PAMJ Clinical Medicine最新文献_第5页

Endoscopic finding in severe acute ulcerative colitis 严重急性溃疡性结肠炎的内镜检查

PAMJ Clinical Medicine Pub Date : 2019-12-06 DOI: 10.11604/pamj-cm.2019.1.42.21046

Fouad Nejjari, T. Adioui

{"title":"Endoscopic finding in severe acute ulcerative colitis","authors":"Fouad Nejjari, T. Adioui","doi":"10.11604/pamj-cm.2019.1.42.21046","DOIUrl":"https://doi.org/10.11604/pamj-cm.2019.1.42.21046","url":null,"abstract":"A 39-year-old woman with ulcerative colitis in clinical remission under salicylate treatment, hospitalized for rectal bleeding and fever. On clinical examination, the patient was tachycardic with a fever of 39 and abdominal tenderness. The biological assessment showed anaemia with thrombocytosis and elevation of C-reactive protein with hypoalbuminemia. A careful colonoscopy was performed showing fragile erythematous mucosa with spontaneous bleeding and pseudopolypoid mucosal lesions (A) and Endoscopic signs of severity consisting of deep ulcerations and of mucosal detachment (B). Pathological examination showed severe inflammation with deep ulcerations and cryptic abscess suggestive of severe acute ulcerohemorrhagic colitis, stool examination was negative for pathogens and Clostridium difficile toxin, serology and cytomegalovirus PCR (polymerase chain reaction) were negative. The diagnosis of severe acute colitis complicating the ulcerohemorrhagic colitis disease was retained, the patient was put on injectable corticosteroids, the evolution was favourable after 5 days with normalization of the C-reactive protein level and disappearance of the rectorrhages thus a relay by oral corticosteroids associated with azathioprine was indicated. After 2 years of follow-up, the patient remained asymptomatic with salicylate and azathioprine.","PeriodicalId":397112,"journal":{"name":"PAMJ Clinical Medicine","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132268507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rare tumor in rare localization: humeral pallet intraosseous lipoma 罕见肿瘤罕见定位:肱骨托盘骨内脂肪瘤

PAMJ Clinical Medicine Pub Date : 2019-12-05 DOI: 10.11604/pamj-cm.2019.1.41.20846

N. Elghoul, A. Jaafar

{"title":"Rare tumor in rare localization: humeral pallet intraosseous lipoma","authors":"N. Elghoul, A. Jaafar","doi":"10.11604/pamj-cm.2019.1.41.20846","DOIUrl":"https://doi.org/10.11604/pamj-cm.2019.1.41.20846","url":null,"abstract":"A 54-years-old man referred to our medical center for intermittent pain of his left elbow. On arrival, during the medical history taking, he reported neither old trauma of the left elbow nor weight loss. Physical examination of the elbow showed neither limitation of movements nor evidence of a palpable mass nor soft tissue swelling. X-rays of the elbow showed a cystic lesion in the distal humeral metaphysis. We performed a computed tomographic scan of the arm, which demonstrated a well-defined fat density intramedullary lesion within the distal metaphysis of the right humerus without signs of cortical destruction or periosteal reaction. Completed T1-weighted Magnetic Resonance images revealed an intramedullary lesion with an equal signal intensity to subcutaneous fat. T2-weighted images also showed a high signal intramedullary lesion similar to subcutaneous fat. According to the typical imaging findings, a symptomatic intraosseous lipoma was suspected prompting the patient to undergo surgery for curettage and bone grafting. The patient´s initial postoperative course was uncomplicated and so he was discharged with an oral analgesic to be reviewed in two weeks with x-ray control of the left elbow. The histopathological findings confirmed the intraosseous lipoma of the humerus. At the last follow-up of three years, the patient showed no pain and no recurrence of the bone lesion.","PeriodicalId":397112,"journal":{"name":"PAMJ Clinical Medicine","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127796251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Luxation anterieur atraumatique de la hanche 非创伤性髋关节前脱位

PAMJ Clinical Medicine Pub Date : 2019-12-03 DOI: 10.11604/pamj-cm.2019.1.38.20608

Mohamed Ilahiane, P. Papin

引用次数: 0

Kyste hydatique de la loge des adducteurs de la cuisse 大腿内收肌室的水囊肿

PAMJ Clinical Medicine Pub Date : 2019-11-29 DOI: 10.11604/pamj-cm.2019.1.29.21011

