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.

[Bone loss owing to inflammatory bowel disease: prospective study, 50 cases].

Aims: To evaluate the prevalence of osteoporosis during inflammatory bowel disease (IBD) and to determine the risk factors.

Methods: We conducted a prospective study that includes IBD patients. For all patients, bone mineral density was measured by dual-energy X-rays absorptiometry.

[Cardiac amyloidosis].

Unlabelled: PREREQUIS: Amyloidosis is a rare infiltrative disease characterized by multiple clinical features. Various organs are involved and the cardiovascular system is a common target of amyloidosis. Cardiac involvement may occur with or without clinical manifestations and is considered as a major prognostic factor.

[Ocular findings in megaloblastic anemia associated with diabetes. A case report].

Ocular involvements of Biermer's anaemia are rarely reported in literature. We present a case of Biermer's anaemia associated with diabetes. Ocular examination showed important conjinctival paleness, diffuse retinal ischemia, Roth's tasks, macular oedema and ischemic optic neuropathy.

[Association of systemic lupus erythematosis and myasthenia gravis. A new case report].

The association of myasthenia gravis (MG) and systemic lupus erythematosus (SLE) is a quite rare one. We report here one case and try to discuss the physiopathologic mechanisms and also the clinical, evolutive and therapeutic features of this morbid association. It's the case of a woman of 43 years old followed in our department since 1999.

Association of right heart thrombosis, endomyocardial fibrosis, and pulmonary artery aneurysm in Behçet's disease.

A 29-year-old man with a 5-year history of Behçet's disease was admitted for fever, dyspnae, chest pain, and hemoptysis. A diagnosis of right ventricle and atrial thrombosis associated with a pulmonary artery aneurysm was made. The patient was treated with anticoagulants and prednisone.