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[喀麦隆北部的热带地方性睑球结膜炎(春季结膜炎)]

[Tropical endemic limboconjunctivitis (vernal conjunctivitis) in northern Cameroon].

作者信息

Koki G, Omgbwa Eballe A, Epee E, Njuenwet Njapdunke S B, Souleymanou Wadjiri Y, Bella Assumpta L, Ebana Mvogo C

机构信息

Faculté de médecine et des sciences biomédicales, université de Yaoundé I, Yaoundé, Cameroun.

出版信息

J Fr Ophtalmol. 2011 Feb;34(2):113-7. doi: 10.1016/j.jfo.2010.09.021. Epub 2010 Dec 22.

DOI:10.1016/j.jfo.2010.09.021
PMID:21183244
Abstract

INTRODUCTION

A retrospective study was conducted in the ophthalmology unit of the Garoua regional hospital on children examined from January 2001 to December 2007. We aimed to determine the epidemiological aspects of tropical endemic limboconjunctivitis in northern Cameroon. Included were all the files of patients aged 0-15 years seen with a positive diagnosis of tropical endemic limboconjunctivitis. The data analyzed were obtained through inspection, interview, and a comprehensive ocular exam done for every case, assessing far visual acuity, slit lamp biomicroscopy, and funduscopy when possible. The variables analyzed were age, sex, signs and symptoms, residential area, associated pathologies, and the month and the year of the diagnosis. The data were analyzed with Epi-Info, version 6.04d (French) and the results compared with the Chi(2) test with a 95% confidence interval.

RESULTS

A total of 6453 children were included: 2036 had a positive diagnosis of tropical endemic limboconjunctivitis, with a frequency of 31.55%. The mean age was 6.5 years. The 1- to 4-year-old age group had the highest number of patients, with a frequency of 33.25%. There were 1120 males (55%). Itching was the most frequent complaint encountered in 60.90% of the patients. Ocular involvement was always bilateral. Tropical endemic limboconjunctivitis is an allergic conjunctivitis present throughout the year with two peaks in March and July.

DISCUSSION

Tropical endemic limboconjunctivitis can be considered an allergic conjunctivitis affecting boys more frequently than girls in warm and dry environments. It is frequent in children less than 5 years old and regresses with age.

CONCLUSION

Tropical endemic limboconjunctivitis is a tropical disease with an intertropical aspect.

摘要

引言

在加鲁阿地区医院眼科对2001年1月至2007年12月期间接受检查的儿童进行了一项回顾性研究。我们旨在确定喀麦隆北部热带地方性睑结膜炎的流行病学特征。纳入的是所有0至15岁被确诊为热带地方性睑结膜炎的患者档案。分析的数据通过检查、访谈以及对每个病例进行的全面眼部检查获得,尽可能评估远视力、裂隙灯生物显微镜检查和眼底镜检查。分析的变量包括年龄、性别、体征和症状、居住地区、相关病症以及诊断的月份和年份。数据使用Epi-Info 6.04d版(法语)进行分析,结果采用卡方检验并以95%置信区间进行比较。

结果

共纳入6453名儿童:2036名被确诊为热带地方性睑结膜炎,频率为31.55%。平均年龄为6.5岁。1至4岁年龄组患者数量最多,频率为33.25%。男性有1120名(55%)。瘙痒是60.90%的患者最常见的主诉。眼部受累总是双侧性的。热带地方性睑结膜炎是一种全年都有的过敏性结膜炎,在3月和7月有两个高峰。

讨论

热带地方性睑结膜炎可被视为一种在温暖干燥环境中男孩比女孩更易患的过敏性结膜炎。在5岁以下儿童中很常见,且会随着年龄增长而消退。

结论

热带地方性睑结膜炎是一种具有热带特征的热带疾病。

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