Many pustules that itch .

Furuncular myiasis is a cutaneous parasitosis that occurs in tropical regions. It is manifested by lesions with the appearance of pustules, because of the presence of the fly larva in the skin. This misleading appearance can delay diagnosis. The extraction of these Cayor worms can be facilitated by the use of a comedo-extractor.

Skin diseases of the male external genitalia in the Tanlangai Hospital in Brazzaville, Congo.

To determine the frequency of diseases responsible for skin lesions of the male external genitalia. This descriptive retrospective study examined the medical records of patients older than 14 years treated for genital symptoms as outpatients at the Dermatology Department of Talangaï Hospital in Brazzaville in 2009-2011. Patients' sociodemographic, medical history, clinical, and laboratory data were collected on a standardized individual form. The data were processed with Epi Info 3.5.4 software. The records revealed 76 dermatoses of the male external genitalia treated in the three-year study period. Causes were infectious for 69.7 %, with a predominance of scabies (22.4 %), warts (18.4 %), and genital herpes (11.8 %). Sexually transmitted infections accounted for 31.6 % of the cases. Inflammatory dermatoses (19.8 %) included eczema (10.6 %), fixed drug eruptions (7.9 %), and psoriasis (1.3 %). Vitiligo accounted for 4 % of the genital skin diseases. One case of Kaposi's sarcoma was reported. Parasitic and viral dermatoses, and particularly sexually transmitted diseases are common causes of skin conditions of the male genitalia.

[Retrospective study of 53 erysipelas cases in Brazzaville University Hospital, Congo]. / Etude rétrospective de 53 erysipèles hospitalisés au CHU de Brazzaville, Congo.

Hospitalizations for erysipelas became frequent in the Brazzaville (Congo) service of dermatology. A link between the use of topical corticosteroids for bleaching purpose and erysipelas cases of the leg in women users has been evoked. We carried out a retrospective survey over eleven months analysing 53 files of patients hospitalized for erysipelas, among which 48 cases (91%) concerned topical corticosteroids users and 5 cases of (9%) non users. The average age of these patients was 26 years old, with extremes 18 and 55, for an hospitalization varying between 3 weeks and one month.

[Reasons for consulting related to skin-bleaching products used by 104 women in Brazzaville]. / Motifs de consultation liés a l'usage des dépigmentants chez 104 utilisatrices a Brazzaville, Congo.

A prospective survey has been carried out in the Brazzaville (Congo) dermatology service in order to specify dermatosis linked to the use of bleaching agents in 104 Congolese women consulting for this problem. The used bleaching agents were topical corticoids based products for 40 cases, hydroquinone for 32 cases, and hydroquinone associated with topical dermocorticoids for 32 cases. Acne was the most frequent motive for consulting (24%), followed by the paradoxical peri-orbital hyperpigmentation (21.1%), profuse mycosis (16.3%) and vibices(8.6%). The results of this survey were not superimposable to those of Dakar where infectious dermatosis were the first reason for consulting.

[Gigantic keloïds after chicken-pox. A case report]. / Chéloïdes géantes post-varicelle. A propos d'un cas.

Keloïds are tumors which appear after a lesion or spontaneously. They are frequent on black skin. We report a gigantic keloïd case appeared after chicken-pox on a 29 year-old black girl who had viral infection when she was 6 years old. The tumors increased after chirurgical treatment and became very unaesthetic. This observation specific by its clinical presentation relates the treatment difficulties of these tumors in our area.

[Acquired immunodeficiency syndrome in elderly persons in a tropical zone. Apropos of 175 cases in the Congo]. / Le syndrome d'immunodéficience acquise chez les personnes âgées en zone tropicale. A propos de 175 cas congolais.

The objective of this study has been to estimate the frequency of AIDS occurring in older age groups on the basis of hospital statistics and note the prognostic particularities in these groups. One hundred and seventy five (175) cases of AIDS reported to the University Hospital Center of Brazzaville occurring in persons aged 55 years and over were followed up retrospectively from 1 January 1990 to 31 December 1996. The results of this study indicate that AIDS is not rare in older age groups: 4.7% of all infected subjects registered during the period of study. The sex-ratio was 1.3/1 (99 males and 76 females). The overall mean age was 60.45. Contamination seems to be the most often of heterosexual origin. Many symptoms were found. The most frequent ones were weight loss (100% cases), fever (89.7%), diarrhoea (60.5%), neuro-psychiatric disorders (49.7%), and respiratory manifestations (50.2%). Lethal evolution was rapid, with 74% deaths at the end of the 1st year and 100% at the end of 2nd year, as a consequence of delayed diagnosis as well as the natural development of the disease. The results of this study point to the necessity of prevention strategies which include not only young, but older age groups as well.

[First case of multiforme granuloma in Congo]. / Premier cas congolais de granulome multiforme.

We report a case of multiform granuloma observed in a young woman of 28 years from Brazzaville, Congo. Extended lesions on the arms, back, face, legs and feet appeared over one month. They consisted of slightly squamous erythemato-oedematous plaques, with polycyclical margins and raised papular borders. The diagnosis was made histologically and recovery was spontaneous over a period of two months. We discuss clinical and histopathological aspects, which can sometimes lead to confusion with Hansen's disease.

[Invasions of Paederus sabaeus (Coleoptera Staphylinidae) in central Africa. 2. Clinical and therapeutic aspects in Brazzaville]. / Invasions de Paederus sabaeus (Coléoptère Staphylinidae) en Afrique centrale. 2. Aspects cliniques et thérapeutiques à Brazzaville.

During the month of May 1993, at the end of the rainy season, an outbreak of dermatitis occurred in Brazzaville (Congo). It was caused by Paederus sabaeus, a Staphylinid beetle which invaded the town during three weeks. The patients recovered spontaneously or after topical application of creams. No eye affection was recorded.