scholarly journals A clinico-epidemiological profile study of venereal genital dermatoses in a tertiary hospital in southern Nigeria: A 5-year review

2021 ◽  
Vol 2 (2) ◽  
Author(s):  
Madubuko Cynthia Roli ◽  
Adejumo Oluseyi Ademola

Venereal genital dermatoses are cutaneous morbidities contracted and transmitted by sexual contact. They are caused by microorganisms that survive on the skin or mucous membranes, or that are transmitted via semen, vaginal secretions, or blood during sexual intercourse. Data on pattern of presentation and diagnoses of venereal genial dermatoses are limited in Nigeria. The aim of this study was to determine the pattern of presentation of venereal genital dermatoses over a 5-year period in the University of Benin Teaching Hospital (UBTH), Benin City, Edo State, Nigeria. Information extracted from patients’ medical records included socio-demographic data, duration of symptom, distribution of lesions, symptomatology and diagnoses of the venereal genital dermatoses. There were 121 patients with venereal genital dermatoses amongst 1600 new cases seen over the 5-year period constituting a prevalence of 7.6%. The male:female ratio of the study population was 1.5:1 and their mean age was 26.2 ± 10.5 years. The predominant symptoms at presentation were abnormal genital growth in 108 (89.3%), genital ulcer in 12 (9.9%), and genital pain in 11 (9.1%). The common venereal genital dermatoses were anogenital warts in 108 (89.3%) and genital herpes in 11 (9.1%). Venereal genital dermatoses are a relatively common dermatological presentation in UBTH and anogenital wart was the most common type. Venereal genital dermatoses were more common in the young age group and males. The most predominant site of affectation was the vulva in females and penis in males.

2020 ◽  
Vol 8 (3) ◽  
pp. 175-182
Author(s):  
C.R. Madubuko ◽  
B.U. Okwara

Background: Alopecia is a common condition accounting for the top ten morbidities seen in patients that present at dermatology outpatient clinics in Nigeria.Aim: This retrospective study aimed at documenting the prevalence and types of alopecia in the skin clinic at the University of Benin Teaching Hospital between December 2014 and December 2019. Methods: The medical records of all patients with alopecia attending dermatological outpatient clinic between December 2014 to December 2019 were analyzed retrospectively for this descriptive observational study. An approval for the study was obtained from the Ethics Committee of the University of Benin Teaching Hospital, Benin-city, Nigeria. The diagnosis of Hair loss was essentially clinical, confirmed where expedient with a skin biopsy. Dermatological tools like Dermoscopes were also used to boost diagnostic accuracy when necessary. The patients were also evaluated for presence of other cutaneous and systemic disorders. Results: During the 5year study period, 106 patients with hair loss (6.6%%) were observed. The youngest patient was 2months old and the oldest patient was 90years old. The males constituted 61.3% of patients observed while the females accounted for 38.7% of patients seen. The male to female ratio was 1.6:1. Discoid lupus erythematosus of the scalp, was the most common disorder 29(29.4%). Alopecia areata occurred in23(27.7%); tinea capitis in 15(14,2%); Acne keloidalis nuchae in 14(13.2%); seborrheic dermatitis10(9.4%); and folliculiltis delcavans 9(8.5%). Less commonly observed causes of alopecia included androgenetic alopecia 2(1.9%); traction alopecia 2(1.9%); lichenplanopilaris 1(0.9%) and nevus sebaceum 1(0.9%). Conclusion: There is a need for studies to further describe and proffer solutions to common causes of alopecia in our community. Keywords: Retrospective study, Alopecia, Tertiary hospital, Benin French title: Une étude rétrospective de cinq (5) ans sur l'alopécie dans un hôpital tertiaire du Sud au Nigéria Contexte général de l'étude: L'alopécie est une condition de classement courante qui explique les dix principales morbidités observées chez les patients qui se présentent dans des cliniques externes de dermatologie au Nigéria.Objectif de l'étude: Cette étude rétrospective visait à documenter la prévalence et les types d'alopécie à la clinique externe de dermatologie de l'hôpital universitaire du Bénin entre décembre 2014 et décembre 2019.Méthode de l'étude: Il s'agissait d'une étude rétrospective de patients présentant principalement une perte de cheveux. Les données ont été obtenues à partir des dossiers cliniques et des notes cliniques des patients.Résultats de l'étude: Au cours de la période d'étude de 5 ans, 106 patients sur 1 600 personnes fréquentant la clinique de la peau ont eu une perte de cheveux constituant une prévalence de 6,6%. Les patients vus étaient âgés de 2 mois à 90 ans. Plus d'hommes (61,3%) que de femmes (38,7%) ont été vus; avec un rapport de 1,6: 1. Le lupus érythémateux discoïde du cuir chevelu était le trouble le plus courant «insérer un nombre absolu» (29,4%). L'alopécie areata est survenue en «insérer le nombre absolu» 27,7%; tineacapitis en «insérer le nombre absolu» 14,2%; Acné  keloidalisnuchae en «insérer le nombre absolu» 13,2%; dermatite séborrhéique «insérer le nombre absolu» 9,4%; et folliculiltisdelcavans «insérer le nombre absolu» 8,5%. Les causes d'alopécie moins fréquemment observées comprenaient l'androgénétopécie (1,9%); alopécie de traction (1,9%); lichenplanopilaris (0,9%) et naevus sébacé (0,9%)Conclusion: Des études sont nécessaires pour décrire et proposer des solutions aux causes courantes d'alopécie dans notre communauté. Mots-clés: Alopécie, lupus érythémateux discoïde, alopéciaareata, acné keloidalisnuchae


