TITLE:
Contribution of Dermatopathology in the Diagnosis of Cutaneous Diseases in Côte d’Ivoire
AUTHORS:
Kouadio Célestin Ahogo, Kouame Kanga, Ange Sylvain Allou, Sylvanus Koui, Bitti Adé Odo
KEYWORDS:
Dermatosis, Histopathology, Biopsy
JOURNAL NAME:
Journal of Cosmetics, Dermatological Sciences and Applications,
Vol.7 No.4,
December
7,
2017
ABSTRACT: Introduction: Dermatopathology is a fundamental complementary
examination for the diagnosis of certain skin conditions when the clinic is hesitant.
We therefore initiated this work in order to determine the contribution of
dermatopathology in the diagnostic management of certain dermatoses at the
Treichville University Hospital Centre of Abidjan. Material and methods: This is a
cross-sectional descriptive study with data collection from medical records in
the dermatology-venereology and pathological anatomy departments of the
Treichville University Hospital Centre. Results: We included
and analyzed 184 patients with a sex ratio of 1.2. 46.2% of lesions were
generalized with 2% mucosal localization. Erythematosquamous lesions (24.45%) and papules (22.82%) were the most biopsied
lesions. The single biopsy sample accounted for 71.2% of the cases and the
lesion size ranged from 0.5 cm to 10 cm. Biopsy parts of the lesion alone
accounted for 65.2% versus 34.8% for those straddling healthy skin and lesion.
Histological diagnosis was established in 91.3%. Kaposi disease accounted for 14.9% of cases followed by psoriasis 11.3%. In
the case of three diagnostic hypotheses, the concordance was 84.8%. It was
76.6% for two hypotheses mentioned and 52.3% for a single hypothesis. Conclusion:
This work shows that in more than half of the cases, the clinical hypotheses and the histological
diagnosis match. It suggests however to continue the training of dermatologists
to improve the skin biopsies and invites to initiate clinicopathological
confrontations to better refine the diagnoses.