[Pregnancy-associated osteoporosis complicated by vertebral fractures About one case]

Pregnancy-associated osteoporosis is a rare complication of pregnancy and lactation. Many controversies exist about the reality of this entity. Its incidence is unknown and its physiopathology is still not clarified. However, it must be identified in pregnant women having back pain in the hip to prevent fracture. We report a case and review of the literature

[Ewing's sarcoma in old patients-a case report]

Ewing's sarcoma is a primitive bone tumor rarely observed in old patients. The main sign is osseous pain. The authors report a case of localized Ewing's sarcoma at left femur in a 42-years-old patient, revealed by an hydarthrosis of the knee, that was the only sign of appeal. Diagnosis was suspected on the radiological aspect and was confirmed by a surgical biopsy

arthrites juveniles idiopathiques traitees par methotrexate. Reponse au traitement et tolerance a myoen terme

The MTX has a place of choice in the treatment of the AJI with good observance and the absence of grave side effects. In a retrospective study, 14 cases of AJI having benefited from a treatment by MTX were included in the study. Answer to the treatment was estimated at the 6th month on the criteria of RINTO. The group included in the therapeutic evaluation, is formed by 10 boys and by 4 girls. The average age of the beginning of the disease is of 6 years [2 - 11]. The shape of the beginning is systematic in 7 cases and polyarticular in 5 cases and oligoarticular in 2 cases. The average duration of the treatment by MTX is of 36 months [9 - 66]. Answer to the MTX in the 6th month was noted in 7 cases, under a MTX's average dose of 7,14mg / m2 / week. Unwanted effects were observed in 7 cases and have not in any case led to the stop of the treatment

Facteurs pronostriques du myelome multiple analyse critique a partir d'une etude muticentrique portant sur 53 cas

The authors verify, from a sery of 53 Tunisian cases of multiple myeloma, the prognosis signification of certain classic parameters The renal function, the hemoglobin rate, the paraprotein type are correlated with the Survival. The age, the sex, the calcemia, the light clain type and also the sedimentation speed don't modify the prognosis of Kahler disease. In the occasion of a review of literature, are remembered parameters recently introduced in the prognosis affection of the multiple myeloma The therapeutic perspectives allow to hase a hetter survival of this affection which is regularly fatal

Profile clinicobiologique de la sclerodermie systemique: a propos de 25 cas

The retrospective study of systemic scleroderma cases, gathered from 1981 to 1985, allows the authors to have the clinical and biological profile from a sery of 25 tunisian subjects. The non rare character of the affection and its clear feminin predominance are found. The results are analysed and confronted to the literature data The informations offered by certain complementary exams are remembered. The incidence of certain affections on the affection's prognosis are underlined. The interest of different used therapeutics is discussed

Apport de la ponction discovertebrae au diagnostic des spondylodiscites - a propos de 17 cas

The authors report their experience about guided radio vertebral disc biopsy of 17 infectious spondylodesis. This technic allows to obtain a bactoriologic and/or histologic certitude neatly the 2/3 of the cases. They remember the technic, insist on the simplicity, its good tolerence and its innocuous that make the good method in the l.S.D.

Peut-on simplifier le bilan phosphocalcique?

To make up for the disadvantages of the phosphocalcic results [a bad collecting over 24 hours, a variation of the food supply, a trouble in the renal fuction]. The authors have proposed a protocole of the study of calcium, phosporus and hydroxyproline in fasting subjects, on the urine collected during two hours and brought back to creatinine. The study was done over 69 patients divided into 2 groups: 38 patients did not have any affection related to the phospho-calcic metabolism and were used as witnesses and 31 patients had bone trouble of various origins. The results of the study have shown that, on the one hand those results are in accordance with those published in books and that, on the other hand, there exists a good correlation between the values found on 24 hours urine collection and 2 hour urine collection. The good correlation which was got in this study and the easiness of its use lead us to be thinking of using it in usual practice, from now on