S. Ollier

Giant Cell Arteritis and Spinal Cord Compression: An Overlap Syndrome?

We describe 2 patients with spinal cord compression that occurred in the course of biopsy-proven giant cell arteritis (GCA). One case was due to an epidural tumorlike inflammatory lesion, the other to a concentric inflammatory thickening of the meninges. Both patients were highly corticodependent; they had low-titer anti-neutrophil cytoplasmic antibodies but no antimyeloperoxidase or antiproteinase 3 autoantibodies. The diagnosis was established by surgical biopsy. The histological pattern was reminiscent of Wegener granulomatosis. Both patients experienced relapse, despite high doses of corticosteroids, and experienced remission after the introduction of cyclophosphamide. Intravenous immunoglobulin perfusions were added for 1 patient. To our knowledge, spinal cord compression by a spinal pseudotumor or inflammatory meningitis has not been reported in the course of GCA. An overlap syndrome between GCA and Wegener granulomatosis is discussed.

Œdèmes généralisés induits par la réglisse: un nouveau syndrome. A propos de 3 observations

Licorice abuse is a wellknown cause of high blood pressure, myopathy, and cardiac rhythm trouble. It should be considered as a cause of diffuse acute edema, as shown in the three following case-reports.

Valeur prédictive positive (VPP) d'un accident thrombotique du dosage des anticorps anticardiolipines. A propos du dosage systématique chez 111 patients

We studied the positive predictive value of anti-cardiolipin antibodies systematically dosed, and the survenue of thrombotic manifestations.

Lymphopénie idiopathique sévère révélée par un syndrome de Mac Duffie avec anticorps antiribosomes

We report a case of a severe idiopathic lymphopenia diagnosed in a patient with urticarial vasculitis, hypocomplementemia and antiribosomal antibodies, who developped neurotoxoplasmosis in the course of the disease.

Panniculite lupique: une cause rare de panniculite aiguë ou subaiguë. Deux nouvelles observations

We report 2 cases of lupus erythematosus panniculitis. This is an uncommon clinical subset of lupus erythematosus which tends to be confined on the proximal extremities and the trunk. Antimalarial agents, with or without (short) courses of systemic steroids, are beneficial in most patients.

Non, les réflexes ostéotendineux (ROT) ne sont pas abolis chez le sujet âgé

The aim of this study was to evaluate the Achilles tendon areflexia in the aging population. 250 consecutive patients 65 years old or greater were examined and only 10% had areflexia. We do not confirm the classical notion of frequent areflexia in the aging population.

Prévalence des dysthyroïdies dans la maladie de Horton et la pseudo-polyarthrite rhizomélique. Étude contrôlée portant sur 104 cas

We assessed the prevalence of thyroid diseases in temporal arteritis and polymyalgia rhumatica in a controlled retrospective and prospective study. Hyperthyroidism was found in 7 cases and hypothyroidism in 10 cases. No satistical difference was found between patients and control groups.

Étude rétrospective de 120 cas de neuropathies périphériques observées en Médecine Interne

A clinical study of 120 cases of polyneuropathy is presented in a general internal medecin department, and the prevalence of the different etiologies is discussed. The electrical and clinical presentation is studied with the ˦tiological confrontation.

Dix-sept cas de fibrose rétro-péritonéale vus en Médecine Interne

We report seventeen cases of retroperitoneal fibrosis. The aim of this study is to underline the clinical and therapeutical aspects, with a special attention to the unusual symptoms and the efficacy of corticosteroid therapy.

Manifestations neuropsychiatriques de l'hyperparathyroïdie primitive

Abstract Eight patients with primary hyperparathyroidism are presented with special reference to neuropsychiatric symptoms. The frequency and reversibility of psychiatric manifestations are analysed. Some physiopathological and therapeutical implications are reviewed.