Le vitiligo est un trouble commun et acquis de la pigmentation cutanée caractérisé par une perte sélective et souvent continue de mélanocytes épidermiques. Nous rapportons le cas d'une patiente ayant développé un vitiligo de la face suite à des injections de plasma riche en plaquettes. Le diagnostic de phénomène de Koebner a été retenu pour expliquer la survenue de vitiligo sur les zones mêmes d'injection de plasma riche en plaquettes.

L’éléphantiasis scrotal se définit comme étant une augmentation du volume scrotal qui peut atteindre une taille très importante; il s’agit du patient O.H âgé de 70 ans, marié et père de 4 enfants, originaire et résident à Agadir (sud du Maroc), agriculteur de profession. Le début de la symptomatologie remonte à 7 ans par l’installation de l’œdème scrotal puis des deux pieds et jambes augmentant progressivement de volume. L’examen local mettait en évidence un éléphantiasis scrotal de 80cm de circonférence et des deux jambes et pieds. Une imagerie à résonnance magnétique (IRM) pelvienne a été demandée dans le cadre du bilan d’exploration locorégionale. Le patient a été programmé pour un geste d’exérèse scrotale en mono- bloc sous rachis anesthésie avec libération des deux testicules couvertes directement par la peau restante et de la verge qui a été couverte par greffe de peau mince. Le but du traitement est assurer la fonction et prendre en charge les préjudices esthétiques. Le traitement conservateur consistant à la dérivation lymphatique vers le réseau veineux ou à la dilatation des vaisseaux lymphatiques a été abandonné. On se base pour la prise en charge sur la chirurgie qui peut être abstenu en cas de contre indication absolue au geste chirurgical.

Alopecia is defined as a congenital or temporary absence of hair or even as total or partial hair loss. Clinical manifestation is more marked on the scalp and it is more common in men than in women. Nevertheless, a set of extrinsic factors may be responsible for scarring alopecia of the scalp, including tumors, infections or even loss of substance secondary to thermal burns. On the basis of these illustrations, we here report three cases of patients with scarring alopecia of the scalp secondary to so-called “atypical” causes. The first case (A) is that of a 6-year-old child presenting with alopecia on the right parietal scalp. In-depth interview with his mother allowed to discover the cause of the loss of substance: cutaneous necrosis following laborious delivery by vacuum extraction. The second illustration (B) shows the case of a 40-year-old woman seen in consultation for cutaneous necrosis of the occipital scalp secondary to chemical burn. The patient reported the application of a chemical product in order to fix hairstyle. Finally, the third case (C) is that of a 27-year old patient followed-up for bilateral frontoparietal alopecia secondary to the application of poisonous plant having, according to her beliefs, nourishing virtues for the hair.

Macrodactylia is a rare congenital malformation of unknown origin that can affect the fingers or the toes. It is characterized by an increase in the size of all the elements of one or more rays, recognizable at birth or occurring in a progressive manner. Social, aesthetic as well as functional impact imposes early surgical management or even amputations in advanced forms. We report the case of a 18-year old unmarried, left handed patient without a profession, admitted to the Department of Burns, Plastic and Aesthetic Surgery at the University Hospital Mohammed VI in Marrakech, with progressive acrodactylia involving the first and the second ray of the right hand. Clinical examination showed hypertrophy of the first two rays of the right hand associated with predominant fibro-fatty infiltration of the palmar as well as phalanx deviation 90 degrees at the level of the second finger. Given the severity of the macrodactylia, amputation of the second ray associated with reduction of the fatty infiltration of the palmar was proposed to the patient, allowing him to maintain pollici-digital pinch and to return to a social life as close as possible to normal life.

Malignant lymphomas are a group of cancers that arise in the lymphoid tissue, in the lymph nodes or in extranodal sites due to neoplastic lymphocytic cell transformation. Within this group, malignant non-Hodgkin lymphomas are distinctive. We report a case of diffuse advanced and extremely aggressive malignant cutaneous non-Hodgkin lymphoma. The study involved a 30-year old patient, driver, married and father of one child, followed-up in the Department of Hematology and Oncology for 2 years due to malignant non-Hodgkin lymphoma diagnosed on the basis of axillary and inguinal polyadenopathies. The patient underwent 13 chemotherapy sessions. He was admitted to the Department of Plastic, Cosmetic and Burn Surgery at the University Hospital Mohammed VI in Marrakech with skin involvement of his lymphoma manifesting as an advanced left latero-thoracic tumor rapidly increasing in size. On clinical examination, his general condition was quite good. It showed voluminous left latero-thoracic mass adherent to its deeper structure with ipsilateral axillary shield. Partial biopsy was performed. Anatomo-pathological examination confirmed the diagnosis of diffuse malignant large B-cells non-Hodgkin’s lymphoma. Immunohistochemical and genetic study was not performed. Serology tests were negative. Serial Computed Tomography (CT) scan showed voluminous left antero-lateral predominantly axillary and thoracic ganglionic mass made of confluent lymph nodes, with persistence of peripheral lymph nodes, skin ulcers and necrotic areas measuring 30cm in diameter. In our Hospital, the patient underwent wide tumor resection, then coverage with a split-thickness skin, thus reducing tumor volume and ensuring better patient’s comfort. When the patient started healing, he was referred to the Department of Hematology and Oncology for complementary treatment.