Sexual disturbances after colostomy are various. However, they probably remain underestimated in ... more Sexual disturbances after colostomy are various. However, they probably remain underestimated in societies where sexuality is still a taboo issue. THE AIM of this prospective study was to evaluate the possible sexual behaviour and the post operative sexual disturbances in patients whome underwent colostomy. The group was devided in 10 male and 11 female patients. Seventeen patients (81%) were married, 3 widowed and 1 unmaried. Sexual disturbances were found in 47% of patients. There was a lack of interest in sexual relations in 2 women, a resolved premature ejaculation in one case, post operative dysparenia in 2 female patients, a retrograde ejaculation in a 60-year-old man, impotence in a 46 years old patient, and a premature ejaculation in a 36-year-old man. The frequency of sexual disturbances (47%) in our series was close to that reported in the literature (50%). The sexual disorders are more common in male patients, the most frequent being ejaculatory dysfunction. In women, dyspareunia is the most common disorder. The particular case of colostomy in homosexuals remains a current issue.
Subacute cutaneous lupus erythematosus is extremely rare in childhood. We report the case of a 7 ... more Subacute cutaneous lupus erythematosus is extremely rare in childhood. We report the case of a 7 year-old girl who presented annular erythematous infiltrated lesions on sun exposed areas since the age of 2 months. Histopathologic examination showed orthohyperkeratosis, epidermal atrophy, widespread hydropic degeneration of epidermal basal cell layer, and a dermal lymphohistiocytic infiltrate. The lupus band test was negative. The immunological investigations (antinuclear antibodies) were negative. Treatment with antimalarials, topical steroids and sun protection allowed clearance of the cutaneous lesions. Lesions relapsed after antimalarials discontinuation and sun exposure. Four years later, at the age of 11, the antinuclear antibodies became positive. The diagnosis of subacute cutaneous lupus erythematosus is based on the clinical aspect of lesions, topography, histological finding, evolution and immunological profile of the patient.
Illustrate the specific and nonspecific aspects of myositis ossificans circumscripta (MOC) in sta... more Illustrate the specific and nonspecific aspects of myositis ossificans circumscripta (MOC) in standard imaging, cross-sectional imaging (sonography, CT, and MRI), and bone scintigraphy. Eight patients presenting with MOC (three men and five women) were explored using standard radiography (eight cases), sonography (seven cases), scintigraphy (four cases), CT (six cases), and MRI (four cases). Standard x-rays and sonography of the soft tissue showed a well-defined mass containing calcifications in 75% of the cases. The CT scan diagnosed MOC in four cases, showing calcified masses separated from the adjacent bone by a clear radiotransparent border or afferent peripheral tumoral calcifications highly suggestive of MOC. MRI was nonspecific. Bone scintigraphy showed hyperfixation in the four cases imaged. Standard x-rays were useful to demonstrate the calcifications of MOC and to identify their relation with the subjacent bone. Sonography and bone scintigraphy were interesting in monitori...
Xéroderma pigmentosum (XP) is a rare genetic disease characterised by defective repair of DNA dam... more Xéroderma pigmentosum (XP) is a rare genetic disease characterised by defective repair of DNA damage. We report a retrospective study of the ophtalmologic manifestations of 16 patients with xéroderma pigmentosum, the ophtalmologic manifestations were present in 62% of cases. The age of patients was 7 to 22 years. Photophobia were seen in all patients. Multiple tumors were seen with 5 squamous cell carcinoma. Tumor size was 1 to 6 cm. Ocular involvement occurs in up to 80% of cases of XP. Infection, néoplasia, conjonctiva are the most commun finding. Patients with XP can acquire squamous cell carcinoma at an early age.
Tricho-epitheliomas are benign tumors of the pilosebaccous apparatus. Multiple tricho-epithelioma... more Tricho-epitheliomas are benign tumors of the pilosebaccous apparatus. Multiple tricho-epithelioma form is particular. We report 2 new cases. 1) R.A., a 41 year-man with a 2 years history of histologically confirmed multiple tricho-epitheliomas. New lesions appeared during a 9 years-follow-up. Treatment was local excision of tumors. 2) M.B., a 41 year-man, have a 8 years history of 3 to 30 mm papulonodular lesions with telangiectasia, located on the face and associated to multiple milia, comedones and alopecia areata plaques. Histological study confirmed the diagnosis of multiple tricho-epitheliomas. Multiple tricho-epitheliomas is a genodermatosis it is often associated to other benign cutaneous tumors, mainly cylindromas and spiradenomas. It occurs in the 1st and 2nd decade. The lesions are symmetrically located on the face. Histological examination confirm the diagnosis. After repeated episodes, the lesions stabilize. Malignant changes are rare. Treatment is supported by aesthetic...
