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Bommenel T, Launay O, Meynard JL, Gilquin J, Katlama C, Lascaux AS, Mahamat A, Martinez V, Pradier C, Rouveix E, Simon A, Costagliola D, Abgrall S, Abgrall S, Barin F, Bentata M, Billaud E, Boue F, Burty C, Cabie A, Costagliola D, Cotte L, de Truchis P, Duval X, Duvivier C, Enel P, Gasnault J, Gaud C, Gilquin J, Grabar S, Katlama C, Khuong MA, Lang JM, Lascaux AS, Launay O, Mahamat A, Mary-Krause M, Matheron S, Meynard JL, Pavie J, Pialoux G, Pilorge F, Poizot-Martin I, Pradier C, Reynes J, Rouveix E, Simon A, Tattevin P, Tissot-Dupont H, Viard JP, Viget N, Brosseau M, Salomon V, Jacquemet N, Guiguet M, Lanoy E, Lievre L, Selinger-Leneman H, Lacombe JM, Potard V, Bricaire F, Herson S, Desplanque N, Girard PM, Meyohas MC, Picard O, Cadranel J, Mayaud C, Clauvel JP, Decazes JM, Gerard L, Molina JM, Diemer M, Sellier P, Honore P, Jeantils V, Tassi S, Mechali D, Taverne B, Bouvet E, Crickx B, Ecobichon JL, Picard-Dahan C, Yeni P, Berthe H, Dupont C, Chandemerle C, Mortier E, Tisne-Dessus D, Weiss L, Salmon D, Auperin I, Roudiere L, Fior R, Delfraissy JF, Goujard C, Jung C, Lesprit P, Vittecoq D, Fraisse P, Rey D, Beck-Wirth G, Stahl JP, Lecercq P, Gourdon F, Laurichesse H, Fresard A, Lucht F, Bazin C, Verdon R, Chavanet P, Arvieux C, Michelet C, Choutet P, Goudeau A, Maitre MF, Hoen B, Elinger P, Faller JP, Borsa-Lebas F, Caron F, Daures JP, May T, Rabaud C, Berger JL, Remy G, Arlet-Suau E, Cuzin L, Massip P, Thiercelin Legrand MF, Pontonnier G, Yasdanpanah Y, Dellamonica P, Pugliese P, Aleksandrowicz K, Quinsat D, Ravaux I, Delmont JP, Moreau J, Gastaut JA, Retornaz F, Soubeyrand J, Galinier A, Ruiz JM, Allegre T, Blanc PA, Bonnet-Montchardon D, Lepeu G, Granet-Brunello P, Esterni JP, Pelissier L, Cohen-Valensi R, Nezri M, Chapadaud S, Laffeuillade A, Raffi F, Boibieux A, Peyramond D, Livrozet JM, Touraine JL, Trepo C, Strobel M, Bissuel F, Pradinaud R, Sobesky M, Contant M. Comparative effectiveness of continuing a virologically effective first-line boosted protease inhibitor combination or of switching to a three-drug regimen containing either efavirenz, nevirapine or abacavir. J Antimicrob Chemother 2011; 66:1869-77. [DOI: 10.1093/jac/dkr208] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Edouard S, Astudillo L, Pugnet G, Adoue D, Didier A, Cantagrel A, Paul C, Arlet-Suau E, Arlet P, Sailler L. Traitements médicamenteux de la sarcoïdose évaluation chez 156 atients au CHU de Toulouse. Rev Med Interne 2010. [DOI: 10.1016/j.revmed.2010.10.116] [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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Abstract
Aerococcus urinae is an uncommon urinary tract pathogen which causes infections predominantly in elderly persons with local and general predisposing conditions. There are few case reports of severe infections caused by Aerococcus urinae among which only 14 cases of endocarditis caused by Aerococcus urinae have been reported. We report the first case of Aerococcus urinae spondylodiscitis. The patient responded to 4 weeks of amoxicillin and clindamycin, and to 5 months of amoxicillin alone.
