No abstract

Thevenard's disease is a rare familial ulceromutilative acropathy, responsible for sensory peripheral neuropathy associated with dysautonomous syndrome. The delay in diagnosis and major comorbidities make this condition disabling. We report here a case of 3 sisters, with a history of parental consanguinity, received in Orthopedic and Traumatology Department for the management of a sensitive polyneuropathy, associated with pressure ulcers and ulcers arthropathies of the feet. Functionally, walking was possible without dodging lameness. The electromyogram was in favor of a sensory polyneuropathy of the four limbs. An artisan shoe footfeeding shoe has been proposed, in the face of delayed healing of the wound, associated with local care and sensorimotor rehabilitation. Thévenard's Disease is a rare nosological entity that requires multidisciplinary management.

Chase’s intervention expands the treatment objectives by indexing the middle finger, which will ensure the pollicidigital grip, retain strength and respect the aesthetic appearance of the hand. It is a frequently performed surgical intervention, which gives very good results for the patients concerned. This study relates our experience in the Traumatology and Orthopedics Department of the University Hospital Center Ibn Sina in Rabat in the treatment of refractory suppuration of the index finger.

Acute oxalate nephropathy, caused by either primary or secondary hyperoxaluria, is characterized by the presence of tubulointerstitial deposits of oxalate, accompanied by an interstitial inflammatory reaction. We report the case of a type 2 diabetic patient who developed terminal chronic renal failure on acute oxalate nephropathy. The patient was seen in the Emergencies Department with a loss of cutaneous substance at the level of the wrist with a whitish suppurative deposit. The radiological assessment showed various joint opacities at the level of the wrist, the metacarpophalangeal and interphalangeal joints. A non-regressive ARF (particularly in a diabetic patient) should lead to a search for exocrine pancreatic insufficiency with secondary hyperoxaluria. A kidney biopsy should be performed quickly to support this diagnostic suspicion.