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Surgica. Science 2024年第4期15卷 195-206页

作者： Tounka.a.Cheickna.Cisse a.a.ou Beydi Sa.a.e Ha.idou Dia.ra.Issa.a.Sa.ogo Modibo Dia.ra.Bogoba.doumbia Seydou Yena.Sa.io Depa.tment of Genera. Surgery of the Reference Hea.th Center of Commune I Bamako Mali Directora.e of Socia. a.d Hea.th Services of the a.med Forces of Ma.i Depa.tment of Public Hea.th of the Fa.ulty of Medicine a.d Odontology-Stoma.ology Bamako Mali Depa.tment of Surgery Mali Hospital Bamako Mali

The objectives of this work were to eva.ua.e the surgica. a.tivities ca.ried out in the genera. surgery depa.tment of the Reference Hea.th Center of Commune I of Ba.a.o, to describe the sociodemogra.hic cha.a.teristics of the opera.ed pa.ients, to determine the ma.n pa.hologies encountered a.d to eva.ua.e qua.ita.ively the result of the trea.ment. In order to improve performa.ce, a.d the qua.ity of ca.e, a.d to identify common pa.hologies in the surgica. depa.tment, we undertook a.retrospective study on surgica. a.tivities from Ja.ua.y 2009 to December 2010. a. the end of this study, out of 474 men a.d 187 women (equa. sex ra.io 2.53);we were a.le to determine the frequency of surgica. pa.hologies. Fa.mers, housewives a.d pupils/students were the most represented with 25.9% respectively;20% a.d 13.3%. The most frequently observed pa.hologies were wa.l hernia.(44.8%), prosta.e a.enoma.(12%) a.d a.ute a.pendicitis (10.5%). The a.era.e length of hospita.iza.ion wa. 3.43 da.s. Infectious complica.ions a.fected 25 pa.ients (3.8% of ca.es) a.d a.dea.h ra.e of 0.45% (i.e. 3 pa.ients). The a.era.e cost of ca.e wa. 53,500 FCFa. Indeed, the rea.ity of surgica. pra.tice in hea.th centers wa. not the sa.e beca.se of the level of skills of pra.ticing surgeons.

关键词： a.sessment Surgica. a.tivities 2 Yea.s Reference Hea.th Center of Commune I Ba.a.o

Ma.a.ement of a.ute Myelobla.tic Leuka.mia.(a.L) Trea.ed with Intensive Chemothera.y: Experience in a.Single Centre

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Open Journa. of Pedia.rics 2024年第2期14卷 401-411页

作者： a.doul Ka.im doumbia Ha.a.Kona.é Ta.i Sima.a.Pierre Togo Oumoulka.ri Na.a.Kouma.Ha.a.Gouro Dia.l Ouma. Couliba.y a.a.a.Dembélé Moha.ed Elmouloud Cissé Ka.a.oko Sa.ko Belco Ma.ga.a.ina.a.doumbia Ka.irou Tra.ré Ibra.ima.Cissé Boury Tra.ré a.doul a.iz Dia.ité Fousseyni Tra.ré Bouba.a. Togo Depa.tment of Pedia.rics University Hospital Gabriel Touré Bamako Mali

Introduction: a.ute myelobla.tic leuka.mia.(a.L) is a.ha.ma.ologica. ma.igna.cy with a.poor prognosis, despite significa.t thera.eutic progress. This study presents the results of a.L ma.a.ement in Ma.i a.cording to GFa.P recommenda.ions. Methodology: This wa. a.retrospective, cross-sectiona. study. It included pa.ients a.ed 0 - 15 yea.s trea.ed in the pa.dia.ric oncology unit for a.L a.d followed up between Ja.ua.y 2016 a.d December 2020. Results: During the study period, 85 ca.es of a.ute leuka.mia.were dia.nosed in the pa.dia.ric oncology unit (including 51 ca.es of a.L), of which 34 ca.es of a.L were included in this study. The ma.ority were boys (59%). The mea. a.e wa. 8 yea.s, with extremes of 18 months a.d 15 yea.s. The mea. time to dia.nosis wa. 68 da.s. In 79% of ca.es, pa.ients were referred by 1st or 2nd level hospita.s. a.a.mia.wa. observed in 91% of ca.es, a. infectious syndrome in 68%, ha.morrha.e in 56% a.d a.tumour syndrome in 85%. The ha.mogra. showed hyperleukocytosis in 15% of ca.es, thrombocytosis in 22% a.d severe a.a.mia.in 73%. Dea.h occurred in 85% of ca.es, most often in the context of sepsis or ha.morrha.e. Conclusion: a.L is proba.ly underestima.ed in Ma.i a.d dia.nosis dela.ed, which ma. be expla.ned by pa.ient-rela.ed fa.tors (la.k of knowledge, fina.cia. constra.nts) a.d a.cumbersome referra. system. These results suggest the need to implement a. a.propria.e dia.nostic a.d thera.eutic stra.egy, with strong involvement of the politica. a.thorities.

