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Esse M, Guehi T, Lebrun M, Morel G, Grabulos J, Mestre C, Achir N. Kinetic study of some flavor and bioactive compounds during fermentation of
Parkia biglobosa. J FOOD PROCESS PRES 2022. [DOI: 10.1111/jfpp.16888] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- M. Esse
- Laboratoire de Biotechnologie et Microbiologie des Aliments, UFR de Sciences et Technologies des Aliments Université Nangui Abrogoua
- Qualisud, Univ Montpellier, Institut Agro, CIRAD Avignon Université Univ de La Réunion Montpellier France
| | - T. Guehi
- Laboratoire de Biotechnologie et Microbiologie des Aliments, UFR de Sciences et Technologies des Aliments Université Nangui Abrogoua
| | - M. Lebrun
- Qualisud, Univ Montpellier, Institut Agro, CIRAD Avignon Université Univ de La Réunion Montpellier France
- CIRAD, UMR QualiSud Montpellier France
| | - G. Morel
- Qualisud, Univ Montpellier, Institut Agro, CIRAD Avignon Université Univ de La Réunion Montpellier France
- CIRAD, UMR QualiSud Montpellier France
| | - J. Grabulos
- Qualisud, Univ Montpellier, Institut Agro, CIRAD Avignon Université Univ de La Réunion Montpellier France
- CIRAD, UMR QualiSud Montpellier France
| | - C. Mestre
- Qualisud, Univ Montpellier, Institut Agro, CIRAD Avignon Université Univ de La Réunion Montpellier France
- CIRAD, UMR QualiSud Montpellier France
| | - N. Achir
- Qualisud, Univ Montpellier, Institut Agro, CIRAD Avignon Université Univ de La Réunion Montpellier France
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Andreu A, Flores L, Molero J, Mestre C, Obach A, Torres F, Moizé V, Vidal J, Navinés R, Peri JM, Cañizares S. Patients Undergoing Bariatric Surgery: a Special Risk Group for Lifestyle, Emotional and Behavioral Adaptations During the COVID-19 Lockdown. Lessons from the First Wave. Obes Surg 2021; 32:441-449. [PMID: 34791617 PMCID: PMC8598099 DOI: 10.1007/s11695-021-05792-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2021] [Revised: 11/08/2021] [Accepted: 11/10/2021] [Indexed: 01/07/2023]
Abstract
Objectives
To determine how the COVID-19 lockdown influenced the lifestyle, eating behavior, use of substances, mental health, and weight in patients who had undergone bariatric surgery (BS) and explore the self-perception of one’s own health and fears related to COVID-19. Methods We performed a cross-sectional exploratory study in obesity patients who had undergone BS surgery > 1 year previously in a university hospital. Assessment was performed 40 days after initiating lockdown and included 2 periods: from April 24 until May 8 and during the initial de-escalation period: from May 9 until 22, 2020. A structured telephone interview and an online survey were administered. Results
One hundred eighty-eight patients were interviewed; 156 also responded to the online survey (77% females, mean age 53.46 ± 10.48 years, mean follow-up 5.71 ± 4.30 years). Dietary habits were affected in 72% of the participants, with 15% reporting better diet planning; 83.5% reported having more sedentary behaviors; 27% and 36% showed depression and anxiety, respectively; and 45% of participants reported bad sleep quality. In relation to changes in the use of any substance, the use increased in the majority of patients who were previously users. Self-perception of one’s own health and fears related to COVID-19 were only moderate. Finally, emotional eating and time since BS were statistically significant risk factors for predicting weight gain. Conclusions Lockdown during COVID-19 pandemic negatively influenced the lifestyle, mental health, substance use, and weight in BS patients. These alterations were somewhat similar to those observed in the general population but more severe and with important clinical implications. Graphical abstract ![]()
Supplementary Information The online version contains supplementary material available at 10.1007/s11695-021-05792-1.
