Background Comorbidities associated with gout are frequently described in developed countries. Data are scarce in sub-Saharan Africa.
Objectives To identify the main comorbidities associated with gout in Cameroon, Central Africa.
Methods We performed a cross-sectional study on patients seen in the Rheumatology department of the Douala General Hospital, Douala, Cameroon, between January 2004 and December 2013. We have included the records of patients with diagnosis of gout according to ACR criteria 1977. The main comorbidities of gouty patients were recorded. A p<0.05 was considered statistically significant.
Results We included 511 patients (415 men and 96 women). The mean age was 55.9±10.8 years. The main comorbidities associated with gout in our study are summarized in Table 1.
Metabolic syndrome was present in 101 patients (19.7%). Chronic kidney disease and dyslipidemia were more frequent in rural areas while the obesity and hypertension were more frequent in urban areas (p<0.05) [Table 2]. The association between gout and components of metabolic syndrome were all significant (p<0.001), particularly for obesity and dyslipidemia in men and hypertension and diabetes in women.
Conclusions Comorbidities are common in Cameroonians with gout like in developed countries. These data should encourage seeking and treating gastrointestinal adverse events and cardiovascular risk factors in gouty patients to reduce morbidity and mortality linked to gout.
Disclosure of Interest None declared
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