Whipple’s disease (WD) is a rare systemic caused by gram-positive bacillus bacteria that invades multiple organs mainly the intestinal epithelium. Its manifestation not only limited to gastrointestinal tract but it also affects joints, muscle and skin. This case of 54-year-old male patient with medical history chronic arthritis presenting bilateral progressive calves pain, anterior tibial hyper...

 Background: Osteopoikilosis (OPK) is a rare inherited condition of the bones, transmitted as an autosomal dominant trait characterized by numerous hyperostotic areas that tend to localize in periarticular osseous regions. It is usually asymptomatic and is often diagnosed incidentally during x-rays made by other reasons. We present a case of 34-year-old man suffering from polyarthralgia an...

Chikungunya (CKG) is an arthritogenic mosquito-transmitted alphavirus that manifests itself as a febrile illness and often progresses to severe and incapacitating polyarthralgia (1). Several reports have demonstrated persistent polyarthritis akin to seronegative peripheral arthropathy (2). However, to our knowledge, imaging-confirmed axial disease has not been described in this context. We repo...

Acne fulminans or acne malignant is a rare skin pathology that presents in the form of painful, ulcerative, disfiguring acne, usually accompanied by systemic symptoms such as fever polyarthralgia. Arriving even serious cases to cause bone injuries and alterations laboratory tests. This condition resistant antibiotics administered, which why it so important have multidisciplinary team coordinati...

We report three cases of previous smokers who did not respond to TNF inhibitors but who responded successfully to an anti-interleukin-6 receptor antibody (tocilizumab (TCZ)). Case 1 is a 63-year-old woman whose smoking index was 200 and had been complaining of polyarthralgia since 1996. She started treatment with etanercept due to high disease activity, but her DAS28-CRP was 4.2. She was theref...

INTRODUCTION Tropheryma whipplei infection should be considered in patients with suspected infective endocarditis with negative blood cultures. The case (i) shows how previous symptoms can contribute to the diagnosis of this illness, and (ii) elucidates current recommended diagnostic and therapeutic approaches to Whipple's disease. CASE PRESENTATION A 71-year-old Swiss man with a past history...

background: osteopoikilosis (opk) is a rare inherited condition of the bones, transmitted as an autosomal dominant trait characterized by numerous hyperostotic areas that tend to localize in periarticular osseous regions. it is usually asymptomatic and is often diagnosed incidentally during x-rays made by other reasons. we present a case of 34-year-old man suffering from polyarthralgia and low ...

BACKGROUND Chikungunya is an endemo-epidemic infection, which is still considered as an emerging public health problem. The aim of this study was to evaluate in a 65+ population, the accuracy of two chikungunya screening scores that were developed in younger people. METHODS It was performed in the Martinique University Hospitals from retrospective cases. Patients were 65+, admitted to acute c...