Scabies Mimicking Pustular Psoriasis
Soundous Ben Moussa, Fatiha Bouighjdane, Meriem Abid, Ouafa Hocar, Said Amal
SAS J Med | 1-2
DOI : 10.36347/sasjm.2020.v06i01.001
We describe the case of a 72-year-old woman with a history of generalized pruritus associated with a rash evolving
over the past year. A skin biopsy was done in favor of pustular psoriasis. The patient was put on dermocorticoids with
accentuation of the skin lesions. During hospitalization, a parasitological sample from the hyperkeratotic lesions and
inter-digital folds was positive for the Scabei sarcope. The diagnosis of hyperkeratotic scabies was retained. The
patient was put on treatment with benzyl benzoate: 3 days/week for 04 weeks. The evolution was marked by a
spectacular improvement after 3 weeks of treatment with regression of the skin lesions.
A Primary Posterior Mediastinal Hydatid Cyst Manifesting as Acute Coronary Syndrome
Sara Belabyad, Ganse Fongnikin Ismael Gildas, Hafssa Rouam, Dounia benzeroual, Saloua El Karimi, Mustapha El Hattaoui
SAS J Med | 3-5
DOI : 10.36347/sasjm.2020.v06i01.002
Hydatid disease remains a serious health problem for the Mediterranean countries, such as Morocco. Living in a rural
area is an important risk factor for the disease. Hydatid cysts are usually located in the liver, lung, and brain.
Mediastinal hydatid disease is very rare that have been only anecdotally in the literature. The pathogenesis is due to
the accidental infestation of a human by a dog’s dejections which contained the Taenia Echinococcus granulosus. We
report a case of primary mediastinal hydatic cyst localization simulating an acute coronary syndrome.
Cardiogenic Shock as an Initial Presentation of Addison’s disease: A Case Report
Sara Belabyad, Mohammed Anas Khouchab, Zainab Boudhar, Dounia benzeroual, Saloua El Karimi, Mustapha El Hattaoui
SAS J Med | 6-9
DOI : 10.36347/sasjm.2020.v06i01.003
Addison’s disease, also known as primary adrenal insufficiency, is an endocrinological condition with a deficiency in
the production of glucocorticoids and mineralocorticoids from the adrenal cortex. It’s a very life-threatening disease
that is often overlooked due to the unspecific range of symptoms patients usually present with, thus a prompt diagnosis
is essential. We present the clinical history, physical findings, laboratory results, and imaging studies of a young
female presenting with cardiogenic shock revealing Addisson’s disease. The association between adrenal insufficiency
and cardiogenic shock and pertinent literature are reviewed.
Original Research Article
Jan. 26, 2020
Prison Dermatology: A Morrocan Experience
Nafissa Farid, Sofia Aboudar, Houyam Fikri, Ouafa Hocar, Said Amal
SAS J Med | 10-11
DOI : 10.36347/sasjm.2020.v06i01.004
Prisoners are a vulnerable population, because the overcrowding and the conditions in prisons provide a favorable
ground for various diseases, including the dermatologic ones. The purpose of our study is to describe the various
dermatological conditions presented by inmates in the prison of Ouray in Marrakech through a cross-sectional study.
Over the 500 male inmates that were examined, 102 (20, 4 %) had dermatoses. The infections were the most
represented by 56 cases or 54, 9% of cases. The scabies were the most frequent, seen in 32, 1 % of infections. The
other infectious dermatoses were: Dermatophytosis in 28,6%, Pityriasis versicolor in 25%, candylomas in 7,3%,
urethritis and ringworm in 3,5 % for each. The apparition of skin lesions is often perceived by the prisoner as the first
visible sign of deterioration in his health secondary to his imprisonment, causing a lot of anxiety. Our results highlight
the high morbidity of infectious dermatoses in this population. They match with the results of the African series which
are characterized by a predominance of infectious diseases. On the other hand, other studies underlined the high
prevalence of inflammatory diseases. The geographic location as well as conditions within each prison may affect the
type of skin diseases observed in each population.
Original Research Article
Jan. 29, 2020
Secondary Drug Toxiderma to Allopurinol: About 23 Cases
Bouighjdane F, Mahhou M, Benmoussa S, Hocar O, Amal S
SAS J Med | 12-14
DOI : 10.36347/sasjm.2020.v06i01.005
Allopurinol is a commonly prescribed uric brake drug. However, it is one of the main drugs providing serious
toxiderma such as Lyell, Stevens-Johnson syndromes and drug hypersensitivity syndrome or drug rash with
eosinophilia and systemic symptoms (DRESS). We carried out a retrospective study, carried out at the dermatology
department of the CHU Mohammed VI of Marrakech over a period of 16 years from January 2003 to September 2019.
We included all cases of allopurinol toxiderma diagnosed during the study period. The parameters studied are age, sex,
associated defects, time to onset of toxiderma, clinical form, length of hospital stay and evolution. We have collected
100 cases of toxiderma, including 23 due to allopurinol (23%). Our patients were aged 18 to 76 with an average of
59.1 years. The sex ratio was 3.25 with a clear female predominance. 47% of our patients were diabetic, 35% were
hypertensive and 29.4% were followed for chronic renal failure. Only 2 of our patients were on Allopurinol alone.
Clinically, the main form found was Stevens Johnson syndrome in 47% followed by generalized acute exanthematic
pustulosis and DRESS syndrome with 17.6% each and then rash maculo -papular with 11.7% and erythroderma in one
case. These toxiderma required hospitalization ranging from 2 to 24 days with an average of 13.4 days. The evolution
was favorable in almost all cases with only one death.
Original Research Article
Jan. 30, 2020
Predictive Factors of Coronary Disease in Hypertensive Patients
Raouah MA, Ghezouani H, Malky Y, Elkarimi S, Elhattaoui M
SAS J Med | 15-19
DOI : 10.36347/sasjm.2020.v06i01.006
High blood pressure (hypertension) is a major cardiovascular risk factor and a public health problem in our country. Its
implication in the occurrence of coronary disease is well established. However, there is a lack of recommendations that
specify which patients should be screened for coronary artery disease. The aim of our study is to determine the
predictive factors for the occurrence of coronary disease in the hypertensive population. This study took place over a
12-months period from November 2016 to November 2017, at the ERRAZI hospital in the CHU MOHAMMED VI
cardiology department. The recruitment of patients was done from the volunteers of the patients of the service and the
consultation. During this period, we identified 300 hypertensive patients, including 200 non-coronary patients and 100
coronary patients. For each patient, an interrogation, a clinical examination and an ECG were performed. Our data
were studied first by a bivariate analysis and then the significant variables were finalized by a multivariate analysis.
The results of our study showed a significant correlation between the occurrences of coronary disease in hypertensive
patients: positive urine test strip, smoking, diabetes, male sex, hypertension duration and non-compliance therapeutic.
Thus, we propose screening for coronary heart disease in mostly sedentary and / or smoking hypertensive patients and
supplementing this work with other studies to establish a score to calculate the risk of occurrence of coronary heart
disease in patients with high blood pressure.