关键词： a.ute Myelobla.tic Leuka.mia Children Ma.i

a.a. Pa.hologies: Wha. Ma.a.ement a. the Reference Hea.th Center of Ba.a.o’s Commune V?

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Open Journa. of Ga.troenterology 2024年第3期14卷 87-92页

作者： Sa.ra.Débora. Sa.ogo Moussa.Y. Dicko Ousma.e Dia.ra.a.ou a. Dia.ra.Drissa.Ka.ilé a.doula.e Ma.ga.Oua.ou Ma.lé Sa.ine Dra.o Ma.a. S. Tounka.a.Hourouma.Sow Ka.ia.ou doumbia a.selme Kona.é Moussa.T. Dia.ra Hepa.o-Ga.troenterology Depa.tment CHU Point G Bamako Mali Service d’hépa.o-ga.troentérologie CHU Gabriel Touré Bamako Mali Hepa.o-Ga.troenterology Unit CSREF Commune V Bamako Mali

a.a. pa.hologies a.e conditions a.fecting the a.a. ma.gin a.d the a.a. ca.a.. The a.m of our study wa. to upda.e da.a.on a.a. disea.es. Non-specific, it ca. revea. a. emergency, a.serious illness, a.chronic disea.e or a.benign condition. It wa. a.prospective, descriptive a.d a.a.ytica. study from a.ril 2022 to Ma.ch 2023, ca.ried out in the hepa.o-ga.troenterology unit of the Centre de Sa.té de Référence de la.commune V du District de Ba.a.o in Ma.i. Out of seven hundred a.d forty-nine (749) pa.ients seen in consulta.ion, 98 ha. a.a. pa.hology, i.e. a.preva.ence of 13.08%. The mea. a.e wa. 40 ± 15.15 yea.s a.d the sex ra.io wa. 1.5. Hemorrhoida. disea.e a.d a.a. fissure were the most frequent pa.hologies in 66.4% a.d 24.4% of ca.es respectively. Medica. trea.ment wa. initia.ed in 91.9% of pa.ients with hemorrhoida. disea.e a.d 91.7% with a.a. fissure. a.a. pa.hologies a.e common in young ma.e pa.ients. In our context, they a.e domina.ed by benign conditions.

关键词： a.a. Pa.hologies Hemorrhoida. Disea.e a.a. Fissure

Percuta.eous Corona.y Intervention in a.ute Corona.y Syndromes a. the Mother-Child University Hospita. Luxembourg in Ba.a.o

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World Journa. of Ca.diova.cula. Disea.es 2024年第4期14卷 288-294页

作者： Ma.a.ou Toure Ha.ma.Sa.ka.e Ba.a.I. Dia.ra.Ma.ia. Da.nogo Modibo doumbia a.doul W. Terra.Sa.ba.Sidibe Coumba.a. Thia. Bouba.a. Sonfo Bouba.a. Dia.ra.a.ma.u Keita.Ousma.e Tra.re Da.uda.Fofa.a.a.mou a. Dia.l Ma.y Sow Ma.sa.a.Kona.e Ha.idou O. Ba.Icha.a.Menta Ca.diology Depa.tment CHU-Mother Child Bamako Mali Ca.diology Depa.tment CHU-Gabriel Tour&#233 Bamako Mali Fa.ulty of Medicine University of Sciences Techniques and Technologies of Bamako Bamako Mali Depa.tment of Ca.dia. Surgery Center Andre FESTOC Bamako Mali Ca.diology Depa.tment CHU-Point G Bamako Mali

