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Introduction: The Dermatology Department of the University Hospital Center of Befelatanana in Antananarivo deals with both outpatient and inpatient dermatoses. Two outpatient studies were conducted in 2001 and in 2006. But, this will be the first for Madagascar regarding hospitalization. So our aim is to determine the epidemiological-clinical profile of dermatoses seen in hospitalization.Patients and methods: This descriptive retrospective study was conducted from 1 February 2006 to 28 February 2012 in Dermatology department at the University Hospital Befelatanana. The register of hospital consultants and files were used to fill out data collection form.Results : We collected 286 patients seen in the Dermatology department. The mean age was 37.70 years (5- 98 years) with a sex ratio 0.49. Our study showed the importance of autoimmune diseases (33.3%) that are dominated by systemic lupus erythematosus (n = 51). It is a serious chronic pathology evolving by push. The management of severe toxidermia (25,1%) is done in hospital as in any other country. The mean duration of hospitalization was 34 days. The mortality rate was 3.49%.Conclusion: The serious forms of dermatological pathologies require management in hospital.

Introduction: Therapeutic compliance is the adequacy of the patient's behavior regarding medical recommendations. In Madagascar, No survey has not yet been published in that regard. Thus, our purposes are to determine the compliancy rate of patients with chronic diseases in dermatology and to identify the factors affecting their therapeutic compliance.Methods: Monocentric descriptive and retrospective study performed in the dermatology department of Joseph Raseta Befelatanana University Hospital center, On a 6 months duration, among patients with chronic dermatoses.Results: We counted 133 patients with a compliancy rate of 35.34%. Several parameters particularly age, gender, educational level, salary, understanding of pathology and treatment, duration of follow-up, were considered and correlated with the rate of compliance to assess factors of good and bad compliance.Conclusion: In order to improve the therapeutic observance in care unit, It is necessary to intervene on the standard of living of the patients suffering from chronic dermatoses and to promote the therapeutic education accompanied by psychological support to make them understand their pathology as well as the appropriate treatment.

Introduction: Therapeutic compliance is the adequacy of the patient's behavior regarding medical recommendations. In Madagascar, No survey has not yet been published in that regard. Thus, our purposes are to determine the compliancy rate of patients with chronic diseases in dermatology and to identify the factors affecting their therapeutic compliance.Methods: Monocentric descriptive and retrospective study performed in the dermatology department of Joseph Raseta Befelatanana University Hospital center, On a 6 months duration, among patients with chronic dermatoses.Results: We counted 133 patients with a compliancy rate of 35.34%. Several parameters particularly age, gender, educational level, salary, understanding of pathology and treatment, duration of follow-up, were considered and correlated with the rate of compliance to assess factors of good and bad compliance.Conclusion: In order to improve the therapeutic observance in care unit, It is necessary to intervene on the standard of living of the patients suffering from chronic dermatoses and to promote the therapeutic education accompanied by psychological support to make them understand their pathology as well as the appropriate treatment.

Introduction: Lupus erythematosus is a serious autoimmune inflammatory disease. Mucocutaneous manifestations are themain clinical manifestations, so our aim is to determine the different cutaneous manifestations of lupus erythematosus in Antananarivo.Methods: A retrospective study was conducted over a period of 5 years from January 2007 to December 2011 in the medical derpartment of Joseph Raseta Befelatanana University Hospital.. All patients who presented lupus erythematosus were included.Results: Among 57,509 patients seen in Joseph Raseta Befelatanana University Hospital, sixty seven cases of lupus erythematosus were included. The mean age was 35.08 years [minimum: 9; maximum: 69 years]. The sex ratio was 0.06. Among these 67 patients, forty six presented cutaneous manifestations (68, 65%). As specific lesions in lupus, chronic cutaneous lupus was observed in 47.82%, acute cutaneous lupus in 30.43% and subacute cutaneous lupus in 06.52% of patients. The other dermatological manifestations found were alopecia in 52.17%, photosensitivity in 43.47%, Raynaud's phenomenon in 17.39% and bullous lesions in 06.52% of patients.Conclusion: A little difference was found in epidemiological, clinical and paraclinical aspects in lupus Malagasy patients and Africans. Lupus erythematosus is still a under-diagnosed disease in Madagascar. A deeper understanding of the cutaneous manifestations of SLE is essential for diagnosis and prognosis

