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AB0807 Gout in Rural Area in Sub-Saharan Africa: A Comparison between Patients Coming from Rural and Urban Areas, in An Urban Tertiary Healthcare Center in Cameroon
  1. F. Kemta Lekpa1,
  2. M.S. Doualla1,
  3. M. Singwe-Ngandeu2,
  4. H. Namme Luma1
  1. 1Rheumatology, Douala General Hospital, Douala
  2. 2Rheumatology, Central Hospital, Yaoundé, Cameroon

Abstract

Background Gout, the disease of kings is seen today in both urban and rural areas. However, few data are available on the characteristics of gout in the rural area, especially in sub-Saharan Africa.

Objectives To evaluate the differences between gouty patients in rural and urban areas in Cameroon, Central Africa.

Methods We performed a cross-sectional study in all 511 patients (96 women and 415 men) seen at General Hospital, Douala, Cameroon, between January 2004 and December 2013. The main demographic and clinical features of gouty patients living in rural and urban were compared. A p< 0.05 was considered statistically significant.

Results The baseline characteristics of patients are presented in Table 1. Patients living in rural areas were older, had an oligoarticular clinical presentation, more hyperuricemia and higher serum uric acid levels and a more frequent chronic inflammation compared to patients living in urban areas.

Chronic kidney disease and dyslipidemia were more frequent in rural areas while obesity and hypertension were more frequent in urban areas.

Table 1.

Main baseline characteristics of patients

Conclusions Gout is characterized in patients living in rural area by a late age at onset and hyperuricemia higher compared to patients living in urban area. Cardiovascular risk factors are common. Further studies are needed to evaluate lifestyle changes in rural area.

Disclosure of Interest None declared

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