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Louis-Sidney F, Kahn V, Suzon B, De Bandt M, Deligny C, Arfi S, Jean-Baptiste G. Epidemiology and Characteristics of Spondyloarthritis in the Predominantly Afro-Descendant Population of Martinique, a French Caribbean Island. J Clin Med 2022; 11:jcm11051299. [PMID: 35268390 PMCID: PMC8910895 DOI: 10.3390/jcm11051299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2021] [Revised: 02/02/2022] [Accepted: 02/16/2022] [Indexed: 02/01/2023] Open
Abstract
(1) Background: The prevalence of Spondyloarthritis (SpA) varies significantly in different regions and ethnic groups due several factors such as heterogeneity in study populations, the diversity of classification criteria used in epidemiological studies, the prevalence variability of HLA-B27 or disparity in healthcare access. To our knowledge, there is no data on SpA in Martinique, a French region in the Caribbean with a predominantly Afro-descendant population and a high level of healthcare. (2) Methods: This was a retrospective study of all SpA patients treated at the Fort de France University Hospital between 1 January 1997 and 1 January 2008. (3) Results: In our cohort of 86 SpA patients, age at diagnosis was late (41 years old), ankylosing spondylitis (AS) was the most frequent sub-type (60.5%), inflammatory bowel disease was the most frequent extra articular feature (23.3%) and no one had personal familial history of the disease. Inflammatory syndrome concerned 55.6% of patients, no one was positive for HIV and HLA-B27 positivity was low (42.2%). However, HLA-B27 was statistically associated with AS. Out of 64 patients, 41 had sacroiliitis. (4) Conclusion: To our knowledge, this is the first comprehensive descriptive study of SpA subtypes in Martinique, a French region in the Caribbean. We report clinical and biological similarities in our SpA cohort with those of sub-Saharan Africa and with SpA subtypes reported in Afro-descendant populations.
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Affiliation(s)
- Fabienne Louis-Sidney
- Service de Rhumatologie, CHU de Fort de France, 97200 Fort de France, Martinique, France; (V.K.); (M.D.B.); (G.J.-B.)
- Correspondence:
| | - Valentine Kahn
- Service de Rhumatologie, CHU de Fort de France, 97200 Fort de France, Martinique, France; (V.K.); (M.D.B.); (G.J.-B.)
| | - Benoit Suzon
- Service de Médecine Interne, CHU de Fort de France, 97200 Fort de France, Martinique, France; (B.S.); (C.D.); (S.A.)
| | - Michel De Bandt
- Service de Rhumatologie, CHU de Fort de France, 97200 Fort de France, Martinique, France; (V.K.); (M.D.B.); (G.J.-B.)
| | - Christophe Deligny
- Service de Médecine Interne, CHU de Fort de France, 97200 Fort de France, Martinique, France; (B.S.); (C.D.); (S.A.)
| | - Serge Arfi
- Service de Médecine Interne, CHU de Fort de France, 97200 Fort de France, Martinique, France; (B.S.); (C.D.); (S.A.)
| | - Georges Jean-Baptiste
- Service de Rhumatologie, CHU de Fort de France, 97200 Fort de France, Martinique, France; (V.K.); (M.D.B.); (G.J.-B.)
