1Medical Graduate, Faculty of Medicine and Pharmacy, State University of Haiti* Correspondence: Adonaï Aly Isaac Julien: adonaialyjulien@gmail.comAbstract: Our study aims to evaluate the frequency of epilepsy in different age groups and the risk factors associated, at theClinique d’épilepsie de Port-au-Prince (CLIDEP), in Haiti . This retrospective descriptive study was carried out on a sample of 162 patients. The Data collection was done using a collection sheet based on the Classification of seizures and epileptic syndromes of the LICE published in 2017. Excel 2016 and SPSS were used for data analysis. The average age of patients is 18.5 years ± 1.28 (SE). Women were more affected by disease than men, i.e., 51.23% vs. 48.77% (M/F = 0.95. Generalized seizures represented 58.02% (n=94) of cases, while partial seizures represented only 22.22% (n =36). Patients who are declared “unknown” for a family history of epilepsy were 90% less likely to return for a visit compared to those who reported no family history of epilepsy, OR =0.10 (95% CI: 0.04, 0.029), p < 0.001. Our study showed that the main risk factors for epilepsy at the clinic are suffering perinatal, head trauma, febrile seizures, and central nervous system (CNS) infections.

Introduction/Background: Anetoderma is a rare and benign skin disorder characterized by a loss of elastic tissue in the mid-dermis. Among the five main types, the secondary form typically develops in areas of damaged or pathological skin. Understanding the origin of the anetoderma is pivotal for accurate diagnosis and management, considering the impact on patient outcomes. Therefore, in our study, we describe a patient who presented to Hospital of the State University of Haiti with secondary anetoderma.Case presentation: Here we present a case study of a 26-year-old male who presented to the dermatology department with a protruding oval mass located at the lateral third of the posterior right arm. The patient did not experience any associated symptoms such as pain, erythema, or tenderness. The mass evolved over 30 months following the resection by cautery of a molluscum contagiosum (Figure 1). After the wound had healed, he noticed a hyperchromic macule with a wrinkled center that evolved overtime, eventually taking on the appearance of a cystic mass (Figure 2) with wrinkling and a bulged-out appearance. Routine evaluations were normal. The mass was surgically resected, and the cutaneous specimen was sent to pathology. The skin fragment measured 2 x 1.9 x 1.5 cm with a raised flaccid area, and the average resection margin was 0.7 cm. Upon sectioning, the tissue appeared firm and whitish. The adipose fragment was irregular and measured 1 x 1 x 0.4 cm. Microscopically, sections of skin including the epidermis and dermis were observed. Fragments of adipose tissue from the subcutaneous tissue were also present. The epidermis appeared regular, and the dense underlying dermis showed a few vessels with a discrete lymphoplasmacytic infiltrate surrounding them.  The clinical and pathological findings allowed us to confirm the diagnosis of secondary anetoderma. No atypical changes were observed. Since the resection, the patient has shown improvement with the incision site now displaying a mild hypertrophic scar. Regular monitoring and appropriate scar management has ensured favorable recovery.Conclusion: This case illustrates the classic presentation of secondary anetoderma. Based on the available information, it is recommended to consider the possibility of anetoderma in patients presenting with skin lesions following molluscum contagiosum or other skin disorders where the integrity of the underlying elastic tissue is compromised. Consultation with a dermatologist and additional investigations, such as skin biopsy, may be necessary to confirm the diagnosis.

Giant tumors of the ovary are very rare. Mucinous Cystadenomas are the most common cause of these giant tumors and are often associated with digestive symptoms such as abdominal bloating, pain and nausea. The most incriminating risk factors are nulliparity, early puberty, menopause and infertility. A married postmenopausal woman aged 62 years, nulliparous (G0P0), known hypertensive for 24 years with history of myomectomy and unilateral oophorectomy, was seen at the surgical Department of the State University of Haiti (HUEH) for important increase of the abdomen. On arrival, she had an abdominal sonography describing a cystic mass with several septa and complex cystic pockets alternating with simple pockets. The mass was 46*31.7*26.4 cm in size and compress some abdominal organs. There was no ascites or adenopathy revealed. The blood screenings were within normal limits except for the liver enzymes which were slightly elevated: SGOT 48 IU/L and SGPT 39 IU/L. After evaluation it was concluded that she had a benign giant mucinous cystadenoma and was prepared for the operation room. In the OR, the abdomen was approached with a xipho-umbilical incision and after dissection of the different abdominal planes and opening of the peritoneum, a large polycystic mass was revealed. Citrin, clear fluid was aspirated from the septa to reduce the tension and then the mass was delivered.

Bullosis Diabeticorum is a rare skin complication of diabetes mellitus. With a prevalence ranging from 0.16% to 0.5%, it affects mostly men with an acral and distal asymmetric presentation. We report a case of bullous disease in a known diabetic patient associated with morbid obesity.