[Thyroid disorders in the Brazzaville Teaching Hospital]. / La pathologie thyroïdienne au Centre hospitalier universitaire de Brazzaville.

The authors report their experience with thyroid disorders. Between January 1994 and December 2003, a total of 567 patients (sex ratio: 1/20, men to women) with thyroid disease were examined in the endocrine and metabolic department of the Brazzaville Teaching Hospital. Their mean age was 43 years. 333 (58.7%) had a simple goiter, 118 (20.8%) hyperthyroidism, most often related to Graves' disease (60.8%). Other disorders included multinodular goiters (19.2%), toxic adenoma (7.1%) and thyroiditis (13.8%). Hypothyroidism was identified in 7.4% of cases, mainly following thyroid surgery. Thyroid cancer was rare (4 cases).

[Epidemiological and clinical aspects of the diabetic foot at the Central University Hospital of Brazzaville]. / Aspects épidémiologiques et cliniques du pied diabétique au CHU de Brazzaville.

This study was carried out in the Metabolic Disease Department of the University Hospital of Brazzaville, between January 1995 and December 1999. Our purpose was to define epidemiological and clinical aspects of trophic disorders of the lower limbs, as observed among 247 diabetic patients. Diabetic foot was observed in 86.2% of adult patients with diabetes type 2, and in 13.8% of patients with diabetes type 1. The average duration of diabetes was 8 years. In 2.8% of cases, diabetes was discovered as a result of trophic disorders. Among observed lesions, infectious foot prevailed (63.9%) and mal perforant was exceptional (1.2%). The mortality rate before surgical intervention was high (22.6%).

[Ketoacidosis coma auguring diabetes in black adults]. / Coma céto-acidosique inaugurant le diabète chez l'adulte noir.

A particular form revealing diabetes mellitus in the black race is described: adult's inaugural ketoacidosis requiring a temporary insulin treatment, followed by a variable remission stage. We present in this work the clinical and evolutive characters of this coma inaugurating diabetes mellitus from twenty seven (27) patients of the metabolic diseases departement (CHU-Brazzaville). Among adult patients presenting a ketoacidosis coma, the prevalence rate of inaugural form is forty two percent (42%). The evolution is marked by a remission stage varying between six months and seven years.