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Review of chronic skin ulcers in Burkina Faso highlights Buruli ulcer prevalence in pediatric patients.

Review of chronic skin ulcers in Burkina Faso highlights Buruli ulcer prevalence in pediatric patien…
Photo by Cht Gsml / Unsplash
Key Takeaway
Note low dermatology utilization and high pediatric Buruli ulcer rates in this Burkina Faso cohort.

This source is a cross-sectional, retrospective review examining patients with chronic skin ulcers presenting to dermatology departments at Souro Sanou and Yalgado Ouedraogo University Hospitals in Burkina Faso. The analysis covers a cohort of 104 patients, providing a snapshot of the demographic and clinical characteristics of this population within this specific setting.

The data indicate that the patient population was primarily composed of adults (n=60) and older adults (n=21). Among the cases, leg ulcers were the predominant condition observed in 59 patients. Notably, the review identifies eight cases of Buruli ulcer, representing 7.69% of the cohort. Of these eight cases, five involved patients aged between 0 and 19 years, accounting for 62.50% of the Buruli ulcer cases identified.

Regarding geographic distribution, half of the patients diagnosed with Buruli ulcer resided in Ouagadougou. The authors acknowledge a key limitation regarding the low utilization of dermatology services for chronic skin ulcers in this region. No adverse events, discontinuations, or tolerability data were reported in this observational synthesis.

The practice relevance of these findings suggests a need for targeted strategies. The authors argue that addressing social perceptions surrounding these ulcers is essential. Furthermore, the review supports the implementation of improved screening and management protocols for Buruli ulcer, particularly given the high prevalence of cases in younger patients and the current gaps in service utilization.

Study Details

Sample sizen = 60
EvidenceLevel 5
PublishedApr 2026
View Original Abstract ↓
Social stigma surrounding chronic skin Ulcer leads patients to hide their wounds or delay seeking medical care. The aim of this study was to explore the types and causes of chronic skin ulcers among patients seen in the dermatology departments of two university hospitals in Burkina Faso. This was a cross-sectional, retrospective study covering an 11-year period, from 2013 to 2023. A review of consultation records allowed for the collection of sociodemographic and clinical data from 104 patients who were seen for chronic skin ulcers over the 11-year period, averaging 9 patients per year. The patients were primarily adults (n=60) and older adults (n=21). Leg ulcers were the condition observed in most patients (n=59). Eight cases of Buruli ulcer (7.69%) were identified among the 104 patients. Five of the eight cases, or 62.50%, were aged between 0 and 19 years. Half of the eight patients resided in Ouagadougou. These results highlight low utilization of dermatology services for chronic skin ulcers. Furthermore, indigenous cases of Buruli ulcer have been identified in Burkina Faso. Consequently, our findings call for the implementation of strategies focused on addressing social perceptions of these ulcers and on the screening and management of this disease.
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