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Affiliation(s)
- L Astudillo
- Department of Internal Medicine, University Hospital Purpan, 1 place du Dr Baylac, 31059 Toulouse, France.
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Hebraud B, Meliani P, Mazereeuw-Hautier J, Couret B, Arlet-Suau E, Astudillo L. La malformation vasculaire avec coagulopathie : une forme à différencier du syndrome de Kasabach-Merritt. Rev Med Interne 2008. [DOI: 10.1016/j.revmed.2008.03.146] [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: 10/22/2022]
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Astudillo L, Moulis G, Cartery C, Meliani P, Moreau J, Couret B, Arlet-Suau E. La vidéocapsule : un outil diagnostique de la lymphangiectasie primitive de Waldmann. Rev Med Interne 2008. [DOI: 10.1016/j.revmed.2008.03.344] [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: 10/22/2022]
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Astudillo L, Bidegain F, Cartery C, Meliani P, Laurent G, Couret B, Arlet-Suau E. [Abdominal pain in essential thrombocythemia]. Rev Med Interne 2008; 30:65-6. [PMID: 18395301 DOI: 10.1016/j.revmed.2008.02.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2008] [Accepted: 02/18/2008] [Indexed: 11/17/2022]
Affiliation(s)
- L Astudillo
- Service de médecine interne, CHU Purpan, 1, place du Dr-Baylac, 31059 Toulouse, France.
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Astudillo L, Pugnet G, Bidegain F, Delsol M, Fortenfant F, Arlet-Suau E. [Wegener's granulomatosis with clinical manifestations of temporal arteritis]. Rev Med Interne 2008; 29:830-1. [PMID: 18375020 DOI: 10.1016/j.revmed.2008.01.010] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2007] [Revised: 01/15/2008] [Accepted: 01/19/2008] [Indexed: 10/22/2022]
Abstract
A 51-year-old woman presented with crusting rhinitis, bilateral serous otitis, inflammatory arthralgias, fever, weight loss and signs of temporal arteritis. Temporal arteries were increased in size, painful, with inflammatory signs. There was microscopic hematuria and inflammatory parameters were increased. The renal function was normal. Anticytoplasmic neutrophils antibodies were detected (anti-PR3). Temporal artery biopsy did not show signs of giant cell arteritis. A diagnostic of Wegener's granulomatosis was established and steroid treatment allowed disappearance of clinical and biologic features.
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Affiliation(s)
- L Astudillo
- Service de médecine interne, centre hospitalier universitaire de Purpan, Toulouse cedex, France.
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Pugnet G, Arista S, Martin-Blondel G, Roche H, Arlet-Suau E, Astudillo L. Métastase choroïdienne révélant un cancer du sein. Rev Med Interne 2007; 28:790-2. [PMID: 17602802 DOI: 10.1016/j.revmed.2007.05.016] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2007] [Accepted: 05/22/2007] [Indexed: 11/19/2022]
Abstract
Choroidal metastasis is a rare presenting feature of breast carcinoma. A 48-year-old woman presented with blurred vision of the right eye related to choroidal metastasis. Diagnostic work-up disclosed breast carcinoma with multiple metastases of the liver and lungs. Initial cerebral computed tomography scan was normal. During the follow-up, generalized seizure leaded to the diagnosis of multiple calcified cerebral metastasis. In 15 to 30 percent of cases, choroidal metastasis reveals a solid tumor, usually of the lung or the breast. Cerebral metastasis are common in breast cancer, but rarely calcified.
