[Peripheral and central neurological manifestations in a case of Churg Strauss syndrome].

In Churg and Strauss syndrome, the central nervous system is rarely affected. We describe the case of a 47-year-old woman who developed signs of altered health status, bradypsychie, and motor axonal multiple mononeuropathy. The context of paranasal sinusitis, asthma and chronic abdominal pains in addition to hypereosinophilia and antimyeloperoxydase antineutrophil cytoplasmic antibodies contributed to the diagnosis of Churg and Strauss syndrome.

[Left sided sudden hemiparesis linked to a central form of Lyme disease].

Lyme disease is known for its numerous neurological manifestations. Cerebral ischemic lesions are more rarely reported. We describe the case of a 27 - year old man - presenting with a left-sided hemiparesis when waking up.

[Hepatic calcifications revealing epithelioid hemangioendothelioma].

This report concerns a case of hepatic epithelioid hemangioendothelioma presenting with liver enlargement, multiple hepatic calcifications on the plain abdominal film and bilateral interstitial pneumonia. Epithelioid hemangioendothelioma is an unusual soft tissue tumor of "intermediate malignancy" characterized by a multicentric involvement of the liver and originating from endothelial cells. Histopathologic diagnosis may be difficult because of possible confusion with sclerosing epithelial tumors.

[Management of an isolated thyroid nodule or a heterogeneous nodular goiter, when thyroid scintigraphy is not available (Tahiti)].

Thyroidal nodes (non-cystic) always put forward some difficult decision. As a matter of fact, it would not be reasonable to undergo each time a surgical operation, but it would be catastrophic to abstain wrongly. When scintigraphy and mainly cyto-puncture are feasible, so a coherent decision can be taken.