[Detection and prevention of foot at risk in diabetic patient]

The foot of the diabetic patient is exposed to develop potentially serious trophic disorders that can lead to amputation. This risk is favoured by the conjunction of neurological, arterial and infectious complications. The frequency of these complications is very high. This makes the early detection of patients with podological risk, of crucial importance. Prevention in these particularly exposed patients should be carried on through education and a specialized follow-up

[Sheehan syndrom [of 40 cases]]

We proposed to undertake a study on the epidemiology, clinical, hormonal and evaluative profiles of 40 observations of antehypophysary failure of Sheehan postpotrum-syndrom assessed between 1980 and 1994. The occurance of hemorrhagic delivery is relatively early [29 years average], but the diagnosis was done 7years and half later [ranges going from 2 to 20 years]. Child delivery took place at home in 92% cases. The abondant hemorrhagy was found in 38 patients. The absence of this hemorrhagy in 2 of our patients leads to the hypothesis of lymphocytary hypophysite of poetpaetum. In case of the immediate post-partum the agalactia and the absence of recouvering are constant signs. In the mouths following the child-delivery, the clinical report of SHEEHAN syndrome did not show any particularities, compared to the classic form. In the absence of a dynamic hormonal explorations, we can not discuss neither the importance of hormonal deficiency, norther their repartition. The short term development under substitutive treatment, in good with ponderal advantage and with resumption of normal physical activities. At long term, an adherence failure to treatment was noticed in 6 patients

Repartition peripheriques des populations lymphocytaires dans la maladie de basedow

Peripheral repartition of blood lymphocytes have been studied about 20 cases of grave's disease. These patients whose average age is 33 years are seen before any treatment. The total T lymphocytes and B lymphocytes value is normal. High values of immunoglobulins of G and M classes prove polyclonal activation of lymphocyte B. The helpers T lymphocytes [LTH] are increased and the suppressor T lymphocytes [LTS] are decreased. The LTH / LTS ratio is increased. That shows an auto-immune process in Grave's pathogeny