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Affiliation(s)
- G Pugnet
- Service de médecine interne, centre hospitalier universitaire Purpan, 1, place du Docteur-Baylac, 31059 Toulouse cedex, France
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Sailler L, Pereira C, Bagheri A, Uro-Coste E, Roussel B, Roussel H, Adoue D, Fournie B, Laroche M, Zabraniecki L, Cintas P, Arlet P, Lapeyre-Mestre M, Montastruc JL, Arlet-Suau E. Increased exposure to statins in patients developing chronic muscle diseases: a 2-year retrospective study. Ann Rheum Dis 2007; 67:614-9. [PMID: 17768174 DOI: 10.1136/ard.2007.075523] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.8] [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: 11/04/2022]
Abstract
OBJECTIVE Case reports have suggested that lipid-lowering drugs (LLDs), especially statins, could induce or reveal chronic muscle diseases. We conducted a study to evaluate the association between chronic muscle diseases and prior exposure to LLDs. METHOD This was a retrospective study of chronic primary muscle disease cases newly diagnosed at the Toulouse University Hospitals between January 2003 and December 2004 among patients living in the Midi-Pyrénées area, France. All patients remained symptomatic for more than 1 year after drug withdrawal, or required drugs for inflammatory myopathy. Data on the patient's exposure to LLDs and to other drugs were compared with that of matched controls (5/1) selected through the Midi-Pyrénées Health Insurance System database. RESULTS A total of 37 patients were included in the study. Of those, 21 (56.8%) suffered from dermatomyositis (DM) or polymyositis (PM), 12 (32.4%) from genetic myopathy, and 4 (10.8%) from an unclassified disease. The prevalence of exposure to statins was 40.5% in patients and 20% in controls (odds ratio (OR) 2.73, 95% confidence interval (CI) 1.21-6.14; p<0.01). There was a significant positive interaction between statins and proton pump inhibitors exposure (weighted OR 3.3, 95% CI 1.37-7.54; p = 0.02). Statin exposure rate was 47.6% among patients with DM/PM (OR 3.86, 95% CI 1.30-11.57; p<0.01). There was no difference between patients and controls for exposure to fibrates. CONCLUSION Patients who developed chronic muscle diseases after the age of 50, including DM/PM, had a higher than expected frequency of prior exposure to statins. Further studies are needed to confirm this association and the role of proton pump inhibitors.
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Affiliation(s)
- L Sailler
- Unit of Pharmacoepidemiology, EA 3696, Clinical Pharmacology Department, Paul Sabatier University, 37 Allées Jules Guesdes, 31000 Toulouse, France.
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Astudillo L, Cron C, Gomez-Brouchet A, Couret B, Arlet-Suau E. [Angiosarcoma of the aorta]. Rev Med Interne 2007; 28:718-20. [PMID: 17587469 DOI: 10.1016/j.revmed.2007.05.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2006] [Revised: 05/12/2007] [Accepted: 05/15/2007] [Indexed: 11/30/2022]
Abstract
Primary aortic tumors are extremely rare. A 73-year-old woman presented with a 8 kg weight loss associated with abdominal pain. Physical examination was normal. Laboratory tests disclosed increased acute phase reactants. Thoracic and abdominal CT scan showed diffuse splenic and renal hypodense lesions with thrombotic feature of the thoracic aorta extending on 9 cm length. Transesophageal echocardiography showed a large and heterogeneous floating mass advocating a thrombus developed on atheroma. Because of the high risk of embolism the patient underwent surgical replacement of the thoracic aorta. Histopathology revealed an epithelioid angiosarcoma of the aorta. A primary tumor of the aorta should be suspected in the presence of an intra-aortic process presenting features of thrombosis.
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Affiliation(s)
- L Astudillo
- Service de médecine interne, CHU Purpan, 1 place du Docteur-Baylac, 31059 Toulouse, France.
