Department of Dermatology, CNAM Ex Institut Marchoux. PO Box 251 Faculty of Medicine, University of Bamako, Mali.
Int J Dermatol. 2012 Nov;51 Suppl 1:44-7, 49-52. doi: 10.1111/j.1365-4632.2012.05565.x.
Pruritus is a symptom frequently encountered in dermatology consultations. For practitioners working in a tropical environment, particularly in Africa, the diagnosis of pruritus remains a constant problem. The aim of this study was to describe the epidemioclinical aspects and the etiologies of pruritus encountered at the dermatological hospital in Bamako. We conducted a prospective survey on a cohort of patients attending the Department of Dermatology at the Centre National d'Appui (CNAM-Ex Institut Marchoux) in the Fight against Disease over a 1-year period (June 1, 2009-May 31, 2010). Consequently, the study included every patient, whatever their age and gender, that agreed to take part in the survey and whose main reason for attending for a consultation was "pruritus." The clinical and biological data were entered and analyzed using Epi Info software, version 6.04 fr. A total of 232 patients (163 women, 69 men) attended because of pruritus out of 1761 overall patients (i.e., a prevalence of 13.17%). The mean age of the patients was 33 ± 19 years. Dermatological causes represented 95% of the etiologies. This work allowed us to observe the systemic causes of pruritus in the dermatological environment in Mali and greater likelihood of black women to attend because of pruritus.
瘙痒是皮肤科门诊中经常遇到的症状。对于在热带环境中工作的医生，特别是在非洲，瘙痒的诊断仍然是一个持续存在的问题。本研究旨在描述在巴马科皮肤科医院遇到的瘙痒的流行病学、临床方面和病因。我们对在 1 年内（2009 年 6 月 1 日-2010 年 5 月 31 日）在疾病防治国家中心（CNAM-Ex Institut Marchoux）皮肤科就诊的患者队列进行了前瞻性调查。因此，本研究纳入了所有年龄和性别的患者，只要他们同意参与调查且就诊的主要原因是“瘙痒”。使用 Epi Info 软件，版本 6.04 fr 输入和分析临床和生物学数据。共有 232 名（163 名女性，69 名男性）因瘙痒就诊，占总患者数 1761 例的 13.17%（患病率）。患者的平均年龄为 33 ± 19 岁。皮肤病原因占病因的 95%。这项工作使我们能够观察到马里皮肤科环境中瘙痒的系统性病因，并且更有可能是黑人女性因瘙痒而就诊。
