title: [Type 2 diabetes mellitus in children in black Africa: description of first five cases in Togo].
abstract: The purpose of this report is to describe epidemiological, clinical and therapeutic features of the first five cases of childhood type 2 diabetes mellitus (T2DM) documented in Togo. The five children were admitted to either the Barruet Clinic (n=4) or Tokoin de Lomé University Hospital Centre (n=1) between 1999 and 2004. All presented one or more of the following risk factors for T2DM: obesity, familial history of T2DM, acanthosis nigricans, polycystic ovary syndrome, dyslipidemia, and high blood pressure. Age at diagnosis was 15 years in two cases and 13, 11 and 12 years in the other three cases (mean, 13.2 + 1.79 years). There were three females and two males. All five patients were obese and had risk factors for obesity (high fat intake, sedentary lifestyle and lack of physical exercise). All had a familial history of T2DM and two had Acanthosis nigricans. All five patients were treated initially with insulin that was gradually discontinued in favor of exercise and diet in four. These are the first reported cases of childhood T2DM in Togo. An education campaign is necessary to inform the population on about the risk factors for T2DM.
authors.affiliation: Clinique Barruet, Souza Nétimé, CHU-Tokoin, Lomé, Togo.
authors.forename: R
authors.initials: R
authors.lastname: Barruet
authors.forename: A D
authors.initials: AD
authors.lastname: Gbadoe
mesh_terms: D000293:Adolescent; D002648:Child; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D014037:Togo