Introduction: The Dermatology Department of the University Hospital Center of Befelatanana in Antananarivo deals with both outpatient and inpatient dermatoses. Two outpatient studies were conducted in 2001 and in 2006. But, this will be the first for Madagascar regarding hospitalization. So our aim is to determine the epidemiological-clinical profile of dermatoses seen in hospitalization.Patients and methods: This descriptive retrospective study was conducted from 1 February 2006 to 28 February 2012 in Dermatology department at the University Hospital Befelatanana. The register of hospital consultants and files were used to fill out data collection form.Results : We collected 286 patients seen in the Dermatology department. The mean age was 37.70 years (5- 98 years) with a sex ratio 0.49. Our study showed the importance of autoimmune diseases (33.3%) that are dominated by systemic lupus erythematosus (n = 51). It is a serious chronic pathology evolving by push. The management of severe toxidermia (25,1%) is done in hospital as in any other country. The mean duration of hospitalization was 34 days. The mortality rate was 3.49%.Conclusion: The serious forms of dermatological pathologies require management in hospital.

Introduction: Lupus erythematosus is a serious autoimmune inflammatory disease. Mucocutaneous manifestations are themain clinical manifestations, so our aim is to determine the different cutaneous manifestations of lupus erythematosus in Antananarivo.Methods: A retrospective study was conducted over a period of 5 years from January 2007 to December 2011 in the medical derpartment of Joseph Raseta Befelatanana University Hospital.. All patients who presented lupus erythematosus were included.Results: Among 57,509 patients seen in Joseph Raseta Befelatanana University Hospital, sixty seven cases of lupus erythematosus were included. The mean age was 35.08 years [minimum: 9; maximum: 69 years]. The sex ratio was 0.06. Among these 67 patients, forty six presented cutaneous manifestations (68, 65%). As specific lesions in lupus, chronic cutaneous lupus was observed in 47.82%, acute cutaneous lupus in 30.43% and subacute cutaneous lupus in 06.52% of patients. The other dermatological manifestations found were alopecia in 52.17%, photosensitivity in 43.47%, Raynaud's phenomenon in 17.39% and bullous lesions in 06.52% of patients.Conclusion: A little difference was found in epidemiological, clinical and paraclinical aspects in lupus Malagasy patients and Africans. Lupus erythematosus is still a under-diagnosed disease in Madagascar. A deeper understanding of the cutaneous manifestations of SLE is essential for diagnosis and prognosis

Introduction: The Dermatology Department of the University Hospital Center of Befelatanana in Antananarivo deals with both outpatient and inpatient dermatoses. Two outpatient studies were conducted in 2001 and in 2006. But, this will be the first for Madagascar regarding hospitalization. So our aim is to determine the epidemiological-clinical profile of dermatoses seen in hospitalization.Patients and methods: This descriptive retrospective study was conducted from 1 February 2006 to 28 February 2012 in Dermatology department at the University Hospital Befelatanana. The register of hospital consultants and files were used to fill out data collection form.Results : We collected 286 patients seen in the Dermatology department. The mean age was 37.70 years (5- 98 years) with a sex ratio 0.49. Our study showed the importance of autoimmune diseases (33.3%) that are dominated by systemic lupus erythematosus (n = 51). It is a serious chronic pathology evolving by push. The management of severe toxidermia (25,1%) is done in hospital as in any other country. The mean duration of hospitalization was 34 days. The mortality rate was 3.49%.Conclusion: The serious forms of dermatological pathologies require management in hospital.

Introduction: Therapeutic compliance is the adequacy of the patient's behavior regarding medical recommendations. In Madagascar, No survey has not yet been published in that regard. Thus, our purposes are to determine the compliancy rate of patients with chronic diseases in dermatology and to identify the factors affecting their therapeutic compliance.Methods: Monocentric descriptive and retrospective study performed in the dermatology department of Joseph Raseta Befelatanana University Hospital center, On a 6 months duration, among patients with chronic dermatoses.Results: We counted 133 patients with a compliancy rate of 35.34%. Several parameters particularly age, gender, educational level, salary, understanding of pathology and treatment, duration of follow-up, were considered and correlated with the rate of compliance to assess factors of good and bad compliance.Conclusion: In order to improve the therapeutic observance in care unit, It is necessary to intervene on the standard of living of the patients suffering from chronic dermatoses and to promote the therapeutic education accompanied by psychological support to make them understand their pathology as well as the appropriate treatment.

