[Childhood cutaneous tuberculosis: about 9 cases]

Tuberculosis is still endemic in developing countries. In Morocco, thirty thousand new cases are recorded each year, cutaneous localization represents 1, 4 per cent. The aim of this work is to study the epidemiological, clinical and therapeutic features of childhood cutaneous tuberculosis in Morocco. Patients and methods: It is a retrospective study including all cases of childhood cutaneous tuberculosis hospitalized in the dermatology department of the Ibn Sina hospital in Rabat, over a 11 years period. Results: Nine cases were collected. The mean age was 14 years. The clinical features are as follows: gumma [5 cases], scrofuloderma [3 cases], lupus vulgaris [1 case]. The Mantoux test was positive in 88 per cent, tuberculoid granuloma was observed in all the cases. All children responded to antimycobcterial chemotherapy. Conclusion: Gumma and scrofuloderma were the commonest forms found in Moroccan series

dermatite atopique: aspects physiopathologiques et traitement

Atopic dermatitis represents the cutaneous facet of atopic disease. Its prevalence is in a regular increase these last decades. The physiopathology of this dermatitis is complex and not well known, implicating genetic, immunological, biochemical and environmental factors. The onset of Atopic dermatitis can start at any age of life. But it is exceptional before the age of two months; in the same way its onset after 20 years is relatively rare. It is an extremely polymorphous affection in its clinical expression that depends on the age of the subject, which necessitates establishment of diagnostic criteria. In spite of being benignity, atopic dermatitis is a chronic disease affecting negatively the quality of life of the majority of patients. The symptomatic treatment is based on topical corticosteroids and moisturizers. However, a better knowledge about its pathogenesis allows to hope for a therapeutic approach by immunomodulators, especially for the serious cases

Lesions osseuses au cours de la maladie de von recklinghausen

The bone malformations of the Von Recklinghausen disease are varied and specific. We report here 24 cases of bone involvement among 289 Von Recklinghausen diseases, seen in the Department of Dermatology of the UCH Ibn Rochd from January 1961 to December 1993. The ages of these 24 patients ranged between 6 and 65 years, with a mean age of 26 years. The spinal malformations were found to be present in 13 cases, mainly under form of scoliosis [8 in number], followed by the involvement of bone segments in 7 cases more frequently under form of curvature or rubured aspect of fibula,one case of diffuse osteoporosis and one case of defect of the major trochanter. The cranial lesions were more uncommon in 5 cases with defective images in 3 cases and one case of cranial roof hypoplasia. The bone malformations during the Von Recklinghausen disease are noted in more than half of cases the according to Castelman the spinal involvement is the most frequent followed by the involvement of the osseous segments and then the cephalic malformations and lastly the thoracic involvement. The Moroccan statistical data relating the frequency of the bone involvement during the Von Recklinghausen disease are not available. That certainly results from the lack of a systematic radiological check-up in these patients