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Affiliation(s)
- Alba Andreu
- Endocrinology and Nutrition Department, Obesity Unit, Hospital Clinic, 170, Villarroel Street, Helios office 9, 08036, Barcelona, Spain.,CIBER Obesity and Nutrition (CIBEROBN), Barcelona, Spain
| | - Lilliam Flores
- Endocrinology and Nutrition Department, Obesity Unit, Hospital Clinic, 170, Villarroel Street, Helios office 9, 08036, Barcelona, Spain.,CIBER Diabetes and Associated Metabolic Diseases (CIBERDEM), Barcelona, Spain
| | - Judit Molero
- Endocrinology and Nutrition Department, Obesity Unit, Hospital Clinic, 170, Villarroel Street, Helios office 9, 08036, Barcelona, Spain
| | - Carla Mestre
- Endocrinology and Nutrition Department, Obesity Unit, Hospital Clinic, 170, Villarroel Street, Helios office 9, 08036, Barcelona, Spain
| | - Amadeu Obach
- Section of Clinical Health Psychology, Psychiatry and Psychology Department, Hospital Clinic, 140 Rosellón Street, 08036, Barcelona, Spain
| | - Ferran Torres
- Biostatistics Unit, Faculty of Medicine, Universitat Autònoma de Barcelona; Medical Statistics Core Facility, IDIBAPS, Hospital Clinic Barcelona, Barcelona, Spain
| | - Violeta Moizé
- Endocrinology and Nutrition Department, Obesity Unit, Hospital Clinic, 170, Villarroel Street, Helios office 9, 08036, Barcelona, Spain.,CIBER Diabetes and Associated Metabolic Diseases (CIBERDEM), Barcelona, Spain
| | - Josep Vidal
- Endocrinology and Nutrition Department, Obesity Unit, Hospital Clinic, 170, Villarroel Street, Helios office 9, 08036, Barcelona, Spain.,CIBER Diabetes and Associated Metabolic Diseases (CIBERDEM), Barcelona, Spain
| | - Ricard Navinés
- Section of Clinical Health Psychology, Psychiatry and Psychology Department, Hospital Clinic, 140 Rosellón Street, 08036, Barcelona, Spain
| | - Josep M Peri
- Section of Clinical Health Psychology, Psychiatry and Psychology Department, Hospital Clinic, 140 Rosellón Street, 08036, Barcelona, Spain
| | - Silvia Cañizares
- Section of Clinical Health Psychology, Psychiatry and Psychology Department, Hospital Clinic, 140 Rosellón Street, 08036, Barcelona, Spain. .,Department of Clinical Psychology and Psychobiology, University of Barcelona, Barcelona, Spain.
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3
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Jimenez A, de Hollanda A, Palou E, Ortega E, Andreu A, Molero J, Mestre C, Ibarzabal A, Obach A, Flores L, Cañizares S, Balibrea JM, Vidal J, Escarrabill J, Moize V. Psychosocial, Lifestyle, and Body Weight Impact of COVID-19-Related Lockdown in a Sample of Participants with Current or Past History of Obesity in Spain. Obes Surg 2021; 31:2115-2124. [PMID: 33486709 PMCID: PMC7826154 DOI: 10.1007/s11695-021-05225-z] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2020] [Revised: 01/05/2021] [Accepted: 01/06/2021] [Indexed: 12/09/2022]
Abstract
Purpose Home lockdown and isolation due to COVID-19 have been related to negative changes in mood, sleep, and eating behaviors. People with obesity are especially vulnerable to emotional eating and might be more prone to weight gain and negative outcomes during lockdown. Materials and Methods Individuals scheduled for an appointment at the Obesity Unit of a Tertiary Hospital between March 16 and June 21 (n=1230). An online survey was distributed on May 11. Multivariable logistic regression models and general linear models were used to assess the relationship between perceived COVID-19 threat, BS status, and outcome variables. Results Of the 603 (72.0% females, 39% aged >55 years) respondents, 223 (36.9%) were BS naïve (non-BS), 134 (22.2%) underwent BS within the two previous years (BS<2y), and 245 (40.6%) more than 2 years before (BS>2y). Participants worried about being infected by COVID-19 showed significantly larger changes in family contact (p=0.04), mood (p<0.01), sleep (p<0.01), dietary habits (p=0.05), purchases of unhealthy food (p=0.02), snacking (p=0.05), and physical activity (p=0.02). Non-BS and BS>2y participants reported greater impact of lockdown in mood (p<0.01), experienced more negative changes in dietary habits (p<0.01), and had a higher likelihood for weight gain (OR: 5.61, 95% CI: 3.0–10.46; OR: 5.45, 95% CI: 2.87–10.35, respectively) compared to BS<2y. Conclusions COVID-19 pandemic is having a substantial negative impact in our population affected by obesity. During lockdown, people more than 2 years before BS behave like people without history of BS. Strategies addressed to prevent negative metabolic outcomes in this population are urgently needed. Supplementary Information The online version contains supplementary material available at 10.1007/s11695-021-05225-z.