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Astudillo L, Arista S, Laurent G, Couret B, Arlet-Suau E. Purpura thrombopénique auto-immun révélant un lymphome malin non hodgkinien. Rev Med Interne 2007. [DOI: 10.1016/j.revmed.2007.03.331] [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: 11/24/2022]
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Astudillo L, Arista S, Garrouste C, Couret B, Arlet-Suau E. Efficacité du méthotrexate au cours de la fasciite à éosinophiles. Rev Med Interne 2006. [DOI: 10.1016/j.revmed.2006.10.305] [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: 10/24/2022]
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Gaudin C, Astudillo L, Arista S, Pugnet G, Couret B, Arlet-Suau E. Une septicémie à Streptococcus canis. Rev Med Interne 2006. [DOI: 10.1016/j.revmed.2006.10.251] [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: 10/24/2022]
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Gaudin C, Astudillo L, Charlat I, Viraben R, Couret B, Arlet-Suau E. Efficacité de la dexaméthasone dans la scléromyxoedème. Rev Med Interne 2006. [DOI: 10.1016/j.revmed.2006.10.304] [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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Abstract
Pulmonary involvement in Sweet's syndrome (SS) is rare. We report a case of SS with severe respiratory involvement responding to corticosteroid therapy. A 82-year-old man presented fever of 39 degrees C associated with cough and dyspnea, and crackles in the left lung. The infection work-up was negative. Chest X-ray showed cardiomegaly and left lower lobe pulmonary infiltrates. Pulmonary signs did not improve on treatment with antibiotics, and after 1 week maculopapular lesions appeared, localized on the knees, the periombilical area and the back. The antibiotics were changed without improvement. A skin biopsy revealed infiltration by neutrophilic granulocytes and marked edema in the dermis, consistent with SS. The patient's condition progressively worsened, requiring high oxygenotherapy, and he was transferred to an intensive care unit. Chest X-ray revealed an important alveolar and interstitial syndrome. Bronchoalveolar lavage found 170 leukocytes with 30% neutrophils (N < 5%), 7% lymphocytes and 63% macrophages. A search for bacteria, viruses or parasites in bronchoalveolar lavage was negative. The patient was treated with antibiotics, a high dose of furosemide and steroids for 4 days. Because the patient improved dramatically within 5 days, with a negative infection work-up and a dramatic decrease of C-reactive protein, the antibiotics were stopped. Steroids were secondarily tapered very slowly. A chest computed tomography (CT) scan showed a substantial improvement of pulmonary lesions. We also review the 22 cases of pulmonary involvement of SS reported in the literature.
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Affiliation(s)
- Leonardo Astudillo
- Department of Internal Medicine, University Hospital Purpan, Toulouse, France.
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Costagliola D, Potard V, Duvivier C, Pradier C, Dupont C, Salmon D, Duval X, Billaud E, Boué F, Costagliola D, Duval X, Duvivier C, Enel P, Fournier S, Gasnault J, Gaud C, Gilquin J, Grabar S, Khuong MA, Lang JM, Mary-Krause M, Matheron S, Meyohas MC, Pialoux G, Poizot-Martin I, Pradier C, Rouveix E, Salmon-Ceron D, Sobel A, Tattevin P, Tissot-Dupont H, Yasdanpanah Y, Aronica E, Tirard-Fleury V, Tortay I, Abgrall S, Costagliola D, Grabar S, Guiguet M, Lanoy E, Leneman H, Lièvre L, Mary-Krause M, Potard V, Saidi S, Matheron S, Vildé JL, Leport C, Yeni P, Bouvet E, Gaudebout C, Crickx B, Picard-Dahan C, Weiss L, Tisne-Dessus D, Tarnier-Cochin GH, Sicard D, Salmon D, Gilquin J, Auperin I, Viard JP, Roudière L, Boué F, Fior R, Delfraissy JF, Goujard C, Lesprit P, Jung C, Meyohas MC, Meynard JL, Picard O, Desplanque N, Cadranel J, Mayaud C, Pialoux JF, Rozenbaum W, Bricaire F, Katlama C, Herson S, Simon A, Decazes JM, Molina JM, Clauvel JF, Gerard L, Widal GHLF, Sellier P, Diemer M, Dupont C, Berthé H, Saïag P, Mortier E, Chandemerle C, de Truchis P, Bentata M, Honoré P, Tassi S, Jeantils V, Mechali D, Taverne B, Laurichesse H, Gourdon F, Lucht JF, Fresard A, de Dijon C, de Belfort CH, Faller JP, Eglinger P, Bazin C, Verdon R, de Grenoble C, de Lyon C, Peyramond D, Boibieux