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Risk factors for erysipelas of the leg in Tunisia : A multicenter case-control study

Identifieur interne : 000518 ( France/Analysis ); précédent : 000517; suivant : 000519

Risk factors for erysipelas of the leg in Tunisia : A multicenter case-control study

Auteurs : Mourad Mokni [Tunisie] ; Alain Dupuy [France] ; Mohamed Denguezli [Tunisie] ; Raouf Dhaoui [Tunisie] ; Samir Bouassida [Tunisie] ; Montacer Amri [Tunisie] ; Sami Fenniche [Tunisie] ; Faten Zeglaoui [Tunisie] ; Nejib Doss [Tunisie] ; Rafiaa Nouira [Tunisie] ; Amel Ben Osman-Dhahri [Tunisie] ; Jamel Zili [Tunisie] ; Insaf Mokhtar [Tunisie] ; MOHAMED RIDHA KAMOUN [Tunisie] ; Abdelmajid Zahaf [Tunisie] ; Olivier Chosidow [France]

Source :

RBID : Pascal:06-0128490

Descripteurs français

English descriptors

Abstract

Background: Risk factors for erysipelas (cellulitis) were rarely evaluated in controlled studies. Regional variations of these risk factors have never be assessed. Objective: To assess risk factors for erysipelas of the leg in Tunisia. Subjects and Methods: Case-control study in seven hospital centers in Tunisia. Cases were 114 consecutive patients with erysipelas of the leg [sudden onset (<24 h) of a well-demarcated dermo-hypodermatitis with fever or chills]. Two controls were matched to each case for age, sex, and hospital (n = 208). Main outcome measures are local and general suspected risk factors for erysipelas of the leg. Results: In multivariate analysis, disruption of the cutaneous barrier (i.e. traumatic wound, toe-web intertrigo, excoriated leg dermatosis or plantar squamous lesions) and leg edema were independently associated with erysipelas of the leg, with respective odds ratios of 13.6 (95% confidence interval: 6.0-31) and 7.0 (1.3-38). No association was observed with diabetes, alcoholism, or smoking. Conclusions: We confirmed the major role of local risk factors and the minor role of general risk factors for erysipelas of the leg, in a setting different than the one previously studied. Detecting and treating toe-web intertrigo and traumatic wounds should be considered in the prevention of erysipelas of the leg.


