Research Article

Evaluation of Epidemyological Profile of Dupuytren’s Disease in Thrace, an Agricultural Region

  • Özgür AGDOĞAN
  • Uğur TOSUN

Received Date: 12.06.2019 Accepted Date: 10.07.2019 Namik Kemal Med J 2019;7(2):77-82

Aim:

Dupuytren's disease is a benign fibroproliferative disease that effects the palmar fascia on the palmar surface of the hand. Pathogenesis of the disease hasn’t been defined clearly yet but heredity, age, gender, alcohol consumption, liver disease, diabetes, smoking, drug ssuch as barbiturats, trauma and occupation that exposed to repetitive trauma were associated with.

Materials and Methods:

In our retrospective study, records of 91 patients who lived in Thrace region, a large agricultural area, operated for dupuytren's disease in Edirne State Hospital and Namık Kemal University Hospital between 2013 and 2018 were evaluated and demographic analysis was performed.

Results:

Dupuytren's disease has been seen more in males and has shown more in the sixth decade. It was more commonly observed in the dominant right hand. Premorbid disease and conditions like smoking, alcohol, and diabetes were present in most of the patients. 71 patients were agricultural workers or farmers dealing with agriculture. 78 patients have been living in the Thrace region for least 3 decade.

Conclusion:

We observed that, a large majority of Dupuytren’s disease patients in the Thrace region have been engaged in agriculture for prolonged periods of time. The incıdence of the disease was very high in people doing heavy labor and working as agricultural workers. Chronic diseases, like diabetes was not associated with increased incidence of Dupuytren’s disease. Thrace region is an agricultural geography and we aimed to draw attention to the relation between occupational risk factors and development of Dupuytren’s disease.

Keywords: Thrace, dupuytren’s disease, agricultural laborer