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

Identifieur interne : 000542 ( PascalFrancis/Corpus ); précédent : 000541; suivant : 000543

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

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

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.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A08 01  1  ENG  @1 Risk factors for erysipelas of the leg in Tunisia : A multicenter case-control study
A11 01  1    @1 MOKNI (Mourad)
A11 02  1    @1 DUPUY (Alain)
A11 03  1    @1 DENGUEZLI (Mohamed)
A11 04  1    @1 DHAOUI (Raouf)
A11 05  1    @1 BOUASSIDA (Samir)
A11 06  1    @1 AMRI (Montacer)
A11 07  1    @1 FENNICHE (Sami)
A11 08  1    @1 ZEGLAOUI (Faten)
A11 09  1    @1 DOSS (Nejib)
A11 10  1    @1 NOUIRA (Rafiaa)
A11 11  1    @1 BEN OSMAN-DHAHRI (Amel)
A11 12  1    @1 ZILI (Jamel)
A11 13  1    @1 MOKHTAR (Insaf)
A11 14  1    @1 MOHAMED RIDHA KAMOUN
A11 15  1    @1 ZAHAF (Abdelmajid)
A11 16  1    @1 CHOSIDOW (Olivier)
A14 01      @1 La Rabta Hospital, Department of Dermatology @3 TUN @Z 1 aut. @Z 11 aut.
A14 02      @1 Department of Dermatology, Hôpital Saint Louis, AP-HP @3 FRA @Z 2 aut.
A14 03      @1 Department of Dermatology, Farhat Hached Hospital @2 Sousse @3 TUN @Z 3 aut. @Z 10 aut.
A14 04      @1 Military Hospital, Department of Dermatology @3 TUN @Z 4 aut. @Z 9 aut.
A14 05      @1 Department of Dermatology Hedi Chaker Hospital @2 Sfax @3 TUN @Z 5 aut. @Z 15 aut.
A14 06      @1 Department of Dermatology Fattouma Bourguiba Hospital @2 Monastir @3 TUN @Z 6 aut. @Z 12 aut.
A14 07      @1 Habib Thameur Hospital, Department of Dermatology @3 TUN @Z 7 aut. @Z 13 aut.
A14 08      @1 Charles Nicolle Hospital, Department of Dermatology @3 TUN @Z 8 aut. @Z 14 aut.
A14 09      @1 Department of Internal Medicine, Hôpital Pitié-Salpêtrière, AP-HP @2 Paris @3 FRA @Z 16 aut.
A20       @1 108-112
A21       @1 2006
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A44       @0 0000 @1 © 2006 INIST-CNRS. All rights reserved.
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A60       @1 P
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C01 01    ENG  @0 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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Format Inist (serveur)

NO : PASCAL 06-0128490 INIST
ET : Risk factors for erysipelas of the leg in Tunisia : A multicenter case-control study
AU : MOKNI (Mourad); DUPUY (Alain); DENGUEZLI (Mohamed); DHAOUI (Raouf); BOUASSIDA (Samir); AMRI (Montacer); FENNICHE (Sami); ZEGLAOUI (Faten); DOSS (Nejib); NOUIRA (Rafiaa); BEN OSMAN-DHAHRI (Amel); ZILI (Jamel); MOKHTAR (Insaf); MOHAMED RIDHA KAMOUN; ZAHAF (Abdelmajid); CHOSIDOW (Olivier)
AF : La Rabta Hospital, Department of Dermatology/Tunisie (1 aut., 11 aut.); Department of Dermatology, Hôpital Saint Louis, AP-HP/France (2 aut.); Department of Dermatology, Farhat Hached Hospital/Sousse/Tunisie (3 aut., 10 aut.); Military Hospital, Department of Dermatology/Tunisie (4 aut., 9 aut.); Department of Dermatology Hedi Chaker Hospital/Sfax/Tunisie (5 aut., 15 aut.); Department of Dermatology Fattouma Bourguiba Hospital/Monastir/Tunisie (6 aut., 12 aut.); Habib Thameur Hospital, Department of Dermatology/Tunisie (7 aut., 13 aut.); Charles Nicolle Hospital, Department of Dermatology/Tunisie (8 aut., 14 aut.); Department of Internal Medicine, Hôpital Pitié-Salpêtrière, AP-HP/Paris/France (16 aut.)
DT : Publication en série; Niveau analytique
SO : Dermatology : (Basel); ISSN 1018-8665; Suisse; Da. 2006; Vol. 212; No. 2; Pp. 108-112; Bibl. 16 ref.
LA : Anglais
EA : 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.
CC : 002B08J; 002B05B02C; 002B12B04
FD : Cellulite; Lymphoedème; Intertrigo; Facteur risque; Erysipèle; Jambe; Tunisie; Etude multicentrique; Etude cas témoin; Epidémiologie; Dermatologie; Homme; Médecine tropicale
FG : Streptococcie; Bactériose; Infection; Afrique; Peau pathologie; Tissu adipeux pathologie; Appareil circulatoire pathologie; Lymphatique pathologie
ED : Cellulitis; Lymphedema; Intertrigo; Risk factor; Erysipelas; Leg; Tunisia; Multicenter study; Case control study; Epidemiology; Dermatology; Human; Tropical medicine
EG : Streptococcal infection; Bacteriosis; Infection; Africa; Skin disease; Adipose tissue disorders; Cardiovascular disease; Lymphatic vessel disease
SD : Celulitis; Linfedema; Intertrigo; Factor riesgo; Erisipela; Pierna; Tunez; Estudio multicéntrico; Estudio caso control; Epidemiología; Dermatología; Hombre; Medicina tropical
LO : INIST-4530.354000133187210040
ID : 06-0128490