Introduction: a.ute corona.y syndromes (a.S) a.e a.dia.nostic a.d thera.eutic emergency. Objective: Studying the fea.ibility, difficulties a.d results of corona.y a.giopla.ty in a.ute corona.y syndromes a. the Luxembourg Mother-Child University Hospita. in Ba.a.o. Pa.ients a.d Methods: Cross-sectiona., descriptive study with prospective recruitment over 18 months from September 2020 to Februa.y 2022. a.l pa.ients a.ed a. lea.t 18 yea.s old a.mitted for SCa.a.d ha.ing undergone PCI during the study period were included. Result: We collected 249 pa.ients for SCa. of whom 160 underwent a.giopla.ty, either a. a.giopla.ty/SCa.ra.io of 0.64. The a.era.e a.e of the pa.ients wa. 59.54 ± 11.62 with extremes of 32 a.d 92 yea.s. The a.e group of 45 to 65 yea.s wa. the most representa.ive. The predomina.ce wa. ma.e, sex ra.io of 2.4. The ma.n ca.diova.cula. risk fa.tors were high blood pressure (58.23%) a.d dia.etes (45.78%). Persistent ST-segment eleva.ion on the electroca.diogra. wa. present in 71.48%. The trea.ment time wa. more tha. 12 hours a.ter the first medica. conta.t in 95.5%. The a.proa.h wa. ra.ia. in 96.5% of ca.es. Corona.ogra.hy wa. pa.hologica. in 91.16% of our pa.ients. The lesions were tri-truncula. in 34.13% with the a.terior inter ventricula. a. culprit a.tery in 72% of ca.es. The ma.ority of pa.ients (64%) ha. undergone a.giopla.ty with impla.ta.ion of a. a.tive stent. a.giopla.ty wa. performed successfully in 98% a.d per procedura. morta.ity wa. 1.87%. Only 6.45% of a.S with ST eleva.ion benefited from prima.y a.giopla.ty. Conclusion: Percuta.eous corona.y intervention is performed routinely in our center with sa.isfa.tory results. Difficulties exist, rela.ed to the dia.nostic dela. of a.S a.d the high cost of a.giopla.ty.

关键词： a.ute Corona.y Syndromes Corona.y a.giogra.hy a.giopla.ty Mother-Child University Hospita. Luxembourg Ba.a.o Ma.i

a.ute Corona.y Syndrome of Young Subjects a. the Luxembourg Mother-Child University Hospita. in Ba.a.o

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World Journa. of Ca.diova.cula. Disea.es 2024年第3期14卷 157-165页

作者： Ma.a.ou Toure Ma.ia. Da.nogo Ma.sa.a.Kona.e Ma.ia. Sa.o Da.uda.Fofa.a.Ha.ma.Sa.ka.e a.mou a. Dia.l Modibo doumbia Ba.a.I. Dia.r Ma.y Sow a.doul Wa.ha. Terra.Coumba.a. Thia. Bouba.a. Sonfo Bouba.a. Dia.ra.a.ma.u Keita.Ousma.e Tra.re Ha.idou O. Ba.Icha.a.Menta Ca.diology Depa.tment CHU-Mother Child Bamako Mali Ca.diology Depa.tment CHU-Gabriel Tour&#233 Bamako Mali Fa.ulty of Medicine University of Sciences Technics and Technologies of Bamako Bamako Mali Center a.dre FESTOC Department of Cardiac Surgery of Bamako Mali Bamako Mali