A, Touraine JL, Livrozet JM, Trepo C, Cotte L, Ravaux I, Tissot-Dupont H, Delmont JP, Moreau J, Gastaut JA, Poizot-Martin I, Soubeyrand J, Retornaz F, Blanc PA, Allegre T, Galinier A, Ruiz JM, d'Arles CH, d'Avignon CH, Lepeu G, Granet-Brunello P, Pelissier L, Esterni JP, de Martigues CH, Nezri M, Cohen-Valensi R, Laffeuillade A, Chadapaud S, de Nîmes JRCHG, May T, Rabaud C, Raffi F, Billaud E, Pradier C, Pugliese P, Michelet C, Arvieux C, Caron F, Borsa-Lebas F, Lang JM, Rey D, de Mulhouse PFCH, Massip P, Cuzin L, Arlet-Suau E, Legrand MFT, Rangueil CHU, de Tourcoing CH, Yasdanpanah Y, Sobesky M, Pradinaud R, Gaud C, Contant M. Impact of Newly Available Drugs on Clinical Progression in Patients with Virological Failure after Exposure to Three Classes of Antiretrovirals. Antivir Ther 2005. [DOI: 10.1177/135965350501000406] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Objective To study the prognosis of HIV-infected patients with virological failure after exposure to three classes of antiretroviral drugs (ARVs). Design Cohort study. Setting: French Hospital Database on HIV. Patients Patients previously exposed to at least two nucleoside reverse transcriptase inhibitors (NRTIs), two protease inhibitors and one non-NRTI, with viral load (VL) values of >5000 copies/ml after the exposure criteria were met and a new treatment initiated between 1998 and 2001 with VL >5000 copies/ml. Main outcome measures Risk of new AIDS-defining-events (ADEs) or death from first introduction of a drug never used before occurring between 1998 and 2001 defined as baseline. Results The main baseline characteristics of the 1092 patients were: previous ADE in 49% of cases, median CD4 cell count 181 μl, median VL 4.9 log10 copies/ml, median duration of ARV therapy 5.0 years and previous exposure to a median of nine ARVs. The crude progression rates were 20.1/100 patient-years among patients included in 1998, 15.1 in 1999, 11.1 in 2000 and 8.6 in 2001. After adjustment for baseline characteristics, the calendar year of inclusion was associated with the risk of clinical progression ( P<0.001). When the types of newly available drugs used at baseline or during follow-up were introduced into the model, year of inclusion was no longer associated with the risk of clinical progression ( P=0.42), while exposure to amprenavir/r, lopinavir/r, abacavir or tenofovir was associated with a lower risk. Conclusions The clinical prognosis of heavily pretreated patients experiencing virological failure improved between 1998 and 2001, mainly thanks to the use of newly available drugs with more favourable resistance profiles.
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Affiliation(s)
| | | | - Valérie Potard
- INSERM U720, Université Pierre et Marie Curie, Paris, France
| | - Claudine Duvivier
- INSERM U720, Université Pierre et Marie Curie, Paris, France
- CHU Pitié-Salpétrière, AP-HP, Paris, France
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- Hôpital Bichat-Claude Bernard
| | | | | | | | | | - L Weiss
- Hôpital Européen Georges Pompidou
| | | | | | - D Sicard
- Hôpital Européen Georges Pompidou
| | - D Salmon
- Hôpital Européen Georges Pompidou
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Astudillo L, Peron JM, Sailler L, Danjoux M, Rigal-Huguet F, Arlet-Suau E. Dysphagia revealing esophageal involvement by non-Hodgkin's lymphoma. Ann Hematol 2005; 84:482-3. [PMID: 15815908 DOI: 10.1007/s00277-005-1018-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2004] [Accepted: 01/31/2005] [Indexed: 10/25/2022]
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Abstract
Sweet's syndrome is extremely rare in relapsing polychondritis. We report a rare case of Sweet's syndrome revealing relapsing polychondritis. A 77-year-old man presented with fever, associated with respiratory symptoms and non pruritic, painful, erythematous, papules and plaques mainly on the arms and legs. Skin biopsy of the arm found a neutrophilic dermal infiltrate consistent with Sweet's syndrome. A month and a half after admission, the patient presented with ear chondritis and dysphonia. Biopsy of the ear cartilage found a significant perichondral inflammatory cells infiltrate. The diagnosis of relapsing polychondritis was established and a steroid treatment was instituted with a complete regression of the cutaneous signs and chondritis.
