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Uhoda R.,Service de Rhumatologie et Medecine Physique | Heuschling A.,Service de Rhumatologie et Medecine Physique | Sattari A.,Service de dImagerie Medicale | Hastir D.,Service de dAnatomie Pathologique | And 3 more authors.
Revue Medicale de Bruxelles

Diabetic muscle infarction is a rare and often unrecognized complication of diabetes. It typically occurs in patients with poorly controlled and multi-complicated diabetes. Typical clinical presentation is an indurate muscle pain, mainly localized in the lower limb with an acute onset. In most cases, diabetes myonecrosis is focal and sometimes can be recurrent. Diagnosis is clinical but can used magnetic resonance imaging (MRI). Muscle biopsy is sometimes necessary in cases of doubt or to confirm the imaging diagnosis. Elevation of muscle enzymes (CPK) is present in half of cases. Management is conservative and the clinical and imaging evolution is usually favourable. We report the case of a patient presenting a subacute hyperalgesic lomboradiculopathy. Source

Yameogo N.V.,Service de cardiologie | Kagambega L.J.,Service de cardiologie | Benon L.E.,Service de cardiologie | Diallo O.,Service de dImagerie Medicale | And 7 more authors.

Introduction: Acute aortic syndromes (AAS) formed by the aortic dissections, penetrating ulcer and hematoma of the aorta represent a medical and surgical emergency by rapidly life-threatening. The objective of this study was to describe epidemiological, diagnostic and therapeutic aspects and the evolution of acute aortic syndromes in Yalgado Ouedraogo university hospital. Patients and methods: From 1 January 2009 to 31 july 2014, we consecutively included all patients received in the cardiology department of the University Hospital Yalgado Ouedraogo and in whom the diagnosis of AAS was confirmed. We conducted a clinical examination for risk factors and paraclinical including ECG, transthoracic and transesophageal cardiac echocardiography and thoracic computed tomography and sometimes abdominal. Results: Seventeen cases of acute aortic syndrome were recorded with 13 men. The average age of patients was 55.9 ± 7.2 years [25 and 71years]. Contributing factors were mainly hypertension (100%) and smoking (41,2%). The symptom was chest pain in 14 cases. The transthoracic echocardiography revealed aortic regurgitation in all patients, impaired systolic function of the left ventricle in four (4) cases, dilatation of the ascending aorta in eight cases and the presence of an intimai flap in seven cases. The transesophageal echocardiography performed in five patients highlighted an intimai flap in all cases that sat at the ascending aorta. Thoracic angiography scan confirmed aortic dissection in 16 cases and one case of intramural hematoma type A. The dissection was type A in 15 patients. All patients received medical care immediately. Two patients had received surgical treatment consisting of Tyron David technique for one patient and aortic endoprsothesis in one case. The evolution was marked by cardiovascular collapse and death in two cases respectively. Conclusion: AAS are relatively common. They are dominated by the aortic dissection which type A is the most common. Pending the effectiveness of cardiovascular surgery in our country, the treatment comes down to medical treatment. Source

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