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Limbo-conjonctivite endémique des tropiques (LCET) et prise en charge allergologique : étude préliminaire chez l’enfant togolais

Authors: K.B. Nonon Saa; B Vonor; B. Bakondé; P. T. Soboslay; Meba Banla; R.G. Gantin; A Agba; +2 Authors

Limbo-conjonctivite endémique des tropiques (LCET) et prise en charge allergologique : étude préliminaire chez l’enfant togolais

Abstract

Resume Objectifs Etudier l’influence de certains allergenes sur les manifestations de la limbo-conjonctivite endemique des tropiques (LCET) chez les enfants togolais. Patients et methodes Etude prospective sur trois annees chez 36 enfants togolais porteurs d’une LCET aux poussees aigues rapprochees survenant apres un a cinq mois de remission. Les prick-tests cutanes etaient realises avec cinq pneumallergenes per annuels (acariens Dp, acariens Df, blatte, chien et chat, pollen des graminees) et trois trophallergenes (œuf, arachide, crevette). Les reactions etaient controlees par un temoin negatif (solution hydrosaline) et un temoin positif (histamine ou sulfate de codeine). Les periodes de remissions entre les poussees aigues avant et apres les tests etaient notees. Resultats Trente-cinq enfants etaient polysensibilises. Les allergenes individualises etaient : les acariens (83,3 %), la blatte (72,2 %), la crevette (61,1 %), l’arachide (55,6 %), l’œuf (44,4 %), les phaneres de chiens et/ou chats (38,9 %), le pollen des graminees (22,2 %). Le taux de remissions avant les tests allergologiques etait de 77,8 % dans les deux mois qui ont suivi le traitement d’attaque ; avec la prise en charge allergologique, 55,5 % des patients ont eu une accalmie au-dela d’un an. Discussion La litterature rapporte le caractere multiple des antigenes sous-tendant la LCET. La nette predominance des pneumallergenes et des trophallergenes pourrait ouvrir une nouvelle voie de prise en charge de la LCET chez le jeune togolais. Conclusion Les tests allergologiques sont d’une grande importance chez les porteurs de LCET aux poussees aigues rapprochees.

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
8
Top 10%
Average
Average