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Master Thesis

Arthralgies aiguës aux Urgences en Nouvelle-Calédonie : quelle épidémiologie ?

Abstract : Background and objective : Acute non-traumatic arthralgia is a frequent reason for urgent medical advice. In New Caledonia the prevalence of sexually transmitted diseases is high and acute rheumatic fever (ARF) is endemic. These diseases are often revealed by arthritis. We aimed at determining the etiological distribution of non-traumatic acute arthralgia, requiring an admission in the main emergency department of the territory. Methods : The study was retrospective and monocentric. We included 188 cases of patients from 18 to 65 years of age admitted in the emergency room between October 1st, 2012 and September 30th, 2014. Descriptions were based on gross frequencies. Results : The main diagnosis in descending order were : gout (29%), non gonococcal septic arthritis (13%), ARF (11%), and arbovirosis (11%). Osteoarthritis represented 1% of the cases. Discussion : While osteoarthritis is the most common rheumatic disease in Western countries, its prevalence is low in this study. Gout outweighs in often serious and incapacitating forms, affecting mostly Oceanian people, consistent with native Australian and New Zealanders’ affections. ARF, almost eradicated in Western countries, is a public health issue in New Caledonia, and often under-diagnosed in adulthood. Gout and ARF, two of the most represented pathologies, are accessible to prevention.
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Master Thesis
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Submitted on : Tuesday, April 21, 2015 - 9:52:29 AM
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  • HAL Id : dumas-01144142, version 1


Claire Chevelle. Arthralgies aiguës aux Urgences en Nouvelle-Calédonie : quelle épidémiologie ?. Médecine humaine et pathologie. 2015. ⟨dumas-01144142⟩



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