Primary atrophic solitary morphea profunda.

Solitary morphea profunda (SMP) is a distinct form of localized scleroderma, a cutaneous disorder of unknown origin. Here, we describe a patient presenting with noninflammatory cupuliform depressed plaques, without any significant skin induration, pigmentation or texture change, that appeared on the left shoulder at a site of previous intramuscular vaccination. Light microscopy studies revealed excessive dermal collagen deposition with thickened hyalinized collagen bundles.

[The French National Institute for Agricultural Medicine (INMA)].

Since 1958, the French National institute for agricultural medicine (INMA) has been studying the determinant health factors (non-exclusively medical) in the agricultural and rural environment. To reach this objective, the INMA organizes various types of training (degree in agricultural medicine, training for the physicians from the Mutualité Sociale Agricole--a French social security agency--, continuing education, seminars and symposiums etc.) designed for various health and safety professionals (occupational physicians, consultant physicians, general practitioners, especially from rural areas, members of safety committees etc.

[Agricultural occupational health and social security].

The Mutualité Sociale Agricole (MSA) is the French social security agency for all agricultural wage earners and non-wage earners. It is the second French social security scheme after the general scheme, providing coverage for wage earners in commerce and industry. The MSA covers the whole spectrum of benefits (recovery, illness, family, retirement, occupational injury and disease) within a unique business window.

[1966-2006: from occupational medicine to occupational health in agriculture].

Occupational medicine in agriculture was established in 1966 in a different and specific way as compared to occupational medicine in the commerce and industry social security scheme. The long preliminary debates resulted in the establishment of an occupational medicine for all farm employees and voluntary operators. This mission was entrusted to the Mutualité sociale agricole (MSA), a French welfare agency, which directly hires specifically trained occupational physicians.