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We report a case of fetal immobility following antenatal corticosteroid therapy administered to women in thirty weeks at risk of preterm labor. The short-term side effect of corticosteroid, a decrease in fetal heart rate variation are well known. This case report presents the difficulty of therapy choice in front of fetal immobility and acute fetal distress. We chose a medical supervision. A review of the literature suggests other criteria, such as Doppler of umbilical artery, which could help therapeutical choice.

The knowledge of ectopic pregnancies risk factors (intra-uterine device; past history of pelvic inflammatory disease; history of tubal pathology and tubal surgery; positive chlamydiae serology; and smoking), the high sensitivity and specificity of radioimmunological assay of beta-HCG and the availability of high resolution sonography using vaginal probes had improved the routinely diagnosis of ectopic pregnancy. Today, diagnosis was made with beta-HCG and vaginal echography. Uterine vacuity, peritoneal liquid and latero-uterine masse represent the major ultrasound signs. However, diagnosis can be uncertain below discriminative zone of beta-HCG (1,500 to 2,000 UI/L). Other new diagnostic markers are also described, as progesterone, creatine kinase, VEGF and CA 125. The place of ponction of the Douglas, endouterine curettage, hysteroscopy and laparoscopy are also defined for diagnosis of ectopic pregnancy.

サン＝ドニ市立美術館及び、パリ、クリュニー美術館に展示され、あるいはエクーアンにある同美術館の倉庫に保管されている、サン＝ドニ大修道院西正面扉口に由来すると考えられる小円柱の断片についてはこれまでのところ充分な調査・研究がなされていない。本稿は、これらの断片の来歴を明らかにするとともにその考古学的及び美術史的研究のための資料を呈示することを目的としている。これらの小円柱は、19世紀前半におそらくは内陣高廊の祭壇の支柱として再利用されるためにかなり手を加えられてはいるが、1140年頃に制作されたと考えられている当初の装飾を、部分的にではあっても、とどめており、繰り返し破壊と修復を被る以前のこの扉口の彫刻装飾に就いて知る上で重要な参考となる。とりわけ、シャルトル大聖堂に見られる同様の小円柱における装飾モチーフとの近似は、初期ゴシック彫刻の誕生と伝播にとって重要な役割を果たしたこれら二つのモニュメントの密接な関係を示唆しており、興味深い。

We described a 26-year-old man whose brother has a mottled fundus. Many maternal relatives suffer from myopia and heart disease, and one cousin has arachnodactylia. The patient is very tall and shows various abnormalities such as arachnodactylia, highly arched palate, funnel chest and scoliosis. He also shows hyperextensibility of joints, inguinal hernia, dissecting aneurysm of ascending aorta, dilatation of aortic ring, aortic and mitral insufficiency, myopia and striae distensae. These findings are that of Marfan's syndrome. At the same time, we noticed yellowish papules on the neck, axillae, inguinal region and inner aspect of thighs. Brown patches were found around umbilicus. These skin lesions as well as angioid streaks of fundus are typical for pseudoxanthoma elasticum. This case should be an association by chance of these two genetic affections.