An unexpected cause of retroperitoneal gangrene.

Retroperitoneal Gangrene is a serious condition whose causes are many. We report three originally cases of anorectal suppuration complicated by retroperitoneal gangrene without Fournier's gangrene until there ever described in the literature. The diagnosis was made in all cases on CT because of atypical clinical presentation.

TULUP (TUnisian LUPus): a multicentric study of systemic lupus erythematosus in Tunisia.

Aim: Clinical features of systemic lupus erythematosus (SLE) have been described from different geographical regions around the world. However, data from North African countries, including Tunisia, are scarce.

Methods: The aim of this retrospective multicenter study was to analyze demographic, clinical, laboratory features and outcome of SLE in Tunisia throughout 14 Departments of Internal Medicine and to compare them with those of other ethnic and geographic groups.

[Prevalence of axial manifestations among patients with inflammatory bowel disease: a prospective study about 50 cases].

Background: Rheumatologic manifestations occurring during inflammatory bowel disease are the most frequent extra intestinal features. They are dominated by spondyloarthropathies, sacro-iliite and peripheral arthritis.

Aim: To identify in a group of inflammatory bowel disease, the frequency of axial manifestations, to describe the clinical and the radiological features and to identify the risk factors of their occurrence and/or worseness.

Atypical form of melorheostosis improved by pamidronate.

Background: Melorheostosis is a rare chronic bone disease of unknown etiology that often affects a single limb.

Aim: Report a new case of melorheostosis of the ribs improved by pamidronate infusions

Case: A 36-year-old man without any medical history was admitted for a history of one month painful tumefaction on the 7th left rib. The diagnosis of melorheostosis of the rib and the tibia was made.