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[Vascular Cutaneous Abnormalities in Togo: a 120-Case Study].

A S Akakpo1, B Saka1, J N Téclessou2

  • 1Service de dermatologie et IST, CHU Sylvanus-Olympio, université de Lomé, Togo.

Bulletin De La Societe De Pathologie Exotique (1990)
|April 6, 2019
PubMed
Summary

Vascular cutaneous abnormalities, primarily infantile hemangiomas, are rare in Togo, predominantly affecting females. Treatment trends show increasing propranolol use and declining corticosteroid use for infantile hemangiomas.

Keywords:
Cutaneous vascular abnormalityInfantile hemangiomaKaraLoméPropranololSub-Saharan AfricaTogo

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Area of Science:

  • Dermatology
  • Pediatrics
  • Vascular Medicine

Background:

  • Vascular cutaneous abnormalities (VCAs) are a diverse group of conditions affecting blood vessels in the skin.
  • Infantile hemangioma (IH) is the most common VCA in infants.
  • Understanding the epidemiology and treatment of VCAs is crucial for patient management.

Purpose of the Study:

  • To describe the epidemio-clinical profile of vascular cutaneous abnormalities in Togo.
  • To analyze treatment patterns for VCAs, with a focus on infantile hemangiomas.

Main Methods:

  • Retrospective study of patients with VCAs recorded in dermatology from 1998 to 2017.
  • Data collection on patient demographics, VCA type, location, and treatment modalities.
  • Analysis of treatment outcomes and trends over time.

Main Results:

  • VCAs were diagnosed in 120 patients (0.1% of dermatology consultations).
  • Vascular tumors, mainly infantile hemangiomas (77.5%), were the most common VCAs.
  • Infantile hemangiomas and port wine stains predominantly affected the head and neck region.

Conclusions:

  • Cutaneous vascular abnormalities are rare in Togo, with infantile hemangiomas being the most prevalent.
  • Therapeutic abstention was common, but propranolol use for IH has increased since 2012, while corticosteroid use has decreased.