Dicko A, Safi T, Tounkara T M, Fofana Y, Tall K, Touré Seydou, Karabinta Y, Traore B, Traoré A, Lamissa C, Guindo B, Martin L, Faye O
Centre national d'appui à la lutte contre la maladie.
Faculté de médecine et d'odontostomatologie.
Mali Med. 2017;32(4):18-20.
Hemangiomas are regenerative benign vascular tumors of the child, which may be of interest to all organs, most often located on the skin. The aim of our study is to determine the prevalence of haemangiomas on black skin. It is a descriptive cross-sectional study that took place from November 2015 to August 2016 at CNAM, in the department of dermatology-leprology- Venereology of Mali.
Of 14,810 patients seen in consultation, we received 17 cases of hemangioma, ie 0,11%. The average age was 5 months with extremes of 1 month and 60 months. Tuberous angiomas represent 82,35% of clinical forms, subcutaneous angiomas 11,76% and mixed angiomas 5,89%. In 4/17 of our patients there was an infectious complication, following an ulceration on the first day of the consultation. The average lesion size was 3,25cm with extreme 0.5cm and 8cm. The number of lesions per patient was 1 in 16 patients and 2 in 1 patient. In 10/17 patients the lesions were localized at the cephalic level, 3/17 at the trunk level, and 4/17 at the perineum.
Infantile hemangioma is a poorly reported condition on black skin. The demands for care are motivated either by the character showing lesions or by ulcerative complications. Sensitization of populations and ongoing training of health workers are needed to detect hemangiomas.
血管瘤是儿童的再生性良性血管肿瘤，可累及所有器官，最常见于皮肤。我们研究的目的是确定黑种人皮肤血管瘤的患病率。这是一项描述性横断面研究，于2015年11月至2016年8月在马里国立医科大学皮肤病 - 麻风病 - 性病科进行。
在14810例就诊患者中，我们共收治了17例血管瘤患者，患病率为0.11%。平均年龄为5个月，最小1个月，最大60个月。结节状血管瘤占临床类型的82.35%，皮下血管瘤占11.76%，混合型血管瘤占5.89%。在我们的17例患者中，有4例在初诊当天出现溃疡后发生感染并发症。病变平均大小为3.25cm，最小0.5cm，最大8cm。16例患者每人有1个病变，1例患者有2个病变。17例患者中，10例病变位于头部，3例位于躯干，4例位于会阴。
婴儿血管瘤在黑种人皮肤上的报道较少。就医需求要么是由病变特征引起，要么是由溃疡性并发症引起。需要对公众进行宣传，并对卫生工作者进行持续培训以检测血管瘤。
