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1.
Tunis Med ; 81(3): 205-8, 2003 Mar.
Article in French | MEDLINE | ID: mdl-12793073

ABSTRACT

UNLABELLED: We analysing 8 cases of diabetes secondary to primary hemochromatosis in a group of black diabetic patients in Yaoundé. Diagnosis of primary hemochromatosis is based on clinical and biological arguments. Central hypogonadism is associated to diabetes in 75%, dilated cardiomyopathy existed in 37.5%, arthropathy in 75%. Diabetes is mostly type II. CONCLUSION: Secondary diabetes to primary hemochromatosis does exist in Black Africa. Diagnosis should be in the mind of clinician when in a diabetic patients are associated: central hypogonadism, dilated cardiomyopathy and chronic arthropathy. In the future diagnosis of hemochromatosis will be easier by genetic because of recent discovery of the gene of the disease.


Subject(s)
Diabetes Mellitus/etiology , Hemochromatosis/complications , Age Factors , Aged , Arthritis/complications , Arthritis/diagnosis , Cameroon , Cardiomyopathy, Dilated/complications , Cardiomyopathy, Dilated/diagnosis , Chronic Disease , Diabetes Complications , Diabetes Mellitus/diagnosis , Diabetes Mellitus, Type 1/complications , Diabetes Mellitus, Type 1/diagnosis , Diabetes Mellitus, Type 1/etiology , Diabetes Mellitus, Type 2/complications , Diabetes Mellitus, Type 2/diagnosis , Diabetes Mellitus, Type 2/etiology , Hemochromatosis/diagnosis , Humans , Hypogonadism/complications , Hypogonadism/diagnosis , Male , Middle Aged , Retrospective Studies , Sex Factors
2.
Tunis Med ; 81(1): 20-5, 2003 Jan.
Article in French | MEDLINE | ID: mdl-12708188

ABSTRACT

We have undertaken an epidemiological and the treatment modality of diabetic foot in Yaounde Diabetic Center. 5315 patients have included in the study 1275, 23.98% have lesions of the diabetic foot. Neuropathy lesions are more frequent. Gangrenous lesion represent 4.39% with high level of total amputation. Patients are young, with short history of diabetes. Infection is present in 89% of cases. Health education is the only modality to be undertaken to prevent diabetic foot more frequent in our environment.


Subject(s)
Diabetic Foot/epidemiology , Diabetic Foot/therapy , Adult , Aged , Amputation, Surgical , Cameroon/epidemiology , Diabetic Foot/complications , Female , Gangrene/etiology , Humans , Incidence , Male , Middle Aged , Patient Education as Topic , Retrospective Studies
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