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Objectifs. D��crire les particularit��s ��pid��miologiques, cliniques et ��tiologiques des myc��tomes extrapodaux au S��n��gal. M��thodologie. ��tude transversale et r��trospective avec recrutement multicentrique dans quatre services de r��f��rence dont deux en dermatologie et deux en orthop��die-traumatologie. ��taient inclus les dossiers de malades pr��sentant un myc��tome extrapodal suivis de janvier 2000 �� d��cembre 2020. Les donn��es ��taient analys��es avec le logiciel SPSS. R��sultats. Nous avons collig�� 82 cas repr��sentant 39 % des cas de myc��tomes (n = 210). L�����ge moyen ��tait de 41,9 ans. Le sexe-ratio ��tait de 3,1. Les professions majoritaires ��taient les cultivateurs en activit�� dans 51 % des cas (n = 33), les ��leveurs et les m��nag��res dans 9 % (n = 6) des cas respectivement. La dur��e moyenne d�����volution ��tait de 7,5 ans. Les topographies uniquement extrapodales ��taient not��es dans 84 % des cas (n = 69). Une localisation podale et extrapodale ��tait concomitante dans 16 % des cas (n = 13). Les foyers de myc��tomes se r��partissaient comme suit : 59 au tronc, 47 aux membres inf��rieurs, 9 aux membres sup��rieurs, 1 au cuir chevelu et 1 au cou. L�����tiologie ��tait actinomycosique dans 46 % des cas (n = 38), fongique dans 38 % (n = 31). Elle n���a pas ��t�� pr��cis��e dans 16 % des cas (n = 13). L���atteinte osseuse survenait apr��s 5 ans (p = 0,001) sans lien avec l�����tiologie (p = 0,6). Conclusion. Les myc��tomes extrapodaux sont en majorit�� secondaires �� une inoculation directe et leur extension osseuse est exclusivement due au retard diagnostique. Des consultations p��riodiques en zone d���end��mie associ��es �� une formation du personnel de sant�� r��sident sont n��cessaires pour un d��pistage pr��coce afin d���en am��liorer le pronostic. Extrapodal mycetomas in Senegal: epidemiological, clinical and etiological study of 82 cases diagnosed from 2000 to 2020 Objectives. Although the foot remains the main localization of mycetomas, extrapodal attacks, which are rarely studied, are also possible and occur either initially or following an extension. The objectives were to describe the epidemiological, clinical and etiological features of extrapodal mycetomas in Senegal. Methodology. Cross-sectional and retrospective study with multicentric enrollment in four reference department, two of which are in dermatology and two in orthopedics and traumatology. We included the files of patients with extrapodal mycetoma followed from January 2000 to December 2020. The data were analysed with SPSS software. Any p less than or equal to 0.05 was statistically significant. Results. We collected 82 cases representing 39% of mycetoma cases (n = 210). The average age was 41.9. The sex ratio was 3.1. Professionally, most patients were active farmers in 51% of cases (n = 33), pastoralists and housewives in 9 % (n = 6) respectively. The mean duration of evolution was 7.5 years. Exclusively extrapodal topographies were noted in 84% of cases (n = 69). Foot and extrapodal locations were concomitant in 16% of cases (n = 13). Mycetoma foci were distributed as follows: 59 in the trunk, 47 in the lower limbs, 9 in the upper limbs, 1 in the scalp and 1 in the neck. The etiology was actinomycotic in 46% of cases (n = 38), fungal in 38% (n = 31). It was not specified in 16% of cases (n = 13). Bone involvement occurs after 5 years (p = 0.001) unrelated to the etiology (p = 0.6). Conclusion. Extrapodal mycetomas are secondary to direct inoculation. However, extension to bone is exclusively due to diagnostic delay. Periodic consultations in endemic areas combined with training of resident health personnel are necessary for early diagnosis in order to improve the prognosis., MTSI, Vol. 2 No 1 (2022): MTSI-Revue

We included 177 patients, a hospital frequency of 5.7%. The mean age was 33.68 years. 71.8% of the patients were married, and 9% had no sexual activity before. Sexual intercourse was only vaginal in 57% and genito-anal in 8.8%. Genital pruritus was present in 75% of cases and leucorrhoea in 73.4%.

