Profil des Maladies Rhumatismales du Sujet Age en Guinee

Aim: To determine the respective share of the different rheumatic conditions observed in the elderly person who was hospitalized in the rheumatology department of the CHU Ignace Deen. Patients and methods: This was a cross-sectional study of patients aged 60 or aver seen in consultation or hospitalized in the rheumatology department during the period from October 2016 to April 2018. Rheumatic diseases have been diagnosed according to the criteria. Results: 1502 patients were examined during the study period; there were 521 patients aged ago 60 years and overs; of whom 351(23, 36%) had at least one rheumatologic diagnostic. There was a predominance of women (216; 61, 54%). The average age of diagnostic were 67, 63 ± 6, 71 years (extremes de 60 to 93 years). The average delay in diagnostic was 3, 91 ± 4, 21 years (extremes de 1 month to 51 years). High blood pressure (142; 40,45%) and diabetes (40; 11,39%) were the main comorbidities. Degenerative pathology (295; 84, 04%) was the most common with low pain (112; 31,90%) as a leader. There were 45 cases (12,82%) of chronic inflammatory rheumatism; rheumatoid arthritis (19; 5,41%) was the most common, followed by spondyloartritis (8; 2,27%). Osteopathies (36 ; 10,25%); periarticular and syndromes (20 ; 5,69%), microcristal arthropathies (24 ; 6,83%), infectious pathology (8; 2,27%) and tumoral pathology (9; 2,56%)were the other diseases found. Conclusion: Degenerative pathology and chronic inflammatory rheumatism were the most common. The expected balance of sex ratio in RA at this age was rather in favor of female predominance. Prospective cohort studies would provide a better understanding of this question.Objectifs: Determiner le profil epidemiologique des maladies rhumatismales des personnes âgees au service de rhumatologie de l’hopital National Ignace Deen de Conakry. Patients et methodes: Il s'est agi d'une etude transversale portant sur des patients âges d'au moins 60 ans vus en consultation ou hospitalises dans le service de rhumatologie pendant la periode d’octobre 2016 a Avril 2018. Les maladies rhumatismales ont ete diagnostiquees selon les criteres en vigueur. Resultats: Des 1502 malades examines, 351 (23,36%) etaient âges d’au moins 60 ans. Il y avait une predominance feminine (216 ; 61,54%). L’âge moyen etait de 67,63 ± 6,71 ans (extremes de 60 et 93 ans). Le delai moyen de diagnostic etait de 3,91 ± 4,21 ans (extremes de 1 mois et 51 ans). L’hypertension arterielle (142; 40,45%) et le diabete (40; 11,39%) etaient les principales comorbidites. La pathologie degenerative (295 ; 84,04 %) etait la plus frequente avec une predominance de la lombalgie commune (112; 31,90 %). Il y avait 45 cas (12,82%) de rhumatisme inflammatoire chronique : la polyarthrite rhumatoide (PR) (19 cas ; 5,41%) etait le plus frequent, suivie des spondyloarthrites (8; 2,27%). Les osteopathies (36 ; 10,25%), la pathologie peri-articulaire et les syndromes canalaires (20; 5,69%), les arthropathies microcristallines (24 ; 6,83%), la pathologie infectieuse (8 ; 2,27 %) et la pathologie tumorale (9 ; 2,56 %) etaient les autres maladies retrouvees. Conclusion: La pathologie degenerative et les rhumatismes inflammatoires chroniques etaient les plus frequents. L’equilibre attendu du sex-ratio dans la PR a cet âge etait plutot en faveur d’une predominance feminine. Des etudes de cohortes prospectives permettraient de mieux comprendre cette question.