Ostéomalacie révélatrice d'un syndrome de Gougerot Sjogren

Latent renal tubular diseases are common in Sjögren's syndrome but rarely complicated by osteomalacia. The authors report a 28 years old woman's case where osteomalacia reveal the disease. In the other hand, a pseudo-lymphoma is suspected from radiographic features. According to several studies, the authors review different types of renal diseases and describe different physiopathological hypotheses about bone involvement and pseudo-lymphomas.

La calcitonine utilisée pour un syndrome épaule-main peut-elle avoir un rôle dans la révélation d'un méningiome cérébral ?

The authors have evaluated the efficiency of loco-regional injections of buflomedil in the shoulderhand syndrome in hemiplegic patients by using a clinical score and the measure of transcutaneous pression of oxygen (TcPO₂) at wrist. The study was carried out in 15 patients who were given three injections of 100 mg on D1, D3, D5, five weeks post stroke. They were evaluated on D12 and D26 and their conditions were compared with five hemiplegic untreated patients. The study confirms the clinical efficiency of the treatment as regards pain and vasomotor disorders in algodystrophy. TcPO₂ data confirms the clinical improvement in vasomotor disorders. Indeed TcPO₂ initial decrease reflecting the local hypoxia notably improves thanks to treatment without returning to normal.

Endocarditis prophylaxis: ten years later

It is generally accepted that antibiotic prophylaxis should be given to patients with cardiac lesions predisposing to infective endocarditis when they undergo dental and certain other procedures, although there is no proof of the efficacy of this prophylaxis. The organisms that cause endocarditis following these procedures are well known and their antibiotic sensitivities are largely predictable, yet protocols for prophylaxis all differ in their recommendations. Those issued by the UK, Switzerland and USA are considered in detail. Since compliance with antibiotic prophylaxis is poor, clearly regimens should be simple (preferably single dose) as well as effective.