alexa [Chronic kidney failure in Togo: clinical, laboratory, and etiological aspects].
Medicine

Medicine

Internal Medicine: Open Access

Author(s): Sabi KA, Gnionsahe DA, Amedegnato D

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Abstract OBJECTIVES: Determine clinical, laboratory, and etiological aspects of chronic kidney failure (CKF) in Togo. PATIENTS AND METHODS: This retrospective study was focused on the 11-year period from 1st January 1995 to 31st December 2005. Review was carried out on the medical files of 398 patients hospitalized for CKF in various departments of Lomé-Tokoin University Hospital. For lack of kidney biopsy findings, nephropathy was classified on the basis of semiological criteria. RESULTS: Male predominance with a sex ratio of 1.34 was noted. Mean age was 42.6 years. Most patients presented extrarenal signs including hematological changes (94.5\%), digestive tube manifestations (68.3\%), and cardiovascular disease (55\%). Most patients (75.5\%) had end-stage disease with creatinine clearance below 10 ml/min. Ultrasound demonstrated stage III kidney damage in 42.8\% of cases. Chronic glomerulonephritis (40.2\%) was the main etiology, followed by chronic interstitial kidney failure (20.9\%) and nephroangioscerosis (17.6\%). CONCLUSION: The clinical and laboratory presentation of CKF in Togo is unremarkable but has a rich semiological background.
This article was published in Med Trop (Mars) and referenced in Internal Medicine: Open Access

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