[An unusual complication of bronchitis: Sweet's syndrome].

Sweet's syndrome (acute febrile neutophilic deromatosis) is a rare but not exceptional disease. Its first description was done in 1964, and its diagnosis is now well defined. A few days after a common upper respiratory infection, out patient presented erythematous plaques on the head, neck and forearms, with fever and general malaise.

[Symmetrical benign lipomatosis of the tongue and Launois-Bensaude lipomatosis].

Background: There are many causes of macroglossia, including fatty infiltration. Unlike unique or multiple lipomas of the tongue, non-encapsulated adipocyte masses develop in the tongue in symmetrical benign lipomatosis. Only six cases have been reported in the literature.

[Toxic dermatitis caused by tramadol].

Background: Tramadol chlorhydrate (Topalgic) is a powerful analgesic recently introduced in France where its use has spread rapidly. We report a case where this drug induced a maculopapulous toxic skin reaction with secondary erythrodermia.

Case Report: A 47-year-old man was treated for lower back pain with tramadol chlorhydrate (50 mg b.

[Chilblains].

Chilblain is an erythrocyanotic lesion of hands or feet, occurring after prolonged exposure to moderate to cold humidity. Most common in young and slim women, it can happen at every age, and relapses characteristically in autumn and winter. Clinical diversity is the rule, in frequent association with microvascular dysreactivity (mostly acrocyanosis).

[Prenatal diagnosis of an intraspinal lipoma. A case report].

This report describes a prenatal diagnosis of intraspinal lipoma. This pathology, not well known by obstetricians, forms a part of neural tube defects. Echographic aspect, embryologic origin, differential diagnosis, neurosurgical prognosis and treatment are reviewed and discussed.

[Hepatocellular carcinoma in asymptomatic primary biliary cirrhosis].

Hepatocellular carcinoma is an uncommon complication of primary biliary cirrhosis. Hepatocellular carcinoma occurs generally in the end stage of the disease. We report a case of asymptomatic primary biliary cirrhosis complicated by a hepatocellular carcinoma in a 66 year-old man.

[An unusual variation of luxation of the wrist: external vertical luxation. Apropos of a case. Review of the literature].

A case of lateral dislocation of the carpal scaphoid associated with a fracture of the triquetral and carpo-metacarpal dislocation of the ring and little finger is described. A thorough search of the literature failed to reveal any previous report of this combination of injuries. The dislocation was reduced by manipulation, but the scapholunate ligament required surgical repair.

[Urinary infection in the pregnant woman].

Urinary tract infections are common during pregnancy. When unrecognized, they can be responsible for complications such as threatened premature labour and impaired intra-uterine development. Detection and appropriate treatment are thus essential.

[Chylous cyst of the mesentery in adults. Apropos of a case].

Chylous cysts are in frequent entities which may have a variable pathogenesis. Their clinical and radiological presentation is fairly similar in each case report. Their CT appearance is very specific, but only histopathology can certify their etiology and their benign nature.

[How to reduce morbidity in celioscopic biliary surgery. Apropos of a series of 446 consecutive operations].

We reported a series of 446 consecutive cholecystectomies performed laparoscopically between June 1990 and January 1993. There were 354 females and 92 men, mean age 53 +/- 17 years. Laparoscopic cholangiography was attempted in 410 cases (92%) and led to the discover of a stone in the main bile duct in 18 cases (4%) and an abnormal insertion of the bladder duct in 30% (6.

[Ilizarov method used for the sequela of growth cartilage lesions].

Ilizarov distraction osteogenesis is a good way to correct sequelae of growth plate injury after completion of the growth. There is often both limb length discrepancy and angular deformation in varus, valgus, flexum, and recurvatum after surgery or trauma in childhood. Such deformations of the distal femoral growth plate, both proximal and distal tibial and distal radial will be presented, treated by a one-step Ilizarov method.

[Measurement of pacemaker effect: incidences on the choice of pacing mode? A prospective and statistical study of 396 patients].

Single ventricular stimulation induces haemodynamic disturbances, the best known of which is the pacemaker syndrome. In order to assess the prevalence and severity of these abnormalities, invasive blood pressure monitoring was performed in 396 consecutive patients undergoing endocavitary electrophysiological investigations: a decrease in systolic blood pressure at a rate near to that of the spontaneous rhythm defines the pacemaker syndrome. It is maximal after 3 to 5 beats of equivalent intensity with or without retrograde conduction.

[Evaluation of the effectiveness of serotonin (fluoxetine hydrochloride) treatment. Open study in fibromyalgia].

Primary fibromyalgia may involve an anomaly in the metabolism of serotonin responsible for the sleep disorders and diffuse pain. Effectiveness of an agent with pure serotonin-agonist properties (fluoxetin hydrochloride) was evaluated in 23 patients during a three-month open study. Treatment had no effect on pain severity, number of tender sites, or pain score.

[Delayed perforation of the sigmoid colon following closed abdominal trauma. Apropos of a case report].

Blunt abdominal trauma and delayed colon perforations are not common and usually occur in patients sustaining other injuries, but also as isolated event. We report a case of delayed perforation of sigmoid colon, three days after a blunt abdominal trauma in a male adult. It was caused by disinsertion of sigmoid colon mesentery for about ten centimeters.

[Gastric schwannoma. Observations apropos of a case report of an schwannosarcoma with lymph node metastasis].

Schwannomas as neurofibromas are neurogenic mesenchymal tumors of the stomach. They arise from the Schwann cells of nerves of th gastric wall and are usually benign. The incidence of malignant schwannomas is uncertain because of the variable pathologic criteria used.

[Cystic formations of the mesentery. Apropos a case report of a pseudocyst of the lesser omentum].

Mesenteric cysts are rare intraabdominal tumors in surgical pathology. Their etiology has been subject to much discussion. Symptoms are variable and depend on specific complications.

[Immunoelectrophoresis or immunofixation: identification of monoclonal gammopathy].

Both methods enable the clinical laboratory to identify monoclonal gammapathies with a good sensitivity. The immunofixation method, more quickly used than the immunoelectrophoresis, is easier to obtain the best resolution. It is well adjust for the characterization of low concentration gammapathies like immunoglobulin light chains.

[Ultrasonic prenatal diagnosis of lip and palate cleft. Report of 10 cases].

Hare-lips and cleft palates are the most frequent manifestations of facial malformations (approximately 1 in 1,000 deliveries). The authors point out their technique for ultrasound assessment of the normal and pathological fetal face in the antenatal period. The antenatal examination gives an excellent diagnostic approach of the site and the nature and the extent of the abnormality.