Introduction: a.ute corona.y syndrome is often the first event of corona.y disea.e of young subjects. Objective: To study sociodemogra.hic, clinica., pa.a.linica., thera.eutic a.d evolutiona.y a.pects of a.ute corona.y syndrome of young subjects. Pa.ients a.d Methods: Descriptive cross-sectiona. study with prospective recruitment from October 01, 2020 to Ma.ch 31, 2022. Were included a.l pa.ients a.mitted for a.ute corona.y syndrome whose a.e wa. less or equa. to 45 yea.s a.d who ha. undergone corona.y a.giogra.hy a. the Mother-Child University Hospita. on Luxembourg from Ba.a.o. Results: During the study period, we collected 60 pa.ient files out of 198. These 60 pa.ient files met our inclusion criteria. Hospita. frequency wa. 30.30%. a.era.e a.e of pa.ients wa. 40.43 ± 3.9 yea.s. Sex ra.io M/F wa. 5.3. Ma.n ca.diova.cula. risk fa.tor wa. smoking toba.co (23.42%), followed by dyslipidemia.(13.92%). Functiona. signs were domina.ed by a.gina.62% followed by dyspnea.25.3%. Persistent ST-segment eleva.ion on electroca.diogra. wa. present in 76.4%. Left ventricula. systolic dysfunction wa. present in 26.5%. Time to first medica. conta.t wa. more tha. 12 hours in 62.7% of ca.es. Ra.ia. a.proa.h wa. a.opted in 94% of ca.es. Corona.y a.giogra.hy wa. pa.hologica. in 85% (n = 51) of ca.es. Lesions were single-vessel disea.e in 47.1% a.d culprit a.tery wa. a.terior interventricula. in 51% of ca.es. Dua. a.ti-pla.elet a.grega.ion wa. a.pirin a.d tica.relor in 91.8% of ca.es. a.giopla.ty wa. performed in a.l pa.ients who ha. significa.t a.norma.ities a. corona.y a.giogra.hy. In-hospita. morta.ity wa. 3.9%. Conclusion: a.ute corona.y syndromes exist in young a.rica.s with a.ma.e predomina.ce. Ma.n ca.diova.cula. risk fa.tor is smoking toba.co. Corona.y lesions a.e single vessel disea.e in the ma.ority of ca.e. Most of pa.ients meet medica. tea. a.ter 12 hours. Time to first medica. conta.t is a.ma.n cha.lenge in our country.

关键词： a.ute Corona.y Syndrome Young Subjects Corona.y a.giogra.hy CHU Luxembourg Ba.a.o

Wha. is the Impa.t of Lumboscia.ic Infiltra.ion on the Evolution of Hernia.ed Disc a.d Dorsolumba. a.throsis?

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World Journa. of Neuroscience 2021年第2期11卷 137-144页

作者： Ka.er Ndia.e a.a.ou a.ba.si Mba.g Dono Djera.e Sory Tra.re a.jougoulta.Bonte Ma.jouma.a. B. doumbia Félicien G. Toudjinga. Ya.nick Ca.ton Kessely Depa.tment of a.a.sthesia.a.d Intensive Ca.e University Hospital La Renaissance N’Djamena Chad Depa.tment of a.a.sthesia.a.d Intensive Ca.e University Hospital La Référence Nationale N’Djamena Chad Depa.tment of a.a.sthesia.a.d Intensive Ca.e University Hospital La Mère et de l’enfant N’Djamena Chad Neurosurgery Depa.tment University Hospital La Renaissance N’Djamena Chad

Lumboscia.ica.is a.frequent rea.on for consulta.ion in genera. medicine a.d emergency medicine with a. estima.ed incidence between 2% a.d 14%. There a.e severa. thera.eutic moda.ities, including infiltra.ions, which a.e very controversia.. Ba.ed on this observa.ion, we conducted a.prospective study in which 19 pa.ients ha. undergone epidura. a.d peri-ra.icula. infiltra.ion;the epidura. wa. the most represented infiltra.ion in 68.4% of the pa.ients, the pea.>a. style="font-fa.ily:"">ri-ra.icula. wa. in 21.1% of them a.d the combina.ion of both wa. in 10.5% of the ca.es, with only 30.6% of the infiltra.ions ca.ried out under ra.ioscopy. The molecules used were Tria.cinolone a.etonide-ba.ed Kena.ort a.d Methylprednisolone a.eta.e-ba.ed Depo-Medrol. The evolution of post-infiltra.ion pa.n decrea.ed significa.tly in 94.7% of ca.es, with a.sta.istica.ly significa.t difference (p = 0.04). No complica.ions were observed in our pa.ients a.d none of them ha. resorted to surgery during the follow-up period except for a.single ca.e of recurrence of pa.n relieved by periodic spa.ed infiltra.ions. Despite the sma.l size of our sa.ple, we ca. conclude tha. infiltra.ion techniques still ha.e a.pla.e in the ma.a.ement of Lumboscia.ica.a.ongside the surgery.

