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La Gale Humaine : Profil Sociodémographique, Distribution Lésionnelle et Types de Lésions


 
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1. Title Title of document La Gale Humaine : Profil Sociodémographique, Distribution Lésionnelle et Types de Lésions
 
2. Creator Author's name, affiliation, country Emmanuel Armand KOUOTOU; Internal Medecine and Medical specialities Department Faculty of Medecine and Biomedical Sciences University of Yaounde I; Cameroon
 
2. Creator Author's name, affiliation, country Defo DEFO; Internal Medecine and Medical Specialities Department Faculty of Medecine and Biomedical Sciences University of Yaounde I Hôpital Central de Yaoundé; Cameroon
 
2. Creator Author's name, affiliation, country Isidore SIELEUNOU; Hôpital de District de Biyem Assi; Cameroon
 
2. Creator Author's name, affiliation, country Raymond NDIKONTAR KWINJI; Hôpital de District de Biyem assi; Cameroon
 
2. Creator Author's name, affiliation, country Karla MUKWELLE; Hôpital Général de Yaoundé; Cameroon
 
2. Creator Author's name, affiliation, country Joseph ESSAMA; Hôpital de District de Biyem Assi; Cameroon
 
2. Creator Author's name, affiliation, country Anne-Cecile ZOUNG KANYI BISSEK; Internal Medecine and Medical Specialities Department Faculty of Medecine and Biomedical Sciences University of Yaounde I Hôpital Central de Yaoundé; Cameroon
 
2. Creator Author's name, affiliation, country Elie Claude NDJITOYAP NDAM; Internal Medecine and Medical Specialities Department Faculty of Medecine and Biomedical Sciences University of Yaounde I Hôpital Général de Yaoundé
 
3. Subject Discipline(s) Dermatologie
 
3. Subject Keyword(s) gale humaine;sarcoptes scabiei hominis;contage;récidive;prurit post scabieux
 
4. Description Abstract

RESUME

Introduction : La gale humaine est une ectoparasitose due à Sarcoptes scabiei, parasite humain obligatoire. Son diagnostic est essentiellement clinique.  Plusieurs auteurs ont récemment décrit sa recrudescence. Ainsi avons-nous voulu établir un profil socio-démographique, ressortir la distribution lésionnelle et le type de lésions de la scabiose rencontrée au cours de nos consultations de Dermatologie à Yaoundé (Cameroun).

Méthodologie : Nous avons mené une étude descriptive et analytique à Yaoundé pendant 12 mois (Octobre 2011 à Septembre 2012).  Les patients avec un diagnostic de gale humaine posé durant la consultation initiale étaient inclus dans cette étude ouverte au tout venant. Les données récoltées prospectivement étaient saisies et analysées sous le logiciel Epi infos version 3.5.3.

Résultats : 255 patients étaient retenus dont 158 (62%) de sexe masculin et 97 (38%) de sexe féminin.  L’âge variait de 0 à 80 ans avec une médiane de 18; 151 (59.2%) étaient contaminés par un proche ; 176 (69%) signalaient une notion de contage et on notait 42 cas (16,5%) de récidive. Une à huit personnes dans l’entourage avait un prurit. Les lésions siégeaient aux plis sous fessiers (71,8%), aux poignets (70,2%), aux plis inter fessiers (56,5%). Les points croûteux (82,4%), les papules (69,8%) et les papulo-vésicules (68,6%) étaient observés.

Conclusion : La scabiose reste d’actualité et sa tendance à la propension nécessite une sensibilisation aussi bien des populations que des praticiens au diagnostic précoce et à la prise en charge dans un bref délai. 

Summary

Introduction: Scabies is an ectoparasitic disease caused by Sarcoptes scabiei, an obligate human parasite. Its diagnosis is mainly clinical. Several authors have shown an increase in observed cases recently. Consequently we sought to establish a sociological and demographical profile, carry out the distribution and types of lesions of scabies as seen during our dermatology consultations.

Method: We carried out a descriptive and analytic study over 12 months in Yaoundé. All patients received for consultation were eligible for the study, and those diagnosed with scabies were selected. Data obtained prospectively was entered into the Epi infos version 3.5.3. software. Analysis was done using the same software.

Results: 255 Patients were retained for the study, of which 158 (62%) were males and 97 (38%) were females. Ages spanned from 0 to 80 years old; 151 (59.2%) were contaminated from their entourage; 176 (69%) mentioned a case of scabies in their close environment, and there were 42 cases (16.5%) of relapses. One to eight persons in their entourage complained of itches. Lesions were present in the infra-gluteal folds (71.8%), on the wrists (70.2%), intergluteal folds (56.5%). Crusty lesions (82.5%), papules (69.8%), and papulo-vesicles (68.6%) were present.

Conclusion: Scabies remains a common disease, and its tendency to easily spread requires sensitization of the population and of physicians on the importance of early diagnosis and rapid treatment.

 

Keywords : scabies ; sarcoptes scabiei hominis ; post scabies pruritus 
 
5. Publisher Organizing agency, location FACULTY OF MEDICINE AND BIOMEDICAL SCIENCES
 
6. Contributor Sponsor(s)
 
7. Date (YYYY-MM-DD) 2013-08-31
 
8. Type Status & genre Peer-reviewed Article
 
8. Type Type étude descriptive et analytique
 
9. Format File format PDF (Français)
 
10. Identifier Uniform Resource Identifier http://www.hsd-fmsb.org/index.php/hsd/article/view/224
 
11. Source Title; vol., no. (year) HEALTH SCIENCES AND DISEASES; Vol 14, No 3 (2013): HEALTH SCIENCES AND DISEASE
 
12. Language English=en fr
 
13. Relation Supp. Files
 
14. Coverage Geo-spatial location, chronological period, research sample (gender, age, etc.)
 
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