[Rheumatologic manifestations of Lyme disease]. / Manifestations rhumatologiques de la maladie de Lyme.

The characteristics of 15 patients with Lyme disease have been retrospectively reviewed; 12 patients had lymphocytic meningitis with mono or polyradiculitis including facial neuritis; 5 patients had mono or oligo-arthritis; 4 patients had inflammatory enthesopathy-like complaints which were the only expression of the disease in 2 of them. All the patients received antibiotic treatment. A dramatic clinical improvement was noted in all patients within four days. A rapid response to treatment seems to be a useful diagnostic criteria which could be added to the recognized ones, i.e., clinical manifestations or significant rise of antibody titres.

[Failure of chemonucleolysis and its surgical treatment. Apropos of 268 cases]. / Les échecs de la chimionucléolyse et leur traitement chirurgical. A propos de 268 observations.

The authors have reviewed 268 cases of herniated lumbar discs treated by chemonucleolysis between 1980 and 1984. 52 patients had a laminectomy (19,40 p. 100) and 18 of theses failures were due to a large disc herniation (34,61 p. 100). The result of the surgical treatment after chemonucleolysis failure was good in 67,30 p. 100 of cases. A chymopapain injection is not indicated in patients with a large disc herniation.