2017 ◽  
Vol 76 (1) ◽  
Author(s):  
Jennifer A. Ebeigbe ◽  
Donald S. Iperepolu

Background: Human beings are prone to making mistakes, whether in their personal or professional lives. Errors in health care are not uncommon. However, it is not certain if public and professional expectations of disclosure of these errors are met in everyday practice by practitioners.Objective: The purpose of this study was to investigate patients’ and optometrists’ attitudes towards disclosure of errors in eye care.Method: This was a qualitative study conducted in Benin City, Edo State, Nigeria, using focus group discussions (FGDs) and in-depth interviews (IDIs). The study population comprised 24 patients aged 18–42 years, with a mean age (±s.d.) of 38 ± 2.2 years, and 16 eye-care practitioners (ECPs), with a minimum of 5 years’ work experience. The optometrists were aged between 32 and 50 years with a mean age (±s.d.) of 42 ± 2.1 years. Three FGDs were conducted with the adult participants, while 16 IDIs were conducted with ECPs.Results: All participants agreed that errors do occur in eye care. Poor communication between doctors and patients, patients lying to doctors and negligence on the doctor’s part were some of the reasons given for the occurrence of errors in optometric practice. Most of the practitioners (14) agreed that major errors should be disclosed when they occur. While many of the patients (20) would want detailed information about the error, a few (4) would prefer the doctor to rectify the error rather than explaining it to them. Practitioners reported fear of litigation as a factor that could discourage them from disclosing errors. Eighteen patients reported litigation as a last resort, in the event of an error. Both parties agreed that errors caused emotional distress to them and also added that additional charges incurred should be borne by whichever party was the cause of the error.Conclusion: Errors are an unfortunate part of clinical practice. However, if patients were truthful and open in communication with their doctors and if doctors practiced within the ambit of ethical principles, the occurrence of serious errors should be few and far between.


Author(s):  
Sombo Fwoloshi ◽  
Lottie M. Hachaambwa ◽  
Kaseya O. Chiyeñu ◽  
Lameck Chirwa ◽  
Thijs W. Hoffman ◽  
...  

Background. Diabetes mellitus (DM) is known to be associated with active tuberculosis (TB). Zambia is a low-income sub-Saharan African country with a high TB burden and increasing numbers of newly diagnosed DM patients. Materials and Methods. This was an observational study conducted at the University Teaching Hospital in Lusaka, Zambia, from October 2014 to February 2016. Adult patients with active TB were screened for DM. Results. A total of 127 individuals were enrolled in the study. Six patients (5%) were found to have diabetes. Of these, three had a prior diagnosis of diabetes and were on medication while three were newly diagnosed. Low education level was significantly associated with DM (p=0.001; 95% CI 0.001–0.148). Conclusion. The prevalence of DM among individuals with smear positive TB in our study population was similar to that of the general population in Zambia.


2009 ◽  
Vol 1 (2) ◽  
pp. 81-84 ◽  
Author(s):  
Frederick Olusegun Akinbo ◽  
Richard Omoregie ◽  
Rapheal Mordi ◽  
Christopher Ehis Okaka

Pathogens ◽  
2020 ◽  
Vol 9 (10) ◽  
pp. 851
Author(s):  
Hercules Sakkas ◽  
Christos Kittas ◽  
Georgia Kapnisi ◽  
Efthalia Priavali ◽  
Amalia Kallinteri ◽  
...  

