[The administrative control of involuntary commitment at the department of Gironde 150 years following promulgation of the law of 30 June 1838]. / Le contrôle administratif de l'internement d'office dans le département de la Gironde 150 ans après la promulgation de la loi du 30 juin 1838.

The authors take initially stock of compulsory commitments and voluntary confinements (both types of commitment) in Gironde during 1985-1987. They note a rate of more important commitment for 100,000 inhabitants in urban zone, in particular for the voluntary confinements. The urgent procedure of compulsory commitment remains, in 1987, three time more used than the ordinary procedure. Psychiatric expertise of control on prefectoral requisition are frequently carried out before, as well as after the compulsory commitment (visits residence or in the particular hospital for the insane). 55 observations concerning medical checks at home are analyzed in the field of the origin and reasons for descriptions to the D.D.A.S.S. of Gironde as well as the diagnosis of the examined persons. The authors note finally that almost all the patients have a discontinuance of their compulsory commitment to the profit of another mode of placement during the hospitalization. They conclude that, applied and controlled well, the law of 30 june 1838 makes it possible to reconcile the protection of the public order, the care of the insane and the respect of individual freedom.

Disseminated pustular dermatosis in polycythemia vera. Relationship with neutrophilic dermatosis of myeloproliferative disorders: study of neutrophil function.

An unusual case of disseminated pustular eruption associated with polycythemia vera is described. This eruption can be included in the group of neutrophilic dermatoses of myeloproliferative disorders (pyoderma gangrenosum, Sweet's syndrome). A defect in superoxide anion (O2-) generation is detected. The fact that both the clinical condition and the neutrophil function improved with the use of dapsone suggests that the O2- generation defect may play a role in the pathogenesis of the eruption. From an evolutionary standpoint, the occurrence of a neutrophilic dermatosis in polycythemia vera could be an unfavorable sign of preleukemia.