[Traumatic false aneurysm associated with closed fractures of the mandible. Apropos of 3 cases]. / Faux anévrysmes traumatiques associés aux fractures fermées de la mandibule. A propos de 3 cas.

The authors report 3 cases of trauma induced false aneurysm (internal maxillary, external carotid and internal subpetrous carotid arteries) associated to closed mandibular fractures. These rare vascular complications of ill-defined pathogeny are often due to high speed facial impact. Clinical presentation is polymorphous (pseudo-parotidis, neurological deficit) and arteriography is the main step of the paraclinic investigation. The treatment essentially depend upon both the location and the evolutivity of the false aneurysm.

[Spinocellular epithelioma and keratoacanthoma. Anatomicoclinical inconsistencies]. / Epithélioma spino-cellulaire et kérato-acanthome. Discordances anatomo-cliniques.

Marked prognostic differences exist between the two cutaneous lesions: squamous cell epithelioma and keratoacanthoma. The former may affect the vital prognosis while the latter usually heals spontaneously. Early diagnosis is therefore of the utmost importance, but clinico-pathologic discordances can exist when a first intention partial biopsy does not provide histologic data essential for diagnosis, or as a result of misleading clinical forms. Wide excision of these lesions is therefore an immediate necessity.

[A case of bouton d'orient]. / Une observation de Bouton d'Orient.

Oriental Sore is the dry cutaneous form of leishmaniasis, a parasitic infection common to man and to certain vertebrates and transmitted by insects: the phlebotomes. This benign tropical disease exists in South East France where it remains very rare, human contamination always being accidental. The lesions, single or multiple, affect the skin only. On the face, the differential diagnosis arises with other much commoner cutaneous lesions (impetigo, etc.). They consist, after 2 to 4 months of incubation, of a rounded erythematous papule, neither pruritic nor painful, which becomes secondarily excavated to produce a crusted ulcer. This lesion, typical at this stage, then persists for many months before an unsightly scar develops. Treatment is local: surgical excision offering the possibility of histological examination and hence a diagnosis. Plastic surgery may be used to correct scars in advanced forms.

[The cost of alcoholism in a hospital medical department (author's transl)]. / Le coût de l'alcoolisme dans un service de pathologie interne.

The authors evaluated the costs involved when alcoholic patients were admitted to a hospital medical department. Costs which were identical for all patients, such as basic services and hospitalization fees, were discounted, and only those for individual investigations and treatment were calculated. These costs were then compared with the average daily costs for non-alcoholic patients in the same department over the same period. The results are discussed in relation to other similar studies.