312 Works

Hyaluronic acid injection in the treatment of shoulder tendinopathies : what efficacy?

Nessrine Akasbi
Rotator cuff tendinopathies constitute a major cause of consultation in rheumatology. They are responsible for a significant cost to society, both in terms of drug consumption and days off work. The severity of the lesions can range from a simple benign tendinopathy to a complete rupture of the tendon. The tendon is a poorly vascularized structure that heals slowly compared to other soft tissues. As a result, treatments tend to be long and results variable....

Management of neuropathic pain in Senegal : experience of the National Center of Orthopedic Equipment, Dakar

Diagne Ngor Side
Introduction : Neuropathic pain are serious and its management is difficult. The effectiveness of the treatment is judged on the amelioration of the quality of life. Materials and methods : A prospective 4 months study was carried out at the Orthopedic National Center of Apparatus hose objective was to appreciate the obstacles at the instauration of international recommendation on the management of neuropathic pain. Patients admitted for chronic pain answered DN4 questionnaire and those who...

Hyaluronic acid and rhizarthrosis : what efficiency ?

Naji Noura
Osteoarthritis of the trapeziometacarpal (TMC) joint of the thumb, also known as rhizarthrosis, is characterized by painful and a significant impact on quality of life. Intraarticular injection of hyaluronic acid is a minimally invasive procedure which could be effective in patients who do not respond well to initial treatment. Several studies have shown the effectiveness and good tolerance of intraarticular injections of hyaluronic acid in rhizarthrosis, but the evaluation of this effectiveness is limited by...

Rheumatic manifestations during Hepatitis C infection

Samir Rouabhia
Hepatitis C is a public health problem with an estimated180 million cases worldwide. Many extrahepatic manifestations have been reported in patients with hepatitis C virus infection. Joint disorders are the most common extrahepatic manifestations, oftenmainlyas arthralgia and rarely as arthritis. Arthritis in hepatitis C patientsHCV-related arthritismay be presented as in symmetrical polyarthritis and mono-oligoarthritis. Symmetrical arthritis makes differential diagnosis problem with rheumatoid arthritis. Anti-cyclic citrullinated peptide antibodiesare often negative and can help in distinguishing symmetrical...

Desmoid tumor of parietal chest : about a case.

Fatima Belaziz
The desmoid tumor (DT), also known as musculoaponeurotic fibromatosis is a rare entity. It accounts for 0.03% of all neoplasms and 3% of soft tissue tumors. It can occur at any age with a peak incidence noted between the ages of 30 and 40 years and a female predilection. Imaging used essentially is TDM; it is often ovoid or infiltrative mass, with usualy lobed adges that may occasionally appear irregular, showing an iso or homogeneous...

Rituximab : an effective biotherapy in rheumatoid arthritis

Abdellah El Maghraoui
Rituximab is a monoclonal antibody against CD20. Controlled trials have shown that rituximab is effective in RA. Available evidence suggests that its clinical benefits depend on effective B cell depletion, and the fact that its novel mode of action leads to the depletion of B cells makes it distinct from other biological therapies for RA. In combination with methotrexate, rituximab is indicated for the treatment of adult patients with severe, active RA who have had...

Rheumatoid arthritis management : general practitionerspractice modalities in Morocco

Radouane Niamane
The aim of our study was to evaluate the management of RA by general practitioners (GP) in Moroccan and to verify their practices to the degree of conformity with the recommendations of good practice. A questionnaire was developed, validated by an expert committee and then sent to GP. The survey was conducted on Google forms and mailed to all Moroccan GP. The questionnaire includes multiple choice questions and clinical case. Among the 9055 GP practicing...

Non corticosteroid Drug induced osteoporosis

Faiza Lazrak
The search for an etiology is always a necessary step when there is a fracture osteoporosis or densitometric. Many drugs may be responsible for bone loss. The corticosteroids, administered for long time, remains the most common cause of osteoporosis. However, other drugs may be implicated in bone loss, especially the aromatase inhibitors, GnRH agonists, antiepileptics, antidepressants and the inhibitors of proton pump. Further studies are needed to confirm the involvement of other treatments.

Diffuse idiopathic skeletal hyperostosis.

