The spectrum of disease caused by parvovirus B19 infection ranges from asymptomatic to a serious disease. Parvovirus B19 plays a role in the pathomechanism of gloves and socks syndrome, erythema infectiosum, acute polyarthralgia, aplastic crisis in persons with hemolytic anemia, and birth defects. Gloves and socks syndrome has an acute febrile course. Painful edema of hands and feet, and numero...

From March 2005 to June 2006, Réunion Island, a French overseas territory in the Indian Ocean, faced an explosive chikungunya outbreak (a mosquito-borne disease caused by an alphavirus of the Togaviridae family). It was estimated that about 300,000 people were affected by the disease [1]. Many patients experienced related chikungunya disease symptoms (fever, polyarthralgia, skin rashes, diarrho...

Whipple's disease is a rare disease caused by the actinomycete bacteria Tropheryma whipplei, which cause intestinal infection. The most common symptoms are chronic diarrhoea, weight loss, abdominal pain, arthritis and neurological abnormalities, which can be fatal. This paper reports a case of a 57-year-old Brazilian woman with diarrhoea, vomiting, abdominal pain, appetite loss, intermittent fe...

BACKGROUND Minocycline has increasingly been associated with different adverse auto-immune reactions including drug-induced lupus. OBJECTIVE To identify the scope of minocycline-induced lupus and to characterise its typical features. METHODS Comprehensive Medline and Embase search of the English and non-English literature for case reports of minocycline-induced lupus. RESULTS We included ...

Septic arthritis is an uncommon condition with an incidence of 2-3/100,000. It is clinically notable, however, as it is a rapidly destructive joint disease with significant associated morbidity and mortality. Polyarticular septic arthritis has an estimated incidence of 15% of all cases of infectious arthritis. We report a case of polyarticular septic arthritis with involvement of bilateral shou...

On hospitalization, the clinical examination of a 64-year-old female with polyarthralgia and an elevated fever revealed leukocytosis, an increased lactic acid dehydrogenase level, and a positivity for the C-reactive protein. Subsequently, the patient developed muscular pain in the lower limbs. Thus, a muscle biopsy was performed and B-cells with atypia were detected in the arteriolar lumen with...

Pouchitis is common in ulcerative colitis patients undergoing total proctocolectomy with ileal pouch-anal anastomosis, and chronic antibiotic-refractory pouchitis occurs in a subgroup of the patients. Auto-inflammatory diseases are characterized by systemic inflammation, manifesting as periodic fever, rash, arthritis, and serositis. We describe two cases with ulcerative colitis and an ileal pou...

Postoperative arthropathy has been reported in patients undergoing jejunoileal bypass for morbid obesity. The true frequency of this complication, and its independence from preexisting joint disease and from osteomalacia have not been clearly established. Of 107 patients who had undergone jejunoileal bypass, and in whom osteomalacia had been excluded, 38 developed a distinctive arthropathy. Thi...

Background The relevance of early diagnosis in rheumatic inflammatory diseases is well known. Electronic consultation (e-Consults) a tool for communication between primary health care (PHC) and hospital (HC) physicians order to present the cases patients. It has proven resolve without on-site consultations facilitate quick access conventional consultations. Objectives To evaluate whether e-Cons...

TOPIC: Pulmonary Manifestations of Systemic Disease TYPE: Medical Student/Resident Case Reports INTRODUCTION: Levamisole is a contaminant present in street cocaine. It has been associated with number clinical side effects, including vasculitis. We case patient acute pulmonary, cutaneous and Musculoskeletal symptoms following cocaine use who was found to have an overlap features Granulomatosis P...