Background: The involvements of the scalp over the connective tissue diseases (lupus, sclerodermia and dermatomyositis) are often the present complaint due to the disfigurement they cause. The aim of our study was to identify the various involvements of the scalp over the connective tissue diseases. Method: We conducted a descriptive study over a period of seven months of every instance of involvement of the scalp and hair during connective tissue diseases received in the department. A tensile test, a Trichogram and mycological sampling were performed. Results: 25/35 involvements of the scalp were noted (71.42%); all of them were female and the mean age was 32 years. It was a lupus in 17 cases, sclerodermia in 6 cases, dermatomyositis and a sclerodermatomyositis. They were the present complaint in 48% of cases within 3 years and preceding the other lesions in 32% of cases. We noted fragile and dry hair in 10 cases, straightened hair in 8 cases and hypochromic spots fleck in 5 cases. Conclusion: Connective tissue diseases cause severe injuries and often reveal a risk of permanent cicaticial alopecia and fungal superinfection. The cicatricial alopecia and straightened hair are secondary to immune disorders.

Cutaneous tuberculosis diagnosis is difficult because of clinical polymorphism. Our goal was to study the clinical, epidemiological and evolutionary characteristics of cutaneous tuberculosis in Dakar.We performed a retrospective study from 1972 to 2005 of the tuberculosis cutaneous cases in our department. All cases which fulfilled clinical, epidemiological, the tuberculin test positive, bacteriogical and histological characteristics of cutaneous involvement were studied.Our study included 151 cases (75 men, 73 women). Clinical features were: scrofuloderma (84,76%), gomma (11,25%), periorificial tuberculosis (1,98%), lupus tuberculosis (1,98%), verrucosa tuberculosis (2,64%) and BCGite (0,66%). Pulmonary (26,5%), osteoarticular (8,6%), neurological (0,66%) were the man visceral involvements. Tuberculine test was highly positive in 66,22% of cases and HIV test was positive in 14,28%. Healing occurred after 1 or 2 month of treatment in all patients. Recidivation occurred in 3 patients and 3 patients died. Cure occurred in 23 patients after 8 to 12 month of treatment.Cutaneous tuberculosis is still endemic in Senegal. Scrofuloderma and gumma are the two main clinical presentations. Diagnosis was based on skin tuberculine test positive and histological granuloma.

Introduction: In subsaharian African countries there are so few data concerning the psoriasis of the child. Our objective was to determine the epidemiological, clinical and therapeutic aspects of the pediatric psoriasis in a dermatology unit, at Dakar in Senegal. Patients and methods: This was an 8 years (2004-2011) retrospective study conducted at the Dermatological clinic of HALD. All patients under 16 years old with psoriasis were included. Results: We report 40 cases of psoriasis of the child. The sex ratio was 1.05 and the average age of 6 years. The atopic status was found in 4 cases as follows: 3 cases of asthma and 1 case of atopic dermatitis. The average time of consultation was 5 months. The way the patients consulted was: 28 cases consulted a general practitioner, 6 cases seen by a paramedic and 5 patients consulted a traditional healer. The pruritus was present in 14 patients. The psoriasis vulgaris was the predominant form with 20 cases. The other forms were: 12 cases of guttate psoriasis, 6 cases of psoriasis universalis, 1 case in pustular and 1 case erythro-dermic. The topical glucocorticoids were prescribed in all the patients. The recurrence was found in 5 cases and 8 patients were lost of follow up. Conclusion: Psoriasis is a rare and benign condition in children with predominance of simple forms such as psoriasis vulgaris.