Introduction:The thyroid localization of the hydatid cyst (HC) remains exceptional and unusual even in countries where this Parasitosis is still endemic: its frequency varies from 0.1 to 0.6 ‰ depending on the series. It is most often asymptomatic or resulting in anterior cervical swelling or more rarely a hoarseness of the voice. We report an original observation of thyroid HC revealed by primary hypothyroidism.Observation: An eight-year-old patient with no notable pathological history was explored for normochromic normocytic anemia at 8 g/dl. The clinical examination found neither jaundice nor splenomegaly. There was anterior cervical swelling that was painless and lateralized to the right. No lymphadenopathy or other palpable mass was noted. Biology revealed peripheral hypothyroidism with TSH at 7.83 μIU/ml. The balance of hereditary hemolytic anemias was negative. Cervical ultrasonography and CT showed an anechoic anterior cervical mass 2.51 cm in diameter, occupying the right thyroid lobe, without micro calcifications, intracystic vegetation, or adenopathies. Hydatid serodiagnostic was positive. The diagnosis of thyroid HC was confirmed by histological examination post loboishmectomy. The total blood count and TSH were spontaneously corrected after one month of the surgery. Conclusion:The diagnosis of HC is worthy of mention in the presence of peripheral hypothyroidism with increased thyroid gland volume, especially in endemic areas. This location can sometimes hide associated thyroid neoplasia.

Introduction:The diagnosis of pains and masses of the right iliac fossa (RIF) represents a real diagnostic challenge for clinicians, particularly in the elderly, mainly because of the important clinical polymorphism at this age, and anatomical changes caused by senescence.We are reporting an original observation of an unexpected diagnosis of a RIF mass in the elderly.Case report: A 87-year-old Tunisian woman, without pathological medical history, was hospitalized in our department for exploration of a painful RIF mass evolving for two weeks. The somatic examination found a mass of the right iliac fossa, of hard consistency, tense, fixed in the deep plane, without fever or deterioration of the general state, or local cutaneous signs. The biology showed leukocytosis at 12 800/mm3 with 75% neutrophils, high erythrocyte sedimentation rate at 83mm/H1, and C-reactive protein at 22mg/l. Abdominal ultrasound and CT concluded at acute cholecystitis (AC). Surgery confirmed the diagnosis of acute gangrenous cholecystitis with significant dilatation of gallbladder that was prolapsed in the RIF. Conclusion:As rare as it is, AC as possible etiology of RIF mass in elderly must be known to avoid diagnosis delay and improve the prognosis. To the best of our knowledge such a presentation was reported only once previously.

No abstract

No abstract

No abstract

Retinitis pigmentosa (RP) or hereditary retinal dystrophy is a rare disease that can be isolated (non-syndromic RP) or associated with other systemic signs (syndromic RP). Kidney damage is exceptionally reported in patients with RP, particularly in syndromic forms. Association with renal amyloidosis remains unusual with only one reported case of RP and hereditary gelsolin amyloidosis due to a G654A gelsolin mutation defining the new syndrome of Ardalan-Shoja-Kiuru. Apart from this publication, no case associating RP and AL amyloidosis has been found. We report an original case of renal damage revealing kappa-type systemic light chains amyloidosis (AL amyloidosis) in 35-year-old man with sporadic RP. Our observation is, to our knowledge, the first to report this association.

Introduction: Cerebral vein thrombosis (CVT) remains exceptional in inflammatory bowel disease (IBD), and cerebral venous sinus involvement in these diseases is qualified as "uncommon". They typically occur in patients with known and treated IBD but may exceptionally be the first manifestation of the disease. We report an original case of CVT of the right lateral sinus revealing CD.Case report: A 28-year-old woman with no significant pathological history was referred to our department for treatment and etiological assessment of isolated CVT of the right lateral sinus.The somatic examination was without abnormalities. The basic bioassays showed a marked biological inflammatory syndrome. Screening for constitutional and acquired thrombophilias, autoimmune diseases, cancers, and hematological malignancies was negative. Colonoscopy revealed terminal ileitis with multiple aphthous ulcers. Histopathological examination of the ileal biopsies concluded to CD.The patient was treated with systemic corticosteroids, mesalamine, and effective anticoagulation with favorable outcome. Cerebral MRI as well as colonoscopy at six months were without abnormalities, and no thrombotic recurrence has been noted for two years. Conclusion:As rare as it is, this unusual complication of CD deserves to be known by all health practitioners to avoid diagnostic delays and improve the prognosis that is likely to be fatal.

Connective Tissue Disease (CTD) is a heterogeneous group of chronic inflammatory conditions characterized by involvement of conjunctive tissue and a common autoimmune signature. These diseases include systemic lupus erythematosus, polymyositis, dermatomyositis, systemic sclerosis, Sjogren's syndrome, mixed CTDs, and undifferentiated CTDs. Cutaneous, articular, muscular, pulmonary and cardiovascular manifestations are among the most frequent during these diseases and often lead to a functional and physical disability that sometimes severely affects the quality of life of these patients. Rehabilitation and physical therapy play a crucial role in the management of patients with CTDs but despite their proven benefits, they are often neglected and represent a challenge for clinicians. This overview focuses on the rehabilitation of cutaneous, musculoskeletal and cardio-pulmonary involvement of CTDs.