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Dr Benjamin TATETE

Sickle cell disease - leg ulcer


Sickle cell disease is a genetic disease resulting from a mutation in the gene encoding hemoglobin. This condition can lead to a delayed development of the child, a susceptibility to bacterial infections and haemolytic anemia.

Epidemiology

About 300,000 births are affected annually. In Black Africa, the prevalence can reach 1 out of 30 births. In fact, it is the most common genetic disease in the world with more than five million people registered. Eighty percent of cases would be concentrated in the sub-Saharan basin.


Leg ulcer

Leg ulcer is a chronic complication in sickle cell patients. It heals slowly and is difficult to treat. It increases disability, disrupts the quality of life (prolonged absence from work, ...) and severely strains the budget of health systems.


The treatment

Recently, TVC Medical admitted a patient with a CEAP 6 level (unhealed venous ulcer) incompetence of the small saphenous vein. Within a period of three months, the following interventions were carried out:

- Radio-frequency ablation of the small saphenous vein, - Care of the ulcer via negative pressure treatment,

- Skin graft.


Here are the results obtained, presented in a succinct chronological way.


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