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Ocular manifestations among hiv children at the regional hospital of bafoussam ‐ cameroon
Author(s) -
DOMNGANG NOCHE C,
KAGMENI G,
KEMAYOU D,
BELLA A
Publication year - 2014
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2014.t061.x
Subject(s) - medicine , molluscum contagiosum , blepharitis , posterior segment of eyeball , pediatrics , dermatology , epidemiology , retinal vasculitis , cross sectional study , ophthalmology , vasculitis , disease , pathology
Purpose to determine the frequency and types of ocular manifestations in HIV children, as well as search for determinants of these ocular manifestations Methods Our study was cross‐sectional and descriptive, and was held in the Regional Hospital of Bafoussam (Cameroon) from March to June 2013. The sampling was consecutive. Results Forty (21 boys and 19 girls) children were included in the study (mean age= 7.5 years) which 97.5% were under treatment. The overall frequency of participants with ocular manifestations was 27.5% (n=11/40) with a predominance of adnexal disorders (n=7). Adnexal pathologies found were infectious conjunctivitis (n=3), allergic conjunctivitis (n=1), blepharitis (n=1), molluscum contagiosum (n=1) and nystagmus (n=1). The only anterior segment disease found was a cataract with posterior synechiae (n=1) and the posterior segment pathologies were: a retinitis with vasculitis (n=1) and a papillary atrophy (n=2). The frequency of eye diseases was 33,3% (n=7/21) among boys and 22,0% (4/19) among girls (p=0,38). They were more prevalent in the < 5 years (33,3%, n = 4 /12) and 11‐15 years (38,5%, n=5/13) and were less in the 6‐10 years (13,3%, n=2 /15) (p=0,52). They were also more frequent among participants with CD4 between 201 and 400 cells/mm3 (p=0,36). Conclusion The frequency of ocular manifestations of HIV children (victims of mother to child transmission) was 27.5% in our study. The most frequent pathologies were not specific to the HIV infection.