Fatima Zahra Haddani
Forestier’s disease is a degenerative pathology of unknown cause responsible for ossification of the entheses. Several physiopathological advances have taken place in recent years. We report the latest update of the diseases.

A primary Sjögren syndrome of the elderly women revealed by ischemic stroke

Fall Maouly
The central neurologic manifestations are rarely the revelation mode of a primary Sjögren’s syndrome. We report the case of an elderly woman with an ischemic stroke revealing a primary Sjögren’s syndrome. The neurological damage related to Sjögren’s syndrome may be the revelation mode and the diagnosis should be considered in any suspected autoimmune ground.

Reactive arthritis

Aicha Ladjouze-Rezig
Reactive arthritis (ReA) comprises sterile arthritis that develop few weeks after a digestive of urogenital bacterial infection. Converging evidence exists in favor of the integration of ReA in the group of spondyloarthrites, with a potential role of HLA-B27, which is still to be defined. ReA affects mainly male young adults and is characterized by clinical polymorphism with the prevalence of incomplete forms. Evolution of ReA is mainly characterizd by relapses and chronic evolution. Antibiotics are...

Multiple embolisms in endocarditis : what if it is not infective ?

Ali Chaib
The infectious origin is the most common etiology of endocarditis. However, other causes should be raised when the evolution under antibiotic treatment is atypical. We report the case of a young pregnant patient, admitted for suspected infective endocarditis with fever and mitral vegetation. The negative blood cultures, unfavorable evolution, the occurrence of thromboembolic events and the results of multiple immunological investigations led to the diagnosis of Libman-Sacks endocarditis in the context of catastrophic antiphospholipid syndrome....

Isocinetic profile of traumatic micro shoulder

Laila Mahir
Introduction : Isokinetic is a reference method for the assessment of muscle strength. It makes it possible to establish a functional diagnosis by specifying the levels of disability of the shoulder microtraumatic tendon. Objective : Establish the isokinetic profile of the tendon shoulder in comparison with a healthy population and evaluate the impact on the function and quality of life of the patients. Materials and Methods : A 18-month prospective, descriptive and analytical cohort study...

Peliminary training needs analysis in rheumatology for medical interns practicing within a Regional Hospital Center in Morocco

Imad Ghozlani
Background : Training need analysis in rheumatology makes ensure the relevance of subjects of continuing education, which improves the effectiveness of this discipline in everyday practice. The objective of our study was to establish a preliminary rheumatology training needs analysis for medical interns practicing within a Regional Hospital Center (RHC), in order to highlight the cognitive, psychomotor and affective domains to be developed. Methods: Forty-one physicians (24 medical interns, 13 general practitioners, and 4 rheumatologists)...

Sleep disorders in rheumatoid arthritis

Imane El Bouchti
Objectives : Describe the profile of sleep and the various correlations with disease parameters in patients with rheumatoid arthritis. Methods : This is a multicenter cross-sectional study conducted in the region of Marrakech. Were included all patients with rheumatoid arthritis and meeting the 1987 ACR criteria. In a questionnaire, the characteristics of the disease and sociodemographic patient were collected. An evaluation of the psychological impact was performed. The study of sleep was evaluated using the...

nfliximab in the treatment of spondyloarthritis : experience of the University Hospital of Fez

Fatima Ezzahra Abourazzak
Objective : The aim of this study was to evaluate in the «real life» the efficacy and the tolerance of Infliximab in the treatment of axial spondyloarthritis. Materials and methods : We conducted a retrospective observational study in the Rheumatology Department at the Hassan II University Hospital of Fez. We included patients with axial spondyloarthritis. Efficacy was evaluated at 6 and 12 months based on the evolution of activity and disability parameters. Results : We...

Hyaluronic acid in the omarthrosis.

Nessrine Akasbi
Shoulder osteoarthritis represents 3% of all arthrosis. The causes of shoulder osteoarthritis are divided into primary with no specific cause, which is more prevalent and secondary osteoarthritis with a known cause or predisposing factor. Shoulder osteoarthritis can causes severe pain and major functional discomfort. The management of shoulder osteoarthritis consists of conventional treatments for osteoarthritis. Surgical treatment involves conservative surgery and total anatomic or inverted shoulder arthroplasty. When conservative treatment has failed, and prosthetic surgery...