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Affiliation(s)
- L Astudillo
- Department of Internal Medicine, University Hospital Purpan, Toulouse, France.
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Astudillo L, Sailler L, Madaule S, Cintas P, Couret B, Arlet P, Arlet-Suau E. Syndrome de Guillain-Barré au cours du lupus. Rev Med Interne 2003. [DOI: 10.1016/s0248-8663(03)80459-9] [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: 10/25/2022]
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Astudillo L, Sailler L, Beyne-Rauzy O, Alvarez M, Couret B, Arlet-Suau E. Atteinte pulmonaire du syndrome de Sweet. Rev Med Interne 2003. [DOI: 10.1016/s0248-8663(03)80515-5] [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: 11/26/2022]
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Astudillo L, Meliani P, Sailler L, Payoux P, Couret B, Arlet-Suau E. Atteinte épididymaire et testiculaire au cours d'une sarcoïdose. Rev Med Interne 2003. [DOI: 10.1016/s0248-8663(03)80502-7] [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: 11/26/2022]
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Arista S, Léger P, Beyne-Rauzy O, Bidegain F, Delobel P, Astudillo L, Gaudin C, Godel A, Arlet-Suau E, Adoue D. Trois cas d'amputation de jambe: complicationmacrovasculaire de la sclérodermie ? Rev Med Interne 2003. [DOI: 10.1016/s0248-8663(03)80451-4] [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: 10/25/2022]
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Astudillo L, Sailler L, Beyne-Rauzy O, Thiercellin M, Couret B, Arlet-Suau E. Remplacement valvulaire mitral au cours du lupus systémique. Rev Med Interne 2003. [DOI: 10.1016/s0248-8663(03)80461-7] [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: 10/25/2022]
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Astudillo L, Sailler L, Ecoiffier M, Giron J, Couret B, Arlet-Suau E. Exposure to silica and primary Sjogren's syndrome in a dental technician. Rheumatology (Oxford) 2003; 42:1268-9. [PMID: 14508049 DOI: 10.1093/rheumatology/keg334] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Astudillo L, Madaule S, Sailler L, Arista S, Couret B, Arlet-Suau E. Une étiologie exceptionnelle de béribéri cardiaque : La gastro-jéjunostomie. Rev Med Interne 2003. [DOI: 10.1016/s0248-8663(03)80292-8] [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: 10/25/2022]
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Astudillo L, Sailler L, Bidegain F, Madaule S, Rauzy-Beynes O, Arlet-Suau E. Érythème noueux avec aphtose et hémophagocytoserévélant une leucémie aiguë myéloblastique. Rev Med Interne 2003. [DOI: 10.1016/s0248-8663(03)80306-5] [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: 10/25/2022]
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Astudillo L, Sailler L, Porte L, Busato F, Couret B, Massip P, Arlet-Suau E. Spondylodiscite à Aerococcus urinae: Première observation. Rev Med Interne 2003. [DOI: 10.1016/s0248-8663(03)80179-0] [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: 11/16/2022]
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Astudillo L, Alvarez M, Sailler L, Rigal F, Arlet-Suau E. Pneumococcal abscess and bacteraemia associated with an implanted port device. Scand J Infect Dis 2003; 35:148. [PMID: 12693572 DOI: 10.1080/0036554021000026976] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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31
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Astudillo L, Godel A, Bennet A, Couret B, Arlet-Suau E. [Hypothyroid myopathy manifesting as severe rhabdomyolysis in the context of autoimmune thyroiditis]. Presse Med 2003; 32:843. [PMID: 12870388] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/03/2023] Open
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32
