[Citrobacter freundii spondylitis and sickle cell disease: a case in Morocco].

Infectious complications of sickle cell disease are common and can be serious and difficult to diagnose. Epidemiological aspects of these infections are well documented. The most common germ in children is pneumococcus followed by Haemophilus influenzae and minor salmonella.

[Hypokalemic paralysis revealing Sjögren's syndrome associated with auto-immune thyroiditis].

We report a case of 36-year-old woman, admitted for hypotonic tetraparesis. Laboratory tests revealed severe hypokalaemia, acidosis, hyperchloremia and alkaline urinary pH allowing the diagnosis of distal tubular acidosis. Additional investigations led to the diagnosis of primary Sjögren's syndrome associated with Hashimoto's thyroïditis.

[Pseudosarcoidotic ganglionic mediastinal tuberculosis].

Introduction: The aetiological inquiry in the presence of systemic granulomatosis should consider some uncommon forms of tuberculosis infections. For instance, Poncet's tuberculous rheumatism is a rare entity subject to controversy.

Case Report: A 32-year-old man presenting febrile polyarthritis associated with spontaneously vanishing erythematous papular skin rash.

[Pyomyositis: an infectious complication in systemic lupus erythematous].

Pyomyositis is a primary pyogenic muscular infection. It has been originally described in the tropics. Presenting signs and symptoms are not specific.

Leflunomide-induced toxic epidermal necrolysis in a patient with rheumatoid arthritis.

Introduction: Leflunomide is an immunomodulating agent with proven efficacy in rheumatoid arthritis. Although its overall safety profile is good, a few cases of toxic epidermal necrolysis have been reported.

Case Report: This 36-year-old woman had rheumatoid arthritis that proved refractory to sulfasalazine and methotrexate, which were used successively in combination with symptomatic drugs.

Buschke-Ollendorff syndrome.

Unlabelled: Buschke-Ollendorff syndrome (BOS) is an autosomal dominant disorder characterized by elastin-rich hamartomas and osteopoikilosis.

Case Report: In a 21-year-old woman, osteopoikilosis led to the diagnosis of BOS. She had multiple, grouped, buff-colored papules over the thighs and trunk.

Sweet's syndrome in Behçet's disease.

Unlabelled: Few cases of Sweet's syndrome have been reported in patients with Behçet's disease.

Case Report: A 47-year-old woman with five year history of oral and genital ulcers that had not been investigated previously was admitted for an eruption of tender, erythematous, vesicle-like papules over the face, neck, palms, and legs. She reported polyarthralgia and weight loss of 6 kg over the previous month.

[Primary non-Hodgkin's lymphoma of the adrenals. A case report].

Bilateral primary non-Hodgkin's lymphoma (NHL) of the adrenals is uncommon. Less than 70 cases have been described in the literature. The symptoms of disease are variable and depend on the tumor size and the presence of adrenal insufficiency .

[A case of myopathy associated with hypothyroidism and hyperprolactinaemia].

Unlabelled: We report a case of a serious myopathy related to hypothyroidism with pituitary enlargement and hyperprolactinemia.

Case Report: Mr D.L 33 years old man suffering from myalgia, muscular weakness and cramps for six months.

[Orbital involvement in IgD Kappa myeloma].

Introduction: IgDkappa myeloma accounts for less than 2% of all myeloma cases. Orbital involvement is uncommon in myeloma and the authors suggest a possible predilection for IgD myeloma to involve the orbit.

Case Report: A 67-year-old women was admitted for diffuse bone pain and painful ptosis of the right eye.

[Hypoparathyroidism associated with systemic lupus erythematosus: a case].

Unlabelled: Hypoparathyroidism is very rarely diagnosed in patients with lupus.

Case: A 39-year-old women had systemic lupus erythematosus known for 3 years. She was admitted for a paresthesia of the lower limb, depression, insomnia and 5 kg weight loss.

Lung findings on thoracic high-resolution computed tomography in patients with ankylosing spondylitis. Correlations with disease duration, clinical findings and pulmonary function testing.

The aim of this study was to identify the spectrum of abnormalities revealed on high-resolution computerized tomography (HRCT) in patients with ankylosing spondylitis (AS), to compare findings with those of plain radiography and pulmonary function testing (PFT), and to look for correlations between lung involvement and AS severity. We prospectively studied 55 consecutive patients with a diagnosis of AS according to the modified New York criteria who attended our department over a period of 2 years. All patients had a detailed rheumatological examination and underwent plain chest radiography, chest HRCT and PFT.

[Gastrointestinal bleeding revealing polycythemia. A case report].

Purpose: Gastrointestinal bleeding, an uncommon complication of polycythemia can be the inaugural sign in exceptional cases.

Case Report: A 35-year-old patient was hospitalized for upper gastrointestinal bleeding. Physical examination and laboratory tests led to the diagnosis of polycythemia (Vaquez disease).

Sausage-like toe and heel pain: value for diagnosing and evaluating the severity of spondyloarthropathies defined by Amor's criteria. A retrospective study in 161 patients.

Aim: To evaluate the frequency of sausage-like toe and talalgia in spondyloarthropathies diagnosed by the 12 items of Amor's criteria; to study the frequency of a diagnosis which would be impossible without these two symptoms; and to study the correlations between Amor's criteria score and the clinical and biological symptoms in the presence of both of these.

Methods: Retrospective study of 161 cases (age, 38.8 +/- 13.

[Sarcoidosis and ankylosing spondylitis. A case report and review of the literature].

Unlabelled: Ankylosing spondylitis is a very uncommon finding in patients with sarcoidosis. Thirteen cases have been reported in the literature. We report a new case.

Idiopathic retroperitoneal fibrosis and ankylosing spondylitis. A new case report.

The case of a 52-year-old man with retroperitoneal fibrosis and ankylosing spondylitis is described. Inflammatory low back pain and acute renal insufficiency prompted a computed tomography scan of the abdomen with contrast agent injection. A fibrous sheath surrounding the aorta and attracting the ureters toward the midline was seen, strongly suggesting retroperitoneal fibrosis.

A controlled study of sacroiliitis in Behçet's disease.

The aim of the study was to evaluate the prevalence of sacroiliitis in a group of patients with Behçet's disease (BD). Pelvic X-rays of 27 patients with BD responding to the International Study Group of BD and 30 controls (15 AS and 15 sciatica) were read blind and sacroiliac involvement was graded according to the New York criteria. In a second step, patients or controls with equivocal sacroiliitis had a sacroiliac CT scan.