Pseudoxanthoma elasticum is a congenital dystrophy of the connective tissue. Its clinical express... more Pseudoxanthoma elasticum is a congenital dystrophy of the connective tissue. Its clinical expression is cutaneous, ocular and cardiovascular. The aim of our study was to specify the principle characteristics of this disease and to discuss the interest of various supplementary examinations in its diagnosis and control in a series of 11 patients. The study included 9 women and 2 men (sex ratio: 4.5). The mean age the onset of the symptoms was of 18 years. In 4 cases there was a family history of the disease. All the patients exhibited yellowish, pigskin, and papular lesions on the sides of the neck. The systematic ophthalmologic examination revealed angioid streaks in 7 cases and a pigskin aspect in 4 cases. The systematic cardiovascular and metabolic explorations revealed no abnormalities specific to pseudoxanthoma elasticum. Two cases of asymptomatic nephrocalcinosis were observed. In our patients, the disease was probably of autosomal recessive transmission. The predominance of wom...
Journal de Gynécologie Obstétrique et Biologie de la Reproduction, 2008
Résumé L'impétigo herpétiforme (IH) est une dermatose pustuleuse très rare et spécifique de la gr... more Résumé L'impétigo herpétiforme (IH) est une dermatose pustuleuse très rare et spécifique de la grossesse, pouvant menacer le pronostic vital de la mère et de l'enfant. Cette entité est considérée actuellement comme une variante de psoriasis pustuleux. Nous rapportons deux observations. Observations. -Deux patientes âgées, respectivement, de 24 et 21 ans qui présentaient des plaques erythématopustuleuses étendues pour lequel le diagnostic d'un impétigo herpétiforme a été posé cliniquement et histologiquement. Chez la première patiente, les lésions étaient apparues pendant deux grossesses, elles étaient plus précoces et plus sévères avec retentissement foetal (oligoamnios et hypotrophie) lors de la seconde grossesse. Chez la seconde patiente, la grossesse était compliquée d'une rupture prématurée des membranes et d'un accouchement d'un mort-né et une aggravation de la symptomatologie cutanée. Le traitement était le prednisone suivi du Soriatane ® pour la première patiente. Pour la seconde patiente, le traitement corticothérapie locale associée aux UVB pendant la grossesse suivie du Soriatane ® en postpartum était efficace. Conclusion. -Nos deux observations soulignent l'intérêt de la surveillance obstétricale afin d'éviter des complications foetales parfois fatales et l'intérêt de la corticothérapie locale associée aux UVB qui constitue une autre alternative thérapeutique dans le traitement de l'impétigo herpétiforme.
Objectives. Illustrate the specific and nonspecific aspects of myositis ossificans circumscripta ... more Objectives. Illustrate the specific and nonspecific aspects of myositis ossificans circumscripta (MOC) in standard imaging, cross-sectional imaging (sonography, CT, and MRI), and bone scintigraphy. Patients and methods. Eight patients presenting with MOC (three men and five women) were explored using standard radiography (eight cases), sonography (seven cases), scintigraphy (four cases), CT (six cases), and MRI (four cases). Results. Standard x-rays and sonography of the soft tissue showed a well-defined mass containing calcifications in 75% of the cases. The CT scan diagnosed MOC in four cases, showing calcified masses separated from the adjacent bone by a clear radiotransparent border or afferent peripheral tumoral calcifications highly suggestive of MOC. MRI was nonspecific. Bone scintigraphy showed hyperfixation in the four cases imaged. Conclusion. Standard x-rays were useful to demonstrate the calcifications of MOC and to identify their relation with the subjacent bone. Sonography and bone scintigraphy were interesting in monitoring the lesion's maturation. In addition to early detection of calcifications, CT can precisely localize the lesion before surgical ablation. MRI is a very sensitive technique in detecting small lesions at an early stage, but it is nonspecific and does not remove the necessity of biopsy to eliminate the possibility of a malignant disease.
