[ 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

[Echinococcosis from Iliac bone [about one case]]

The bony localizations of hydatic desease are less frequent. We have one observation of hydatidosis of the hipbone in a patient of 44 years old, who presented a chronic right coxopathy, in a context of fever, nocturnal sweats and weakening. The VS was accelerated to 50 mm. The NFS was normal and hydatic serology was negative. Standard x-ray showed a moth-eaten aspect of the -fight ilium, calcifications of the adjacent soft part as well as a global-pinch of the right coxofemoral spacing with osteophytesesosteophyteses. the pelvic TDM found out a lyse extension of the right iliac wing to the cotyle, bony sequesters, endo and exopelvic liquid collections. Echoguided puncture had extracted the pus, the bac-teriological exam [germs + BK banals] of which was negative. It is the surgical exploration with histologic study that allowed to put the diagnosis of bony echinococcosis. The bony hydatidosis puts .1 diagnostic problem but especially therapeutic: the effectiveness of the medical treatment is controversial and the anatomical conditions of the pelvis don't help the radical surgery and expose to the risk of recidivism

[Paget disease of bone [about 7 cases]]

Paget's disease of bone in characterized by increased bone turnover. We report in this retrospective study 7 cases of Paget's disease of bone collected in the department of rheumatology, UHC Ibn Rochd in Casablanca. The study interested 4 males and 3 females. Their mean age was 67 years. Bone pain existed in every case. Radiographic exam revealed a total of 15 localizations. PAS and urinary hydroxyproline were elevated in every case. 3 patients had underwent a scintigraphy of bone. The treatment at first was etidronate in 4 cases and calcitonin in 3 cases

[Diagnostic strategy in front of adenopathy]

Adenopathy recognition is not a problem of clinical diagnosis. But the aetiologic workup is more difficult. Patient's antecedents, lymph node characteristics, associated functional and physical symptoms are cap ital elements for diagnostic orientation. Aetiology can be apparent from the start: acute suppuration of lymph node; infectious mononucleosis; primary syphilis... But sometimes, adenopathy is isolated. In this case, a minimal and cheap work-up is recommended: blood count; erythrocyte sedimentation rate; tuberculin intradermal test; and chest radiograph. This first step is aimed to diagnose either a highly frequent aetiology [tuberculosis, pyogenic infection] or a severe disease whose diagnosis is easy to do [leukaemia]. If it's negative, direct exploration by needle puncture or biopsy of the adenopathy is indicated. These investigations will uncover either benign aetiology, infectious, immunological, or malignant cause, such lymphoma, leukaemia or epithelioma

[Sjogren's syndrome and lympho-proliferating syndrome-taking stock]

Sjogren's syndrome, the most frequent autoimmune connective tissue disorder, is associated with a risk of B lymphoid proliferation. The clinical risk factors are parotidomegaly, enlarged lymph nodes and splenomegaly. Fever, weight loss and a decline in the general health status as well as a rise in beta 2 micro globulin or the appearance of monoclonal immuno globulin in the plasma are the signs of malignant lymphoma complicating sjogren's syndrome. We discuss the therapeutic and physiopathologic implications of this ominous complication

Erythroblastopenie acquise a rechute de l'adulte; a propos d'un cas, revue de la litterature

A case of acquired chronic erythroblastopenia of the adult has been observed during ten years with successive relapses all the same responding to prednisone. Immunological disorder presence and prednisone response plead for an autoimmune pathogenesis

Anal condyloma acuminatum. About 60 cases

In this study of 60 cases of anal condyloma acuminatum, most of the patients are from 20 to 45 years old [70%]. Most of them are males [80%]. Clinical diagnosis is generally easy; sometimes, treatment is disappointing and recurrences are frequent. It's the opinion of most of the specialists, that diathermy is the best treatment Eradication is the only garantee to avoid the exceptional cases of malignant transformation