阿比让儿童白癜风的流行病学和临床特征:40例研究

IF 0.2 Q4 DERMATOLOGY
C. Ahogo, Isidore Yao, U. Feungue, K. Gbandama, Somin Coulibaly, A. Allou, Alexandra Engome
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引用次数: 1

摘要

白癜风是一种获得性和可见的白癜风,可导致社会污名化。本研究的目的是建立阿比让儿童白癜风的流行病学和临床概况。事实上,在撒哈拉以南非洲,特别是在Côte科特迪瓦,关于这种儿童慢性疾病的数据很少。方法于2017年6月至2018年6月在Treichville大学教学医院进行横断面研究。所有符合我们选择标准的16岁以下白癜风患儿均被纳入研究。采用CSPRO 7.2和SPSS 23软件进行数据分析,显著性阈值设为0.05。结果儿童白癜风患病率为1.78%。我们的研究包括19名男孩和21名女孩(性别比例M/F: 0.9)。9至15岁的儿童受影响最大(45%)。主要家族史为糖尿病(37.5%)、早期犬炎(30%)和白癜风(17.5%)。与儿童白癜风相关的皮肤病以特应性皮炎为主(17.5%)。白癜风临床表现以非节段性白癜风为主(47.5%)。片段型和混合型分别为42.5%和10%。白癜风病变主要集中在日晒区(52.5%),节段性白癜风明显累及面部(P=0.04)。节段性白癜风在0 ~ 3岁儿童中也更为常见(P=0.03)。Koebner现象出现在5名儿童中,与非节段性白癜风有统计学关联(P=0.04)。结论本组患者白癜风患病率为1.78%。这种病理主要发生在年龄较大的儿童。临床主要表现为非节段性。这种影响通常发生在阳光照射的地方。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Epidemiological and clinical profile of childhood vitiligo in Abidjan: a study of 40 cases
Background Vitiligo is an acquired and visible leucoderma that can lead to social stigmatization. The aim of this study was to establish the epidemiological and clinical profile of childhood vitiligo in Abidjan. In fact, very little data is available on this chronic child disease in sub-Saharan Africa, particularly in Côte d’Ivoire. Methods We carried out a cross-sectional study at University Teaching Hospital of Treichville from June 2017 to June 2018. All children under 16 years old with vitiligo who meet our selection criteria were included. CSPRO 7.2 and SPSS 23 software were used for data analysis and the significance threshold was set at 0.05. Results The prevalence of childhood vitiligo was 1.78%. Our series consisted of 19 boys and 21 girls (sex ratio M/F: 0.9). Children aged between 9 and 15 years old were the most affected (45%). The main family history were diabetes (37.5%), early canitis (30%) and vitiligo (17.5%). Atopic dermatitis was the main dermatosis associated with the childhood vitiligo (17.5%). The main clinical form of vitiligo was the non-segmental form (47.5%). The segmental and mixed forms had rates of 42.5% and 10% respectively. The vitiligo lesions were mainly located in sun-exposed areas (52.5%) and the segmental vitiligo significantly reached the face (P=0.04). Segmental vitiligo was also more common in children aged 0 to 3 years (P=0.03). The Koebner phenomenon was present in 5 children and was statistically associated with non-segmental vitiligo (P=0.04). Conclusion The prevalence of vitiligo in our series was 1.78%. This pathology occurs mainly in older children. The main clinical form was the non-segmental form. The affection was most often located on the sun-exposed areas.
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