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Affiliation(s)
- Amanda Jimenez
- Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain.,Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), c/ Rosellon, 149, 153, 08036, Barcelona, Spain.,Centro de Investigación Biomédica en Red de Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, C/ Monforte de Lemos 3-5.Pabellón 11. Planta 0, 28029, Madrid, Spain
| | - Ana de Hollanda
- Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain.,Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), c/ Rosellon, 149, 153, 08036, Barcelona, Spain.,Centro de Investigación Biomédica en Red de Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, C/ Monforte de Lemos 3-5.Pabellón 11. Planta 0, 28029, Madrid, Spain
| | - Eva Palou
- Patient Experience Forum, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain
| | - Emilio Ortega
- Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), c/ Rosellon, 149, 153, 08036, Barcelona, Spain.,Centro de Investigación Biomédica en Red de Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, C/ Monforte de Lemos 3-5.Pabellón 11. Planta 0, 28029, Madrid, Spain.,Endocrinology Department, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain
| | - Alba Andreu
- Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain
| | - Judit Molero
- Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain
| | - Carla Mestre
- Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain
| | - Ainitze Ibarzabal
- Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain
| | - Amadeu Obach
- Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain
| | - Lilliam Flores
- Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain.,Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), c/ Rosellon, 149, 153, 08036, Barcelona, Spain.,Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Instituto de Salud Carlos III, C/ Monforte de Lemos 3-5.Pabellón 11. Planta 0, 28029, Madrid, Spain
| | - Silvia Cañizares
- Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain
| | - Jose Maria Balibrea
- Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain
| | - Josep Vidal
- Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain.,Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), c/ Rosellon, 149, 153, 08036, Barcelona, Spain.,Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Instituto de Salud Carlos III, C/ Monforte de Lemos 3-5.Pabellón 11. Planta 0, 28029, Madrid, Spain
| | - Joan Escarrabill
- Patient Experience Forum, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain
| | - Violeta Moize
- Obesity Unit, Hospital Clínic de Barcelona, c/Villarroel 170, 08036, Barcelona, Spain. .,Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), c/ Rosellon, 149, 153, 08036, Barcelona, Spain. .,Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Instituto de Salud Carlos III, C/ Monforte de Lemos 3-5.Pabellón 11. Planta 0, 28029, Madrid, Spain.
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4
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Reis C, Domingues A, Mestre C, Ribeiro J, Sanches J, Paiva T. Individual variability to biological, hormonal and psychological responses to sleep deprivation. Sleep Med 2015. [DOI: 10.1016/j.sleep.2015.02.1486] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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5
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Harf A, Skandrani S, Mazeaud E, Zimmerman C, Mestre C, Moro M. Quels liens gardent les parents adoptants avec la culture du pays de naissance de leur enfant ? Une approche qualitative. ACTA ACUST UNITED AC 2015. [DOI: 10.1016/j.neurenf.2015.01.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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6
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Mestre C, Poiraudeau S, Berezne A, Rannou F, Guilpain P, Pagnoux C, Revel M, Guillevin L, Mouthon L. Influence du mode de recrutement des patients sclérodermiques sur la sévérité de la maladie, le retentissement fonctionnel et la qualité de vie. Rev Med Interne 2008. [DOI: 10.1016/j.revmed.2008.03.309] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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7
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Griffet V, Finet G, Rioufol G, Chartron J, Caignault JR, Guérard S, Mestre C, Bernard F, Brion R. [Myocardial bridging and coronary spasm on effort]. Arch Mal Coeur Vaiss 2006; 99:65-7. [PMID: 16479892] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
Abstract
The discovery of myocardial bridging during coronary angiographies is common. Yet these bridges are rarely the origin of acute coronary syndrome. We report the case of an active 45 year old man with no cardiovascular risk factors who had acute coronary syndrome. Emergency coronary angiography just revealed two myocardial bridges on the anterior interventricular artery which did not explain this acute episode. A subsequent second angiogram together with endocoronary echography demonstrated that there was no atheroma and a methergin test set off diffuse coronary spasm. The association of myocardial bridging and coronary spasm has only rarely been reported in the literature. We describe the clinical, therapeutic and prognostic characteristics.
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Affiliation(s)
- V Griffet
- Service de pathologie cardiovasculaire, hôpital d'instruction des armées Desgenettes, Lyon Cedex 03.
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8
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Mestre C, Rubio-Moscardo F, Rosenwald A, Climent J, Dyer MJS, Staudt L, Pinkel D, Siebert R, Martinez-Climent JA. Homozygous deletion of SOCS1 in primary mediastinal B-cell lymphoma detected by CGH to BAC microarrays. Leukemia 2005; 19:1082-4. [PMID: 15815722 DOI: 10.1038/sj.leu.2403741] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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9
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Marqués F, León A, Mestre C, Ballester J, Cáceres E. Estudio prospectivo comparativo entre el clavo gamma trocantérico y el clavo femoral proximal AO (PFN) en el tratamiento de las fracturas trocantéricas inestables. Rev Esp Cir Ortop Traumatol (Engl Ed) 2005. [DOI: 10.1016/s1888-4415(05)76264-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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10
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Bisbe E, Sáez M, Nomen N, Castillo J, Santiveri X, Mestre C, Cano X. [Erythropoietin alone or as an adjuvant for the autologous blood donation program in major orthopedic surgery]. Rev Esp Anestesiol Reanim 2003; 50:395-400. [PMID: 14601367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/27/2023]
Abstract
BACKGROUND Patients with anemia undergoing elective joint replacement are often excluded from preoperative autologous donation (PAD). The purpose of this study was to compare the efficacy of preoperative erythropoietin (epoetin alpha) as an adjuvant treatment to PAD versus preoperative erythropoietin alfa alone in patients with mild anemia undergoing major orthopedic surgery. PATIENTS AND METHODS The study enrolled 75 patients scheduled for total joint arthropalsty of the hip or knee or spinal surgery and with a hemoglobin (Hb) concentration between 10 and 13 g/dL. Group 1 patients were assigned to receive weekly doses of subcutaneous epoetin alpha (40,000 IU) 21, 14, and 7 days before surgery and to participate in the PAD program; group 2 patients were excluded from the PAD program and received 2 doses of epoetin alpha every week over the same period. RESULTS Group 1 (n = 39) and group 2 (n = 36) were similar with respect to patient characteristics, biological parameters, and surgical procedures, In group 1, mean preoperative Hb rose fom 12.5 g/dL to 12.8 g/dL, patients received a mean 5.1 doses of epoetin alpha, and they gave a mean 1.9 units of autologus blood and 1 received allogenic blood. In group 30.7% received transfusions of autologous blood and 1 received allogenic blood. In group 2, preoperative Hb increased from 11.7 g/dL to 13.5 g/dL, patients received 3.8 doses of epoetin alpha, and 3 were transfused with allogenic blood (P > 0.05). CONCLUSION Epoetin alpha alone and erythropoietin as a adjuvant to a PAD program are equally effective in reducing allogenic transfusion during hip and knee arthroplasty and spinal column surgery of up to 3 spaces.
