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Introduction: Blount disease is an asymmetrical disorder of proximal tibial growth that produces a three-dimensional deformity. Tibia vara is the main component of the deformity. There is general agreement that two clinical forms should... more
Introduction: Blount disease is an asymmetrical disorder of proximal tibial growth that produces a three-dimensional deformity. Tibia vara is the main component of the deformity. There is general agreement that two clinical forms should be distinguished based on age, infantile and adolescent, with 10 years as the cut-off. Case: We present a case of 11 year old girl admitted to our radiology department with chronic bilateral gonalgia and genu varum evoluting for a year. The clinical examination reveals bilateral varus deformity of the proximal tibia, a palpable prominence or “beaking” of the proximal medial tibial epiphysis and metaphysic. The diagnosis of blount disease has been confirmed on standard radiography. Conclusion: Blount's disease remains a rare disease whose etiology is still unknown, seems to involve hereditary and environmental factors explaining its very particular distribution. Radiological investigations are helpful to the diagnosis by showing medial varus malal...
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Popliteal pterygium refers to the presence of an abnormal triangular fold of connective tissue occuring in the knee extending from the ischium to the os calcis. The popliteal artery and peroneal nerve are abnormally located within or... more
Popliteal pterygium refers to the presence of an abnormal triangular fold of connective tissue occuring in the knee extending from the ischium to the os calcis. The popliteal artery and peroneal nerve are abnormally located within or adjacent to the pterygium. Since their preservation is important, knowledge of their exact location before surgery is essential. Hence, the role of preoperative imaging. We present here the radiologic features of a popliteal pterygium and the position of neurovascular structures in 18 months-old boy referred to radiology department for presurgical delineation. MRI is the imaging test of choice for the presurgical delineation in children who are candidate to surgical correction of contractures of popliteal pterygium. It may depict the popliteal artery and posterior tibial and peroneal nerves either in the normal position or abnormally located to the pterygium.
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Poster: "ECR 2018 / C-0776 / Imaging in pediatric orbital rhabdomyosarcoma" by: "D. BASRAOUI1, F. JAAFARI2, H. Jalal1; 1Marrakesh/MA, 2MARRAKECH/MA"
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<strong>Alveolar soft part sarcoma is a rare soft tissue sarcoma with a predilection for adolescents and young adults that tends to occur in the extremities. It is a well-differentiated and chemo-resistant solid tumor. Lingual... more
<strong>Alveolar soft part sarcoma is a rare soft tissue sarcoma with a predilection for adolescents and young adults that tends to occur in the extremities. It is a well-differentiated and chemo-resistant solid tumor. Lingual alveolar sarcoma can occur at an early age and appears, in this case, to be chemo-sensitive. We report the case of a child with an ASPS of the tongue and the mouth floor with lung metastasis, never yet published in Morocco, and a review of the literature. Alveolar soft part sarcoma of the tongue and the mouth floor was diagnosed in a 13-year-old boy. He had a painful, occasionally bleeding, medio-lingual swelling, spanning the mouth floor and the pharynx, in progression for a year, complicated with dysphagia and dyspnea requiring emergency tracheotomy. He underwent a surgical excision of the mass, and then was treated by chemotherapy. The child died from hemorrhagic shock and worsening of the respiratory distress. ASPS should be included in the differential diagnosis of head and neck masses in children since early detection and treatment are essential. In particular, lingual alveolar sarcoma diagnosed at an early age seems to be chemo-sensitive.</strong>
Plexiform neurofibroma is a rare benign tumor of the peripheral nerves at the expense of perineural connective cells. It is pathognomonic of neurofibromatosis type 1 (NF1 or Von Recklinghausen disease). MRI is of great help in the... more
Plexiform neurofibroma is a rare benign tumor of the peripheral nerves at the expense of perineural connective cells. It is pathognomonic of neurofibromatosis type 1 (NF1 or Von Recklinghausen disease). MRI is of great help in the diagnosis of this pathology. Anatomopathological confirmation is sometimes necessary, especially in the absence of a context suggestive of NF1. We report the observation of an oung boy with a cervical plexiform neurofibroma revealing a neurofibromatosis Type 1
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Research Interests: Medicine and Tuberculosis
Research Interests: Medicine and Meningioma
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Research Interests: Metastasis and Medicine
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Chronic Granulomatous Disease (CGD) is a rare immunodeficiency disease described as a lack of destruction of bacteria and fungi phagocytes by neutrophils and macrophages, it is related to an abnormality of NADPH oxidase, a free radical... more
Chronic Granulomatous Disease (CGD) is a rare immunodeficiency disease described as a lack of destruction of bacteria and fungi phagocytes by neutrophils and macrophages, it is related to an abnormality of NADPH oxidase, a free radical producer of oxygen. The most common aspect of CGD at the age of one year, is an infection of the skin or bone by two bacteria called staphylococcus aureus and serratia marcescens. In this article, the authors report a case of CGD revealed by multiple cystic and pseudo-tumoral liver lesions discovered during prolonged fever.
