Mesenteric chylous cyst

Mesenteric cysts are uncommon and mesenteric chylous cysts are extremely rare. The most common presenting symptoms are abdominal pain and abdominal distention. We report two cases of mesenteric chylous cyst in a young man and a young woman. Pie-operative, intra-operative and histological findings are discussed

use of TNF blockers in the rheumatology outpatient clinic, Doha, Qatar

The currently available TNF blocking agents include ifliximab, etanercept and adalimumab. They are approved for the treatment of rheumatoid arthritis, ankylosing spondylitis, and psoriatic arthritis in the United States and Europe. Also TNF blockers are used currently in other rheumatic and non-rheumatic disease. To evaluate our practice of using TNF blockers in the outpatient rheumatology clinics at Hamad Medical Corporation in Qatar, to evaluate the response rate to TNF blockers, and the rate of switching from one TNF blockers to another. To assess rate of serious infection and TB. The study involved a retrospective chart review of 82 patients in rheumatology outpatient clinic since the introduction of TNF-Blockers at Hamad Medical Corporation in 2002 till December of 2005. Twenty two patients out of 82 received Infliximab [26.8%], 51 patients received etanercept [62.1%] and 22 patients received adalimumab [26.8%] including switchers and non switchers. Response rate was 82% to initial TNF blocker in RA, and almost 100% in Psoriatic arthritis amid ankylosing spondylitis. Reason of switching was either due to no response or side effects. No significant serious adverse events in our cohort amid no TB reactivation. Our data are comparable with the international guidelines; regarding the use of TNF blockers in rheumatic disease also they reflect time daily practice in the rheumatology outpatient clinic in Qatar

Pachydermoperiostosis: report of two cases

We report two patients with pachydermoperiostosis. Both patients presented with pain and swelling of the large joints, characteristic facial features, clubbing and enlargement of distal parts of the extremities