Publications by authors named "Volatantely Ratovonjanahary"

Background: Leprosy and tuberculosis are two of the oldest and most common mycobacterial infections, caused by and for leprosy and for tuberculosis. Dual infections have been known since ancient times; however, cases remain rarely reported in the literature, even in countries where both diseases are endemic, such as Madagascar.

Purpose: We report a case series of simultaneous occurrence of leprosy and tuberculosis.

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Article Synopsis
  • Sporotrichosis is a chronic fungal infection caused by Sporothrix fungi, primarily affecting the skin and subcutaneous tissues, especially in tropical regions like Madagascar.
  • A study from March 2013 to January 2019 examined 43 patients treated with 200 mg of itraconazole daily for 3 to 6 months, assessing their responses after 3 and 6 months.
  • Results showed a 46.5% cure rate, with higher success in patients with shorter disease durations, but overall cure rates were lower than those reported in the literature, and many patients were lost to follow-up.
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Introduction: Chromoblastomycosis (CBM) is a chronic fungal infection of the skin and subcutaneous tissue caused by several pigmented fungi. It is frequently found in tropical and subtropical areas like Madagascar. This study primarily discusses the effects of antifungal therapy while also describing the epidemiological, clinical, and pathological features of CBM in our patients.

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Lupus erythematosus (LE) is a chronic autoimmune disease that affects more women than men. The quality of life (QoL) of patients with lupus erythematosus and skin manifestations is impaired, but little is known about Malagasy patients. This study aimed to assess the impact of cutaneous lesions on the QoL of patients who present with LE.

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Background: Although atopic dermatitis (AD) is becoming a pressing public health concern in the world, Madagascar is underrepresented in the AD literature.

Objective: We aimed to study the demographic and clinical pattern of AD in adult dermatology outpatients.

Methods: A cross-sectional study was conducted in the Department of Dermatology, University Hospital, Antananarivo, Madagascar.

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Sporotrichosis is a frequent subcutaneous mycosis in Madagascar. Extracutaenous forms are exceptional and are usually seen in immunosuppressed hosts. We report a case of an aggressive clinical evolution of lymphocutaneous sporotrichosis with osteoarticular involvement in an immunocompetent patient.

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Background: Psoriasis is a chronic, inflammatory, and multifactorial dermatosis that impairs quality of life (QoL). Health-related QoL has become an important element in medical decision-making along with the effectiveness and the harmlessness of the treatments.

Objective: To assess the impact of psoriasis in the QoL of patients with psoriasis by using the DLQI scales.

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Objective: To describe the clinical aspects of chromoblastomycosis (CBM) presented by patients who had received incomplete antifungal treatment before consultation.

Methods: A prospective study of patients with clinically suspected CBM was performed between 2013 and 2018 in the Department of Dermatology at the University Hospital Antananarivo, and during consultation campaigns.

Results: Patients develop CBM over a period of more than 10 years, and many will have already received antifungals prescribed by general practitioners before consulting with a dermatologist.

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Article Synopsis
  • Several studies have shown conflicting results on the link between month of birth and atopic diseases; this study specifically evaluates the connection between birth month and atopic dermatitis (AD) in children under 3 in Madagascar.
  • A case-control study was conducted with 438 children from the Dermatology department at a major hospital, comparing 146 AD patients with two age- and sex-matched controls each.
  • The findings suggest a significant correlation between birth month and AD risk, with those born in April showing the highest risk, particularly during the dry season, also indicating links to asthma and other allergies.
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