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Sternal clefts are rare malformations, especially in their complete form, which results from a lack of fusion of the sternal bars, which is normally done at the 9th week of intra uterine life. The incomplete form is often associated with... more
Sternal clefts are rare malformations, especially in their complete form, which results from a lack of fusion of the sternal bars, which is normally done at the 9th week of intra uterine life. The incomplete form is often associated with other malformations of the chest wall, or falling within the framework of a polymalformative syndrome, the diagnosis is easy, being done with the inspection and the palpation, the paraclinical examinations are useful for confirming the diagnosis. We report the case of a total congenital sternal cleft isolated in an asymptomatic 20-day-old newborn. Thoracic CT, with threedimensional reconstructions, without injection of the contrast product confirmed the diagnosis, showing the presence of two hemistonids hypoplastic. The aim of our work is to draw attention to this pathology from birth because surgery must be undertaken during the first weeks of life to protect the heart and large vessels from any trauma, to improve respiratory dynamics and for aesth...
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Research Interests: Radiology, Medicine, Humans, Portal hypertension, Female, and 6 moreEtiology, Aged, Calcinosis, Aneurysm, Asymptomatic, and Portal vein
RésuméLe sarcome d’Ewing du calcanéus est rare. Depuis sa première description en 1921, seulement une dizaine de cas ont été rapportés dans la littérature. Nous rapportons un cas de sarcome d’Ewing du calcanéus droit, diagnostiqué à... more
RésuméLe sarcome d’Ewing du calcanéus est rare. Depuis sa première description en 1921, seulement une dizaine de cas ont été rapportés dans la littérature. Nous rapportons un cas de sarcome d’Ewing du calcanéus droit, diagnostiqué à l’occasion d’une tuméfaction globale du talon, évoluant depuis une année. La radiographie standard montrait une ostéocondensation du calcanéus. La tomodensitométrie (TDM) et l’imagerie par résonance magnétique (IRM) ont permis de mettre en évidence la masse tumorale, l’envahissement des parties molles et des skip métastases au niveau du talus. La confirmation histologique a été faite après biopsie. Malgré l’amputation et la chimiothérapie postopératoire, le décès est survenu six mois plus tard dans un tableau de détresse respiratoire par métastase pulmonaire.AbstractEwing’s sarcoma of the calcaneus is rare. This tumor was first described in 1921, since when only a few cases with calcaneus involvement have been reported. We report a case of Ewing’s sarcoma of the right calcaneus, diagnosed in connection with a swelling of the calcaneus, which had been developing for a year. The standard X-ray showed significant osteocondensation of the calcaneus. CT and RMN showed the tumor of the calcaneus, its extension into soft tissue and skip metastasis of the talus. Histological confirmation was made by biopsy. Despite amputation and postoperative chemotherapy, death occurred six months later from respiratory distress caused by lung metastasis.
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Intracystic papillary carcinoma is a rare malignant tumor of the breast. It occurs communally in postmenopausal women. Clinically it can be asymptomatic or manifested by a breast mass or a nipple discharge. On imaging intracystic... more
Intracystic papillary carcinoma is a rare malignant tumor of the breast. It occurs communally in postmenopausal women. Clinically it can be asymptomatic or manifested by a breast mass or a nipple discharge. On imaging intracystic papillary carcinoma has usually benign features. Pathologic diagnosis can be difficult at classical histological examination and identification of myoepithelial cells layer by immunohistochemical study can be useful. In the majority of cases of pure intracystic papillary carcinoma, conservative management is possible. Adjuvant therapy is still controversial and prognosis is excellent. We report three cases of intracystic papillary carcinoma diagnosed on immunohistochemical examination and managed with conservative surgery.
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Summary We conducted a study of the prevalence, clinical features and microscopy findings, by retrospective case-notes survey, of six non-viral organisms, among 1718 attendees at a genitourinary (GU) medicine clinic in England. An... more
Summary We conducted a study of the prevalence, clinical features and microscopy findings, by retrospective case-notes survey, of six non-viral organisms, among 1718 attendees at a genitourinary (GU) medicine clinic in England. An in-house assay for six non-viral infections was used and quantitation of ureaplasmas performed. The prevalences of the six organisms were: Chlamydia trachomatis (CT), 7.1%; Neisseria gonorrhoeae (NG), 0.6%; Mycoplasma genitalium (MG), 1.0%; Trichomonas vaginalis, 0.2%; Ureaplasma urealyticum, 16.1%; Ureaplasma parvum, 35.6%. Among men (but not women) there were significantly raised odds ratios compared with that for U. parvum, for the symptom of discharge with CT, 7.30; MG, 6.43; NG 19.29; dysuria with CT, 5.89 and MG, 5.95; and the microscopy finding of >4 pus cells per high power field with: CT, 7.22; MG, 4.58 and NG 22.31. Evaluation of a possible link between quantitation of U. urealyticum and urethritis did not confirm research findings elsewhere.