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《Annales de cardiologie et d'angeiologie》2016,65(4):275-285
Peripheral arterial disease (PAD) encompasses disease of all arteries of the body except the coronary arteries. The main etiology whatever the patient's age is atherosclerosis. Different etiologies can induce PAD especially when patients are younger than 50 years old and have no cardiovascular risk factors (smoking, hypertension, diabetes…). PAD that appears before 50 years old can be named juvenile PAD (JPAD) although there is no consensus about the definition. The aim of this work is to present the different etiologies of JPAD according to their hereditary, acquired or mixed origins. The following hereditary causes are addressed: Marfan syndrome, Ehlers-Danlos syndrome, homocystinuria, pseudoxanthoma elasticum, osteogenesis imperfecta “mid-aortic” syndrome. Among the acquired etiologies, inflammatory JPADs without extravascular signs such as atherosclerosis and Buerger's disease, inflammatory JPADs with extravascular signs as Takayasu's disease, Behçet's disease and Cogan's syndrome, JPADs like aortitis, embolic JPADs, iatrogenic JPADs, and mechanical or traumatic JPADs are described. Finally, mixed origins as thrombotic disease and fibromuscular dysplasia are presented. This work will assist clinicians in the diagnosis of JPAD. 相似文献
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A. S. Rasolonjatovo N. Randriamifidy R. Rakotozafindrabe T. Rabenjanahary D. Randriambololona S. H. Razafimahefa R. M. Ramanampamonjy 《Journal Africain d'Hépato-Gastroentérologie》2016,10(1):34-36
The peritoneal endometriosis is defined by the presence of endometrial tissue, in an ectopic way, apart from the uterine cavity. The evocative usual signs of pathology are the secondary dysmenorrhoea, the deep dyspareunia, the chronic pelvic pains and infertility. The form associated with a hemorrhagic ascitis is exceptional with 41 cases published, of which none of them is in Madagascar. Our objective is to report a case of peritoneal endometriosis revealed by a hemorrhagic ascite. It is about a 33 years old woman, from Madagascar, nulliparous and having presented an abundant hemorrhagic ascite associated with chronic pelvic pains characterised by the menstruations. In front of the difficulty of access to the coelioscopy, the complicated diagnosis of peritoneal endometriosis of a hemorrhagic ascite in our patient was retained on lines of evidence epidemiologics, anamnestics, clinicals, morphologicals and biologicals. The evolution marked by the draining of the ascite and the disappearance of the chronic pelvic pains under freinator hormonal treatment represented an additional argument in favour of the diagnosis of peritoneal endometriosis. 相似文献
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B. Zekri O. Mouaqit O. Affari L. Ifrine H. O. El Malki R. Mohsine A. Belkouchi 《Journal Africain d'Hépato-Gastroentérologie》2010,4(4):260-262
The cystic lymphangioma is a vascular tumor that arises at the expense of lymphatic vessels. It is a rare and benign dysplasia that occurs mainly in children. Adult forms are rare. Its expression is mainly cervical or axillary, with a few locations in the abdominal cavity. We report the case of a patient who presented with cystic lymphangiomas located in the retroperitoneal region. Various clinical aspects, diagnosis and treatment were studied. 相似文献
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《La Revue de médecine interne / fondée ... par la Société nationale francaise de médecine interne》2021,42(8):566-570
Mucocutaneous fungal infections are common and usually occur in the presence of certain risk factors. However, these infections can occur in patients with no known risk factors. This indicates the presence of an underlying genetic susceptibility to fungi reflecting an innate or adaptive immune deficiency. In this review, we highlight genetic factors that predispose to mucocutaneous fungal infections specially candidiasis and dermatophytosis. 相似文献
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J. Guison M. Groza O. Stoica G. Blaison 《La Revue de médecine interne / fondée ... par la Société nationale francaise de médecine interne》2017,38(4):278-281