15 years who carried the sickle cell trait were treated in the surgical and pediatric unit of the Women's and Children's Hospital of Yaounde.ResultThe children's mean age was 7 years, but frequency was highest for those aged 1 to 5 years. The sex ratio was 2:1 male. The portal of entry was found for only 30% of cases. The predilection of the disease for long bones, the non-fistulated forms, the homozygous type, and the frequency of Salmonella were all remarkable. Medical and preventive treatment, always applied, were followed by orthopedic treatment. The usefulness of surgery, on the other hand, is subject to debate. Healing was obtained in 80% of cases.ConclusionThe authors describe the profile of osteomyelitis in children with sickle cell disease in Africa.</p>","PeriodicalId":79375,"journal":{"name":"Sante (Montrouge, France)","volume":"20 4","pages":"221-4"},"PeriodicalIF":0.0,"publicationDate":"2010-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29672067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Obstetric care: Supply and demand care in three valleys of the western High Atlas region of Morocco (Anougal, Azgour and Imnane)].","authors":"Mariam Zouini,&nbsp;Mohamed Cherkaoui,&nbsp;Abdellatif Baali,&nbsp;Hakima Amor,&nbsp;Mohamed Kamal Hilali,&nbsp;Fatima Zahra El Hamdani,&nbsp;Patrice Vimard","doi":"10.1684/san.2010.0213","DOIUrl":"https://doi.org/10.1684/san.2010.0213","url":null,"abstract":"<p><p>This article analyses the data of an exhaustive retrospective survey of maternal morbidity among 656 women from 3 valleys of the Western High Atlas mountains of Morocco who gave birth within the previous 5 years and from the obstetric register of the hospital providing obstetric care in the study area. This analysis reveals a very large gap between the prevalence of symptoms of maternal morbidity recorded in the High Atlas valleys we studied and those measured on a regional and national scale. Only a minority of women have either prenatal or postnatal care, and delivery in a medically monitored environment is uncommon. Although morbidity during pregnancy should lead women to give birth in such a setting, only one third of the women with morbidity during pregnancy gave birth in a medical facility. This situation increases the risk of complications and morbidity during pregnancy, delivery and the postpartum period. This inadequate utilisation of preventive and curative healthcare appears to be related not only to sociocultural representations and socio-economic conditions but also to inadequate provision of obstetric care by the health-care system for complications and the poor quality of pre- and postnatal consultations. The proportion of serious complications of pregnancy or delivery complications requiring emergency obstetric care admitted to the hospital does not exceed 4.5%, while the acceptable level is 15%. Among these cases, nearly half were subsequently referred to Marrakech, to a second-level referral centre.</p>","PeriodicalId":79375,"journal":{"name":"Sante (Montrouge, France)","volume":"20 4","pages":"225-31"},"PeriodicalIF":0.0,"publicationDate":"2010-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29680421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Perception of pain by patients receiving antiretroviral treatment in North Kivu, DR Congo].","authors":"Claire Escoffier,&nbsp;Alain Kambale,&nbsp;Faustin Paluku,&nbsp;Jean-Pierre Kabuayi,&nbsp;François Boillot","doi":"10.1684/san.2010.0211","DOIUrl":"https://doi.org/10.1684/san.2010.0211","url":null,"abstract":"<p><p>This operational research conducted among TB patients co-infected with HIV in North Kivu had three objectives: (i) to clarify the local perception of a certain type of pain (michi in the local language) in patients on antiretroviral treatment (ART); (ii) to identify the attitudes of health care personnel regarding the management of ART side effects; and (iii) to explore ways to improve the quality of life of patients on ART and provide them with pain relief. Twenty in-depth interviews were conducted with patients on ART and their medical care providers in district health centers of North-Kivu and at patients' homes. A semantic analysis of the term michi revealed a nosologic folk entity based on a naturalistic view of the body; the term michi is used to name: (i) the \"roots\" of plants