Onychomycosis is considered as one of the major public health problems with a global distribution associated with geographic, demographic and environmental factors, underlying comorbidities and immunodeficiency disorders. This study was conducted to investigate the etiological agents of onychomycosis, in Northwestern Greece during a 7-year period. The study population included 1095 outpatients with clinically suspected onychomycosis that presented to the University Hospital of Ioannina, NW Greece (2011–2017). Samples were examined for causative fungi, and mycological identification was established using standard mycological methods. Demographic data of each patient, comorbidities, localization of infection and history of previous fungal infection were collected. Onychomycosis was diagnosed in 317 of the 1095 suspected cases (28.9%) and the most frequently isolated pathogens were yeasts (50.8%) followed by dermatophytes (36.9%) and non-dermatophyte molds (NDMs) (12.3%). Dermatophytes were mostly involved in toenail onychomycosis (90.6%) and more commonly affected males than females (57.3% vs. 42.7%), while the predominantly isolated pathogen was Τrichophyton rubrum (74.4%) followed by Τrichophyton interdigitale (21.4%). Candida albicans was the most prevalent isolated yeast (82%), whereas among the cases with onychomycosis due to NDMs, Aspergillus spp. were isolated as the principal species (59%). Continuous monitoring should be performed in order to identify possible trends and shifts in species isolation rates and to evaluate the impact of onychomycosis among the general population and high-risk groups.


2021 ◽  
Vol 20 (3) ◽  
pp. 224-228
Author(s):  
GUILHERME FINGER ◽  
TIAGO PACZKO BOZKO CECCHINI ◽  
MARIA EDUARDA CONTE GRIPA ◽  
TOBIAS LUDWIG DO NASCIMENTO ◽  
FELIPE MARTINS DE LIMA CECCHINI ◽  
...  

ABSTRACT Objective The aim of this paper is to analyze the epidemiological profile of a large series of spine trauma victims in the Southernmost state of Brazil. Methods A retrospective study including spine trauma patients was performed at a tertiary hospital from January 1st, 2013 to December 31st, 2018. The variables analyzed include demographic data, information related to the trauma (etiology, trauma mechanism, type of spine injury, number of vertebrae involved, vertebral segment involved), neurological status at hospital admission (Frankel scale), treatment performed and the outcome (number of days in hospital, neurological outcome, and mortality). Results A total of 808 patients were included. The mean age was 47.9 (±19.0), and the majority were male and Caucasian. The most frequent etiology was falls from height (N=508; 62.9%) followed by traffic accidents (N=185; 22.9%). The thoracolumbar segment was the spinal segment most frequently affected, occurring in 401 (52.1%) patients, followed by the cervical, thoracic and lumbar segments. The incidence of SCI was 16.7%. Non-operative treatment was indicated in 510 (63.1%) patients. Conclusion The authors presented the largest epidemiological profile regarding spine trauma in Latin America, analyzing a total of 808 patients, which represents an incidence of 134.6 cases/year. This paper fills a gap in the medical literature regarding the epidemiological profile of this disease in Latin America. Level of evidence II; Prognostic study.


2020 ◽  
Vol 1 (3) ◽  
pp. 18-25
Author(s):  
OSEREMEN EBHOTE ◽  
E. O. ODIA

Celebrity endorsement is a marketing communication strategy for building and promoting brand image. Thus, the study examined celebrity endorsement and its influence on consumer purchase demeanor in Benin City, Edo state. Geographically, the study was delimited to the University of Benin, Edo state, with focus on customers of GLO network and the consumers of Pepsi-Cola within the Ugbowo and Ekehuan campuses of the institution. From the study’s population, a sample size of 400 was drawn using the judgmental sampling technique. From the four hundred copies questionnaires administered, three hundred and seventy-one (371) were found usable. The study recommended that subsequent studies on celebrity endorsement should consider more industries (other than the telecommunication and beverage industries) to see if the response of celebrity endorsement with regards to consumer buying behaviour is same across industries.    


2021 ◽  
Vol 2 (4) ◽  
Author(s):  
Endurance O. Evbayekha ◽  
Ovie Okorare ◽  
Okelue E. Okobi ◽  
Gabriel Alugba ◽  
Nnenna A. Ukoha ◽  
...  

A year after detecting the first COVID-19 case in Nigeria, data on the trend and pattern of morbidity and mortality are still emerging. Therefore, this study identifies the outcome of patients with COVID-19 in an isolation and treatment facility in Nigeria. This was a retrospective analysis of medical records for 327 laboratory-confirmed cases of COVID-19 patients in Stella Obasanjo Hospital, Benin, Edo state, South-south Nigeria. Extracted data included age, sex, comorbidities, the severity of illness, duration of hospitalization. Data was analyzed using the IBM SPSS version 22 software. Values <0.05 were regarded as significant. The majority of the study population were males (63.2%), and the mean age was 44.5 years. 146 participants had at least one comorbidity, with hypertension (61.5%) and diabetes (17.1%) being the most common. The mortality rate was (12.5%), and a higher proportion of patients with comorbidities died compared to those with no comorbidity. The trend of the morbidity and mortality pattern of patients with COVID-19 within the isolation and treatment facility showed higher adverse outcomes among those who presented with comorbid illnesses. Therefore, public enlightenment, vaccination, early detection, and targeted care for COVID-19 cases, especially those with comorbidities, are recommended.


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