[Polyarteritis nodosa with a spontaneous recovery]

The periarteritis nodosa [PAN] is a serious necrotizing vasculitis. Healing is, classically, obtained after a long-term treatment using corticosteroids and immunosuppressive agents. Purpose: Reporting the case of a NAP or was spontaneous healing without having recourse to any immunosuppressive treatment. We report an observation of a patient aged 27 monitoring for manic-depressive psychosis hospitalized for a fever during the course associated with high blood pressure [hypertension], a weight loss, asthenia and myalgia. Biology was a biological inflammatory syndrome [SIB], a creatinine 1 15p mol/1. The survey infectious and immunological balance were negative. The arteriography showed a strongly evocative of the NAP. We have seen no sign of poor prognosis. The recovery was spontaneous after a short period of evolution with an amendment clinical and biological weapons. The patient was put under anti-HTA and reviewed regularly to the consultation. An analogy is drawn between such developments and already reported in some cases of viral PAN. The actual frequency of self-limiting PAN is unknown. The scarcity of cases reported in the literature may in part be attributed to ignorance

Les accidents vasculaires cerebraux de la maladie de Horton a propos d'un cas

Herein, a case report of late onset ischemic stroke in a patient who had biopsy prover temporal arteritis, related to a relapse of the disease. Recurences are common in the illness, occuring months, and even years within steroid therapy. Such adverse complications are often wrongly imputed to atherosclerosis and hypertension. Their prevention rest on a close monitoring and an adequate management of the vasculitis

Les accidents iatrogenes en milieu hospitalier medical

The authors report the result of a retrospective study of iatrogenic accident heppened during 194 hospitalisations in 8 months in an Internal medicine department. 43 accidents or incidents were counted [22%] 33 of medicinal origin [17%] and 10 due to the decubitus and hospitalisation [5%] The main factors were studied. The role of the poly medication in the occuring of the medicinal accidents is notified. The elberly are particulary exposed to non medicine dependant complications. The mental confusion and hospital diarrhea are frequent and serious in this condition