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Couturier A, Molinie V, Cartou C, Emal V, Arfi S, Polomat K, Moinet F, Dueymes J, Jean-Baptiste G, Deligny C. Pronostic à long terme de la néphropathie lupique dans la population afro-caribéenne de Martinique ayant un accès gratuit aux soins médicaux. Nephrol Ther 2017. [DOI: 10.1016/j.nephro.2017.08.190] [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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Brunier L, Bleterry M, Merle S, Derancourt C, Polomat K, Dehlinger V, Deligny C, Jean-Baptiste G, Arfi S, Banydeen R, De Bandt M. Prevalence of rheumatoid arthritis in the French West Indies: Results of the EPPPRA study in Martinique. Joint Bone Spine 2017; 84:455-461. [PMID: 27825567 DOI: 10.1016/j.jbspin.2016.09.003] [Citation(s) in RCA: 4] [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] [Received: 04/27/2016] [Accepted: 09/07/2016] [Indexed: 10/20/2022]
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Blettery M, Brunier L, Polomat K, Moinet F, Deligny C, Arfi S, Jean-Baptiste G, De Bandt M. Brief Report: Management of Chronic Post-Chikungunya Rheumatic Disease: The Martinican Experience. Arthritis Rheumatol 2016; 68:2817-2824. [PMID: 27273928 DOI: 10.1002/art.39775] [Citation(s) in RCA: 54] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2015] [Accepted: 05/19/2016] [Indexed: 12/18/2022]
Abstract
OBJECTIVE To describe chronic chikungunya manifestations seen during the outbreak in the Caribbean from December 2013 to January 2015. METHODS Patients were seen at our center, the only rheumatology department in Martinique Island, and were examined by a senior rheumatologist using a standard care report form. Chikungunya was diagnosed collectively based on consensus among all clinicians. The median time from onset of acute chikungunya to the first rheumatology consultation was calculated, severity was evaluated based on clinical scales and the degree of joint destruction, and each patient's treatment was recorded. RESULTS For the 147 patients analyzed, the median time between onset of acute chikungunya and the first rheumatology consultation was 8 months. After review of each patient's medical record, 19 (12.9%) were diagnosed as having epidemic-influenced chikungunya. Four distinct rheumatologic patterns were observed in the remaining patients (those with compatible history and positive serologic findings): 47 patients (32%) had reactivation of painful chronic mechanical manifestations, 9 patients (6.1%) had fibromyalgia, 45 patients (30.6%) met criteria for spondyloarthritis (as evaluated before the chikungunya virus infection in all patients) and experienced a flare, and 27 patients (18.4%), with no history of joint disease, developed de novo bilateral symmetric chronic inflammatory joint disease in response to chikungunya virus infection. For inflammatory arthritis, most patients were treated with methotrexate (up to 25 mg/week), with good response and tolerance. Thirteen patients were treated with conventional doses of anti-tumor necrosis factor agents, with good tolerance and efficacy as expected. CONCLUSION The term "chronic chikungunya syndrome" covers multiple etiologies. Compliance with the French Society of Rheumatology recommendations, careful recording of patient histories, and serologic verification help prevent errors inherent to the epidemic context and ensure early therapeutic intervention for these patients. To avoid late initiation of treatment, patients should receive rheumatologic consultation as early as possible.
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Affiliation(s)
- Marie Blettery
- University Hospital of Martinique (site Pierre Zobda Quitman), Fort-de-France, Martinique, French West Indies
| | - Lauren Brunier
- University Hospital of Martinique (site Pierre Zobda Quitman), Fort-de-France, Martinique, French West Indies
| | - Kathleen Polomat
- University Hospital of Martinique (site Pierre Zobda Quitman), Fort-de-France, Martinique, French West Indies
| | - Florence Moinet
- University Hospital of Martinique (site Pierre Zobda Quitman), Fort-de-France, Martinique, French West Indies
| | - Christophe Deligny
- University Hospital of Martinique (site Pierre Zobda Quitman), Fort-de-France, Martinique, French West Indies
| | - Serge Arfi
- University Hospital of Martinique (site Pierre Zobda Quitman), Fort-de-France, Martinique, French West Indies
| | - Georges Jean-Baptiste
- University Hospital of Martinique (site Pierre Zobda Quitman), Fort-de-France, Martinique, French West Indies
| | - Michel De Bandt
- University Hospital of Martinique (site Pierre Zobda Quitman), Fort-de-France, Martinique, French West Indies.