Introduction: Lupus erythematosus is a serious autoimmune inflammatory disease. Mucocutaneous manifestations are themain clinical manifestations, so our aim is to determine the different cutaneous manifestations of lupus erythematosus in Antananarivo.Methods: A retrospective study was conducted over a period of 5 years from January 2007 to December 2011 in the medical derpartment of Joseph Raseta Befelatanana University Hospital.. All patients who presented lupus erythematosus were included.Results: Among 57,509 patients seen in Joseph Raseta Befelatanana University Hospital, sixty seven cases of lupus erythematosus were included. The mean age was 35.08 years [minimum: 9; maximum: 69 years]. The sex ratio was 0.06. Among these 67 patients, forty six presented cutaneous manifestations (68, 65%). As specific lesions in lupus, chronic cutaneous lupus was observed in 47.82%, acute cutaneous lupus in 30.43% and subacute cutaneous lupus in 06.52% of patients. The other dermatological manifestations found were alopecia in 52.17%, photosensitivity in 43.47%, Raynaud's phenomenon in 17.39% and bullous lesions in 06.52% of patients.Conclusion: A little difference was found in epidemiological, clinical and paraclinical aspects in lupus Malagasy patients and Africans. Lupus erythematosus is still a under-diagnosed disease in Madagascar. A deeper understanding of the cutaneous manifestations of SLE is essential for diagnosis and prognosis

Introduction: The Dermatology Department of the University Hospital Center of Befelatanana in Antananarivo deals with both outpatient and inpatient dermatoses. Two outpatient studies were conducted in 2001 and in 2006. But, this will be the first for Madagascar regarding hospitalization. So our aim is to determine the epidemiological-clinical profile of dermatoses seen in hospitalization.Patients and methods: This descriptive retrospective study was conducted from 1 February 2006 to 28 February 2012 in Dermatology department at the University Hospital Befelatanana. The register of hospital consultants and files were used to fill out data collection form.Results : We collected 286 patients seen in the Dermatology department. The mean age was 37.70 years (5- 98 years) with a sex ratio 0.49. Our study showed the importance of autoimmune diseases (33.3%) that are dominated by systemic lupus erythematosus (n = 51). It is a serious chronic pathology evolving by push. The management of severe toxidermia (25,1%) is done in hospital as in any other country. The mean duration of hospitalization was 34 days. The mortality rate was 3.49%.Conclusion: The serious forms of dermatological pathologies require management in hospital.

Introduction: Lupus erythematosus is a serious autoimmune inflammatory disease. Mucocutaneous manifestations are themain clinical manifestations, so our aim is to determine the different cutaneous manifestations of lupus erythematosus in Antananarivo.Methods: A retrospective study was conducted over a period of 5 years from January 2007 to December 2011 in the medical derpartment of Joseph Raseta Befelatanana University Hospital.. All patients who presented lupus erythematosus were included.Results: Among 57,509 patients seen in Joseph Raseta Befelatanana University Hospital, sixty seven cases of lupus erythematosus were included. The mean age was 35.08 years [minimum: 9; maximum: 69 years]. The sex ratio was 0.06. Among these 67 patients, forty six presented cutaneous manifestations (68, 65%). As specific lesions in lupus, chronic cutaneous lupus was observed in 47.82%, acute cutaneous lupus in 30.43% and subacute cutaneous lupus in 06.52% of patients. The other dermatological manifestations found were alopecia in 52.17%, photosensitivity in 43.47%, Raynaud's phenomenon in 17.39% and bullous lesions in 06.52% of patients.Conclusion: A little difference was found in epidemiological, clinical and paraclinical aspects in lupus Malagasy patients and Africans. Lupus erythematosus is still a under-diagnosed disease in Madagascar. A deeper understanding of the cutaneous manifestations of SLE is essential for diagnosis and prognosis

Introduction: Therapeutic compliance is the adequacy of the patient's behavior regarding medical recommendations. In Madagascar, No survey has not yet been published in that regard. Thus, our purposes are to determine the compliancy rate of patients with chronic diseases in dermatology and to identify the factors affecting their therapeutic compliance.Methods: Monocentric descriptive and retrospective study performed in the dermatology department of Joseph Raseta Befelatanana University Hospital center, On a 6 months duration, among patients with chronic dermatoses.Results: We counted 133 patients with a compliancy rate of 35.34%. Several parameters particularly age, gender, educational level, salary, understanding of pathology and treatment, duration of follow-up, were considered and correlated with the rate of compliance to assess factors of good and bad compliance.Conclusion: In order to improve the therapeutic observance in care unit, It is necessary to intervene on the standard of living of the patients suffering from chronic dermatoses and to promote the therapeutic education accompanied by psychological support to make them understand their pathology as well as the appropriate treatment.