RESUMO
Sarcoidosis is a multisystem inflammatory disease of unknown etiology. The isolated extrapulmonary form is rare. We report the case of hepatosplenic sarcoidosis in a 29-year-old female patient.It is a patient with no notable medical history, who was seen in consultation for repeated epistaxis. Clinical examination noted nodular hepatomegaly associated with signs of portal hypertension and splenomegaly. Sedimentation rate, alkaline phosphatase, serum angiotensin converting enzyme, aminotransferases were high. Histological examination of the spleen and liver biopsy noted granulomatous inflammatory infiltration without cancerous lesion or tonsil stones.This picture is comparable with sarcoidosis, despite the absence of PET scans. The main challenge remains the differential diagnosis with other granulomatoses. Corticosteroid therapy is the first-line treatment, and after splenectomy the patient has achieved clinical and biological stability.
Assuntos
Hepatopatias , Sarcoidose , Esplenopatias , Humanos , Sarcoidose/patologia , Sarcoidose/diagnóstico , Feminino , Adulto , Esplenopatias/patologia , Esplenopatias/cirurgia , Esplenopatias/diagnóstico , Congo , Hepatopatias/patologia , Hepatopatias/diagnóstico , Hospitais UniversitáriosRESUMO
Les Auteurs rapportent les deux premiers cas de replantation digitale réalisée au CHU de Brazzaville chez des sujets jeunes de 20 et 45 ans. Ils se proposent de montrer la nécessité de replanter certains doigts en lieu et place de la régularisation des moignons longtemps pratiquée au Congo après une amputation digitale traumatique. Lorsque cette replantation est impossible ils proposent des alternatives à celle-ci dans le but d'éviter la régularisation qui enfreint au fonctionnement harmonieux de la main