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Affiliation(s)
- E Bisbe
- Servicio de Anestesiología, Reanimación y Terapéutica del dolor, Hospital de l'Esperança, C/Sant Josep de la Muntanya, 12, 08024 Barcelona.
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11
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Pelissier T, Hernández A, Mestre C, Eschalier A, Laurido C, Paeile C, Alvarez P, Soto-Moyano R. Antinociceptive effect of clomipramine in monoarthritic rats as revealed by the paw pressure test and the C-fiber-evoked reflex. Eur J Pharmacol 2001; 416:51-7. [PMID: 11282112 DOI: 10.1016/s0014-2999(01)00848-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
The antinociceptive effect of clomipramine was studied in monoarthritic rats by using the paw pressure test and the C-fiber-evoked reflex. Monoarthritis was produced by intra-articular injection of complete Freund's adjuvant into the tibio-tarsal joint. Joint circumference as well as vocalization threshold to graded paw pressure were evaluated weekly during a 14-week period after the intra-articular injection. At week 8, monoarthritic and vehicle-injected control rats were given either clomipramine or saline and both the paw pressure threshold and inhibition of the C-fiber-evoked reflex response were evaluated. Results showed that (i) 1.5, 3.0, and 6.0 mg/kg, i.v. of clomipramine induced significantly greater dose-dependent antinociception to paw pressure testing in the monoarthritic group, as compared to the control one; and (ii) 0.75, 1.5, 3.0, and 6.0 mg/kg, i.v. of clomipramine exerted significantly higher dose-dependent inhibition of the C-reflex activity in monoarthritic rats than in controls. Results suggest that the higher sensitivity to clomipramine in monoarthritic rats could be related to adaptive changes occurring in monoamine metabolism or in other neurotransmitter systems during chronic pain.
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Affiliation(s)
- T Pelissier
- Programa de Farmacología Molecular y Clínica, Instituto de Ciencias Biomédicas, Facultad de Medicina, Universidad de Chile
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Rodríguez C, Mestre C, Rivero B, Cañizal J, Fernández P, Bárcena A. 8. Fístula traumática de la arteria vertebral. Neurocirugia (Astur) 2001. [DOI: 10.1016/s1130-1473(01)70893-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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13
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Milon H, Mestre C, Lantelme P. [Hypertension. New French recommendations]. Arch Mal Coeur Vaiss 2000; 93:1479-86. [PMID: 11190299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/19/2023]
Abstract
The field of hypertensive medicine is constantly and rapidly changing, especially with regards to treatment. In view of its high incidence and its complications, it is a major public health concern. This explains the periodic publication of national or international recommendations with the object of informing practitioners of the latest publications in a form applicable to clinical medicine. In France, the "Agence Nationale d'Accréditation et d'Evaluation en Santé" (ANAES) has recently published its recommendations for the management of hypertension. The dominant issues are the recognition of validated electronic sphygmomanometers for measuring the blood pressure in the out-patient setting, the evaluation of individual cardiovascular risk for treatment choice, the value of non-pharmacological interventions, the tailoring of antihypertensive treatment and the abandon of the concept of equal benefit of comparable blood pressure lowering irrespective of the molecule used.
