[ bagassose: extrinxic allergic alveolite]

The extrinsic allergic alveolites are interstitial and alveolar pneumopathies of complex immunological mechanisms, related to the inhalation organic chronicles of substances. We report the observation of a 61 years old, old patient nicotinic chronicle, without particular pathological antecedents, having a concept of professional exposure to the cane with sugar during 40 years. It presents 4 months before its hospitalization a dyspnea of effort of progressive aggravation currently stage IV of the EEC associated with a productive cough mucopurulente, the whole evolving/ moving in a context of apyrexie and slimming quantified to 15 kg. The clinical examination finds a patient polypneic with 26c/mn and rails crepitants bilateral with the sounding pleuropulmonaire. Thoracic radiography shows an interstitial syndrome diffuse reticulo-micronodulaire. The thoracic TDM highlights an aspect in honeycomb evoking a pulmonary fibrosis. Washing bronchioloalveolaire objectifies a rate of polynuclear neutrophiles with 6%. Respiratory functional exploration finds a moderate restrictive syndrome with a reduction in the DLCO. In front of these clinical, radiological and functional criteria, the diagnosis of the bagassose was retained. In the light of this observation, we underline the diagnostic difficulties of the alveolite allergic extrinsic and we propose a review of the literature

[Allergic to sunflower]

The allergic to sunflower [Helianthus annuus] of the composite family is a rare, however, 13 cases of IgE-mediated anaphylactic reactions have been reported. It is most often generalized immediate reaction, with a total tolerance to the sunflower oil. This allergy manifests itself polymorphic and responds to all possible routes of exposure: ingestion, inhalation or contact. This is a boy of 18 years, followed for assessment of acute urticaria [4 episodes in 1 year]. The questioning is the notion of eating sunflower seeds before the symptoms. Skin tests were negative for aeroallergens and positive currents to extract seeds and sunflower oil. Specific IgE were increased. Allergy to sunflower seeds was used. The patient progressed well with conservative treatment [corticosteroids and oral antihistamine] with the eviction action. Through this observation, we emphasize the rarity of this form of allergy, the difficulty of the diagnostic investigation with an explanation of the pathophysiological mechanism

[Inhalation of scarf pin: specificities of this foreign body]

The inhalation of scarf pin is a phenomenon increasingly common in countries where women wear the veil and whose consequences can be grave. The aim of this study is to emphasize the danger of holding this object in the mouth and to describe through a retrospective study the diagnostic, the clinical features and the management of 24 cases of inhalation of this foreign body. All cases were young veiled women aged between 13 and 23 years, all victims of accidental inhalation of a metal pin. The most frequently reported symptom was cough in 58% of cases. Chest radiography helped confirm diagnosis and guide the location of the foreign body which was in equal frequency at the right and left bronchial tree [46%] and 8% in the trachea. Flexible bronchoscopy, performed by first intention in all our patients, helped to locate the pin in 19 cases and its extraction in extraction. The spontaneous expulsion was noted in five cases. The inhalation of pin is a pulmonary emergency where endoscopy occupies a primordial place. Prevention remains the best treatment

[Allergy to the latex]

The immediate allergy to the natural latex did not stop increasing during this last decade in exposed persons particularly in health professionals. Its frequency is very variable. The aim of this work is to evaluate the frequency of allergy to the natural latex proteins in the paramedical staff of Ibn Sina academic hospital center of Rabat. It is a prospective survey lasts for a period of three months, aided by a questionnaire. 22 departments were participated in this survey, the number of distributed questionnaire depends on the work force of each department, it was 619. Among only 268 have been filled i-e 43,2%. And only 119 participants reported allergic manifestations i-e 44.4% Alter making an allergiology consultation only 45 persons had a real allergic manifestations related to manipulation with natural late proteins i-e 16-7%. Clinical pictures were: prauritus [51%] allergic rhinitis [48.8%], conjunctivitis [46.6%], contact eczyma [26.6%], contact rash [8.8%], asthma [8.8%] and only one case of Quink edema [2%]. Prick tests to the current pneumoallergenes and to some exotic fruits have been done to all the participants, 45 positivity was found in 5 persons i.e [11.1%] Sentization was isolated in two cases one was sensitized to avocet only, associate to a sensitization to avocet DP type, DF in one case and to avocet, banana and kiwi for the other case. The frequency of allergy to latex in this selected sample was of 11.1% which remains comparable to the data of literatures