We have herein reported on the “PEAU’se dermatologique” meeting conducted at the Cliniques universitaires Saint- Luc on November 13, 2017, while being focused on bullous skin disease. After a brief reminder of the clinical lesions for each condition, the anatomopathological characteristics were specified, with the latest updates about their treatment provided. The newest update concerned rituximab that will now be reimbursed in the context of complicated bullous skin disease.

We have herein reported on the case of a 97-year-old patient suffering from hypoxemic pneumonia caused by Mycoplasma pneumoniae, complicated by severe rhabdomyolysis. The diagnosis was based on the clinical picture associated with an equivocal serology, after excluding other obvious rhabdomyolysis-based etiologies. The clinical and biological progression proved to be rapidly favorable following targeted antibiotic therapy. After clarifying the unusual rhabdomyolysis etiology within a Geriatric Unit, we have further insisted on both the search and treatment of atypical bacteria when the clinical and radiological presentations point towards these conditions.

The anomalous origin of the right coronary artery from the pulmonary artery (ARCAPA) is a rare congenital heart disease, with an incidence of 0.002%. Often asymptomatic upon childhood, the diagnosis is easily missed, with the anomaly often diagnosed incidentally. Nevertheless, ARCAPA may lead to myocardial ischemia or sudden cardiac death, even in early childhood.

The atrioesophageal fistula (AEF) is a rare complication of the atrial fibrillation (AF) ablation procedure. This complication is mostly fatal, with a mortality rate exceeding 80% (1), while its incidence does not exceed 0.3% (1). It is the second cause of death after tamponade following this procedure (2). The AEF results from the proximity between the esophagus and left atrium (3), as well as fromthermal esophageal mucosal lesions (4). We have here reported the case of a 65-year-old man who developed neurologic and septic symptoms 31 days after a second AF ablation. Upon admission, a cerebral scanner revealed a small ischemic lesion in the right temporal lobe. Initially hospitalized in a stroke unit, the patient was then transferred to an ICU because of his rapid neurologic deterioration. Upon the intubation maneuver, massive hemorrhaging from an upper digestive site occurred, with patient reanimation required. Confronted with an unknown diagnosis, a gastric endoscopy was performed, revealing two sluices on the anterior esophagus surface, opposite the left atrium. Thoracic CT scan corroborated the AEF diagnosis with an air bubble observed in the mediastinum, between esophagus and left atrium. Nevertheless, the patient died owing to massive cerebral air embolism.