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Affiliation(s)
- H Milon
- Service de cardiologie, hôpital de la Croix-Rousse, 103, Grande-Rue de la Croix-Rousse, 69317 Lyon
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14
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Kaneko M, Mestre C, Sánchez EH, Hammond DL. Intrathecally administered gabapentin inhibits formalin-evoked nociception and the expression of Fos-like immunoreactivity in the spinal cord of the rat. J Pharmacol Exp Ther 2000; 292:743-51. [PMID: 10640314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/15/2023] Open
Abstract
In the present study, we investigated the effects of intrathecal gabapentin on nociceptive behaviors and the numbers of spinal Fos-like immunoreactive (Fos-LI) neurons evoked by injection of 0.25 to 2.5% formalin in the hindpaw of the rat. Pretreatment with gabapentin dose dependently decreased flinches and weighted pain scores in phase 2, but not phase 1, at each concentration of formalin. The highest dose of gabapentin (100 microgram) shifted the EC(50) values of formalin for both flinches and weighted pain scores to the right by 2.5-fold, suggesting that formalin was perceived to be significantly less noxious. Gabapentin also decreased phase 2 behaviors when administered after formalin but was only one third as potent. Unlike its inhibition of formalin-evoked nociceptive behaviors, the effect of gabapentin on the expression of Fos-like immunoreactivity in the spinal cord was highly dependent on the concentration of formalin. Intrathecal pretreatment with 100 microgram of gabapentin did not decrease the numbers of Fos-LI neurons evoked by 0.5% formalin, yet this dose decreased the numbers of Fos-LI neurons in laminae I-II and VII-X of rats that received 1.25% formalin and uniformly decreased by 50% the numbers of Fos-LI neurons in all laminae of rats that received 2.5% formalin. These latter findings suggest that gabapentin neither nonselectively decreases the excitability of spinal cord neurons nor uniformly inhibits the release of all neurotransmitters from primary afferent terminals. Rather, its effects may be preferential for those neurotransmitters released by higher, more noxious concentrations of formalin and for conditions in which there is a greater induction of central sensitization.
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Affiliation(s)
- M Kaneko
- Department of Anesthesia, University of Chicago, Chicago, Illinois, USA
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15
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Hammond DL, Kaneko M, Mestre C. Pharmacological and neuroanatomical studies of the antinociceptive effects of intrathecally administered gabapentin. Masui 1998; 47 Suppl:S229-30. [PMID: 9921192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/10/2023]
Affiliation(s)
- D L Hammond
- Department of Anesthesia and Critical Care, University of Chicago, USA
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16
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Mestre C, Grand A, Fournis Y, Mamelle N, Landrault E, Cambrillat N. [The importance of lipoprotein(a) as a predictive factor of coronary atherosclerosis]. Presse Med 1998; 27:849-54. [PMID: 9767868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/09/2023] Open
Abstract
OBJECTIVE The predictive value of lipoprotein(a), Lp(a), for coronary artery disease, is strongly suspected, though unproven. The normal serum level is 0.3 g/l. We searched for correlations between serum Lp(a) levels and coronary artery disease in a population of patients hospitalized in a general cardiology unit. METHOD Serum Lp(a) was assayed in all patients consecutively hospitalized during 1994 in the Valence hospital cardiology unit. Two groups were distinguished: patients with coronary artery disease (n = 444) and those presumed free of coronary artery disease (n = 555). Coronography were performed when required. Serum Lp(a) levels were compared for the following variables: age, sex, smoking habits, blood pressure, total cholesterol, HDL and LDL-cholesterol, triglycerides and apolipoproteins A1 and A2. Univariate, then multivariate analysis were performed first patients of all ages, then for those aged more and less than 60 years. RESULTS Univariate analysis demonstrated that Lp(a) > 0.3 g/l was associated with coronary heart disease (OR = 1.33; p = 0.03), although this correlation was no longer significant after adjustment for other known risk factors (OR = 1.28; p = 0.07), except in the subgroup of patients over 60 years of age (OR = 1.37; p = 0.04). CONCLUSION There was a non-significant trend favoring an association between serum Lp(a) level > 0.3 g/l and the development of coronary artery disease.
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Affiliation(s)
- C Mestre
- Service de Cardiologie, Centre hospitalier de Valence
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Torrens C, Mestre C, Pérez P, Marin M. Subcoracoid dislocation of the distal end of the clavicle. A case report. Clin Orthop Relat Res 1998:121-3. [PMID: 9553543] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
Subcoracoid dislocation of the outer end of the clavicle in association with an acromial fracture is a rare injury usually produced by high energy trauma that moves the clavicle posterior to the conjoined tendon and inferior to the coracoid process. To restore the acromioclavicular joint, open reduction is needed. After the reduction is accomplished, the clavicle has to be stabilized with a coracoclavicular screw. The acromial fracture can be reduced and held with nonabsorbable sutures placed through the bone. To avoid osteolysis of the distal end of the clavicle and to be able to repair the torn ligaments, treatment should not be delayed.
