RESUMO
Between 1980 and 1987, 12 systematic surveys were made on a population of 254,979 people, of whom 236,868 were actually examined (92.61%). 422 suspected cases were identified i.e. a global detection rate of 1.66% of which only 241 reported to Aïn-Chock Hospital for further tests (55%). Out of these 241 suspected cases, 217 proved as having leprosy, i.e. a 90% correlation between the clinical suspicion and the biological identification. The 181 suspected cases who never reported to the hospital and the 16 leprosy patients whom we lost sight of constitute as a whole 46.68% of the suspected cases first identified. This shows an obvious lack of coordination between the local Authority and the medical service. The 185 confirmed cases of leprosy are shown in the table below and compared with those of the Central Statistical Office.
Assuntos
Hanseníase/epidemiologia , Adolescente , Adulto , Criança , Feminino , Humanos , Incidência , Hanseníase Virchowiana/epidemiologia , Hanseníase Tuberculoide/epidemiologia , Masculino , Programas de Rastreamento , Pessoa de Meia-Idade , Marrocos/epidemiologia , Vigilância da População , PrevalênciaAssuntos
Histiocitose de Células de Langerhans/complicações , Doenças do Sistema Nervoso/etiologia , Neoplasias Cutâneas/complicações , Vimblastina/uso terapêutico , Pré-Escolar , Histiocitose de Células de Langerhans/tratamento farmacológico , Humanos , Masculino , Neoplasias Cutâneas/tratamento farmacológicoAssuntos
Fraturas Mandibulares/diagnóstico , Adulto , Criança , Feminino , Fixação de Fratura , Humanos , Masculino , Fraturas Mandibulares/terapia , MarrocosRESUMO
A seven year old boy was admitted with what appeared to be polyp of the external auditory canal, otitis media and Bell's palsy. It was subsequently diagnosed as rhabdomyosarcoma of the middle ear. This rare tumor must not be out of mind of practitioners, and especially pediatricians and E.N.T. specialists, when they have to examine a child with what looks like chronic otitis media, and aural polyp, or idiopathic facial paralysis. The diagnosis is histological and must be quickly made for early and aggressive multimodal antitumor therapy, which seems to be improving the hitherto gloomy prognosis for these highly lethal sarcoma.