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Debandt M, Banydeen R, Brunier L, Blettery M, Derancourt C, Polomat K, Dehlinger V, Arfi S, Deligny C, Merle S, Jean-Baptiste G. THU0357 Prevalence of Rheumatoid Arthritis in French West Indies, an African Ancestry Population. The Eppra Study. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.3128] [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: 11/03/2022]
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Brunier L, Polomat K, Dehlinger V, Numeric P, Olindo S, Deligny C, Signate A, Arfi S, Debandt M, Jean-Baptiste G, Cabre P. FRI0540 Evaluation of Medical Treatment for Lumbar Canal Stenosis at 3 Months in the Prospective Telemar Cohort and Predictors of Failure of Medical Treatment. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.2172] [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: 11/03/2022]
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Brunier L, Polomat K, Deligny C, Dehlinger V, Blettery M, Arfi S, Jean-Baptiste G, Blettery M, Debandt M. THU0255 Chikungunya Fever in Patients Under Biologics Does not Seem to be Harmful. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.3134] [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: 11/04/2022]
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Polomat K, Javelle E, Brunier L, Bomahou C, Guillier A, Caffiot E, Boutrou M, Curlier E, Debandt M, Arfi S, Jean-Baptiste G, Deligny C. Le lupus systémique est un facteur de risque d’infection à chikungunya grave : analyse de 15 cas aux Antilles françaises. Rev Med Interne 2014. [DOI: 10.1016/j.revmed.2014.10.160] [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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Cordel N, Cormier H, Tressières B, Lamaury I, Arfi S, Baubion E, Derancourt C, Truchetet ME, Delhinger V, Jean-Baptiste G, Deligny C. Sclérodermie systémique du sujet noir Afro-Caribbéen : incidence et sévérité de la maladie aux Antilles françaises. Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.10.021] [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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Deligny C, de Bandt M, Dueymes M, Numeric P, Dueymes JM, Dehlinger V, Garnery B, Polomat K, Jean-Baptiste G, Arfi S. L’ostéonécrose aseptique symptomatique est un marqueur de gravité du lupus systémique dans la population Afro-Caribéenne de la Martinique. Rev Med Interne 2012. [DOI: 10.1016/j.revmed.2012.10.111] [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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Deligny C, Antonio L, Garnery B, Merle H, Numéric P, Signate A, Derancourt C, Dehlinger V, Jean-Baptiste G, Arfi S. Épidémiologie et description à base de population de la maladie de Behçet en Martinique. Rev Med Interne 2012. [DOI: 10.1016/j.revmed.2012.03.115] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Daigre JL, Atallah A, Boissin JL, Jean-Baptiste G, Kangambega P, Chevalier H, Balkau B, Smadja D, Inamo J. The prevalence of overweight and obesity, and distribution of waist circumference, in adults and children in the French Overseas Territories: the PODIUM survey. Diabetes Metab 2012; 38:404-11. [PMID: 22626474 DOI: 10.1016/j.diabet.2012.03.008] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/08/2011] [Revised: 03/27/2012] [Accepted: 03/28/2012] [Indexed: 12/12/2022]
Abstract
AIM This study aimed to describe the prevalence of overweight (excluding obesity) and obesity, and distribution of waist circumference, in children and adults in four French Overseas Territories (Guadeloupe, Martinique, French Guiana in the Caribbean and French Polynesia in the Pacific Ocean). METHODS The survey was designed to provide a sample representative of the population in each of the four territories. The protocol aimed to evaluate 600 adults (aged ≥ 15 years) and 300 children (aged: 5-14 years) in each territory. RESULTS In children, the differences were small among the territories in the prevalence of overweight (excluding obesity), as defined by the International Obesity Task Force (IOTF): Guadeloupe, 15.4%; Martinique, 17.0%; French Guiana, 13.2%; and French Polynesia, 17.2% (P = 0.49). Larger, significant, differences were observed for obesity, with prevalences of 7.2%, 7.7%, 5.4% and 15.9%, respectively (P < 0.002). In adults, the prevalence of obesity also differed significantly among the territories: 22.9%, 22.0%, 17.9% and 33.1% in Guadeloupe, Martinique, French Guiana and French Polynesia, respectively (P < 0.001, adjusted for age and gender). However, overweight (excluding obesity) was again more homogeneously distributed, with prevalences of 31.7%, 33.6%, 30.3% and 34.4%, respectively (P = 0.43, adjusted for age and gender). Waist circumference was larger in French Polynesia than in the other territories in both genders, and in both children and adults. CONCLUSION While the distribution of overweight was relatively homogeneous, the prevalence of obesity differed considerably across the four territories. It was especially high in French Polynesia, and in children and women. Appropriate programmes are urgently needed in these populations, especially in children, to avoid the morbidity associated with obesity.
