The Open Dermatology Journal




ISSN: 1874-3722 ― Volume 14, 2020
RESEARCH ARTICLE

Clinical Aspects of Atopic Dermatitis of Children in Brazzaville, Congo.



Edith Sophie Bayonne-Kombo1, 3, *, Hébert Loubove2, Yannichka Gloria Voumbo Mavoungou3, Alphonse Gathsé1
1 Department of Faculty Health Sciences, Marien Ngouabi University, Brazzaville, Congo
2 Department of Pediatry, Talangaï Reference Hospital, Brazzaville, Congo
3 Department of Dermatology and Infectious Diseases, Talangaï Reference Hospital, Brazzaville, Congo

Abstract

Background:

Atopic dermatitis is a chronic inflammatory dermatosis for which racial specificities have been reported.

Objective:

To describe the clinical aspects of atopic dermatitis on children.

Methods:

Descriptive cross-sectional study in one public hospital and one private hospital in Brazzaville, Congo, for three years. Children under the age of 16, consulted for atopic dermatitis were included. Demographic and clinical data were collected. Atopic dermatitis was defined according to the criteria of the United Kingdom Working Party and its severity appreciated by SCORAD. The data was processed by EpiInfo 7® software.

Results:

Seventy-five children were included. They were 49 girls (65.33%) and 26 boys (34.67%), mean age 4.3 years [9 months-12 years]. Personal atopic history was found in 46.67% of cases and family atopic history in 61.33% of cases. Initial symptoms of atopic dermatitis had occurred before 2 years of age for 65 children (86.67%). The average consultation time was 33.4 months. In infancy, erythematous vesicular or oozing plaques were observed in 68.18% of cases and scaly erythematous plaques on folds in 50% of cases. In childhood, scaly erythematous plaques were observed in 84.90% of cases and lichenified eczema in 10.67% of cases. Xerosis was noted in 89.33% of all cases. Secondary infection was seen in 33.33% of cases. Twenty-five cases (33.33%) were severe.

Conclusion:

This study reveals a delayed diagnosis of atopic dermatitis, unusual clinical features and the importance of secondary infection. Information for families and clinicians should be considered to improve the earliness of the diagnosis.

Keywords: Atopic dermatitis , Ezcema , Inflammatory dermatosis, Chronic disease, Children, Congo.


Article Information


Identifiers and Pagination:

Year: 2019
Volume: 13
First Page: 61
Last Page: 67
Publisher Id: TODJ-13-61
DOI: 10.2174/1874372201913010061

Article History:

Received Date: 05/09/2019
Revision Received Date: 19/11/2019
Acceptance Date: 06/12/2019
Electronic publication date: 31/12/2019
Collection year: 2019

© 2019 Kombo et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


* Address correspondence to this author at the Department of Faculty Health Sciences, Marien Ngouabi University, PO Box 13423, Brazzaville, Congo;
Tel: (+242) 055785562; E-mail: sophiekbb@outlook.com




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