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Affiliation(s)
- C Torrens
- Hospital de l'Esperança de Barcelona, Spain
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18
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Mestre C. Consultations de médecine transculturelle: bilan et perspectives. Rev Med Interne 1998. [DOI: 10.1016/s0248-8663(98)90011-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Bárcena A, Mestre C, Cañizal JM, Rivero B, Lobato RD. Idiopathic normal pressure hydrocephalus: analysis of factors related to cerebrospinal fluid dynamics determining functional prognosis. Acta Neurochir (Wien) 1997; 139:933-41. [PMID: 9401653 DOI: 10.1007/bf01411302] [Citation(s) in RCA: 22] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
This investigation has been undertaken to analyze the findings with both the cerebrospinal fluid (CSF) pressure (Pcsf) and CSF pulse pressure (PP) in order to predict the outcome of patients with the syndrome of idiopathic normal pressure hydrocephalus (NPH). Accordingly, a prospective clinical study was planned in which two groups of patients with NPH, having analogous prevalence of several matched clinical and radiological parameters, were separated on the basis of their positive or negative response to shunting. Both the resting Pcsf and CSF PP profiles were compared in these two groups, and between them and normal controls. CSF PP amplitude and CSF PP latency correlated directly in conditions associated with either normal or high compliance (controls and patients with Alzheimer-like disorders), whereas this correlation was inverse in states of low compliance (NPH). On the other hand, shunt-responders showed a resting Pcsf significantly higher than both non-responders and controls. The following conclusions were obtained: 1) CSF PP is a high-amplitude and relative low-latency wave in NPH when compared with controls: 2) CSF PP amplitude and latency correlate directly in normal subjects and in those with primary cerebral atrophy; 3) a non-reversible stage of NPH could be conceived in contradistinction to the reversible one, in both of which an inverse correlation between the amplitude and the latency takes place, the main difference between them being the resting Pcsf, which is significantly lower in the former than in the latter, depending on the degree of atrophic changes developed.
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Affiliation(s)
- A Bárcena
- Department of Neurosurgery, Hospital Universitario del Aire, Madrid, Spain
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20
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Abstract
A C-fiber nociceptive reflex evoked by electrical stimulation within the territory of the sural nerve, was recorded from the ipsilateral biceps femoris muscle in urethane anesthetized rats. Intravenously administered clomipramine and desipramine produced a dose-dependent depression of the C-fiber reflex. High doses of intrathecal desipramine also inhibited the C-fiber reflex, while similar intrathecal doses of clomipramine produced only a modest inhibition of the response. Intracerebroventricular administration of clomipramine decreased dose-dependently the C-fiber reflex whereas intracerebroventricular desipramine increased this reflex. These findings suggest that tricyclic antidepressants with noradrenergic selectivity, as desipramine, inhibit the spinal processing of C inputs by acting directly at the spinal cord level, while those with serotonergic spectra, as clomipramine, depress the C-fiber-evoked spinal reflex by acting at a supraspinal modulatory site.
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Affiliation(s)
- C Mestre
- Université d'Auvergne, Laboratoire de Pharmacologie Médicale, Faculté de Médecine, Clermont-Ferrand, France
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Mestre C, Védrinne JM, Duperret S, Mohammedi I, Bui-Xuan B, Motin J. [An unusual cause of oxygen desaturation: isorhythmic atrioventricular dissociation]. Ann Fr Anesth Reanim 1996; 15:673-6. [PMID: 9033763 DOI: 10.1016/0750-7658(96)82134-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
A 69-year-old man, with a history of angina pectoris treated with verapamil, was admitted in the intensive care unit after a right liver resection. On admission, the chest X ray and the arterial blood gases (PaO2/FlO2 = 320) were normal. There after, the patient exhibited brief decreases of SpO2 (at 82%) which were spontaneously reversible. The ECG showed an isorhythmic atrioventricular dissociation associated with SpO2 falls. The SpO2 returned to normal values when cardiac rhythm became sinusal again. This case shows that in case of an important and brief decrease in SpO2, unexplained by a respiratory cause, a decrease of arterial pressure due to rhythmic disease should be considered.
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Affiliation(s)
- C Mestre
- Service d'anesthésie-réanimation IV, hôpital Edouard-Herriot, Lyon, France
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Ardid D, Jourdan D, Mestre C, Villanueva L, Le Bars D, Eschalier A. Involvement of bulbospinal pathways in the antinociceptive effect of clomipramine in the rat. Brain Res 1995; 695:253-6. [PMID: 8556340 DOI: 10.1016/0006-8993(95)00826-c] [Citation(s) in RCA: 36] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
The involvement of bulbospinal pathways in the antinociceptive effect of clomipramine in experimental pain was studied. The antinociceptive effect of the antidepressant (0.5 mg/kg), intravenously injected, was evaluated after a unilateral lesion of the dorsolateral funiculus. The results showed that this effect was suppressed only in the hindpaw ipsilateral to the dorsolateral funiculus lesion, and suggest that the antinociceptive effect of antidepressants needs intact descending inhibitory bulbospinal pathways.
