ABSTRACT
A 48-year-old man diagnosed with rheumatoid arthritis was treated with methotrexate for 10 years. He presented left tonsil ulceration and ipsilateral cervical lymphadenopathy. A tonsillar biopsy revealed tuberculosis. The patient received antituberculous therapy for 8 months with a positive response. However, after resumption of methotrexate due to worsening rheumatoid arthritis, symptoms recurred. The patient initiated antituberculous therapy once more for 6 months, and methotrexate was stopped. At regular follow-up, the patient showed a positive clinical response with resolution of tonsillar ulceration and lymphadenopathy after 14 months of antituberculosis treatment.
ABSTRACT
INTRODUCTION: Thyroglossal duct cysts (TDCs) can be detected in several different locations, although in the literature, intrathyroidal presentations are rare. CASE PRESENTATION: Our patient was a 56-year-old woman who was diagnosed with hypothyroidism and presented with a right-lateral neck mass that was clinically indistinguishable from a thyroid nodule. Cytology revealed normal-looking squamous cells on fine-needle aspiration. Right hemithyroidectomy was performed, and histopathological examination revealed a cyst lined by squamous epithelium that was consistent with a thyroglossal duct cyst (TDC). DISCUSSION: Our recommendation is to diagnose intrathyroid thyroglossal duct cyst (ITTDC) in front of anterior basicervical masses, particularly when the patient has hypothyroidism. Fine needle aspiration cytology can be used to detect benign squamous cells and may rule out malignancy. CONCLUSION: Although relatively rare, an intrathyroid thyroglossal duct cyst (ITTDC) is a benign lesion whose diagnosis must be correctly established for appropriate therapeutic management.
ABSTRACT
BACKGROUND: Allergic rhinitis is a daily problem to which are confronted principally general practitioner, paediatrician, ear, nose and throat specialist and allergologist. also, this subject is still always alive because allergy seems in a constant progression in our society. AIM: To clarify diagnostic and therapeutic criteria of this affection. METHODS: we have realized a literature review concerning physiopathology, clinical symptoms, the position of paraclinical investigations and finally therapeutic modality of allergic rhinitis. RESULTS: Appropriated treatment of allergic rhinitis should be général it requires a knowledge and better comprehension of the disease and optimum prevention, if it is possible, of allergic symptoms.
Subject(s)
Rhinitis, Allergic, Perennial/therapy , Rhinitis, Allergic, Seasonal/therapy , Humans , Rhinitis, Allergic, Perennial/diagnosis , Rhinitis, Allergic, Perennial/physiopathology , Rhinitis, Allergic, Seasonal/diagnosis , Rhinitis, Allergic, Seasonal/physiopathologyABSTRACT
BACKGROUND: Acute mastoiditis with ostertis is secondary to bacteria involving mastoid cavities AIM: Describe the epidemiologic aspects MATERIAL AND METHODS: Between 1990 and 2003, we listed 44 files of children hospitalized for acute mastoiditis. The treatment was in any case medical associated to a surgical treatment in 30 cases. RESULTS: The age of our patients was consisted between 2 months and 14 years with an average is 2 years. The sex ratio of patient was 1,1. 29 patients didn't have any antecedents particular O.R.L, 8 patients were followed for otitis middle chronic and 7 had an cholestéatomateuse. The auricular old-fashioned swelling was the most frequent functional sign. A scanner has been achieved in 13 cases. The treatment was médico-surgical in 30 cases is 68,8% and an only antibiothérapie in 14 cases is 31,8%.
Subject(s)
Mastoiditis/epidemiology , Otitis Media/complications , Acute Disease , Adolescent , Age Factors , Anti-Bacterial Agents/therapeutic use , Child , Child, Preschool , Female , Hospitalization , Humans , Infant , Male , Mastoiditis/complications , Mastoiditis/diagnosis , Mastoiditis/drug therapy , Mastoiditis/surgery , Retrospective Studies , Sex FactorsABSTRACT
BACKGROUND: The odontogenic maxillary sinusitis is the consequence of the distribution of an inflammatory or infectious process of a tooth in sinuses mucous membranes. AIM: The purpose of our work is to study epidemiological profile, clinical and radiological characteristics allowing the diagnosis of this pathology as well as the various therapeutic strategies adopted. METHODS: We report a retrospective study of 31 observations of odontogenic maxillary sinusitis brought together in the service of ORL and of CMF of Rabta hospital over a period of 12 years. RESULTS: In our series, the frequency of this pathology was considered at 42.5% among the group of all maxillary sinusitis brought together during the same period, the average age was of 38 years with a sex ratio of 1.04. The dental antecedents are obvious in 80% of cases, the iatrogenic was found in 64% of cases. Dental causes were dominated buy para-apical cysts (29%), and the movement of the dough canalaire (23%) especially in fongic forms of sinusitis.
Subject(s)
Maxillary Sinusitis/etiology , Adolescent , Adult , Aged , Female , Humans , Male , Maxillary Sinusitis/epidemiology , Middle Aged , Mouth Diseases/complications , Postoperative Complications/etiology , Retrospective Studies , Stomatognathic Diseases/complicationsABSTRACT
Dyslexia is a reading problem disorder. It can be a direct result of epilepsia for some kids. The researchers have done the study on 30 school kids that suffer from epilepsia. All the children had Audiometry which was normal in all cases. The orthophonic exam has done in all cases, founding a prononciation and speaker disorder also there is disorder at the psychometric test The purpose of the study research is to define the different profiles of dyslexia on the epileptics, then to check the importance of collaboration between Otorhinolaryngologists, Neurologists and Orthophonists to take care of the epileptic kids having dyslexia.