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Affiliation(s)
- J-L Daigre
- Service de médecine interne-diabétologie, centre hospitalier de l'Ouest Guyanais, 97393 Saint-Laurent-du-Maroni, French Guiana
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Deligny C, Ples R, Dueymes J, Dehlingerd V, Dueymes M, Numeric P, Jean-Baptiste G, Arfi S. EUROLUPUS dans les néphropathies prolifératives du lupus systémique en Martinique : premières données. Rev Med Interne 2011. [DOI: 10.1016/j.revmed.2011.10.332] [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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Goëb V, Deligny C, Jean-Baptiste G, Arfi S. Association du syndrome de l’homme raide avec le lupus érythémateux systémique. Rev Med Interne 2010; 31:517-8. [DOI: 10.1016/j.revmed.2010.03.345] [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] [Received: 02/16/2010] [Accepted: 03/06/2010] [Indexed: 10/19/2022]
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Dehlinger V, Deligny C, Béchac M, Kahn V, Numeric P, Jean-Baptiste G, Arfi S. Apparition paradoxale de scorbut de l’adulte en Martinique. Rev Med Interne 2009. [DOI: 10.1016/j.revmed.2009.10.026] [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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Deligny C, Truchetet M, Kahn V, Dehlinger V, Bechac M, Numeric P, Derancourt C, Jean-Baptiste G, Arfi S. Sclérodermie systémique en Martinique : étude épidémiologie et caractéristiques à base de population. Rev Med Interne 2009. [DOI: 10.1016/j.revmed.2009.10.054] [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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Deligny C, Inamo J, Béchac M, Kahn V, Numeric P, Jean-Baptiste G, Zécler J, Arfi S. Épidémiologie de l’HTAP liée aux connectivites en Martinique. Rev Med Interne 2009. [DOI: 10.1016/j.revmed.2009.10.131] [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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Béchac M, Deligny C, Poissy J, Polomat K, Numeric P, Dubreuil F, Thomas L, Jean-Baptiste G, Arfi S. Lupus érythémateux disséminé du sujet âgé. Rev Med Interne 2008. [DOI: 10.1016/j.revmed.2008.10.280] [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: 10/21/2022]
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Baubion E, Deligny C, Numéric P, Dehlinger V, Jean-Baptiste G, Arfi S. [Diabetic muscular necrosis: three Afrocaribbean cases]. Rev Med Interne 2008; 30:161-4. [PMID: 18947907 DOI: 10.1016/j.revmed.2008.08.021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2008] [Revised: 08/13/2008] [Accepted: 08/27/2008] [Indexed: 11/29/2022]
Abstract
INTRODUCTION Diabetic muscular infarction is an exceptional complication of diabetes mellitus. Patients with macro- and microvascular manifestations are mostly concerned. Muscular pain with swelling of the thigh is the main manifestation, sometimes associated with fever. OBSERVATIONS We report here five cases of diabetic muscular infarction in three Afro-carribean patients with atypical clinical features. The surgical biopsy procedure allowed the diagnosis and ruled out pyomyositis, a more common bacterial disease on tropical condition. CONCLUSION This report of three cases of this exceptional disease in a small population seems more related to the high prevalence of diabetes mellitus in the French West Indies than to their ethnic origin.
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Affiliation(s)
- E Baubion
- Service de médecine interne et rhumatologie 5D, CHU de Fort-de-France, BP 632, Fort-de-France cedex, France
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Abstract
Regulator of G-Protein Signaling (RGS) refers to a conserved 120-125 amino acid motif that was first identified by its ability to negatively regulate G-Protein-Coupled Receptor (GPCR) signalling. Mechanistically, RGSs were found to regulate GPCR responses by binding to and stimulating the GTPase activity of the receptor-activated GTP-bound G alpha subunits. There are now over 25 mammalian RGSs containing proteins that are reported to carry out a variety of functions, many of which are unrelated to GPCR signalling. RGS proteins range in size from small proteins that contain little more than an RGS box to very large proteins that contain a variety of domains. The selectivity of function of the RGS proteins is attributable to the divergence of the RGS sequences as well as the presence of a variety of functional motifs, which allow them to interact with other proteins. Here we focus on the RGSs that are involved in modulating GPCR signalling by reviewing the diversity of the mechanisms involved in regulating these RGSs.