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Pascal:06-0128490

Le document en format XML

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<s1>Charles Nicolle Hospital, Department of Dermatology</s1>
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<name sortKey="Zahaf, Abdelmajid" sort="Zahaf, Abdelmajid" uniqKey="Zahaf A" first="Abdelmajid" last="Zahaf">Abdelmajid Zahaf</name>
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<s1>Department of Dermatology Hedi Chaker Hospital</s1>
<s2>Sfax</s2>
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<sZ>5 aut.</sZ>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>Tunisie</country>
<wicri:noRegion>Department of Dermatology Hedi Chaker Hospital</wicri:noRegion>
</affiliation>
</author>
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<s1>Department of Internal Medicine, Hôpital Pitié-Salpêtrière, AP-HP</s1>
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<s3>FRA</s3>
<sZ>16 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName>
<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
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<seriesStmt>
<title level="j" type="main">Dermatology : (Basel)</title>
<title level="j" type="abbreviated">Dermatology : (Basel)</title>
<idno type="ISSN">1018-8665</idno>
</seriesStmt>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Case control study</term>
<term>Cellulitis</term>
<term>Dermatology</term>
<term>Epidemiology</term>
<term>Erysipelas</term>
<term>Human</term>
<term>Intertrigo</term>
<term>Leg</term>
<term>Lymphedema</term>
<term>Multicenter study</term>
<term>Risk factor</term>
<term>Tropical medicine</term>
<term>Tunisia</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Cellulite</term>
<term>Lymphoedème</term>
<term>Intertrigo</term>
<term>Facteur risque</term>
<term>Erysipèle</term>
<term>Jambe</term>
<term>Tunisie</term>
<term>Etude multicentrique</term>
<term>Etude cas témoin</term>
<term>Epidémiologie</term>
<term>Dermatologie</term>
<term>Homme</term>
<term>Médecine tropicale</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr">
<term>Tunisie</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Homme</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">Background: Risk factors for erysipelas (cellulitis) were rarely evaluated in controlled studies. Regional variations of these risk factors have never be assessed. Objective: To assess risk factors for erysipelas of the leg in Tunisia. Subjects and Methods: Case-control study in seven hospital centers in Tunisia. Cases were 114 consecutive patients with erysipelas of the leg [sudden onset (<24 h) of a well-demarcated dermo-hypodermatitis with fever or chills]. Two controls were matched to each case for age, sex, and hospital (n = 208). Main outcome measures are local and general suspected risk factors for erysipelas of the leg. Results: In multivariate analysis, disruption of the cutaneous barrier (i.e. traumatic wound, toe-web intertrigo, excoriated leg dermatosis or plantar squamous lesions) and leg edema were independently associated with erysipelas of the leg, with respective odds ratios of 13.6 (95% confidence interval: 6.0-31) and 7.0 (1.3-38). No association was observed with diabetes, alcoholism, or smoking. Conclusions: We confirmed the major role of local risk factors and the minor role of general risk factors for erysipelas of the leg, in a setting different than the one previously studied. Detecting and treating toe-web intertrigo and traumatic wounds should be considered in the prevention of erysipelas of the leg.</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>France</li>
<li>Tunisie</li>
</country>
<region>
<li>Île-de-France</li>
</region>
<settlement>
<li>Paris</li>
</settlement>
</list>
<tree>
<country name="Tunisie">
<noRegion>
<name sortKey="Mokni, Mourad" sort="Mokni, Mourad" uniqKey="Mokni M" first="Mourad" last="Mokni">Mourad Mokni</name>
</noRegion>
<name sortKey="Amri, Montacer" sort="Amri, Montacer" uniqKey="Amri M" first="Montacer" last="Amri">Montacer Amri</name>
<name sortKey="Ben Osman Dhahri, Amel" sort="Ben Osman Dhahri, Amel" uniqKey="Ben Osman Dhahri A" first="Amel" last="Ben Osman-Dhahri">Amel Ben Osman-Dhahri</name>
<name sortKey="Bouassida, Samir" sort="Bouassida, Samir" uniqKey="Bouassida S" first="Samir" last="Bouassida">Samir Bouassida</name>
<name sortKey="Denguezli, Mohamed" sort="Denguezli, Mohamed" uniqKey="Denguezli M" first="Mohamed" last="Denguezli">Mohamed Denguezli</name>
<name sortKey="Dhaoui, Raouf" sort="Dhaoui, Raouf" uniqKey="Dhaoui R" first="Raouf" last="Dhaoui">Raouf Dhaoui</name>
<name sortKey="Doss, Nejib" sort="Doss, Nejib" uniqKey="Doss N" first="Nejib" last="Doss">Nejib Doss</name>
<name sortKey="Fenniche, Sami" sort="Fenniche, Sami" uniqKey="Fenniche S" first="Sami" last="Fenniche">Sami Fenniche</name>
<name sortKey="Mohamed Ridha Kamoun" sort="Mohamed Ridha Kamoun" uniqKey="Mohamed Ridha Kamoun" last="Mohamed Ridha Kamoun">MOHAMED RIDHA KAMOUN</name>
<name sortKey="Mokhtar, Insaf" sort="Mokhtar, Insaf" uniqKey="Mokhtar I" first="Insaf" last="Mokhtar">Insaf Mokhtar</name>
<name sortKey="Nouira, Rafiaa" sort="Nouira, Rafiaa" uniqKey="Nouira R" first="Rafiaa" last="Nouira">Rafiaa Nouira</name>
<name sortKey="Zahaf, Abdelmajid" sort="Zahaf, Abdelmajid" uniqKey="Zahaf A" first="Abdelmajid" last="Zahaf">Abdelmajid Zahaf</name>
<name sortKey="Zeglaoui, Faten" sort="Zeglaoui, Faten" uniqKey="Zeglaoui F" first="Faten" last="Zeglaoui">Faten Zeglaoui</name>
<name sortKey="Zili, Jamel" sort="Zili, Jamel" uniqKey="Zili J" first="Jamel" last="Zili">Jamel Zili</name>
</country>
<country name="France">
<noRegion>
<name sortKey="Dupuy, Alain" sort="Dupuy, Alain" uniqKey="Dupuy A" first="Alain" last="Dupuy">Alain Dupuy</name>
</noRegion>
<name sortKey="Chosidow, Olivier" sort="Chosidow, Olivier" uniqKey="Chosidow O" first="Olivier" last="Chosidow">Olivier Chosidow</name>
</country>
</tree>
</affiliations>
</record>

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