Mohamed Ilahiane, H. Ibrahim

{"title":"Kyste hydatique de la loge des adducteurs de la cuisse","authors":"Mohamed Ilahiane, H. Ibrahim","doi":"10.11604/pamj-cm.2019.1.29.21011","DOIUrl":"https://doi.org/10.11604/pamj-cm.2019.1.29.21011","url":null,"abstract":"Une patiente âgee de 60 ans, d´origine rurale, n´ayant aucun antecedent notable, a ete hospitalisee dans notre service pour exploration d´une tumefaction de la face interne de la cuisse gauche apparue de facon progressive et insidieuse depuis 4 mois. Cette lesion, initialement asymptomatique, a occasionne, apres 2 mois d´evolution, des douleurs inguinales puis du membre inferieur gauche, non systematisees. La douleur, au depart mecanique et calmee par le repos et les antalgiques, est progressivement devenue inflammatoire et insomniante, amenant la malade a consulter. A l´examen, elle etait apyretique et en bon etat general. La palpation retrouvait une masse mal limitee, adherente au plan profond, legerement sensible et fremissante (A). La vitesse de sedimentation etait a 45mm a la 1e heure et les globules blancs a 6500 elements/mm3 avec eosinophilie a 2,1%. Les radiographies standards de la hanche gauche etaient normales. L´echographie de la cuisse gauche a mis en evidence une enorme collection enkystee, homogene sans calcification ni vegetation en dedans bien limite par une fine membrane (capsule) qui se rehausse au Doppler. L´imagerie par resonance magnetique (IRM), pratiquee pour mieux etudier les rapports de la masse avec les structures vasculaires et nerveuses avoisinantes, a montre un kyste hydatique type 1 dans la loge des adducteurs de la face interne de la cuisse gauche mesurant 108*82mm, presentant des contacts etroit avec l´artere femoral superficielle (B, C, D). Une biopsie exerese du kyste a ete realisee dont les resultats anatomo-pathologiques sont revenus en faveur d´une hydatidose de la cuisse. Le traitement chirurgical a ete enchaine par un traitement medical a base d´Albendazol pendant 28 jours avec une bonne evolution clinique et radiologique.","PeriodicalId":397112,"journal":{"name":"PAMJ Clinical Medicine","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131138401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Epidermolysis bullosa: an exceptional cause of dysphagia 大疱性表皮松解症:吞咽困难的特殊原因

PAMJ Clinical Medicine Pub Date : 2019-11-25 DOI: 10.11604/pamj-cm.2019.1.27.21035

Fouad Nejjari, T. Adioui, Hassan Doulhoussne, Iias Benchafii, S. Jamal, Ayoub Aoumari, M. Tamzaourte, A. Aourarh

引用次数: 0

Adverse drug reactions due to cycloserine on the central nervous system in the multidrug-resistant tuberculosis cases: a case series 多药耐药结核病例中环丝氨酸对中枢神经系统的不良反应:一个病例系列

PAMJ Clinical Medicine Pub Date : 2019-11-24 DOI: 10.11604/pamj-cm.2019.1.25.20904

S. Yadav, G. Rawal

引用次数: 4

Unusual complications related to guidewire use during ERCP: an unappreciated injuries ERCP中与导丝使用相关的异常并发症:未察觉的损伤

PAMJ Clinical Medicine Pub Date : 2019-11-18 DOI: 10.11604/pamj-cm.2019.1.15.20913

Fouad Nejjari, S. Ouahid, T. Adioui, S. Berrag, T. Addajou, M. Tamzaourte, A. Aourarh

引用次数: 2

Inverted colonic diverticulum mimicking a pedonculated polyp 倒置结肠憩室，形似带足息肉

PAMJ Clinical Medicine Pub Date : 2019-11-15 DOI: 10.11604/pamj-cm.2019.1.13.20871

Fouad Nejjari, H. Seddik

引用次数: 0

Unusual intravesical foreign body management: the Casablanca experience 不寻常的膀胱内异物处理:卡萨布兰卡的经验

PAMJ Clinical Medicine Pub Date : 2019-11-04 DOI: 10.11604/pamj-cm.2019.1.4.20645

Khalid Elmortaji, A. Debbagh, M. Dakir, R. Aboutaieb

引用次数: 4

Hypoplasie surrénalienne à révélation tardive à propos d’un cas et revue de la littérature 1例晚期肾上腺发育不全及文献综述

PAMJ Clinical Medicine Pub Date : 2019-11-04 DOI: 10.11604/pamj-cm.2019.1.5.20694

I. Bouizammarne, S. Rafi, G. Mghari, N. Ansari

{"title":"Hypoplasie surrénalienne à révélation tardive à propos d’un cas et revue de la littérature","authors":"I. Bouizammarne, S. Rafi, G. Mghari, N. Ansari","doi":"10.11604/pamj-cm.2019.1.5.20694","DOIUrl":"https://doi.org/10.11604/pamj-cm.2019.1.5.20694","url":null,"abstract":"L’insuffisance surrenale primaire dans la population pediatrique (0-18 ans) est le plus souvent attribuee a une hyperplasie congenitale des surrenales, qui survient dans environ une naissance sur 15 000, suivie de la maladie d’Addison, caracterisee par une etiologie auto-immune. Cependant, d’autres etiologies sont meconnues telle l’hypoplasie congenitale, des progres moleculaires ont augmente le nombre de diagnostics possibles. L’hypoplasie congenitale des surrenales est une maladie genetique rare, heterogene sur le plan clinique, de revelation parfois precoce et letale en absence de traitement adapte, une survie prolongee en l’absence de traitement conduisant a un diagnostic tardif de la maladie est aussi possible, certaines de ces hypoplasies congenitales sont liees a des mutations observees dans le gene DAX1 sur l’X qui code pour un membre de la superfamille des recepteurs nucleaires aux hormones. Nous rapportons ici l’observation d’un enfant de 12 ans, qui a presente une insuffisance surrenalienne peripherique, avec absence d’individualisation des surrenales sur tomodensitometrie; chez qui l’hypoplasie congenitale des surrenales a ete suspecte.","PeriodicalId":397112,"journal":{"name":"PAMJ Clinical Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131281569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0