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Affiliation(s)
- G Jean-Baptiste
- Department of Anatomy and Cell Biology, McGill University, Montreal, Quebec, Canada
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Yakova M, Lézin A, Dantin F, Lagathu G, Olindo S, Jean-Baptiste G, Arfi S, Césaire R. Increased proviral load in HTLV-1-infected patients with rheumatoid arthritis or connective tissue disease. Retrovirology 2005; 2:4. [PMID: 15686595 PMCID: PMC549050 DOI: 10.1186/1742-4690-2-4] [Citation(s) in RCA: 60] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2004] [Accepted: 02/01/2005] [Indexed: 12/04/2022] Open
Abstract
BACKGROUND Human T-lymphotropic virus type 1 (HTLV-1) proviral load is related to the development of HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM/TSP) and has also been shown to be elevated in the peripheral blood in HTLV-1-infected patients with uveitis or alveolitis. Increased proliferation of HTLV-1-infected cells in, or migration of such cells into, the central nervous system is also seen in HAM/TSP. In the present study, we evaluated the proviral load in a cohort of HTLV-1-infected patients with arthritic conditions. RESULTS HTLV-1 proviral load in the peripheral blood from 12 patients with RA and 6 patients with connective tissue disease was significantly higher than that in matched asymptomatic HTLV-1 carriers, but similar to that in matched HAM/TSP controls. HAM/TSP was seen in one-third of the HTLV-1-infected patients with RA or connective tissue disease, but did not account for the higher proviral load compared to the asymptomatic carrier group. The proviral load was increased in the synovial fluid and tissue from an HTLV-1-infected patient with RA, the values suggesting that the majority of infiltrated cells were HTLV-1-infected. In the peripheral blood from HTLV-1-infected patients with RA or connective tissue disease, HTLV-1 proviral load correlated with the percentages of memory CD4+ T cells and activated T cells, and these percentages were shown to be markedly higher in the synovial fluid than in the peripheral blood in an HTLV-1-infected patient with RA. CONCLUSIONS These biological findings are consistent with a role of the retrovirus in the development of arthritis in HTLV-1-infected patients. A high level of HTLV-1-infected lymphocytes in the peripheral blood and their accumulation in situ might play a central role in the pathogenesis of HTLV-1-associated inflammatory disorders. Alternatively, the autoimmune arthritis, its etiological factors or treatments might secondarily enhance HTLV-1 proviral load.
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Affiliation(s)
- Maria Yakova
- INSERM UMR433, antenne du Centre hospitalier universitaire de Fort-de-France, Martinique
- Service de Médecine interne et Rhumatologie, Centre hospitalier universitaire de Fort-de-France, Martinique
| | - Agnès Lézin
- INSERM UMR433, antenne du Centre hospitalier universitaire de Fort-de-France, Martinique
- Laboratoire de Virologie-Immunologie, Centre hospitalier universitaire de Fort-de-France, Martinique
| | - Fabienne Dantin
- Laboratoire de Virologie-Immunologie, Centre hospitalier universitaire de Fort-de-France, Martinique
| | - Gisèle Lagathu
- Laboratoire de Virologie-Immunologie, Centre hospitalier universitaire de Fort-de-France, Martinique
| | - Stéphane Olindo
- Service de Neurologie, Centre hospitalier universitaire de Fort-de-France, Martinique
| | - Georges Jean-Baptiste
- Service de Médecine interne et Rhumatologie, Centre hospitalier universitaire de Fort-de-France, Martinique
| | - Serge Arfi
- Service de Médecine interne et Rhumatologie, Centre hospitalier universitaire de Fort-de-France, Martinique
| | - Raymond Césaire
- INSERM UMR433, antenne du Centre hospitalier universitaire de Fort-de-France, Martinique
- Laboratoire de Virologie-Immunologie, Centre hospitalier universitaire de Fort-de-France, Martinique
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Domergue V, Dubreuil F, Jean-Baptiste G, Arfi S. Rhumatisme hypogammaglobulinémique et son traitement : à propos d'un cas. Rev Med Interne 2003. [DOI: 10.1016/s0248-8663(03)80508-8] [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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Goëb V, Inamo J, Dubreuil F, Jean-Baptiste G, Arfi S. Drépanocytose et sclérodermie : chronique d'unehypertension artérielle pulmonaire annoncée. Rev Med Interne 2003. [DOI: 10.1016/s0248-8663(03)80445-9] [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: 11/30/2022]
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Goëb V, Dubreuil F, Cabre P, Jean-Baptiste G, Arfi S. Lupus se dévoilant plusieurs mois après un syndromede l'homme raide (stiff-man syndrome) initialement isolé: à propos d'un cas. Rev Med Interne 2003. [DOI: 10.1016/s0248-8663(03)80458-7] [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: 11/28/2022]
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Deligny C, Thomas L, Dubreuil F, Théodose C, Garsaud AM, Numéric P, Ranlin A, Jean-Baptiste G, Arfi S. [Systemic lupus erythematosus in Martinique: an epidemiologic study]. Rev Med Interne 2002; 23:21-9. [PMID: 11859691 DOI: 10.1016/s0248-8663(01)00511-2] [Citation(s) in RCA: 37] [Impact Index Per Article: 1.7] [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: 11/20/2022]
Abstract
