Epidemiological and Diagnostic Features of Non-Traumatic Gonalgia in Adults in Bouake (Ivory Coast): About 140 Patients  

作　　者：Kouakou Ehaulier Soh Christian Louis Sougué Charles Yao Konan Joe Clauvis Traore Aissata Koffi Joseph Kan Enock Goua Jean Jacques Same Bebey Francine Goupille Phillipe Daboiko Jean Claude Felix Kouakou Ehaulier Soh Christian Louis;Sougué Charles;Yao Konan Joe Clauvis;Traore Aissata;Koffi Joseph Kan Enock;Goua Jean Jacques;Same Bebey Francine;Goupille Phillipe;Daboiko Jean Claude Felix(Rheumatology Department, University Hospital Center Bouaké, Bouaké, Cô,te d’Ivoire;Internal Medicine Department, University Hospital Center Sourô, Sanou, Bobo Dioulasso, Burkina Faso;Rheumatology Department, Laquintinie Hospital, Douala, Cameroon;Rheumatology Department, University Hospital Center, Tours, France)

机构地区：[1]Rheumatology Department, University Hospital Center Bouaké, Bouaké, Cô,te d’Ivoire [2]Internal Medicine Department, University Hospital Center Sourô, Sanou, Bobo Dioulasso, Burkina Faso [3]Rheumatology Department, Laquintinie Hospital, Douala, Cameroon [4]Rheumatology Department, University Hospital Center, Tours, France

出　　处：《Open Journal of Rheumatology and Autoimmune Diseases》2023年第4期78-87,共10页风湿病与自身免疫疾病期刊（英文）

摘　　要：Background: Non traumatic gonalgia is the second most common reason for rheumatology consultations and accounted for 15.6% of rheumatological disorders in Abidjan. Objective: The aim of this work was to study the epidemiological and diagnostic features of non-traumatic gonalgia (NTG) in a black adult population from sub-Saharan Africa. Patients and Methods: This was a five-year retrospective descriptive study (January 2014 to December 2018) of black sub-Saharan African adult patients with non traumatic gonalgia seen in the rheumatology department of the Bouake University Hospital in Côte d’Ivoire. Results: Of 2198 patients seen for rheumatological conditions, 140 had non traumatic gonalgia (6.4%). The mean age of patients was 56.13 ± 13.3 years (extremes 20 and 87 years), and the sex ratio was 0.43 (42 men and 98 women). Gonalgia without swelling was observed in 33.6% of cases. Symptoms were predominantly progressive (97.1%), chronic (82.1%) and bilateral (50%). The causes of TNM were gonarthrosis (85%), septic arthritis (7.1%), reactive arthritis (2.9%), gout (2.9%), rheumatoid arthritis (1.4%) and chondrocalcinosis (0.7%). Gonarthrosis (119/140) was bilateral in 65 patients, bi- or tri-compartmental in 83, radiographic stage (Kellgren and Lawrence) III in 80 and IV in 15. A germ was isolated in two cases of septic arthritis (methicillin-sensitive Staphylococcus aureus and Streptococcus pneumoniae). Conclusion: GNT is common in rheumatology practice in Bouake, and mainly affects women in their fifties. It is most often a chronic bilateral gonalgia, with gonarthrosis as the main etiology.Background: Non traumatic gonalgia is the second most common reason for rheumatology consultations and accounted for 15.6% of rheumatological disorders in Abidjan. Objective: The aim of this work was to study the epidemiological and diagnostic features of non-traumatic gonalgia (NTG) in a black adult population from sub-Saharan Africa. Patients and Methods: This was a five-year retrospective descriptive study (January 2014 to December 2018) of black sub-Saharan African adult patients with non traumatic gonalgia seen in the rheumatology department of the Bouake University Hospital in Côte d’Ivoire. Results: Of 2198 patients seen for rheumatological conditions, 140 had non traumatic gonalgia (6.4%). The mean age of patients was 56.13 ± 13.3 years (extremes 20 and 87 years), and the sex ratio was 0.43 (42 men and 98 women). Gonalgia without swelling was observed in 33.6% of cases. Symptoms were predominantly progressive (97.1%), chronic (82.1%) and bilateral (50%). The causes of TNM were gonarthrosis (85%), septic arthritis (7.1%), reactive arthritis (2.9%), gout (2.9%), rheumatoid arthritis (1.4%) and chondrocalcinosis (0.7%). Gonarthrosis (119/140) was bilateral in 65 patients, bi- or tri-compartmental in 83, radiographic stage (Kellgren and Lawrence) III in 80 and IV in 15. A germ was isolated in two cases of septic arthritis (methicillin-sensitive Staphylococcus aureus and Streptococcus pneumoniae). Conclusion: GNT is common in rheumatology practice in Bouake, and mainly affects women in their fifties. It is most often a chronic bilateral gonalgia, with gonarthrosis as the main etiology.

关 键 词：Non-Traumatic Gonalgia GONARTHROSIS Bouake 

分 类 号：R73[医药卫生—肿瘤]