Publications by authors named "Sokhna A Toure"

Article Synopsis
  • Sickle cell emergencies are a leading reason for hospitalizations in patients with sickle cell disease, causing significant financial strain and increased health risks.
  • A study tracked 112 adults with sickle cell emergencies over four months, revealing a 38.41% readmission rate within 30 days, predominantly due to vaso-occlusive crises and acute chest syndrome.
  • Key factors predicting readmission included having a job, low levels of fetal hemoglobin, and certain blood cell counts (neutrophilia, lymphocytosis, thrombocytosis).
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Article Synopsis
  • The study focused on managing acute pain in adults with sickle cell disease (SCD), particularly during vaso-occlusive crises (VOC), which occur when sickle cells block microvessels, leading to severe pain.* -
  • An analysis of 118 cases revealed that most patients (86.61%) had the SS sickle cell phenotype, with predominant pain in the lower limbs and spine, and a majority experiencing intense to unbearable pain.* -
  • The findings underscore the effectiveness of multimodal analgesia as a treatment approach, while also indicating significant variability in pain management practices, suggesting a need for tailored recommendations.*
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The Hodgkin variant Richter syndrome (HvRS) is an infrequent complication occurring in 1% of lymphocytic lymphoma/chronic lymphocytic leukemia patients. We report a case of HvRS diagnosed in Sub-Saharan Africa. A 63-year-old patient was consulted for the investigation of an abdominal mass that had been evolving for 5 years prior to admission.

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SUMMARYCOVID-19 infection has emerged as a comorbidity that can significantly increase morbidity and mortality in sickle cell patients with ACS (acute thoracic/chest syndrome). The aim of our study was to assess COVID-19-related morbidity and mortality in sickle cell patients with ACS. This was a retrospective, descriptive study of patient records followed over a 36-month period from January 2020 to December 2022.

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Rosai-Dorfman disease (RDD) is a benign histiocytic proliferation that results in nodal and extranodal involvements. It is a rare disease, with fewer than 1,000 cases reported in the literature, which explains its lack of knowledge by physicians and the lack of codified therapeutic strategies. We report the case of an 8-year-old girl who presented a rapidly progressive cervical lymph node mass; the diagnosis of RDD was made based on histology and immunohistochemistry.

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Objectives: The aim of this study was to describe the morbidity and mortality of homozygous sickle cell disease after the age of 40.

Methods: This was a cohort study of 209 patients followed from 1994 to 2022. All hemoglobin electrophoresis-confirmed SS sickle cell patients over 40 years were included.

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Purpose: Erectile dysfunction is a dreadful complication of priapism especially with delay in diagnosis and management. The lack of awareness of priapism as a vaso-occlusive complication of sickle cell disease (SCD) is more concerning. The objective of this study was to evaluate the burden of priapism in adult Senegalese males adults with sickle cell disease.

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Homozygous sickle cell disease (HSCD) is characterized by multiorgan morbidity and an increased risk of early death. We aim to describe the mortality rate, causes, and risk factors of death in HSCD between 2011 and 2020. We conducted a retrospective study with a duration of 10 years in the cohort of 2348 HSCD patients.

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Article Synopsis
  • In Africa, where hemophilia treatment access is limited, a study evaluated the effectiveness of low-dose prophylaxis (LDP) in reducing bleeding episodes among patients in sub-Saharan Africa.
  • The study involved 15 children with hemophilia receiving low-dose clotting factors, resulting in significant decreases in annualized bleeding rates, joint bleeding, and improvements in joint health and functional independence over three years.
  • The findings suggest that LDP improves clinical outcomes without increasing inhibitor risk, highlighting the importance of extended half-life clotting factor concentrates for better patient adherence in resource-limited settings.
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Objective: The aim of this study was to assess incidence, risk factors, treatment and outcome of LTB in Senegalese people with hemophilia (PWH).

Methods: We analyzed the characteristics of LTB in a cohort of 274 PWH after 10 years of follow-up.

Results: We included 274 patients (241 HA and 33 HB).

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Context And Objectives: Blood transfusions (BT) remain a mainstay of therapy for patients with sickle cell disease (SCD) but pose significant clinical challenges. We aim to assess infectious markers, red cell alloimmunization, and iron overload secondary to BT in SCD patients.

Materials And Methods: This case-control study included 253 SCD (153 SCD-transfused and 100 SCD non-transfused).

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Non-Hodgkin lymphomas (NHL) are underestimated causes of cancer in West Africa where chronic viral hepatitis and HIV are endemic. While the association with HIV infection has already been characterized, limited information is available on the association between chronic viral hepatitis and NHL in sub-Saharan Africa. A case-control study was conducted in referral hospitals of Abidjan (Cote d'Ivoire) and Dakar (Senegal).

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Objectives: The aim of this study was to evaluate the maternal and fetal complications in pregnant patients with sickle cell disease (SCD) and find risk factors of stillbirth.

Method: We conducted a prospective study in pregnant women with SCD. Demographic characteristics, maternal and fetal morbi-mortality, and outcome of pregnancies were described.

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: Hemophilia A carriers have an abnormal X chromosome with a molecular abnormality of FVIII gene. These carriers, long considered to be free of bleeding risk, could have the same symptoms as mild hemophiliacs. This study aim to assess bleeding risk of hemophilia A carriers monitored at the Clinical Hematology Department of Dakar.

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Background: Circumcision in hemophiliacs is a delicate surgery because of bleeding risks that could be avoided by adequate substitution of coagulation factor. This practice is very challenging in countries where anti hemophilic treatment is inaccessible. The study aimed to evaluate a circumcision protocol in hemophilia A using low quantities of factor concentrates.

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Chronic myeloid leukemia (CML) is an orphan disease in Africa because of the inaccessibility to specific treatment and the high cost of diagnosis and monitoring patients. The aim of this study was to report CML treatment response in a developing country in the tyrosine kinase inhibitor era. We conducted a longitudinal study of our cohort of CML patients.

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