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Affiliation(s)
- D Ardid
- Equipe NPPUA, Laboratoire de Pharmacologie Médicale, Faculté de Médecine, Clermont-Ferrand, France
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Hernandez A, Soto-Moyano R, Mestre C, Eschalier A, Pelissier T, Paeile C, Contreras E. Intrathecal pertussis toxin but not cyclic AMP blocks kappa opioid-induced antinociception in rat. Int J Neurosci 1995; 81:193-7. [PMID: 7628910 DOI: 10.3109/00207459509004886] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
The role of inhibitory G-proteins and cyclic AMP in spinal mechanisms of kappa opioid receptor-mediated antinociception was assayed by recording the withdrawal response latency of the rat tail following immersion into a water bath of 49 degrees C. Intrathecal administration of pertussis toxin (1 microgram/rat, five days before the behavioral evaluation) prevented the antinociceptive effect of the kappa receptor agonist U-50,488H, while administration of dibutyryl cyclic AMP (10 micrograms/rat, 17 min. after U-50,488H) did not antagonize the antinociceptive action of the kappa ligand. Results suggest that in the spinal cord the signal transduction mechanism subserving the antinociceptive effect of U-50,488H involves a Gi or Go protein, but also that cyclic AMP is not implicated in coupling Gi/Go proteins to the effector system.
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Affiliation(s)
- A Hernandez
- Unit of Neurophysiology and Biophysics, University of Chile, Santiago
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24
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Martín-Larrauri R, Mestre C, Bárcena A, Cañizal JM, de la Torre J. [Decrease in isoflurane requirements and of postoperative pain with preanesthetic intrathecal morphine]. Rev Esp Anestesiol Reanim 1995; 42:41-6. [PMID: 7899651] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
OBJECTIVES 1) To determine whether preanesthetic intrathecal administration of 0.5 mg morphine reduces isoflurane requirements for anesthetic maintenance. 2) To assess the duration of postoperative analgesia and the type and frequency of complications attributable to the procedure. PATIENTS AND METHODS A series of 45 adults were distributed into 3 groups of 15 patients each based on site of surgery and site of preanesthetic (30 min) injection of 0.5 mg pure morphine. Control group (C0) patients underwent lumbar surgery and received subcutaneous morphine. Group C0.5 patients also underwent lumbar surgery but received intrathecal morphine. Group A0.5 patients underwent long-duration high abdominal surgery and received intrathecal morphine. Anesthesia was maintained with nitrous oxide (60%) in oxygen (40%) and a variable concentration of isoflurane. Isoflurane needs were assessed by averaging six consecutive measurements of end-tidal isoflurane pressure (M30FETiso) taken at intervals of 5 min. Postoperative analgesia was evaluated by means of a visual analog scale that was converted to numerical units (VASn). RESULTS M30FETiso in group C0 (0.8%) was always higher (p < 0.01) than in the other two groups. M30FETiso in group A0.5 was higher (p < 0.01) than in group C0.5 during the first 150 min of surgery. After 180 min, there were no differences in M30FETiso (0.10-0.16%) between the two groups receiving intrathecal morphine. VASn results (mean +/- SD) in the first 4 hours were higher in group C0 (7.33 +/- 0.6) than in group C0.5 (1.13 +/- 0.35) and group A0.5 (1.07 +/- 0.26). The time of morphine-dependent analgesia was shorter (p < 0.01) in group C0 (0.62 +/- 0.38 hours) than in groups C0.5 (30.4 +/- 5.11 hours) and A0.5 (28 +/- 4.34 hours). There were no significant differences between the two groups receiving intrathecal morphine. CONCLUSIONS Preanesthetic subarachnoid lumbar injection of 0.5 mg of pure morphine reduced early requirements for isoflurane in lumbar surgery (0.14% after 60 min). This reduction was initially less in patients undergoing abdominal surgery (0.44% at 60 min) but was the same after 150 min. Postoperative analgesia was long-term and independent of type or duration of surgery. There was no respiratory depression after surgery and the incidence of postoperative complications was similar in the two groups that received subarachnoid morphine.
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Affiliation(s)
- R Martín-Larrauri
- Servicio de Anestesiología y Reanimación, Hospital Universitario del Aire, Madrid
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Abstract
This work describes a method for performing direct intrathecal (i.t.) injections in rats without introducing a spinal catheter. Its ease of use in awake animals yields rapid and reproducible results with no sign of motor impairment. The quality of each injection was ensured by the observation of an injection-induced tail-flick. A 10-microL injection of methylene blue was well localized yielding a very limited diffusion along the spinal cord. The method was validated by demonstrating that morphine (i.t.) had a marked antinociceptive effect and that naloxone (i.t.) blocked the effect of systemic (s.c.) morphine in mononeuropathic rat.
