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SAS Journal of Medicine | Volume-9 | Issue-02
Etiological and Evolutionary Profile of Anemia in Outpatients at the Internal Medicine Unit of the Fousseyni Daou Hospital in Kayes
Sangaré Drissa, Cissé Sekou M., Guindo Youssouf,Diawara A, Diakité Niagalé, Berthé Brehima B, Keita Kaly, Traore Djenebou, Issa Diallo, Kaya Assetou S
Published: Feb. 28, 2023 | 103 115
DOI: 10.36347/sasjm.2023.v09i02.014
Pages: 148-155
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Abstract
Introduction: Anemia is one of the most common public health problems in the world and affects all ages. Objective: To describe the etiologycal and evolutionary profile of anemia in the internal medicine unit of the Fousseyni Daou hospital in Kayes. Methodology: It was a descriptive and cross-sectional study with retrospective data collection which took place from January 1 to December 31, 2020 at the Internal Medicine Unit of the Fousseyni Daou Hospital in Kayes. It covered all anemic patients seen in outpatient clinics during the study period. Results: We identified 197 cases of anemia out of 1883 patients admitted to the Unit, either a hospital prevalence of 10.46%. The age group from 26 to 35 years was the most represented, that is to say 67 cases (34.01%) with an average age of 25 years, the female sex predominated, 107 cases (54.31%) with a sex ratio of 0.84. Housewives represented 104 cases (52.8%). The majority of patients resided in rural areas 48 cases (52.75%). Gastropathy was the most found antecedent 76 cases (38.58%) followed by hypertension 53 cases (26.90%); 121 patients (61.42%) had no history. The main clinical manifestations were: conjunctival pallor 118 cases (59.9%), vertigo 112 cases (56.85%), physical asthenia 109 cases (55.33%), dyspnea 101 cases (51.26 %), headaches 99 cases (50.25%). The associated pathologies were: hypertension 76 cases (38.58%), followed by malnutrition (anorexia) 67 cases (34.01%). Biologically, microcytic anemia was the most frequent 127 cases (64.47%), followed by normocytic anemia 53 cases (26.90%) and macrocytic anemia 17 cases (8.63%). Normochromic anemia was more encountered in 104 cases (52,79%) compared to anemia hypochromic 93 cases (47.21%). Mild anemia was more frequent 119 cases (60.41%) followed by moderate anemia 62 cases (31.47%). Anemia was severe in 16 cases (8.12%). The main etiologies of anemia were iron deficiency 98 cases (49.75%) followed by infections (anemia of inflammatory origin) with ..........