TITLE:
Infantile Hemangiomas: Epidemio-Clinical Profile and Therapeutic Difficulties in Côte d’Ivoire
AUTHORS:
Ahogo Kouadio Celestin, Allou Ange Sylvain, Golli Blaise, Kanga Kouamé, Allou Konan David
KEYWORDS:
Haemangiomas, Children, Cote d’Ivoire
JOURNAL NAME:
Journal of Cosmetics, Dermatological Sciences and Applications,
Vol.7 No.4,
December
28,
2017
ABSTRACT: Introduction :Infantile haemangiomas are
the most common benign vascular tumours of infants. In Western countries, they have been the subject of several studies.
However, in sub-Saharan Africa, few works are devoted to them. We initiated
this work to contribute to a better knowledge of infantile haemangiomas in our
work context. Material
and Methods: This is a cross-sectional descriptive and analytical
study carried out in the Dermatology Department of C.H.U. Treichville from
November 2014 to December 2016; All children with infantile haemangiomas have
been taken into account, in the study. Results: We counted 42 cases of haemangiomas on 4600 paediatric dermatoses, a prevalence of
0.9%. The sex ratio was 0.35. The age of our patients ranged from 2 days to 5
years. 76.2% of patients consulted after the age of 2 months. 26.9% of patients
were born premature. 54% of the haemangiomas started with an erythematous
macula. 52.4% had a size between 1 and 3 cm. Superficial haemangiomas (52.38%) and mixed haemangiomas (42.85%) were the most common clinical forms. The
ulcerated forms represented 9.5%. The lesions were preferentially located in
the cervico-facial region (71.4%) and resulted in aesthetic prejudice in 47% of
cases. 3 patients (7.14%) were treated with propranolol. 37 patients (88.1%)
used self-medication using poultice. Conclusion: Infantile haemangiomas are infrequent in Cote d’Ivoire. They sit mainly in
the cervico-facial area. The ulcerated forms are not negligible and they
sometimes cause a significant aesthetic prejudice. Their management is
sometimes difficult because of the unavailability of propranolol.