Medecine et sante tropicales · 2014
[Leg ulcers in patients with sickle-cell disease in Libreville (Gabon): clinical aspects and management].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Mouba J F, Mengue C, Eko L, Ondo A
Аннотация
OBJECTIVES: To present the clinical aspects of leg ulcers among patients with sickle-cell disease, propose a protocol for treating them, and identify risk factors for their onset in our patients.
PATIENTS AND METHODS: This 5-year retrospective descriptive study (2007-2012) includes six adolescents homozygous (SS) for this disease who had at least one leg ulcer during the study period.
RESULTS: Our population was aged 16-20 years and comprised 4 young men and 2 young women. Signs at diagnosis included pallor (100%), jaundice (100%), splenomegaly (80%), and fever (70%). Painful crises most often involved a vaso-occlusive crisis (42%), followed by a splenic sequestration crisis (27%), a hemolytic crisis (18%), and erythroblastopenia (14%).
CONCLUSION: Leg ulcers are a complication of sickle cell disease and cause esthetic, psychological, and economic problems. Prevention involves patient education to prevent the occurrence and recurrence of these ulcers.
PATIENTS AND METHODS: This 5-year retrospective descriptive study (2007-2012) includes six adolescents homozygous (SS) for this disease who had at least one leg ulcer during the study period.
RESULTS: Our population was aged 16-20 years and comprised 4 young men and 2 young women. Signs at diagnosis included pallor (100%), jaundice (100%), splenomegaly (80%), and fever (70%). Painful crises most often involved a vaso-occlusive crisis (42%), followed by a splenic sequestration crisis (27%), a hemolytic crisis (18%), and erythroblastopenia (14%).
CONCLUSION: Leg ulcers are a complication of sickle cell disease and cause esthetic, psychological, and economic problems. Prevention involves patient education to prevent the occurrence and recurrence of these ulcers.