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Mehrenberger M, Godel A, Busato F, Astudillo L, Ferry G, Arlet-Suau E. Une dyspnée exceptionnelle dans un myélome: La platypnée-orthodéoxie. À propos d'un cas. Rev Med Interne 2002. [DOI: 10.1016/s0248-8663(02)80251-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: 11/29/2022]
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Astudillo L, Rigal F, Sailler L, Busato F, Guillard O, Couret B, Arlet-Suau E. Une cause rare d'intoxication au plomb : L'intoxication volontaire. Rev Med Interne 2002. [DOI: 10.1016/s0248-8663(02)80373-3] [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: 11/28/2022]
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34
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Astudillo L, Sailler L, Madaule S, Godel A, Arista S, Couret B, Arlet-Suau E. Une atteinte cérébrale rare au cours du lupus systémique : L'hydrocéphalie. Rev Med Interne 2002. [DOI: 10.1016/s0248-8663(02)80198-9] [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: 12/01/2022]
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Astudillo LM, Rigal F, Galy-Fourcade D, Couret B, Arlet-Suau E. Osteonecrosis of the knees in a variable common immunodeficiency. Clin Exp Rheumatol 2002; 20:258. [PMID: 12051412] [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: 02/25/2023]
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Astudillo LM, Rigal F, Couret B, Arlet-Suau E. Localized polyarteritis nodosa with periostitis. J Rheumatol 2001; 28:2758-9. [PMID: 11764232] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/23/2023]
Affiliation(s)
- L M Astudillo
- Department of Internal Medicine, University Hospital Purpan, Toulouse, France.
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Astudillo L, Rigal F, Madaule S, Arista S, Couret B, Arlet-Suau E. Une lésion cutanée prédictive de néoplasie dans la dermatomyosite : l'ulcération nécrotique. Rev Med Interne 2001. [DOI: 10.1016/s0248-8663(01)83507-4] [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]
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Madaule S, Porte L, Couret B, Arlet-Suau E. Fatal haemophagocytic syndrome in the course of dermatomyositis with anti-Mi2 antibodies. Rheumatology (Oxford) 2000; 39:1157-8. [PMID: 11035142 DOI: 10.1093/rheumatology/39.10.1157] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Astudillo L, Alvarez M, Couret B, Arlet-Suau E. Une pancolite avec des c-ANCA anti-PR3. Rev Med Interne 1999. [DOI: 10.1016/s0248-8663(99)80313-0] [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: 11/26/2022]
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Sailler L, Rouzaud P, Marchou B, Bauriaud R, Gache F, Arlet-Suau E, Massip P, Arlet P. Syndrome hémophagocytaire et tuberculose disséminée: cinq observations. Rev Med Interne 1999. [DOI: 10.1016/s0248-8663(00)87594-3] [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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Gaches F, Blanc AS, Couret B, Arlet-Suau E. Digital necroses and Sharp's syndrome: the success of topical application of granulocyte/macrophage-colony stimulating factor in promoting healing after amputation of three toes. Br J Dermatol 1998; 138:550-1. [PMID: 9580824 DOI: 10.1046/j.1365-2133.1998.02148.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Astudillo L, Ecoiffier M, Rouzaud P, Sailler L, Oksman F, Couret B, Arlet-Suau E. Maladie de Gougerot-Sjögren révélant une silicose… chez un prothésiste dentaire: première observation. Rev Med Interne 1997. [DOI: 10.1016/s0248-8663(97)80546-2] [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: 11/27/2022]
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Gaches F, Rauzy O, Rouby C, Madaule S, Labrunie M, Duvault MP, Couret B, Arlet-Suau E. Syndrome d'hémophagocytose grave révélateur d'une tuberculose hématogène lors du traitement d'une polychondrite atrophiante: évolution favorable! Rev Med Interne 1997. [DOI: 10.1016/s0248-8663(97)80508-5] [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: 10/17/2022]
