[Mondor's disease: about two cases]. / La maladie de Mondor: à propos de deux cas.

The authors report two cases of Mondor's disease after mammoplasty reduction's surgery. This pathology rare and benign should be known by all surgeons, because it could be a postoperative discord, especially in these lithigious times. If the evolution is favourable in one or two months, the therapeutic urgency is to reassure the patient.

[Treatment of noma]. / Traitement du noma.

Noma is a disease specific to developing countries. Early antibiotic treatment can stop disease progression. Surviving patients may present disfigurement with functional and cosmetic sequels. The purpose of this report is to describe treatment of active disease and its sequels. Treatment of defects requires reconstructive surgery. Surgical modalities depend on the extent and location of lesions, available technical facilities and surgeon skill. Various flap techniques can be used ranging from simple flaps and autoplasty to complex procedures involving microsurgery.

[Soft tissue eosinophilic granuloma or Kimura's disease: a case report]. / Le granulome eosinophile des tissues mous ou maladie de Kimura: a propos d'un cas.

Soft tissue eosinophilic granuloma or Kimura's disease is a chronic inflammatory disorder of unknown etiology. It is endemic in the Far East but can occur sporadically in other populations especially Middle Eastern peoples as illustrated by the present case involving a 55-year-old man. Examination 8 years after an initial episode revealed masses in the cheek and submaxillary regions with hypereosinophilia and characteristic histological findings. The usual clinical presentation of Kimura's disease includes subcutaneous nodules with lymph node involvement or presence of tumor in the salivary glands. These clinicopathological findings require differential diagnosis with Hodgkin's lymphoma, dermopathic lymphoma, or Castelman's disease. However, the most difficult distinction involves angiolymphoid hyperplasia with eosinophilia. Final diagnosis requires anatomopathological study. The most frequently encountered histological criteria are preservation of node structure, highly developed germinal centers, eosinophilic infiltration, and presence of numerous postcapillary veinlets. Prognosis is favorable but multiple relapses are possible. Corticosteroid therapy is usually effective but radiation treatment may be necessary in patients with recurrent disease.

[Noma or cancrum oris: etiopathogenic and nosologic aspects]. / Noma ou cancrum oris: aspects étiopathogeniques et nosologiques.

Noma is a gangrenous disease that usually begins in the mouth and is characterized by rapid necrotizing destruction of soft tissue and underlying bone. The disease, which is associated with a strong putrid odor suggestive of mixed bacterial infection, develops only in predisposed persons, especially children whose natural defenses have been weakened by poor socio-economic living conditions. However a few atypical cases have recently been reported in adults in whom the main risk factor seemed to be immunodepression. The increasing number of wars in the Third World and the AIDS epidemic raise the likelihood that the number of cases of this disease will rise sharply particularly since the incidence has been grossly underestimated for many years. It now seems clear that a combination of local and systemic risk factors are implicated in the etiopathogenesis of noma with the common denominator being a weakened immune system. This would account for the fulminating course of the infectious process due to one or more opportunistic microbial or cytopathogenic agents or even to a still undetermined immunopathologic reaction that lead to massive tissue destruction. Poor understanding of the etiopathogenesis of noma is a major factor perpetuating the nosologic problems posed by this disease. Some authors add to the confusion by including a range of gangrenous diseases under the heading of noma. It is important that the term noma be applied only to necrotizing processes that begin in the mouth and present the characteristic features and course.

[Parotid calcinosis of the pseudo-tumoral type (author's transl)]. / Calcinose parotidienne à forme pseudo-tumorale.

An atypical feature of a further case of salivary calcinosis reported was its exclusively unilateral parotid site. The clinical appearance was that of a pseudo-tumor following a long period of a spontaneously regressive unilateral parotid swelling. The co-existence of a Gougerot-Sjögren syndrome was confirmed clinically by the presence of a xerostomia, and radiologically by suggestive signs after a parotid sialogram. Immunological features were atypical in nature.