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Pascal:06-0128490

Le document en format XML

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<name sortKey="Doss, Nejib" sort="Doss, Nejib" uniqKey="Doss N" first="Nejib" last="Doss">Nejib Doss</name>
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<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>
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<name sortKey="Mohamed Ridha Kamoun" sort="Mohamed Ridha Kamoun" uniqKey="Mohamed Ridha Kamoun" last="Mohamed Ridha Kamoun">MOHAMED RIDHA KAMOUN</name>
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<title xml:lang="en" level="a">Risk factors for erysipelas of the leg in Tunisia : A multicenter case-control study</title>
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<name sortKey="Amri, Montacer" sort="Amri, Montacer" uniqKey="Amri M" first="Montacer" last="Amri">Montacer Amri</name>
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<s1>Department of Dermatology Fattouma Bourguiba Hospital</s1>
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<sZ>6 aut.</sZ>
<sZ>12 aut.</sZ>
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<s1>Charles Nicolle Hospital, Department of Dermatology</s1>
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</affiliation>
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<author>
<name sortKey="Nouira, Rafiaa" sort="Nouira, Rafiaa" uniqKey="Nouira R" first="Rafiaa" last="Nouira">Rafiaa Nouira</name>
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<s1>Department of Dermatology, Farhat Hached Hospital</s1>
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<sZ>3 aut.</sZ>
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<author>
<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>
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<s1>La Rabta Hospital, Department of Dermatology</s1>
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</affiliation>
</author>
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<name sortKey="Zili, Jamel" sort="Zili, Jamel" uniqKey="Zili J" first="Jamel" last="Zili">Jamel Zili</name>
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<s1>Department of Dermatology Fattouma Bourguiba Hospital</s1>
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</author>
<author>
<name sortKey="Mokhtar, Insaf" sort="Mokhtar, Insaf" uniqKey="Mokhtar I" first="Insaf" last="Mokhtar">Insaf Mokhtar</name>
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<inist:fA14 i1="07">
<s1>Habib Thameur Hospital, Department of Dermatology</s1>
<s3>TUN</s3>
<sZ>7 aut.</sZ>
<sZ>13 aut.</sZ>
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</affiliation>
</author>
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<name sortKey="Mohamed Ridha Kamoun" sort="Mohamed Ridha Kamoun" uniqKey="Mohamed Ridha Kamoun" last="Mohamed Ridha Kamoun">MOHAMED RIDHA KAMOUN</name>
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<s1>Charles Nicolle Hospital, Department of Dermatology</s1>
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<sZ>8 aut.</sZ>
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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>15 aut.</sZ>
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<name sortKey="Chosidow, Olivier" sort="Chosidow, Olivier" uniqKey="Chosidow O" first="Olivier" last="Chosidow">Olivier Chosidow</name>
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<s1>Department of Internal Medicine, Hôpital Pitié-Salpêtrière, AP-HP</s1>
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<sZ>16 aut.</sZ>
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<series>
<title level="j" type="main">Dermatology : (Basel)</title>