PURPOSE To review epidemiological and clinical aspects of systemic lupus erythematosus (SLE) in Martinique, French West Indies. METHODS Cases of SLE were identified by attending physicians. Patients who presented with at least four of the criteria defined by the American College of Rheumatology were included. Determination of incidence and prevalence included the new cases arising during the 1990-1999 period and 1999 population census results. Probability of survival was based on the use of the Kaplan-Meier estimator. RESULTS Two hundred and eighty-six patients were studied, including 265 females (92.7%). The average annual incidence was 4.7 cases per 100,000 inhabitants (95% confidence interval [CI]: 2.5-6.9). The prevalence for 1999 was 64.2 cases per 100,000 inhabitants (CI: 56.2-72.2). The mean age at onset was 30 years. Eleven percent of all patients had at least one parent with SLE. Renal disease was present in 139 patients (48.6%), and neurological disorders were diagnosed in 70 patients (24.5%). Patients tested positive for the following antibodies: anti-Sm (37.1%), anti-RNP (58.7%), anti-SSA (47.2%). Mean survival time was: 96.4% (CI: 94.1-98.7) at 5 years, 91.8% (CI: 87.9-95.7) at 10 years. Survival was significantly reduced in patients with end-stage renal disease (n = 40, chi 2 = 6.96, P < 0.01). CONCLUSION The high incidence of SLE in Martinique and the immunological characteristics of patients were found to be similar to those described in other populations of African descent. The frequency of renal disease and survival rates were identical to those reported in Caucasians.
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Affiliation(s)
- C Deligny
- Service de médecine interne et rhumatologie, CHRU, 97261 Fort-de-France, France.
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Yakova M, Dubreuil F, Jean-Baptiste G, Arfi S. Calcinose sous-cutanée et lupus érythémateux disséminé (à propos de cinq observations). Rev Med Interne 2000. [DOI: 10.1016/s0248-8663(00)90127-9] [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: 10/18/2022]
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Deligny C, Cabre P, Dubreuil F, Thévenot C, Jean-Baptiste G, Arfi S. Paralysie faciale périphérique et infection par le virus HTLV1 (à propos de deux nouvelles observations). Rev Med Interne 2000. [DOI: 10.1016/s0248-8663(00)90296-0] [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: 12/01/2022]
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Abstract
Clinical abnormalities of the musculoskeletal system may be the first manifestation of sickle haemoglobinopathies, leukaemias, lymphomas and haemophilia. In addition to this, known patients with these diseases exhibit a variety of osteoarticular features. The painful crisis is the most common manifestation of sickle cell disorders, but avascular necrosis, osteomyelitis and various forms of arthritides are also common. In haematological malignancies, bone pain and arthritis may occur at any stage of the disease. The diagnosis must be confirmed by the presence of malignant cells on histological examination of various samples. Haemarthrosis is the main symptom of haemophilia. It needs early treatment to avoid damage to the joints. The availability of new safe coagulation factors has improved the prognosis of haemophilia.
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Affiliation(s)
- G Jean-Baptiste
- Chu de Fort-de-France, Hôpital Pierre Zobda-Quitman la Meynard, France
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Roth C, Fifi-Mah A, Quist D, Smadja D, Jean-Baptiste G, Arfi S. Myopathies inflammatoires en Martinique: facteurs étiologiques et évolutifs. Rev Med Interne 1999. [DOI: 10.1016/s0248-8663(99)80298-7] [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: 11/24/2022]
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31
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Saint-Cyr I, Fifi-Mah A, Strobel M, Quist D, Jean-Baptiste G, Arfi S. Lupus systémique masculin: aspects cliniques et évolutifs chez 28 Antillais. Rev Med Interne 1997. [DOI: 10.1016/s0248-8663(97)80479-1] [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: 10/17/2022]
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32
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Arfi S, Lamaury I, Numeric P, Brouzes F, Roul S, Jean-Baptiste G, Strobel M. L'anguillulose: une cause possible d'arthrite réactionnelle. Deux observations avec revue de la littérature. Med Mal Infect 1996. [DOI: 10.1016/s0399-077x(96)80033-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [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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Arfi S, Numéric P, Grollier L, Panelatti G, Jean-Baptiste G. [Treatment of corticodependent systemic lupus erythematosus with low-dose methotrexate]. Rev Med Interne 1995; 16:885-90. [PMID: 8570950 DOI: 10.1016/0248-8663(96)80808-3] [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: 01/31/2023]
Abstract
The authors report an open prospective study in a group of 16 patients who presented systemic lupus erythematosus with cutaneous and articular symptoms, and who required treatment with a minimum dose of 15 mg per day of prednisone. Methotrexate was given at a dose of 7.5 mg IM per week. Efficacy was demonstrated at the third month with a statistical analysis of four evolution parameters. Improvement was observed in 13 patients out of 16 and permitted the reduction of the amount of prednisone required. Secondary relapse occurred in four cases in spite of an increase in the dose of methotrexate (10 mg per week). Minor side effects were observed in four cases, and methotrexate was discontinued in only two cases. This study suggests that treatment by low doses of methotrexate is beneficial to patients with articular and cutaneous manifestations of corticodependent systemic lupus erythematosus and this therapy could be corticosteroid-sparing.