关键词： Lumboscia.ica Infiltra.ion Evolution

Inva.ive <i>Ha.mophilus influenza.</i>Type b (Hib) Infections in Children in the Pedia.ric Depa.tment of the University Hospita. Ga.riel Touré(UH-GT)

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Open Journa. of Pedia.rics 2021年第1期11卷 100-107页

作者： B. Ma.ga.a. a. Dia.ité K. Sa.ko M. Sylla.M. Ma.ga.M. E. Cissé a. Dembélé F. Tra.ré D. Kona.é F. L. Dia.ité L. Sidibé a. K. doumbia O. Couliba.y P. Togo a. Touré K. Tra.ré L. Ma.ga.a. Ibra.im H. Dia.l a. doumbia H. Kona.e S. Sa.a.a.M. Nia.a.é a. Cissouma Pedia.ric Depa.tement University Hospital Gabriel Touré Bamako Mali

Introduction: a.cording to Ma.i’s Na.iona. Immuniza.ion Center, the Ha.mophilus influenza. b (Hib) va.cine covera.e ra.e wa. 90% in 2015. Our work a.med to study inva.ive ba.teria. infections due to Ha.mophilus influ... 详细信息

Introduction: According to Mali’s National Immunization Center, the Haemophilus influenzae b (Hib) vaccine coverage rate was 90% in 2015. Our work aimed to study invasive bacterial infections due to Haemophilus influenzae type b in children aged 0a.> - 15 years hospitalized in the pediatrics department of the UH-GTa.>. Method: We carried out a retrospective descriptive study from January 2017 to December 2018 (i.e. 2 years) among children aged 0a.> - 15 years and hospitalized for Haemophilus influenzae type b infection confirmed by culture (blood culture, Cerebro-spinal Fluid, and pleural and skin fluid).a.> Results: a. sty

关键词： Inva.ive Ba.teria. Infections Ha.mophilus influenza. b Children Pedia.rics

Risk Fa.tor for Ma.nutrition in Children a.ed 6 to 59 Months Hospita.ized in a.Pedia.ric Wa.d in the South of the Sa.a.a

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Open Journa. of Pedia.rics 2021年第3期11卷 329-338页

作者： a. a. Dia.ité a. Dia.l B. Ma.ga.a. Dembélé F. L. Dia.ité B. Couliba.y L. N. Sidibé a. K. doumbia O. Couliba.y P. Togo G. Dembélé a. Dia.l M. Sylla Depa.tment of Pedia.rics Gabriel Touré University Hospital Bamako Mali

Ma.nutrition is a.ma.or public hea.th problem in Ma.i, a.ong with the country’s politica. a.d security insta.ility. We initia.ed this work with the objective of determining the frequency a. well a. the risk fa.tors fa.oring the occurrence of ma.nutrition in children a.ed 6a.>a.> a.>a.>-a.>a.> a.>a.>59 months hospitalized in the pediatrics department of the Gabriel Touré University Hospital in Bamako, country reference service to identify potential interventions to plan. A cross-sectional study was carried out over a period of 4 months. A bivariate logistic regression analysis allowed us to identify risk factors with degree of significance if pa.>a.> a.>a.>0.05. During the study period, 2888 children were hospitalized, including 348 aged 6 to 59 months, or a frequency of 12.04%. One in two children was malnourished, ia.>a.>a.>.a.>a.>ea.>a.>.a.>a.>a. style="font-fa.ily:Verda.a.">a. style="font-fa.ily:Verda.a.">a. style="font-fa.ily:Verda.a."> a.frequency of 50%. It more frequently

关键词： Ma.nutrition Contributing Fa.tors Pedia.rics

Serologica. Profile of Hepa.itis D Virus (Hepa.itis Delta. in the Hepa.o-Ga.tro-Enterology Depa.tment of Chu Ga.riel Toure

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Open Journa. of Ga.troenterology 2024年第3期14卷 93-98页

作者： Sa.ra.Débora. Sa.ogo Ka.ia.ou doumbia Hourouma.Sow Moussa.Younoussou Dicko Youssouf Ouma.ou a.doula.e Berthé Sa.ine Dra.o Luc Sidibé Ma.a. Siré Tounka.a.a.doula.e Ma.ga.Oua.ou Ma.lé Ga.da.Souma.é a.selme Kona.é Moussa.Tièmoko Dia.ra Hepa.o-Ga.troenterology Depa.tment CHU Point G Bamako Mali Hepa.o-Ga.troenterology Depa.tment CHU Gabriel Touré Bamako Mali Depa.tment of Interna. Medicine Centre Hospitalier Universitaire Communautaire de Bangui Bangui Central African Republic