or trees; (ii) channels (veins, arteries, but also nerves and tendons) in the body through which fluids (blood, water) and energy are conveyed; (iii) different types of acute pain, possibly located along these channels. The description (location, duration, and intensity) of the functional signs and the context of their occurrence (while taking Stavudine) confirmed the medical diagnosis of acute sensory neuropathies. Although a classic ART side effect, neuropathies are underdiagnosed by health workers who find it difficult to recognize signs of treatment toxicity in apparently trivial symptoms. Different reasons account for this: (i) healthcare staff have little time to spend with TB/HIV patients and thus provide inadequate management of functional symptoms; (ii) insufficient attention is paid to patients' acute pain, which is often perceived as \"normal\"; (iii) insufficient knowledge of ART side effects due to staff turnover higher than the frequency of training that programmes. The study was conducted as part of the DR Congo national programmes for TB and AIDS and led to the formulation of recommendations about improving, especially through training, the assessment of functional symptoms as expressed in the main cultural areas of the country, including increased awareness of their vernacular expressions. This study also stressed the need for early diagnosis and management of iatrogenic neuropathy. The integration of leprosy and TB programmes in DR Congo in principle offers a suitable framework to develop synergies for the management of peripheral neuropathy. Finally, providing increased attention to patients (empathy, listening and counselling) requires time and calls for a careful analysis of the care providers' workload, to facilitate the smooth integration of HIV care into general health services.</p>","PeriodicalId":79375,"journal":{"name":"Sante (Montrouge, France)","volume":"20 4","pages":"189-94"},"PeriodicalIF":0.0,"publicationDate":"2010-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29687727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Role of traditional medicine in the health care system of the cities of sub-Saharan Africa: Libreville in Gabon].","authors":"Euloge Makita-Ikouaya,&nbsp;Jean-Marie Milleliri,&nbsp;Jean-Paul Rudant","doi":"10.1684/san.2010.0209","DOIUrl":"https://doi.org/10.1684/san.2010.0209","url":null,"abstract":"<p><p>Traditional medicine in Libreville is undergoing changes, despite the refusal of some actors in the modern health-care system to recognize it. It is gradually adopting the methods and techniques of modern medicine for patient management. It therefore occupies the same medical space as the modern care system, creating competition. Traditional medicine is positioning itself to deal with pathologies related to the body, thus competing with -- and annoying -- some of the actors of the modern system of care. At the same time, it lays claim to pathologies related to the spirit, thus distinguishing itself.</p>","PeriodicalId":79375,"journal":{"name":"Sante (Montrouge, France)","volume":"20 4","pages":"179-88"},"PeriodicalIF":0.0,"publicationDate":"2010-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29675517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Immunization coverage of children aged 0 to 5 years in Libreville (Gabon)].","authors":"Simon Ategbo,&nbsp;Edgard Brice Ngoungou,&nbsp;Jean Koko,&nbsp;Yolande Vierin,&nbsp;Carine Eyi Zang Ndong,&nbsp;André Moussavou Mouyama","doi":"10.1684/san.2010.0204","DOIUrl":"https://doi.org/10.1684/san.2010.0204","url":null,"abstract":"<p><strong>Unlabelled: </strong>The strategies recently implemented in Gabon have been effective in improving immunization coverage. These include, in particular, the integration of the Expanded Programme on Immunization (EPI) in primary health care centers, the integration of immunization outside of EPI, immunization by peripheral health centers according to pre-set advanced strategies, and awareness and catch-up campaigns. This descriptive, cross-sectional survey was conducted from 1 October 2007 through 30 January 2008, throughout public- and private-sector health care centers in the town of Libreville. In the public sector, where health care is free, the study took place at the largest health facility in the country, the Hospital Center of Libreville (HCL), at Estuary Mélen Hospital (on the outskirts of Libreville), at Nkembo Hospital, which houses the EPI offices, and the 5 Maternal and Child Health centers (MCH) where vaccine monitoring is done. Monitoring in the private sector covered only the three largest clinics, where vaccine monitoring is done, all of which agreed to participate. After obtaining informed consent from the parents or guardian accompanying the child, a semi-structured interview according to a standardised questionnaire was conducted to collect socioeconomic and demographic data, including age, sex, recruitment site, place of residence, number of siblings, parental origin, ethnicity of head of household, type of family (couple or single parent), mother's age, level of education, employment and socio-economic status, as determined by the head of household's monthly income (in three categories: 1) low income, at or below the minimum wage, set at 80 000 FCFA (120 euros); 2) average income, from more than 80 000 FCFA to 300 000 FCFA (458 euros); and 3) high income over 300 000 FCFA. After the interview, the child's vaccination booklet was carefully examined to identify the types of antigen, number of doses administered, age at vaccination, and the regularity of the monitoring. Parents were asked to explain the reasons for any delays in or absences of vaccinations. EPI vaccines administered to children aged 0 to 11 months include: BCG (Calmette-Guérin bacillus); DPT3 (3rd combination dose for Diphtheria-Tetanus-Pertussis); Hib3 (3rdd dose of Haemophilus influenza b); OPV3 (3rd dose of oral polio vaccine); IPV3 (3rd dose of injectable polio vaccine, often in combination); HEB3 (3rd dose of Hepatitis B); yellow fever vaccine; and measles vaccine. The non-EPV vaccines for children aged 12 to 59 months included: HiB4; DPT4; HEB4; IPV4; MMR (combined Measles-Mumps-Rubella); meningococcal vaccine A and C; Typhim Vi (typhoid polysaccharide vaccine); and Pneumo 23 (pneumococcal vaccine.)</p><p><strong>Results: </strong>The study included 1001 children: 533 boys (53.2%) and 468 girls (46.8%), for a sex ratio of 1.1. The mean age of the sample was 12.0 ± 13.1 months, distributed as follows: 64.5% aged 0 to 11 months; 20.1% aged 12 to 24","PeriodicalId":79375,"journal":{"name":"Sante (Montrouge, France)","volume":"20 4","pages":"215-9"},"PeriodicalIF":0.0,"publicationDate":"2010-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29625770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Sociological perspectives on the management of TB/HIV co-infection in Burkina Faso].","authors":"Roger Zerbo,&nbsp;Koiné Maxime Drabo,&nbsp;Séni Kouanda,&nbsp;Jean-Bosco Ouedraogo,&nbsp;Bruno Dujardin,&nbsp;Jean Macq,&nbsp;Pierre Huygens","doi":"10.1684/san.2010.0206","DOIUrl":"https://doi.org/10.1684/san.2010.0206","url":null,"abstract":"<p><p>In Burkina Faso, the management of TB/HIV co-infection presents a challenge for policy-makers and the health-care system, with its psychological, sociocultural and biomedical issues. The purpose of this paper is to describe the concerns caused by this co-infection and propose a management strategy for these patients. These findings result from a qualitative socio-anthropological study during a public health project in three health districts from 2006 to 2008 and from the observation of care practices in health centres. Patients face a double burden: the negative social image of both diseases and complicated difficult treatment. They deal with problems of social integration, with their social relations impaired by humiliation and marginalisation. The painful experience of daily doses of antiretroviral and anti-TB drugs creates bitterness against drugs, aggravated sometimes by apparently capricious care. In addition to economic insecurity, these chronically ill patients face social stigma and marginalisation, all damaging to their self-esteem.