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Affiliation(s)
- S Arfi
- Service de médecine interne et de rhumatologie, CHU Pierre-Zobda-Quitman, Fort-de-France, Martinique, France
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Guérin B, Arfi S, Numéric P, Jean-Baptiste G, Le Parc JM, Smadja D, Grollier-Bois L. Polyarthritis in HTLV-1-infected patients. A review of 17 cases. Rev Rhum Engl Ed 1995; 62:21-8. [PMID: 7788319] [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
A retrospective study was conducted in Martinique to identify patients with polyarthritis and positive serologic tests for the human T-cell lymphotropic virus Type I (HTLV-1). Patients with metabolic or bacterial causes of polyarthritis were excluded. We found 17 cases of HTLV-1-positive polyarthritis (6.7% of the total of polyarthritis patients followed in our department); there were 14 females and three males, and all the patients were West-Indian blacks. Mean age at diagnosis was 50 years. Five patients also had tropical spastic paraparesis. The polyarthritis was the inaugural manifestation of T-cell leukemia in one patient. Four patients had received blood transfusions. Fever, myalgia, and/or skin lesions were present at onset of the polyarthritis in seven cases. All 17 patients had peripheral, bilateral, symmetric polyarthritis; the most commonly involved sites were the hands (17/17) and knees (14/17). Three patients had rheumatoid factor and five had antinuclear antibody. Ten patients met at least four American Rheumatism Association criteria for rheumatoid arthritis; they accounted for 6.7% (10/150) of all polyarthritis patients managed in the same hospital department during the same period. We compared these ten patients with 20 HTLV-1-negative rheumatoid arthritis patients matched on gender, ethnic origin, and disease duration. There were no significant differences between the two groups for any of the parameters studied.
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Affiliation(s)
- B Guérin
- Department of Medicine and Rheumatology, Teaching Hospital, Fort-de-France, Martinique
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35
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Arfi S, Mayet T, Jean-Baptiste G, Numeric P, Barrier J. Étude épidémiologique de la maladie de Horton et de la pseudo-polyarthrite rhizomélique aux Antilles françaises. Résultats préliminaires. Rev Med Interne 1993. [DOI: 10.1016/s0248-8663(05)80503-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: 11/27/2022]
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Jean-Baptiste G, Arfi S, Plumelle Y, Panelatti G, Mangin JL, Pascaline N. [Hypercalcemia of T-cell leukemia in adults]. Rev Rhum Ed Fr 1993; 60:292-8. [PMID: 8167627] [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: 01/29/2023]
Abstract
A retrospective study of 26 adults with acute T-cell leukemia showed that 14 patients (54%) had hypercalcemia at some point of the disease. Hypercalcemia was found at presentation in nine patients and revealed the disease in one. Eight patients had hypercalcemia at the time of death. Serum phosphorus and parathyroid hormone levels were normal. All patients with hypercalcemia tested positive for the HTLV-1 by Elisa and Western blot. Six patients had focalized or diffuse lytic roentgenographic bone lesions. Hypercalcemia in acute T-cell leukemia may involve production of interleukin-1-alpha and parathyroid hormone-related protein by HTLV-1-infected cells.