<title level="j" type="abbreviated">Dermatology : (Basel)</title>
<idno type="ISSN">1018-8665</idno>
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<date when="2006">2006</date>
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<title level="j" type="main">Dermatology : (Basel)</title>
<title level="j" type="abbreviated">Dermatology : (Basel)</title>
<idno type="ISSN">1018-8665</idno>
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<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>
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<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>
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<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>
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<s0>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.</s0>
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<fC07 i1="07" i2="X" l="ENG">
<s0>Cardiovascular disease</s0>
<s5>39</s5>
</fC07>
<fC07 i1="07" i2="X" l="SPA">
<s0>Aparato circulatorio patología</s0>
<s5>39</s5>
</fC07>
<fC07 i1="08" i2="X" l="FRE">
<s0>Lymphatique pathologie</s0>
<s5>40</s5>
</fC07>
<fC07 i1="08" i2="X" l="ENG">
<s0>Lymphatic vessel disease</s0>
<s5>40</s5>
</fC07>
<fC07 i1="08" i2="X" l="SPA">
<s0>Linfático patología</s0>
<s5>40</s5>
</fC07>
<fN21>
<s1>079</s1>
</fN21>
</pA>
</standard>
<server>
<NO>PASCAL 06-0128490 INIST</NO>
<ET>Risk factors for erysipelas of the leg in Tunisia : A multicenter case-control study</ET>
<AU>MOKNI (Mourad); DUPUY (Alain); DENGUEZLI (Mohamed); DHAOUI (Raouf); BOUASSIDA (Samir); AMRI (Montacer); FENNICHE (Sami); ZEGLAOUI (Faten); DOSS (Nejib); NOUIRA (Rafiaa); BEN OSMAN-DHAHRI (Amel); ZILI (Jamel); MOKHTAR (Insaf); MOHAMED RIDHA KAMOUN; ZAHAF (Abdelmajid); CHOSIDOW (Olivier)</AU>
<AF>La Rabta Hospital, Department of Dermatology/Tunisie (1 aut., 11 aut.); Department of Dermatology, Hôpital Saint Louis, AP-HP/France (2 aut.); Department of Dermatology, Farhat Hached Hospital/Sousse/Tunisie (3 aut., 10 aut.); Military Hospital, Department of Dermatology/Tunisie (4 aut., 9 aut.); Department of Dermatology Hedi Chaker Hospital/Sfax/Tunisie (5 aut., 15 aut.); Department of Dermatology Fattouma Bourguiba Hospital/Monastir/Tunisie (6 aut., 12 aut.); Habib Thameur Hospital, Department of Dermatology/Tunisie (7 aut., 13 aut.); Charles Nicolle Hospital, Department of Dermatology/Tunisie (8 aut., 14 aut.); Department of Internal Medicine, Hôpital Pitié-Salpêtrière, AP-HP/Paris/France (16 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Dermatology : (Basel); ISSN 1018-8665; Suisse; Da. 2006; Vol. 212; No. 2; Pp. 108-112; Bibl. 16 ref.</SO>
<LA>Anglais</LA>
<EA>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.</EA>
<CC>002B08J; 002B05B02C; 002B12B04</CC>
<FD>Cellulite; Lymphoedème; Intertrigo; Facteur risque; Erysipèle; Jambe; Tunisie; Etude multicentrique; Etude cas témoin; Epidémiologie; Dermatologie; Homme; Médecine tropicale</FD>
<FG>Streptococcie; Bactériose; Infection; Afrique; Peau pathologie; Tissu adipeux pathologie; Appareil circulatoire pathologie; Lymphatique pathologie</FG>
<ED>Cellulitis; Lymphedema; Intertrigo; Risk factor; Erysipelas; Leg; Tunisia; Multicenter study; Case control study; Epidemiology; Dermatology; Human; Tropical medicine</ED>
<EG>Streptococcal infection; Bacteriosis; Infection; Africa; Skin disease; Adipose tissue disorders; Cardiovascular disease; Lymphatic vessel disease</EG>
<SD>Celulitis; Linfedema; Intertrigo; Factor riesgo; Erisipela; Pierna; Tunez; Estudio multicéntrico; Estudio caso control; Epidemiología; Dermatología; Hombre; Medicina tropical</SD>
<LO>INIST-4530.354000133187210040</LO>
<ID>06-0128490</ID>
</server>
</inist>
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