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Gaches F, Rauzy O, Rouby C, Madaule S, Labrunie M, Duvault MP, Couret B, Arlet-Suau E. Polychondrite atrophiante associée à une dysmyélopoïèse et à une vascularite cutanée avec élévation des p-ANCA. Rev Med Interne 1997. [DOI: 10.1016/s0248-8663(97)80543-7] [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: 11/29/2022]
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Alvarez M, Rigal F, Astudillo L, Sailler L, Ecoiffier M, Gaches F, Couret B, Arlet-Suau E. Néphrectomie conduisant au diagnostic de maladie de Horton: à propos d’une observation. Rev Med Interne 1997. [DOI: 10.1016/s0248-8663(97)80657-1] [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: 11/16/2022]
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Gaches F, Alvarez M, Couret B, Mazerolles C, Delsol G, Arlet-Suau E. [Hodgkin disease with cellular markers of Epstein-Barr virus complicating the course of Gougerot-Sjögren syndrome]. Rev Med Interne 1997; 18:79-80. [PMID: 9092023 DOI: 10.1016/s0248-8663(97)84399-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
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Rigal F, Ecoiffler M, Raybaud A, Alvarez M, Couret B, Arlet-Suau E. Deux particularités pour deux mêmes sarcoïdoses. Rev Med Interne 1997. [DOI: 10.1016/s0248-8663(97)80054-9] [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: 11/25/2022]
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Sailler L, Ecoiffier M, Astudillo L, Levade F, Rigal F, Alvarez M, Gaches F, Allais C, Couret B, Arlet-Suau E. Adrénomyéloneuropathie révélée par une insuffisance surrénalienne: un diagnostic rare mais utile. Rev Med Interne 1997. [DOI: 10.1016/s0248-8663(97)80104-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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Sailler L, Ecoiffier M, Rigal F, Astudillo L, Alvarez M, Oksmann F, Gaches F, Allais C, Couret B, Arlet-Suau E. Thrombopénie profonde contemporaine de thromboses veineuses sévères au cours du syndrome des antiphospholipides: oser l’héparinothérapie. Rev Med Interne 1997. [DOI: 10.1016/s0248-8663(97)80668-6] [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: 11/28/2022]
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Sailler L, Ecoiffier M, Cadroy Y, Couret B, Sié P, Mazurier C, Arlet-Suau E, Pourrat JP. [Association of acquired Willebrand's disease, monoclonal gammopathy and angiodysplasia of the small bowel: a rare indication of high-dose intravenous immunoglobulins]. Rev Med Interne 1996; 17:929-32. [PMID: 8977974 DOI: 10.1016/0248-8663(96)88123-9] [Citation(s) in RCA: 9] [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: 02/03/2023]
Abstract
Acquired von Willebrand's disease associated with a monoclonal gammopathy and angiodysplasia of the gut is a rare disorder. It is sometimes complicated by chronic intestinal bleeding and severe anemia, that is poorly responsive to usual treatments. We report such a new case that has been revealed by anemia, and characterised by the absence of the high-molecular weight multimers. The correction of the hemostasis defect and of anemia were related to the reappearance of the high-molecular weight multimers, that was achieved only after high-dose intravenous immunoglobulin courses. The perfusions were performed every 3 weeks for 2 years without loss of efficiency, that could be explained by the dissociation of immunoglobulin-von Willebrand's factor complex.
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Affiliation(s)
- L Sailler
- Service de néphrologie, pavillon Sénac, CHU Purpan, Toulouse, France
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