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Arfi S, Durget D, Vernant J, Numeric P, de Thore J, Jean-Baptiste G. Dermatopolymyosite en Martinique. Relations avec le virus HTLV1. Rev Med Interne 1992. [DOI: 10.1016/s0248-8663(05)81031-8] [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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Heshmat MY, Kovi J, Rao MS, Mohla S, Spurlin DW, Jean-Baptiste G. Review of prostatic surgical procedures at a predominantly black hospital: a 22-year study. J Natl Med Assoc 1992; 84:677-80. [PMID: 1507257 PMCID: PMC2571644] [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: 12/27/2022]
Abstract
This article reports the results of a pathoepidemiological study of a cohort of black men who had prostatic surgery at Howard University Hospital between 1968 and 1989. The median age of patients at diagnosis of prostate cancer increased by 8 years during the study period, indicating either a delay in seeking medical care or a true delay in onset of the disease. The trends of prevalence of biopsies with cancer in various age groups suggested a sharp rise in the incidence of prostate cancer after the age of 70. The significant increase in popularity of needle biopsy during the period 1982 to 1989 after a 7-year plateau is an indication of increased perceived value of this procedure with experience and technical improvement. The prevalence of biopsies with cancer in all successive time periods of the study showed a bimodal distribution with an early hump in the 50- to 54-year-old age group. This hump is analogous to the break in the rising incidence of breast cancer between the ages of 47 and 52 (Clemmesen hook). This similarity could be explained on the basis of hormonal dependence of the two cancers.
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Affiliation(s)
- M Y Heshmat
- Department of Community Health and Family Practice, Howard University College of Medicine, Washington, DC 20059
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Panelatti G, Plumelle Y, Arfi S, Pascaline N, Caplanne D, Jean-Baptiste G. [Sarcoidosis and leukemia/T-cell lymphoma associated with HTLV-1 virus infection in adults (apropos of a case)]. Rev Med Interne 1992; 13:299-301. [PMID: 1287773 DOI: 10.1016/s0248-8663(05)80306-6] [Citation(s) in RCA: 6] [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] [Indexed: 12/26/2022]
Abstract
The HTLV-1 virus causes a disturbance of the immune system, the evaluation of which is often difficult. We report a case of sarcoidosis in a 49 year old woman of Martinique as evidenced by bilateral hilar adenopathy, hypercalcaemia, uveitis and granulomatous lesions on histological examination. Serological was positive for HTLV-1 antibodies. Three years later she developed an adult T-cell leukemia/lymphoma. The relationships between the HTLV-1 retroviral infection and different pathologies observed are discussed.
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Affiliation(s)
- G Panelatti
- Service de Médecine Interne, CHRU, Fort de France
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40
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Arfi S, Caplanne D, Jean-Baptiste G, Habault C, Panelatti G, Vernant J. Myasthénie induite par la Tiopronine au cours du traitement d'une polyarthrite rhumatoïde. Rev Med Interne 1991. [DOI: 10.1016/s0248-8663(05)80833-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [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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41
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Jean-Baptiste G. [Rheumatoid arthritis. Diagnosis, anatomopathology, evolution, prognosis, treatment]. Rev Prat 1991; 41:1863-8. [PMID: 1681584] [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: 12/28/2022]
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Jean-Baptiste G, Arfi S, Horreard F, Chenière A, Vernant JC, Bokor J. [Atypical lumbar and nerve-root pain associated with the HTLV-1 virus]. Rev Rhum Mal Osteoartic 1990; 57:869-72. [PMID: 2150450] [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: 12/30/2022]
Abstract
The human retrovirus HTLV-1 (Human T-cell Lymphotrophic Virus) is responsible for malignant proliferations of mature T lymphocytes. It is also now implicated in neurological disorders dominated by spastic paraplegia. A study of 140 cases of lumbar and root pain enabled us to identify 8 of apparently idiopathic atypical lumbar and root pain which led to the discovery of a positive HTLV-1 serology performed routinely. These cases were remarkable in terms of the rarity and minimal extent of spinal cord signs and of Lasegue's sign, their duration of more than a year and the existence of neurological signs indicative of central involvement. In 2 patients there was secondary progression to a spastic paraparesis. It would appear that the neurotropism of HTLV-1 virus is not limited to the central nervous system but that it can also involve the peripheral nervous system as indicated by certain cases in the literature as well as those collected in Martinique, an endemic area for the virus. Rheumatologists should be aware of this possibility when confronted with such cases of atypical lumbar and root pain and should seek the existence of an HTLV-1 virus infection among other viral etiologies, in particular when the patient concerned comes from an endemic area.
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Affiliation(s)
- G Jean-Baptiste
- Médecine Interne, Hôpital Pierre Zobda-Quitman, Fort-de-France
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Jean-Baptiste G, Colleuil M. [Dorsal spinal cord compression of inflammatory origin in ankylosing spondylarthritis]. Rev Rhum Mal Osteoartic 1985; 52:635-7. [PMID: 4081586] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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