We describe the second case of annular atrophic lichen planus. The annular configuration of the l... more We describe the second case of annular atrophic lichen planus. The annular configuration of the lesions resulted from peripheral enlargement with simultaneous central clearing. Histology showed features of lichen planus in the active border of the lesion and a pattern of resolved lichen planus in its center. Elastic fibers had been destroyed in the papillary dermis both in the border
Sexual disturbances after colostomy are various. However, they probably remain underestimated in ... more Sexual disturbances after colostomy are various. However, they probably remain underestimated in societies where sexuality is still a taboo issue. THE AIM of this prospective study was to evaluate the possible sexual behaviour and the post operative sexual disturbances in patients whome underwent colostomy. The group was devided in 10 male and 11 female patients. Seventeen patients (81%) were married, 3 widowed and 1 unmaried. Sexual disturbances were found in 47% of patients. There was a lack of interest in sexual relations in 2 women, a resolved premature ejaculation in one case, post operative dysparenia in 2 female patients, a retrograde ejaculation in a 60-year-old man, impotence in a 46 years old patient, and a premature ejaculation in a 36-year-old man. The frequency of sexual disturbances (47%) in our series was close to that reported in the literature (50%). The sexual disorders are more common in male patients, the most frequent being ejaculatory dysfunction. In women, dyspareunia is the most common disorder. The particular case of colostomy in homosexuals remains a current issue.
Subacute cutaneous lupus erythematosus is extremely rare in childhood. We report the case of a 7 ... more Subacute cutaneous lupus erythematosus is extremely rare in childhood. We report the case of a 7 year-old girl who presented annular erythematous infiltrated lesions on sun exposed areas since the age of 2 months. Histopathologic examination showed orthohyperkeratosis, epidermal atrophy, widespread hydropic degeneration of epidermal basal cell layer, and a dermal lymphohistiocytic infiltrate. The lupus band test was negative. The immunological investigations (antinuclear antibodies) were negative. Treatment with antimalarials, topical steroids and sun protection allowed clearance of the cutaneous lesions. Lesions relapsed after antimalarials discontinuation and sun exposure. Four years later, at the age of 11, the antinuclear antibodies became positive. The diagnosis of subacute cutaneous lupus erythematosus is based on the clinical aspect of lesions, topography, histological finding, evolution and immunological profile of the patient.
Illustrate the specific and nonspecific aspects of myositis ossificans circumscripta (MOC) in sta... more Illustrate the specific and nonspecific aspects of myositis ossificans circumscripta (MOC) in standard imaging, cross-sectional imaging (sonography, CT, and MRI), and bone scintigraphy. Eight patients presenting with MOC (three men and five women) were explored using standard radiography (eight cases), sonography (seven cases), scintigraphy (four cases), CT (six cases), and MRI (four cases). Standard x-rays and sonography of the soft tissue showed a well-defined mass containing calcifications in 75% of the cases. The CT scan diagnosed MOC in four cases, showing calcified masses separated from the adjacent bone by a clear radiotransparent border or afferent peripheral tumoral calcifications highly suggestive of MOC. MRI was nonspecific. Bone scintigraphy showed hyperfixation in the four cases imaged. Standard x-rays were useful to demonstrate the calcifications of MOC and to identify their relation with the subjacent bone. Sonography and bone scintigraphy were interesting in monitori...
Xéroderma pigmentosum (XP) is a rare genetic disease characterised by defective repair of DNA dam... more Xéroderma pigmentosum (XP) is a rare genetic disease characterised by defective repair of DNA damage. We report a retrospective study of the ophtalmologic manifestations of 16 patients with xéroderma pigmentosum, the ophtalmologic manifestations were present in 62% of cases. The age of patients was 7 to 22 years. Photophobia were seen in all patients. Multiple tumors were seen with 5 squamous cell carcinoma. Tumor size was 1 to 6 cm. Ocular involvement occurs in up to 80% of cases of XP. Infection, néoplasia, conjonctiva are the most commun finding. Patients with XP can acquire squamous cell carcinoma at an early age.
Tricho-epitheliomas are benign tumors of the pilosebaccous apparatus. Multiple tricho-epithelioma... more Tricho-epitheliomas are benign tumors of the pilosebaccous apparatus. Multiple tricho-epithelioma form is particular. We report 2 new cases. 1) R.A., a 41 year-man with a 2 years history of histologically confirmed multiple tricho-epitheliomas. New lesions appeared during a 9 years-follow-up. Treatment was local excision of tumors. 2) M.B., a 41 year-man, have a 8 years history of 3 to 30 mm papulonodular lesions with telangiectasia, located on the face and associated to multiple milia, comedones and alopecia areata plaques. Histological study confirmed the diagnosis of multiple tricho-epitheliomas. Multiple tricho-epitheliomas is a genodermatosis it is often associated to other benign cutaneous tumors, mainly cylindromas and spiradenomas. It occurs in the 1st and 2nd decade. The lesions are symmetrically located on the face. Histological examination confirm the diagnosis. After repeated episodes, the lesions stabilize. Malignant changes are rare. Treatment is supported by aesthetic...
