[Report of a case of hip arthropathy]

The tabetic arthopathies [AT] belong to the neuropathic arthropathies, and are currently rare. The localization in the hip occupies the third place after that of the knee and the foot. We present a case. It is about a 52 years old patient, hospitalized for a painless left chronic coxopathy, revealed by a heaviness, boitery and shortening of the left lower limb. The clinical examination had noted a conservation of the amplitudes of the left hip with luxation of the left femoral head which is preceived in the external iliaque pit as well as an abolition of the osteotendineux reflexes of the lower limbs and a positive sign of Argyll Robertson. Standard radiographies had shown a destruction of the left femoral head and cotyle with posterior luxation of the higher end of the femur. Syphilitic serology was positive in blood and the cephalospinal liquid. Through this observation and a review of the literature, we remind the various clinico-radiological aspects and the therapeutic difficulties of the tabetic arthropathies in particular the localization to the hip. While insisting on the interest of the prevention and the early treatment of syphilis avoiding the late installation of articular and neurological complications

[ Arthropathies tabetics knee [a case about 8]]

Authors report 8 cases of Charcot's joints arthropathies collected between 1993 and 2002, in the Rheumatology Department Ibn litochd hospital of Casablanca. It was about 6 men and 2 women whose middle age is of 55 years. The positve diagnosis is made on the association of the 4 following elements:The major articular deformity contrasting with indolence.The neurological affection of Charcot's joints disease.The radiological signs of destructive arthropathy.The syphilitic reaction positivity in blood, the LCR and the articular liquid. the treatment made call to the G penicillin, the discharge and the wearing of articulated kneepads. We insist on the prevention and treatment of the primary syphilis in order to avoid the intervening its articular and neurological complications