Infection with the defective hepa.itis D virus (HDV) co-infects or superinfects a.pa.ient ca.rying hepa.itis B virus (HBV). Delta.virus infection is rela.ively common. The seriousness of infection with the hepa.itis D virus (HDV), a.virus defective in a.pa.ient ca.rying the hepa.itis B virus (HBV), lies in its a.gra.a.ing effect on the a.socia.ed vira. hepa.itis B. Our a.m wa. to study the serologica. profile of HDV in HBsa.-positive pa.ients. a. this study wa. fra.menta.y, we initia.ed this study with the a.m of investiga.ing the serologica. profile of HDV in HBsa.-positive pa.ients. This wa. a.descriptive a.d a.a.ytica. cross-sectiona. study tha. ra. from Ma.ch 2019 to Februa.y 2020, a.12-month period. It focused on the popula.ion of pa.ients seen a.d screened positive for HBsa.. We obta.ned a.frequency of 10%. The mea. a.e of our pa.ients wa. 41.8 ± 13.09 yea.s. The sex ra.io wa. 4.5. VHD RNa.wa. detected in 50% of pa.ients. In 100% of ca.es, the presence of VHD RNa.wa. a.socia.ed with a.va.ced fibrosis a.cording to the a.RI score, but without a.y sta.istica.ly significa.t link. a.l HBV-infected pa.ients should be screened for a.ti-HDV a.. HDV infection lea.s to ra.id progression to complica.ions of liver disea.e.

关键词： HBsa. VHD RNA Liver Disea.e

Scleroderma.a.d HIV Infection: a.Ca.e Report with Litera.ure Review

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Open Journa. of Interna. Medicine 2018年第4期8卷 255-260页

作者： I. a. Dembélé N. R. Nya.ke D. Tra.re a. K. Souckho D. Sy M. Cissoko a. Sa.ogo B. B. Sa.ga.é O. a. Cisse K. Da. K. T. Tigha.kpa.M. Ma.le M. Togo a. Keita.a. Tra.re M. Sa.iou Y. Fofa.a.D. Sa.ga.é N. Tolo N. doumbia a. doumbia B. B. Berthé B. D. Ca.a.a.S. a. Couliba.y N. Sa.a.ogo M. Dembélé a. K. Tra.re H. a. Tra.re Interna. Medicine Depa.tment Point G Teaching Hospital Bamako Mali Depa.tment of Interna. Medicine Kaya Regional Hospital Kaya Burkina Faso

Introduction: a.quired immunodeficiency syndrome (a.DS) linked to HIV infection is a.compa.ied by a.to-immune phenomena. a.toimmune disea.es ca. develop in people living with HIV, most in a.context of good immunologica. control (va.culitis, a.ti-phospholipid syndrome). Since the a.vent of a.tiretrovira. thera.y, a. increa.ing number of a.toimmune connective tissue disea.es such a. systemic lupus erythema.osus, derma.omyositis, a.d syndromes of Sj?gren a.d scleroderma.ha.e been reported. Purpose: To describe this a.socia.ion’s not very common scleroderma.a.d HIV infection. Observa.ion: We report the ca.e of a.56-yea.-old la.y a.mitted into the service for functiona. impotence tha. would ha.e been evolving for a.week. Prior to her hospita.iza.ion, she presented edema. of the lower limbs a.socia.ed with a.esthesia.of the lower limbs for 5 months. The pa.nting is a.compa.ied by a.productive cough a.d a. intermittent fever. a. the physica. exa.ina.ion a.weight loss (BMI = 13.74 Kg/m2), fever (38.7°C): Ora. ca.didia.is, lower lip ulcera.ion, perlicking, undernutrition folds, scleroda.tyly a.d homogeneous hepa.omega.y wa. noted. The dia.nosis of immunosuppression to HIV Sta.e 3 with TB co-morbidity a.d positive hepa.itis B Serology wa. reta.ned while diffuse Scleroderma.wa. selected from the a.R/EULa. criteria.of 2012 with a.score of 10 (scleroda.tyly = 4 point;Ra.na.d’s phenomenon = 3 point a.d a. a.ti Scl 70 positive = 3 point). Conclusion: These a.socia.ions of chronic pa.hology must be described to improve the future trea.ment of our pa.ients.

关键词： Scleroderma HIV Interna. Medicine