La Tunisie médicale
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La Tunisie médicale · Jun 2003
Review[Necrobiosis lipoidica. Report of 4 cases and review of the literature].
Necrobiosis lipoidica belongs to the inflammatory granulomatous skin disorders groups with palisade reaction. The association to diabetes mellitus is classical involving 80% of diabetics in its tibial localization. A retrospective study of all cases of necrobiosis lipoidica conducted in our dermatology department over a-15-year period, found 4 diabetic patients, 3 of whom were women known as diabetic patient with extremities involvement, and 1 man not known as diabetic patient at the time of the diagnosis. Necrobiosis lipoidica appears to be a rare disorder in diabetic people and this association seems to be over estimated.
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La Tunisie médicale · Apr 2003
[Incidence and prognosis of acute renal failure in the intensive care unit. Retrospective study of 216 cases].
Our aims to determine the incidence, the causes, the nature and the prognosis of acute renal failure (ARF) in an intensive care unit of Habib Bourguiba's university hospital (Sfax Tunisia). ⋯ We retrospectively included all patients having ARF during a period of one year. Two hundred sixteen patients developed ARF (17%) During the period of study. The causes of ARF were multiple, and dominated by hypovolemia (47% of cases) The Acute renal failure (ARF) is a frequent pathology. It is essentially observed in old patients. The causes are often multiple. The mortality is high and the best treatment remains prophylactic.
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La Tunisie médicale · Mar 2003
Review[Graves' ophthalmopathy: diagnosis and highlights on etiopathogenesis and treatment].
It's due to extraocular tissues enlargement: extraocular muscles. Thyroid stimulating receptor antibodies were first incriminated. ⋯ Treatment of hyperthyroidism has to be undertaken similarly. Classically, surgical or medical treatment with antithyroid drugs were indicated.
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La Tunisie médicale · Jan 2003
Case Reports[Right atrial myxoma in a patient with mood disturbances].
Cardiac myxomas represents 50% of the benign heart tumors. Right atrial myxomas are more rare than left localisations. Their major risks are in occurrence of pulmonary embolisms. ⋯ Per-operative findings mentioned a mass with 10 cm of length. Anatomo-pathologic results conclude to atrial myxoma. The evolution after 8 months of surgical treatment was normalisation of heart auscultation and the improvement of the patient humour.