Pseudo-tumoral osteomyelitis. Immunologic study and etiopathogenic approach. Apropos of 2 cases]

Two cases of pseudo-tumoral osteomyelitis are reported. The first concerns a 12 year-old boy who presented with pain of the left knee during 8 months and, later on, with swelling of the upper extremity of the left leg, without fever or local inflammatory signs. The radiological aspect of condensation with a filling defect and "chimney" crossing the cartilage led to osteotomy. Local bacteriological samplings were normal. The second case concerns a 11 year-old boy who, after having complained from pain of the right wrist during 2 weeks, presented with swelling and on X-ray films a picture of metaphyso-epiphyseal lysis and an aspect of sequestrum in its center. There was no biological sign of inflammation. Evolution was favorable after antibiotic treatment and immobilization. In both cases, an immunological study showed an activation syndrome of the immune system with increased serum IL-1, IL-2 receptors and class II antigen receptors on the surface of T cells, suggesting a previous immunization of both children towards staphylococcus and, thereby, the subacute nature of evolution.     

Spondyloarthritis in North Africa: an update

Clinical Rheumatology - Spondyloarthritis (SpA) has been less well studied than rheumatoid arthritis in North Africa, due to a belief that it is rare and benign in certain populations. The main...     

Levels Propagation Approach to Image Segmentation: Application to Breast MR Images

Journal of Digital Imaging - Accurate segmentation of a breast tumor region is fundamental for treatment. Magnetic resonance imaging (MRI) is a widely used diagnostic tool. In this paper, a new...     

Juvenile hyaline fibromatosis: focus on radiographic features in adulthood

Juvenile hyaline fibromatosis (JHF) is a rare autosomal recessive hereditary disorder (less than 80 cases reported), characterized by multiple nodular lesions on the skin and musculoskeletal involvement, very debilitating because most adolescents and adults become bedridden. Only 10 cases have been reported on JHF in adulthood. We report the case of a 34-year-old male patient in whom clinical and histological findings were consistent with a mild JHF and focus on the radiographic features. The main purpose of this report is to increase the information available related to the radiographic manifestations and prognosis of JHF.     

Peculiarities of the microwave properties of hard–soft functional composites SrTb0.01Tm0.01Fe11.98O19–AFe2O4 (A = Co,Ni, Zn,Cu, or Mn)

Herein, we investigated the correlation between the chemical composition, microstructure, and microwave properties of composites based on lightly Tb/Tm-doped Sr-hexaferrites (SrTb_0.01Tm_0.01Fe_11.98O₁₉) and spinel ferrites (AFe₂O₄, A = Co, Ni, Zn, Cu, or Mn), which were fabricated by a one-pot citrate sol–gel method. Powder XRD patterns of products confirmed the presence of pure hexaferrite and spinel phases. Microstructural analysis was performed based on SEM images. The average grain size for each phase in the prepared composites was calculated. Comprehensive investigations of dielectric properties (real (ε′) and imaginary parts (ε′′) of permittivity, dielectric loss tangent (tan(δ)), and AC conductivity) were performed in the 1–3 × 10⁶ Hz frequency range at 20–120 °C. Frequency dependency of microwave properties were investigated using the coaxial method in frequency range of 2–18 GHz. The non-linear behavior of the main microwave properties with a change in composition may be due to the influence of the soft magnetic phase. It was found that Mn- and Ni-spinel ferrites achieved the strongest electromagnetic absorption. This may be due to differences in the structures of the electron shell and the radii of the A-site ions in the spinel phase. It was discovered that the ionic polarization transformed into the dipole polarization.

Paper presents the correlation between the composition, microstructure, and microwave properties of composites based on Tb/Tm-doped Sr-hexaferrites and spinel ferrites (AFe₂O₄), which were fabricated by a one-pot citrate sol–gel method.     

Urinary markers of workers chronically exposed to mercury vapor

The effects of chronic mercury intoxication on urinary markers in workers from northeast Algeria were investigated. Workmen were chosen from highly and moderately mercury-exposed factories, while controls were selected from a nonexposed site. The number of proteinuria cases were higher in the highly exposed subjects, although the nature (glomerular or tubular) of proteinuria remains unclear. However, it appears difficult to assess the degree of renal disturbance among the different exposure levels, such as the amount of excreted proteins, which have not clearly reflected the kidney lesion severity. The results also reveal that urine acidity increased progressively with increased levels of exposure, while a remarkable inverse relationship between urinary pH and urinary Hg in the highly exposed workers has been recorded. Furthermore, the significant differences in blood and urinary mercury concentrations of the three sites reflect the dose-response relationships.     

Cholangitis revealing an intrahepatic Osler's disease

Osler Weber Rendu Disease is an hereditary haemorrhagic télangectasia habitually revealed by reccurent bleeding (epistaxis). Hepatic involvement in Osler disease is found in 8 to 31%, manifested by cholestasis. We report an original observation of a cholangitis revealing Osler disease.     

Effects on bone mineral density of calcium and vitamin D supplementation in elderly women with vitamin D deficiency

OBJECTIVE: Calcium and vitamin D deficiency is common in older individuals, particularly those who live in nursing homes, and increases the risk of osteoporosis and fractures. METHODS: We conducted a randomized double-blind placebo-controlled study of combined supplementation with 500 mg of elemental calcium, as carbonate, and 400 IU of vitamin D bid for 12 months in women older than 65 years of age with vitamin D deficiency, defined as serum 25(OH)D concentrations 相似文献