Imaging in multiple myeloma : up date.

Akasbi Nessrine
Multiple myeloma (MM) is a hematologic cancer characterized by the clonal proliferation of plasma cells in the bone marrow. The myeloma plasma cells secrete several cytokines and factors which modify the bone remodeling and will therefore be responsible for the bone signs encountered during this disease. Imaging of bone lesions is a cardinal feature for the diagnosis, staging, assessment of response to treatment, and prognostic evaluation in MM patients. X rays constitute the main technique...

Tumor necrosis factor Receptor-Associated Periodic Syndrome (TRAPS): definition, pathogenesis, clinical, treatment

Nessrine Akasbi
Tumor necrosis factor receptor-associated periodic syndrome (TRAPS) is a rare disease which belongs to inherited periodic febrile conditions. TRAPS is an inherited autosomal dominant auto inflammatory disease linked to chromosome 12p13, and more specifically with mutations within the TNFRSF1A gene. It is characterized by recurrent attacks of fever and pain in the joints, abdomen, muscles, skin, and eyes. Patients with TRAPS are at risk for AA amyloidosis. Corticosteroids are the cornerstone of TRAPS treatment but...

Rhumatologic disorders of Sarcoïdosis.

Tarik Youssoufi
Sarcoidosisis a systemic granulomatous disease with a strong pulmonary tropism. Involvement of the musculo-skeletal system is far less common and may be inaugural. Articular involvement is dominated by Lofgren-syndrome. Difficult to diagnose when specific signs of orientation are missed. Treatmentof rheumatologic disorders often involves non steroidal anti-inflammatory drugs, corticosteroids and methotrexate. Biological therapies such as the anti-TNFα and the anti-CD20 were showed to be effective in some case reports of severe and refractory disease. The...

Methotrexate and Interstitial lung disease in Rheumatoid Arthritis

Abdellah El Maghraoui
Interstitial lung disease is the most common respiratory manifestation of rheumatoid arthritis. It significantly affects the prognosis and limited treatment options for rheumatoid arthritis. A link between the use of methotrexate, which is the ordinary treatment of rheumatoid arthritis and the appearance of interstitial lung disease, has been suggested in some studies. Although, this treatment is associated with a risk of hypersensitivity pneumonitis, its link with a chronic interstitial lung disease are unlikely. In practice,...

Primary hyperparathyroidism: study of 22 observations in Senegal

Niasse Moustapha
Introduction : Primary hyperparathyroidism (HPTp) is rare in Africa. We report 22 observations. Materials and methods: This is a retrospective study in the Rheumatology’s service of the Aristide Le Dantec Hospital of Dakar. We collected observations of Primary hyperparathyroidism between January 2000 and June 2017. The diagnosis was based on the association of permanent hypercalcemia and a serum increase in parathormone 1-84 assayed by immunoassay. Epidemiological, diagnostic and therapeutic data were analyzed for each patient....

Trabecular bone score (TBS) : interests and limits.

Mohamed Khatry
TBS is a quantitative index that indirectly reflects bone microarchitecture. It is calculated by software available on the latest generations of dual energy X-ray absorptiometry (DXA) devices, which uses images of the lumbar spine. Several studies have emerged, bringing scientific evidence on the correlation of TBS with age, osteoarthritis, bone microarchitecture, the risk of fragility fractures and secondary osteoporosis. In addition, the effects of anti-osteoporotic therapy on TBS were studied to have the possibility of...

Multifocal tuberculosis revealing SC hemoglobinopathy

Koffi-Tessio Ves
We report the case of hip, sacro-iliac joint, and spine tuberculosis in a 25 years old man suffering from an asymptomatic hemoglobinopathy SC. This case is particular by the triple localization of the tuberculosis occurring in an asymptomatic hemoglobinopathy SC which don’t seem to be a frequent risk factor of tuberculosis, according to the literature data.

Hallux valgus : Focus

Imane El Mezouar
Hallux valgus is a deformity of the forefoot radius centered on the first (1st metatarsal and big toe). There is a hard swelling or exostosis formed by the vertex of the angle between the first metatarsal and deflected in the big toe deported outside. There are three main causes of hallux valgus : a congenital predisposition and Women and the excessive length of the first toe and its conflict with the shoe. Hallux valgus and...

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