Psoriasis et infection par le VIH
Speaker

Irina Mamisoa Ranaivo
Madagascar
Former Head of Clinic Dermatology Venereology Head of Dermatology Unit Dermatology Venereology, Head of Training and Research at the Hospital University Morafeno Toamasina, Madagascar Specialist in Internal Medecine (University of Antananarivo 2010) Specialist in Dermatology and Venereology (University of Antananarivo 2014) Member of: -Société Malgache de Dermatologie (SOMADER) -Association des Dermatologistes Francophones (ADF) -Société de Pathologie Exotique now Société Francophone de Médecine Tropicale et Santé Internationale (SFMTSI) Number of publications 60 can be seen on www.Reshearchgate.net ORCID ID: orcid.org/0000-0002-7817-9317
Source event

WSHD Madagascar | XIXth International Congress of Dermatology
For its XIXth Congress, and IIIrd WSHD, the SOMADER choose his topic of Neglected Tropical Diseases (NTDs) which are groups of parasitic and bacterial infections affecting over a billion people worldwide, mainly in low-income areas. These diseases often cause chronic and debilitating health conditions, which severely affect the quality of life of those affected, leading to social exclusion and poverty.
Of the approximately 20 NTDs established by the World Health Organization (WHO), twothirds of them have skin manifestations. The Skin NTDs can cause severe morbidity, disability, and disfigurement if left untreated. These conditions include Buruli ulcer, Cutaneous leishmaniasis, Post kala-azar dermal leishmaniasis, Leprosy, Lymphatic filariasis, Mycetoma, Onchocerciasis, Scabies and other parasitic infections of the skin, Yaws, Chromoblastomycosis, and Sporotrichosis. we are working to include chronic inflammatory diseases such as atopic dermatitis (AD) in the category of cutaneous NTDs, where the incidence is rising dramatically in sub-Saharan Africa.
To address the neglected burden of skin NTDs, the SOMADER organize this Congress in Toamasina on May 22 and 23, 2024 with the participation of speakers from several countries, in collaboration with Global Dermatology, WHO, ISAD and ILDS. The event will
showcase over 40 presentations in English and French, with subtitles available in several languages, including French, Spanish and English. On May 24-25, a field visit to primary health care centers is planned around Tamatave, an area hyperendemic in chroblastomycosis and sporotrichosis. Teams from Grenoble’s mycology-parasitology laboratory have already confirmed their participation. You can visite our WSHD last event’s on global dermatology website.
This event is an excellent initiative that can help raise awareness of skin NTDs and the importance of early diagnosis and treatment. By bringing together experts from various countries, the event can provide a platform for sharing experiences, best practices, and innovative approaches to combat these diseases. It is a step towards strengthening global partnerships and collaborations to eliminate skin NTDs and improve the health and wellbeing of millions of people worldwide.
The burden of skin NTDs is significant, and concerted efforts are needed to address this public health challenge. We also give our guests the opportunity to visit the city of Toamasina, the economic heart of Madagascar.
Description
Introduction : Le psoriasis est une dermatose inflammatoire chronique multifactorielle. Il touche 2 à 4 % de la population mondiale. Le psoriasis chez les personnes infectées par le VIH est plus sévère, est plus résistant au traitement. Nous rapportons ici un cas d’association de psoriasis et infection au VIH vue à Toamasina. Observation : Un homme de 35 ans, présentait depuis 2 ans une éruption cutanée prurigineuse. Dans les antécédents, il avait depuis un an une récurrence herpétique génitale avec en moyenne 3 récurrences en 6 mois. L’examen dermatologique retrouvait des lésions en plaques erythémato-squameuses bien limitées au niveau du cuir chevelu, du tronc et des membres inférieurs. Avec une atteinte de 26% de la surface corporelle, un Psoriasis Area Severity Index (PASI score) à 28,8 et le Dermatology Quality of Life Index (DLQI) était de 12. Il présentait une atteinte unguéale à type de dépressions en dé à coudre. La biologie retrouvait une leucopénie à 3, 2 G/l. La sérologie VIH était positive avec un taux de CD4 à 413/mm3. Le diagnostic retenu était un psoriasis en plaque sévère chez une personne infectée par le VIH. Il était mis sous dermocorticoïde salicylée et antirétroviraux. L’évolution était marquée par un début d’amélioration à 3 semaines du traitement. Discussion : L’infection au VIH aggrave et rend difficile la prise en charge du psoriasis. Le traitement topique est utilisé dans les formes modérées. Dans les formes modérées à sévères il y a la photothérapie et les rétinoïdes. Et dans les formes résistantes il y a les immunosuppresseurs et la biothérapie mais les immunosuppresseurs pourraient entraîner des complications graves en cas d'infection par le VIH. Conclusion : Devant tout psoriasis de novo, une aggravation d’un psoriasis préexistant il faudrait toujours faire une sérologie du VIH. Le traitement reste un défi surtout dans les pays en voie de développement. Mots clés : psoriasis, traitement, VIH
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Source event Program
INTRODUCTION

Introduction to ILDS

Artificial intelligence in support of a WHO educational tool for primary health care workers dealing with skin neglected tropical diseases and common skin conditions

Effectiveness and financial savings of integrating mass drug administration for Lymphatic Filariasis (LF) into an existing Polio campaign in Madagascar

NTDs in Neglected people

Bridging gaps in Dermatology training in Africa and GLODERM

The Role of Phototherapy in 2024 and Beyond

Skin NTDs in Madagascar, where we are?

DISCUSSIONS
CHROMOBLASTOMYCOSIS, SPOROTRICHOSIS AND MYCETOMA
Prof. Dallas S, Prof. QUeiroz-Telles F, Prof. Santos DW, Prof. Cornet M, Prof. Ramarozatovo LS, Prof. Mokni M

Addressing Fungal neglected tropical diseases through global partnerships

Sporotrichosis in Brazil

Fungal neglected tropical diseases (NTDs)

Difficultés de prise en charge de cas difficiles de chromomycose à Madagascar
RAMAROZATOVO Lala Soavina MD

Utilisation de la spectrométrie de masse VITEK MS PRIME pour l'identification en routine des agents responsables de la sporotrichose à partir de cultures de biopsie cutanée

Mycetoma in North Africa

DISCUSSIONS - Session 2
RAMAROZATOVO Lala Soavina MD
ATOPIC DERMATITIS

GADA: Mapping the global burden of AD

Atopic Dermatititis: A Global Health Perspective

Pathophysiology + Management of Pruritus in Atopic Dermatitis

Dermatite Atopique au Cameroun : Etats des lieux et perspectives

Sensitization patterns to inhalative allergens in AD patients: Madagascar and beyond
Danielle Fehr MD, PhD

Challenge sur la recherche sur la dermatite atopique à Madagascar.

Dermatite atopique vu au service de Dermatologie du CHU Mahavoky Atsimo, Mahajanga
Naina Harinjara Razanakoto MD

DISCUSSIONS - Session 3
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