Original Research Article
Year: 2023 | Month: May | Volume: 13 | Issue: 5 | Pages: 1-10
DOI: https://doi.org/10.52403/ijhsr.20230501
Clinical and Radiological Profile of Chronic Obstructive Pulmonary Disease in Kinshasa
Fiston Fiondo Dikamba1, Aliocha Natuhoyila Nkodila2,3, Stanis Okitotsho Wembonyama3, Zacharie Kibendelwa Tsongo4, Jean Tshibola Mukaya1, Benjamin Longo Mbenza5
1Department of Radiology, University of Kinshasa, Kinshasa, Democratic Republic of Congo
2Department of Family Medicine and Primary Care, University of Protestante in Congo, Kinshasa, Democratic Republic of Congo
3School of Public Health, University of Goma, Goma, Democratic Republic of Congo
4Department of Internal Medicine, University of Goma, Goma, Democratic Republic of Congo
5Department of Internal Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo
Corresponding Author: Aliocha Natuhoyila Nkodila
ABSTRACT
Background and objective: The diagnosis and follow-up of chronic obstructive pulmonary disease (COPD) are essentially based on the clinic and plethysmography. However, medical imaging techniques remain one of the essential examinations in the differential diagnosis with other pathologies and in the detection of complications of COPD. The objective of this study was to describe the clinical and radiological characteristics of patients with COPD followed in Kinshasa.
Material and Methods: Documentary and descriptive study of clinical data and chest imaging (radiography and computed tomography), collected from the files of 120 COPD subjects followed in three medical trainings in Kinshasa between January 2014 and June 2017. The clinical and radiological data were the object of this study.
Results: The study population (mean age of 64.52 ± 16.82 years) was predominantly male (78.3% n=94). The clinic of the patients in this series was dominated by dyspnea (96.7% n=116) and chronic cough (94.2% n=113) followed by far by sputum (47.5% n=57). Cardiometabolic risk (cardiovascular disease and diabetes mellitus), interstitial lung disease were the comorbidities in patients with COPD. The proportions of stage II and III being the most frequent around 80%. Thickening of the bronchial walls (airway damage), centrilobular emphysema (emphysematous damage), dilation of the bronchial lumen (emphysematous damage) and dilatation of the pulmonary artery (vascular change) were more frequent.
Conclusion: The high frequency of COPD risk factors are probably the basis for the observed lesions.
Key words: Clinical, radiological, COPD, Kinshasa.