Cutaneous tuberculosis revealing multifocal tuberculosis in immunocompetent patients

Multifocal tuberculosis [TB] is rare. It occurs especially in immunocompromised patients. Association with skin involvement is rarer, and few cases are reported in the literature. The present study reports 7 cases of multifocal TB with cutaneous localization in immunocompetent patients. Cutaneous forms of TB included in this series are: gummas, scrofuloderma, vasculitis TB and lupus TB. The patients had at least two extra skin locations, namely: osteoarticular, lung, pleural, scrotal, muscular, digestive, laryngeal, nodal and splenic locations. These patients had no context of immunosuppression which is uncommon, but should be kept in mind, especially in endemic countries

Tuberculous gummas with sporotrichoid pattern in a 57-year-old female: a case report and review of the literature

Sporotrichoid tuberculosis is a rare form of cutaneous tuberculosis; it primarily affects children after a post-traumatic inoculation. The diagnosis is often difficult and based on a set of arguments; it should be considered in any sporotrichoid lesion, especially in tuberculosis endemic countries. The following describes a new case of Mycobacterium tuberculosis skin infection with an unusual sporotrichoid clinical appearance in a healthy woman, emphasizing the diagnostic difficulties with a review of literature.

[Psoas hydatid cysts]

Inspite of the endemic nature of the hydatic disease in Morocco, some localizations are unusual, the one of the psoatic muscle is rare. The authors report 5 cases and stress the diagnostic difficulties of this localization. The extraperitioneal surgical way is preferred whenever the lesion is isolated. The organs of the proximity, essentielly composed of vessels and nerves make the complete perikystectomy dangerous and incite to a partial perikystectomy.

[Light chains type multiple myeloma and amyloid intestinal obstruction]

A case of light chain type multiple myeloma is diagnosed in a 26 year-old patient who presented a gastrointestinal amyloidosis revealed by an intestinal obstruction. The authors recall the diagnostic difficulties of non typical multiple myeloma, the links between multiple myeloma and amyloidosis and emphasize their bad prognosis when associated