</p>","PeriodicalId":79375,"journal":{"name":"Sante (Montrouge, France)","volume":"20 4","pages":"195-9"},"PeriodicalIF":0.0,"publicationDate":"2010-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29637688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Cost of stroke in Lomé (Togo).]","authors":"Kokou Mensah Guinhouya, Awa Tall, Damelan Kombate, Vinyo Kumako, Kossivi Apetse, Mofou Belo, Agnon Koffi Balogou, Kodjo Eric Grunitzky","doi":"10.1684/san.2010.0192","DOIUrl":"10.1684/san.2010.0192","url":null,"abstract":"<p><p>The financial crisis that affected the healthcare systems of most developing countries in the 1980s, the ensuing need to control hospital costs, the partial disengagement of States, and the resort to policies based on cost recovery -- all these led to the restructuring of hospital systems in Africa, in accordance with the Bamako initiative, adopted by the WHO regional committee in September 1987. This restructuring required populations to pay much of the cost of their health care. In practice, however, the major obstacle to this policy of cost recovery remains poverty. Twenty years after the adoption of this initiative, we sought to evaluate the cost of hospitalisation for cerebral stroke in Togo, where there is no national health insurance programme, and to propose strategies to improve its management. This prospective study was conducted in the neurology department of the University Hospital of Lomé over a period of 12 months, from 1 January to 31 December 2005 and included 412 consecutive patients with a confirmed diagnosis according to WHO criteria and cerebral computed tomography (CT) results. This department has 30 beds in rooms categorized according to their cost to the patients: EUR 27.30 for a superior single room, EUR 18.20 for the first category standard room, EUR 13.7 euros for the second, and EUR 8.20 for the third. Patients or their family could choose their room category. Of the 412 patients included in our study, 248 (60.2%) had an ischaemic stroke (IS) and 164 (39.8%) a haemorrhagic stroke (HS). The average length of stay was 17.4 +/- 10.4 days (range: 3 to 41 days), 10.17 days (range: 3 to 24) for IS and 26.7 (range: 13 to 41) for HS. In all, 124 (30%) patients produced insurance certificates, and 288 (70%) paid directly; among the latter 152 (36.9%) patients paid their own expenses, while relatives paid for 65 (63.10%). Housewives accounted for 136 (33%) patients, 96 (23%) retired and 180 (20.4%) civil servants. No one chose the superior quality private room; 256 (62%) patients used category 3 rooms, 68 (27.2%) of them housewives and 44 (17.2%) retired. The total cost averaged EUR 679.6 +/- 297.90, almost 19 times higher than the minimum monthly salary of civil servants in Togo (EUR 36.30). The total for IS was EUR 428.80 +/- 188.9 and for HS, EUR 935.6 +/- 36.50. The average person in Togo spends EUR 3.99 per person per year on health, while a stroke patient hospitalized in Lome spends an average of 170 times more in only 17.4 days. Accordingly, most of the Togolese cannot access specialized neurology care for a stroke. Drug expenses accounted for the highest portion of the cost, in part because patients are obliged to buy retail pharmaceutical products that could have been provided to them at the hospital. Use of generic drugs could reduce this cost. Length of stay and tests could be reduced by setting time limits for procedures and setting up rehabilitation facilities.</p>","PeriodicalId":79375,"journal":{"name":"Sante (Montrouge, France)","volume":" ","pages":"None"},"PeriodicalIF":0.0,"publicationDate":"2010-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29164529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Phocomelia in Africa: thoughts about a case report].","authors":"Faustin Félicien Mouafo Tambo,&nbsp;Ondobo Gervais Andze","doi":"10.1684/san.2010.0203","DOIUrl":"https://doi.org/10.1684/san.2010.0203","url":null,"abstract":"<p><p>Phocomelia is a developmental abnormality which occurs during pregnancy and results in congenital ectromelia (developmental arrest of one or more limbs), with characteristically atrophied limbs that look as if they were directly implanted on the trunk, that is, like seal (phocid) flippers. The authors report the case of a Cameroonian neonate. Abnormalities were limited to the upper limbs. The lack of useful causal information and especially the difficulties in therapeutic management in this context are highlighted.</p>","PeriodicalId":79375,"journal":{"name":"Sante (Montrouge, France)","volume":"20 3","pages":"163-6"},"PeriodicalIF":0.0,"publicationDate":"2010-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1684/san.2010.0203","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29509028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}