Pseudoxanthoma elasticum is a congenital dystrophy of the connective tissue. Its clinical express... more Pseudoxanthoma elasticum is a congenital dystrophy of the connective tissue. Its clinical expression is cutaneous, ocular and cardiovascular. The aim of our study was to specify the principle characteristics of this disease and to discuss the interest of various supplementary examinations in its diagnosis and control in a series of 11 patients. The study included 9 women and 2 men (sex ratio: 4.5). The mean age the onset of the symptoms was of 18 years. In 4 cases there was a family history of the disease. All the patients exhibited yellowish, pigskin, and papular lesions on the sides of the neck. The systematic ophthalmologic examination revealed angioid streaks in 7 cases and a pigskin aspect in 4 cases. The systematic cardiovascular and metabolic explorations revealed no abnormalities specific to pseudoxanthoma elasticum. Two cases of asymptomatic nephrocalcinosis were observed. In our patients, the disease was probably of autosomal recessive transmission. The predominance of wom...
Journal de Gynécologie Obstétrique et Biologie de la Reproduction, 2008
Résumé L'impétigo herpétiforme (IH) est une dermatose pustuleuse très rare et spécifique de la gr... more Résumé L'impétigo herpétiforme (IH) est une dermatose pustuleuse très rare et spécifique de la grossesse, pouvant menacer le pronostic vital de la mère et de l'enfant. Cette entité est considérée actuellement comme une variante de psoriasis pustuleux. Nous rapportons deux observations. Observations. -Deux patientes âgées, respectivement, de 24 et 21 ans qui présentaient des plaques erythématopustuleuses étendues pour lequel le diagnostic d'un impétigo herpétiforme a été posé cliniquement et histologiquement. Chez la première patiente, les lésions étaient apparues pendant deux grossesses, elles étaient plus précoces et plus sévères avec retentissement foetal (oligoamnios et hypotrophie) lors de la seconde grossesse. Chez la seconde patiente, la grossesse était compliquée d'une rupture prématurée des membranes et d'un accouchement d'un mort-né et une aggravation de la symptomatologie cutanée. Le traitement était le prednisone suivi du Soriatane ® pour la première patiente. Pour la seconde patiente, le traitement corticothérapie locale associée aux UVB pendant la grossesse suivie du Soriatane ® en postpartum était efficace. Conclusion. -Nos deux observations soulignent l'intérêt de la surveillance obstétricale afin d'éviter des complications foetales parfois fatales et l'intérêt de la corticothérapie locale associée aux UVB qui constitue une autre alternative thérapeutique dans le traitement de l'impétigo herpétiforme.
Objectives. Illustrate the specific and nonspecific aspects of myositis ossificans circumscripta ... more Objectives. Illustrate the specific and nonspecific aspects of myositis ossificans circumscripta (MOC) in standard imaging, cross-sectional imaging (sonography, CT, and MRI), and bone scintigraphy. Patients and methods. Eight patients presenting with MOC (three men and five women) were explored using standard radiography (eight cases), sonography (seven cases), scintigraphy (four cases), CT (six cases), and MRI (four cases). Results. Standard x-rays and sonography of the soft tissue showed a well-defined mass containing calcifications in 75% of the cases. The CT scan diagnosed MOC in four cases, showing calcified masses separated from the adjacent bone by a clear radiotransparent border or afferent peripheral tumoral calcifications highly suggestive of MOC. MRI was nonspecific. Bone scintigraphy showed hyperfixation in the four cases imaged. Conclusion. Standard x-rays were useful to demonstrate the calcifications of MOC and to identify their relation with the subjacent bone. Sonography and bone scintigraphy were interesting in monitoring the lesion's maturation. In addition to early detection of calcifications, CT can precisely localize the lesion before surgical ablation. MRI is a very sensitive technique in detecting small lesions at an early stage, but it is nonspecific and does not remove the necessity of biopsy to eliminate the possibility of a malignant disease.
We describe the second case of annular atrophic lichen planus. The annular configuration of the l... more We describe the second case of annular atrophic lichen planus. The annular configuration of the lesions resulted from peripheral enlargement with simultaneous central clearing. Histology showed features of lichen planus in the active border of the lesion and a pattern of resolved lichen planus in its center. Elastic fibers had been destroyed in the papillary dermis both in the border
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