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Revista Colombiana de Reumatología
Print version ISSN 0121-8123
Abstract
HENAO RUIZA, Juan Esteban et al. Dupuytren's contracture. Study of SS cases in Colombia. Rev.Colomb.Reumatol. [online]. 2019, vol.26, n.2, pp.140-144. Epub May 20, 2020. ISSN 0121-8123. https://doi.org/10.1016/j.rcreu.2017.12.002.
Objective:
To describe the clinical and epidemiological behavior of Dupuytren's contracture (DC) in the Colombian population, and to compare the results of this study with other series published in the literature.
Materials and methods:
A descriptive, observational study of 33 cases of DC presented at the Hospital San Pedro y San Pablo, La Virginia Risaralda, over the last 6 years. The patients were diagnosed with DC according to the established parameter. The results were compared against different series of DC cases published in the literature.
Results:
The mean age at diagnosis was 61.3 years, with a higher prevalence of men (64% of cases). The most frequent form of presentation was unilateral in the right hand (73%), unlike the reports from other series with usually bilateral involvement. Diabetes mellitus was the comorbidity most often associated with DC (24.24%), a finding similar to those of previous publications. Most patients required surgical treatment.
Conclusions:
DC is a condition that occurs more often in men in the sixth or seventh decade of life. Diabetes mellitus is the most frequently associated disease, with no differences being found among the various studies. In the Colombian population there is no apparent association with epilepsy. The presentation of DC is variable, but our series showed more unilateral involvement as compared to other populations where the presentation is usually bilateral.
Keywords : Dupuytren's contracture; Palmar fibromatosis; Myofibroblasts.