DOI: 10.36347/sjmcr.2021.v09i04.016

Pages: 360-363

The tabetic arthropathy is a destructive disease secondary to neurogenic infection tréponème. It has become exceptional with early treatment of syphilis [1]. A retrospective study of three cases, collected from the Arrazi hospital radiology department. All our patients consulted for joint deformity and instability. We reviewed the records of the osteoarticular and neurological clinical examination, as well as the radiological and biological examination; the 3 patients (men and 2 women) are treated on average for 50 years. A history syphilitic chancre is found in two cases. Neurological examination notes a patellar shock and osteo articular deformation, Joint involvement affects the knees in 2 cases and the shoulder in one case, TPHA and VDRL are positive in the blood in all patients and also in the cerebrospinal fluid. The radiological assessment shows a destruction and deformation osteoarticular in all cases. Treatment is medical with penicillin and orthopedic with orthosis. Tabetic arthropathy, an exceptional affection, is one of the complications of the syphilis its prevention relies on the treatment of the syphilis at an early stage, before the onset of the articular and neurologic forms, the management of which remains very difficult [2].