[Pulmonary sarcoidosis presenting as multiple scattered pulmonary nodules: about a case].

Sarcoidosis is a multisystem granulomatous disease that can affect all organs, thoracic involvement often predominates representing its most evocative manifestation. Atypical manifestations, such as the presence of multiple scattered pulmonary nodules may indicate malignancy. Our study reports the case of a 56-year-old patient investigated for asthenia associated with paresthesia of the lower limbs evolving since 6 months.

[Takayasu's arteritis in Tunisia: a monocentric study of 11 patients].

Background: Takayasu's disease is a chronic inflammatory arteritis involving large vessels in young women.

Aim: To assess the clinical, laboratory, and radiological features and course of Takayasu arteritis in Tunisia.

Methods: This retrospective study analyzed 11 patients with Takayasu arteritis between 1999 and 2010 who met the criteria for inclusion proposed by the American College of Rheumatology (ACR).

Corticoid-associated complications in elderly.

Background: Corticosteroids are widely prescribed products in the elderly particularly in systemic diseases. Corticosteroids were indispensable in controlling a variety of disease states. Various complications associated with this drug class warrant caution and monitoring with each formulation especially with old population.

[Special features of systemic sclerosis in men].

Background: Systemic sclerosis (SS) is a generalized disorder of connective tissue and microvasculature characterized by tissue fibrosis and obliteration of the vessels. Several features of systemic scleroderma in men are discussed in the literature.

Aim: To investigate the initial clinical features, evolution and prognosis of systemic sclerosis in men.

[General rules of the management of diabetes with psychiatric disorders].

Background: Psychiatric disorders appear to be frequent in patients with diabetes mellitus. The presence of psychiatric co-morbidity may affect adherence to medication and self-care regimes.

Aim: To establish rules of the management of diabetes among people with psychiatric disorders.

[Management of venous thromboembolism in psychiatric patients].

Background: Several studies conducted in psychiatric populations, have reported the promoting and pejorative role of psychiatric community in thrombogenesis.

Aims: To clarify the specificity of psychiatric community in deep vein thrombosis (DVT) and to propose a set of general recommendations for appropriate care.

Methods: We searched MEDLINE (PubMed) between 1956 and 2010.

[Urinary tract infections in elderly].

Background: Urinary tract infections (UTI) in elderly are frequent and polymorphic clinical symptoms. This is a public health problem both in support and cost they generate.

Aim: To study the epidemiological, clinical, paraclinical and therapeutic aspects of UTI in the elderly.

[Hemophagocytic syndrome: report of 4 cases].

Background: Hemophagocytic syndrome (HPS) is a rare but potentially fatal disease. The diagnosis is based on the combination of clinical and biological signs, requiring histological or cytological research hemophagocytosis and exhaustive etiological investigation.

Aim: To report four cases of the HPS in an internal medicine department.

[Venous involvement in Behcet's disease: a series of 28 cases].

Background: Venous involvement is a rare and severe clinical feature in Behcet disease (BD).

Aim: We reported our experience with a rare and interesting subset of BD patients with venous involvement.

Methods: From 1994 to 2008, twenty eight cases of venous BD were found amongst BD patients in the department of internal medicine of Habib Thameur Hospital.

[Catastrophic antiphospholipid syndrome and rituximab: a new report].

Background: Catastrophic antiphospholipid syndrome is a distinctly rare dramatic condition characterized by widespread thrombosis of small vessels. Early diagnosis and aggressive therapies are essential in this condition because of its extremely high mortality rate. Therapeutic management include heparine, high dose steroids, cyclophosphamide, plasma exchange, intravenous immunoglobuline, however a number of patients are refractory to treatment.

[Arterial involvement in Behcet's disease: a series of 7 cases].

Background: Arterial involvement is rarely described in Behcet disease BD and it is associated with poor prognosis.

Aim: We report our experience with a rare and interesting subset of Behcet disease patients with arterial involvement: thrombosis and aneurysm formation types of angio-BD.

Methods: From 1994 to 2008, seven cases of arterial BD with 3 aneurysm formation and 4 thrombosis were found amongst BD patients in the department of internal medicine of Habib Thameur Hospital.