scholarly journals Lesional diagnostic approach of common dermatoses in children at the University Clinics of Kinshasa – Democratic Republic of Congo

2020 ◽  
Vol 11 (e) ◽  
pp. e80.1-e80.8
Author(s):  
Lydie Joelle Seudjip Nono ◽  
Hugues D. Adegbidi ◽  
Adama Traore ◽  
Paulo Bunga Muntu
2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Pitchou Mukaz Mbey ◽  
Olivier Mukuku ◽  
Willy Kalau Arung ◽  
Guylain Kitoko Tengu ◽  
Nasser Lubosha Amisi ◽  
...  

Introduction. Prostate cancer is currently a public health problem with a frequency that varies from country to country. This study aims to describe the epidemiological, clinical, and histopathological and outcome features of prostate cancer in Lubumbashi in the Democratic Republic of Congo. Materials and Methods. This was a descriptive longitudinal study of patients diagnosed with prostate cancer at the University Clinics of Lubumbashi. The study period was 3 years (2017 to 2019). Parameters studied were age and clinical, biological (PSA level, prostatic specific antigen), histopathological, and outcome features. Results. The mean age of patients was 68.7 years (range: 47 and 90 years). The 60 to 69 age group was the most affected (43.18%). Elderly subjects (≥60 years old) represented 89.77% of the cases (n = 79). Voiding disorders were the main reason for consultation in 55.68% of the cases. The mean PSA level was 133.7 ng/ml (range: 4 and 1564.5 ng/ml) at diagnosis and 125.4 ng/ml after 3 months of follow-up (range: 0.16 and 1782.1 ng/ml). Adenocarcinoma was the predominant histological type (100%). In prognosis, 31.82% of patients had a Gleason score greater than 7 and 59.10% had a high risk at the D’Amico risk classification for Prostate Cancer. Hormone therapy was administered alone in 75% of the cases and in combination with pulpectomy in 13.64% of the cases. The 3-year overall survival was 56.82%. Conclusion. Prostate cancer is frequent and has a poor outcome in our country. The establishment of an individual screening policy would be an undeniable advantage in improving the prognosis.


2013 ◽  
Vol 59 (4) ◽  
pp. 274-279 ◽  
Author(s):  
T. Biselele ◽  
G. Naulaers ◽  
P. Bunga Muntu ◽  
E. Nkidiaka ◽  
M. Kapepela ◽  
...  

2020 ◽  
pp. 245-253
Author(s):  
Seudjip Nono Lydie Joelle

Context and objectives: Several authors approach epidemiological studies on dermatoses using an etiological diagnostic approach; the Willaniste school being mostly reserved for learners of dermatology and/or non-dermatologist doctors. The objective of this study is to determine the profile of dermatoses in children using exclusively the type of elementary lesion. Methods: In a retrospective, analytical and descriptive study, the data of children with dermatoses followed in the Dermatology Service of the University Clinics of Kinshasa between June 1, 2009 and December 31, were collected. The parameters of interest included epidemiological and clinical characteristics. Results: The hospital frequency of dermatoses in children (DC) according to the lesional diagnostic approach is 40.89% (818/1994). Their median age was 60 months (QEI 60-65.9) with a female predominance (55.7%, sex ratio of 1.25/1). There were more infants (30.6%). DC predominated in the dry season (54%). The entangled (21.02%) and vesicular (20.29%) lesional types were the most numerous, with ringworm of the scalp (31.9%) and atopic dermatitis (54.2%) respectively. The papular, erythematous, tumor and entangled lesion types were related to sex and age; pustular and tumor exclusively related to the season, in a statistically significant way (p ˂ 0.05). Taken as a whole, the most frequent dermatoses were atopic dermatitis (11%), prurigo strophulus (10.8%), impetigo (7.4%), Tinea capitis (6.7%) and scabiosis (6.4%). Conclusion: The importance of this work lies in the interest of taking into account the two approaches, lesional and etiological of dermatoses, for their global management and research studies. Indeed, the lesional approach, also important in the study of dermatoses, appears to our knowledge to be poor in references in the literature. Keywords: Dermatoses, Children, Lesional diagnostic approach, Kinshasa


2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Aimé Kazadi Lukusa ◽  
Michel Ntetani Aloni ◽  
Bertin Kadima-Tshimanga ◽  
Moïse Mvitu-Muaka ◽  
Jean Lambert Gini Ehungu ◽  
...  

Background.To determine clinical profile and management of retinoblastoma among children at Kinshasa in Democratic Republic of Congo.Patients and methods. The medical records of patients with a diagnosis of retinoblastoma seen at the University Hospital of Kinshasa from January 1985 till December 2005 were retrospectively reviewed. Demographic profile, clinical data, modes of treatment and outcome were analysed.Results. A total of 49 children, of whom 40 had adequate data on record were identified as retinoblastoma (28 males and 12 females). Nine cases had bilateral disease. The median age at the first symptoms was 9 months (range, 1 month to 6 years) for unilateral retinoblastoma and 18 months (range, 1 month to 3.5 years) for bilateral retinoblastoma. The median age at the first oncology consultation was 2.4 years (range, 6 months to 6 years) for unilateral retinoblastoma and 2.4years (range, 9 months to 4 years) for bilateral disease. Leukokoria was present in 67.5% of subjects. Seventy-five percent abandoned the treatment. The mortality was 92.5%.Conclusion. In Democratic Republic of Congo, retinoblastoma remains a life threatening disease characterized by late referral to a specialized unit and affordability of chemotherapy; all leading to an extension of the disease and high mortality.


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