[Renaliste] Scelrodermie au Maroc

[ahrsimon@terra.com.br]

  Peut-être la référence ci-dessous soit utile.
 Amicalement
 Adolfo Simon
 Brasília, DF - Brèsil
     PubMed  TI Incidence and prevalence of systemic sclerosis: a
systematic literature review.  AU Chifflot H, Fautrel B, Sordet C,
Chatelus E, Sibilia J  SO Semin Arthritis Rheum. 2008;37(4):223.   
OBJECTIVES: To determine the incidence and prevalence of systemic
sclerosis (SSc) in adults, its epidemiological tendencies over time,
and its possible key determinants.METHODS: We performed a systematic
literature review using the keywords "systemic sclerosis,"
"incidence," "prevalence," and "epidemiology."RESULTS: We found 32
articles published from 1969 to 2006 in which the prevalence of SSc
ranged from 7/million to 489/million and its incidence from
0.6/million/y to 122/million/y. There were many geographical
variations: SSc prevalence was higher in the USA (276/million in 1990)
and Australia (233/million in 1999) than in Japan and Europe, where a
north-south gradient was also observed (France: 158/million in 2001
and England: 88/million in 2000). In some regions (Ontario, Rome, near
London's airports) there was an unusually high number of SSc cases (3,
5, or 1000 times greater than expected), suggesting spatiotemporal
clustering, although no key determinants could be identified.
Furthermore, there seemed to be a trend toward an increase in the
incidence of SSc over time, but this tendency is uncertain due to lack
of uniformity in study methods and designs. We also found that
susceptibility to the disease differed according to sex, age, and
race.CONCLUSION: Uniform clinico-epidemiological studies with standard
diagnostic and classification criteria are needed to refine the
epidemiological features of SSc. Homogeneous study methods with
exhaustive case ascertainment as seen in a "capture-recapture"
analysis will also be necessary to obtain reliable data.   AD
Department of Rheumatology, Teaching Hospital Hautepierre, National
Reference Center for Rare Autoimmune Systemic Disease, Strasbourg,
France. helene.leclercq3 at wanadoo.fr  PMID 
 On Ter 5/07/11 07:01 , "BAUDEAU, Christophe"
christophe.baudeau at ahparis.org sent:
  Message de la liste nephrologique francophone RENALISTE
 ----------------------------------
 Bonjour je voulais savoir si l'incidence de la sclérodermie est plus
élevée au Maroc et si oui, s'il y a un facteur environnemental
identifié ?
 Merci
 ChB