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Affiliation(s)
- C Mestre
- Department of Pharmacology, Faculty of Medicine, Clermont-Ferrand, France
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Renard E, Bringer J, Jacques-Apostol D, Lauton D, Mestre C, Costalat G, Jaffiol C. Complications of the pump pocket may represent a significant cause of incidents with implanted systems for intraperitoneal insulin delivery. Diabetes Care 1994; 17:1064-6. [PMID: 7988309 DOI: 10.2337/diacare.17.9.1064] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
OBJECTIVE To increase awareness of adverse events associated with the use of programmable implantable pumps (PIPs). CASES There were 7 cases of complications associated with the pump-pocket among 40 patients treated by PIP, and we searched for risk factors. RESULTS Seven of 40 type I diabetic patients treated by PIP presented severe complications of the pump-pocket, resulting in five definitive explanations and nine other surgical interventions. The lesions included an exudative reaction in the pump-pocket and a skin retraction or atrophy, which were complicated by skin erosion in five patients. Coagulase-negative staphylococcus was identified in the pump-pocket in four patients, including three cases of skin erosion. No specific risk of local complications could be attributed to age, sex, duration of diabetes, body mass index, presence of retinopathy or peripheral neuropathy, HbA1c level since implantation, depth of implantation in the abdominal wall, or duration of experience with PIP. Usual physical activity corresponding to > 2,000 kcal energy expenditure per week, estimated by a questionnaire, appeared to be the only identified significant risk factor. CONCLUSIONS From these results, we suggest that physical activity should be limited to moderate exercise and exclude vigorous efforts in diabetic patients treated by PIP to avoid an increased risk of complications at the implantation site.
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Affiliation(s)
- E Renard
- Department of Endocrinology, Lapeyronie Hospital, Montpellier, France
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Antonelli A, Navarranne A, Palla R, Alberti B, Saracino A, Mestre C, Roger P, Agostini S, Baschieri L. Pretibial myxedema and high-dose intravenous immunoglobulin treatment. Thyroid 1994; 4:399-408. [PMID: 7711502 DOI: 10.1089/thy.1994.4.399] [Citation(s) in RCA: 47] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Seven patients affected by Graves' ophthalmopathy and pretibial myxedema (four patients with nodular form, two with diffuse, and one with elephanthiasic form) have been treated with high-dose intravenous immunoglobulins. We have observed (a) clinical improvement of pretibial myxedema and Graves' ophthalmopathy in all patients, (b) a reduction of pretibial skin thickness, by ultrasonography evaluation, in four patients, (c) a reduction of mucopolysaccharide skin content in three patients, (d) disappearance of lymphocytic skin infiltration and IgG deposition in two patients, and (e) a parallel reduction of the titer of circulating autoantibodies as antithyroglobulin, antimicrosomal, anti-TSH receptor, and of non-organ-specific antibodies as antinuclear, anti-smooth muscle cells, and anti-mitochondrial. In comparison two patients with Graves' ophthalmopathy and pretibial myxedema treated with systemic corticosteroids did not present any improvement of the cutaneous ailment. Therefore, this study suggests that intravenous immunoglobulins are effective in the treatment of pretibial myxedema and may have an immunomodulant action in patients with Graves' disease and related disorders.
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Affiliation(s)
- A Antonelli
- Institute of Clinical Medicine II, University of Pisa, Italy
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Abstract
The human immunodeficiency virus (HIV) may be responsible for several types of vasculitis: leucocytoclastic vasculitis, granulomatous angiitis, angiitis associated with lymphoproliferative syndromes or necrotizing vasculitis including periarteritis nodosa (PAN). We report a case of PAN in a 62-year old HIV1-positive woman. The patient had no co-occurrent hepatitis B virus infection and was negative for antinuclear antibodies. She presented with sicca syndrome, necrotic purpura, myalgias and polyneuropathy. Skin, muscle and nerve biopsies showed signs of necrotizing vasculitis. Multiple microaneurysms typical of PAN were present on branches of the abdominal aorta. The symptoms due to vasculitis regressed after treatment with corticosteroids in bolus injections and plasmapheresis. AZT was not given owing to intolerance. The literature on vasculitis associated with HIV infection is reviewed.
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Affiliation(s)
- C Conri
- Service de Médecine Interne, Hôpital Haut Levêque, Pessac
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Mestre C, Castrillo JM, López Ferro MO, Villa R, Gómez PA, Campos JM, Boixadós JR. [Pseudotumor cerebri and ferropenic anemia]. Rev Clin Esp 1986; 178:337-9. [PMID: 3738005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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31
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Mestre C, Nares E, Fernández Guerrero M, Boixadós JR. [Multiple cerebral abscesses caused by Nocardia asteroides]. Rev Clin Esp 1983; 171:185-90. [PMID: 6366937] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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Mestre C, Nares E, Boixadós JR. [Angiographic indications of vasculitis in 4 cases of acute cerebrovascular accidents while taking contraceptives]. Rev Clin Esp 1983; 171:27-30. [PMID: 6658079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
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