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Gaudemer A, Sauvet G, Hij A, Stanciu R, Farge-Bancel D, Algayres JP. [Splenic sarcoidosis diagnosed by US-guided biopsy: About a case]. Rev Med Interne 2017; 39:200-202. [PMID: 29274795 DOI: 10.1016/j.revmed.2017.11.012] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2016] [Revised: 10/30/2017] [Accepted: 11/30/2017] [Indexed: 11/24/2022]
Abstract
INTRODUCTION Splenic localisation of sarcoidosis is common but rare as unique location. We report a case diagnosed by US-guided biopsy. OBSERVATION A 42-year-old woman presented atypic and recidivant epigastric pain. Abdominal ultrasound showed splenic hypoechoic nodules not characterizable with CT or MRI. PET-CT revealed hypermetabolism without any other abnormal metabolic activity. US-guided biopsy with small needle achieved diagnosis of isolated splenic sarcoidosis. CONCLUSION Diagnosis of splenic nodular sarcoidosis can be challenging without any other localization. Splenic biopsy achieved diagnosis. This procedure is associated with a low risk of complications - in particular hemorragic ones. Diagnostic splenectomy should be an exceptional intervention.
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Affiliation(s)
- A Gaudemer
- Service de médecine interne et pathologie vasculaire, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France.
| | - G Sauvet
- Service de médecine interne et pathologie vasculaire, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France
| | - A Hij
- Service de médecine interne et pathologie vasculaire, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France
| | - R Stanciu
- Service de médecine interne et pathologie vasculaire, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France
| | - D Farge-Bancel
- Service de médecine interne et pathologie vasculaire, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France
| | - J-P Algayres
- Service de clinique médicale, hôpital d'instruction des armées du Val-de-Grâce, 74, boulevard de Port-Royal, 75005 Paris, France
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Pernin M, Gontier E, Tuleja E, Ukkola-Pons E, Alsac JM, Algayres JP, Carmoi T. [An abnormal PET-CT in a febrile man]. Rev Med Interne 2013; 34:242-4. [PMID: 23294732 DOI: 10.1016/j.revmed.2012.11.013] [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] [Received: 11/09/2012] [Accepted: 11/26/2012] [Indexed: 10/27/2022]
Affiliation(s)
- M Pernin
- Service d'imagerie médicale, hôpital d'instruction des armées Legouest, 57000 Metz, France.
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Bonnefoy S, Chauvin A, Galéano-Cassaz C, Camilleri-Broet S, Jacquet SF, Carmoi T, Perrot G, Blondon H, Lecoules S, Cambon A, Algayres JP. [Tropical sprue in an expatriate]. Rev Med Interne 2012; 33:284-7. [PMID: 22405324 DOI: 10.1016/j.revmed.2012.01.015] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2011] [Accepted: 01/19/2012] [Indexed: 11/29/2022]
Abstract
INTRODUCTION Tropical sprue is a postinfective malabsorption syndrome that occurs in some tropical endemic areas. CASE REPORT A 65-year-old Caucasian patient, with no significant past medical history, living in Cambodia for 10 years, presented with a 23 kg weight loss and chronic diarrhea. Clinical examination was unremarkable. Laboratory tests showed a moderate nutritional deficiency syndrome. The upper gastrointestinal endoscopy showed duodenal villous atrophy and histological analysis confirmed subtotal villous atrophy with important intraepithelial lymphocytosis. The diagnosis of tropical sprue was considered on the epidemiological, clinical and biological context, and the absence of other cause of villous atrophy. A three-month duration treatment with antibiotics, folic acid and vitamin B12 was initiated. The clinical course was favorable with disappearance of diarrhea in 15 days. One year later, the patient had resumed his usual weight, and laboratory tests and duodenal biopsies were normal. CONCLUSION The diagnosis of tropical sprue should be systematically discussed in any malabsorption syndrome with villous atrophy in a patient living or having lived in the tropics.
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Affiliation(s)
- S Bonnefoy
- Clinique médicale, HIA du Val-de-Grâce, 74, boulevard de Port-Royal, 75005 Paris, France.
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4
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Carmoi T, Grateau G, Billhot M, Dumas G, Biale L, Perrot G, Algayres JP. [Prolonged fever: specific issues in the young adult population]. Rev Med Interne 2011; 31:838-45. [PMID: 20537444 DOI: 10.1016/j.revmed.2009.10.437] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2009] [Revised: 09/30/2009] [Accepted: 10/31/2009] [Indexed: 11/29/2022]
Abstract
Early studies on prolonged fever date back to the 1960s. Fifty years later, prolonged unexplained fever remains a diagnostic challenge to the general internists. Although the aetiologies of prolonged fevers have not changed much in the general population, the distribution between the various causes is not the same anymore. A regular decrease in infectious and neoplastic causes is noticed whatever the age. Prolonged fevers related to inflammatory disorders and fevers that remain of unknown origin still represent approximately 30 to 50% of the cases. In the young adult population, as in the older patients, prolonged fevers can be attributed to four groups: infection, inflammation, neoplasic and other aetiologies (including drug-related fevers). In the young adult population, the management of prolonged fever presents some specific issues that are the purpose of this review coupled with our own experience. The prognosis of undiagnosed prolonged fever is usually favourable, as a life-threatening aetiology is exceptionally diagnosed during the follow-up if the initial management was complete and accurate.
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Affiliation(s)
- T Carmoi
- Clinique médicale, hôpital d'instruction des armées du Val-de-Grâce, 74, boulevard de Port-Royal, 75005 Paris, France.
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Konopacki J, Carmoi T, Lecoules S, Sekkach Y, Peter AL, Billhot M, Algayres JP. [Usefulness of JAK2 mutation assessment in recurrent deep venous thrombosis]. Rev Med Interne 2010; 31:e1-3. [PMID: 20362361 DOI: 10.1016/j.revmed.2009.05.014] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2009] [Revised: 05/01/2009] [Accepted: 05/25/2009] [Indexed: 11/16/2022]
Abstract
The search of JAK2 V617F mutation is a useful tool for the diagnosis of myeloproliferative disorders (MPD). This case report highlights the potential usefulness of this testing in recurrent deep venous thrombosis (DVT) of lower limb. We report a 73-year-old man who presented with three spontaneous episodes of lower limb DVT. The third episode occured while he was receiving fluindione. MPD was suspected because of an increased hematocrit (55 %) and hemoglobin (17g/dl) level. Red cell blood volume was increased and a JAK2 V617F mutation was detected confirming the diagnosis of polycythemia vera. The usefulness of JAK2 mutation for the diagnosis of MPD has been widely demonstrated. Also, some studies confirmed its usefulness in apparently idiopathic abdominal venous thrombosis. This report highlights the possible interest of JAK2 mutation in unexplained recurrent lower limb DVT, especially when it occurs under anticoagulant therapy.
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Affiliation(s)
- J Konopacki
- Clinique médicale, HIA du Val-de-Grâce, 74, boulevard de Port-Royal, 75005 Paris, France.
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Béchade D, Blondon H, Sekkach Y, Desramé J, Algayres JP. [Review of the association between obesity and gastroesophageal reflux and its complications]. ACTA ACUST UNITED AC 2009; 33:155-66. [PMID: 19250782 DOI: 10.1016/j.gcb.2008.12.008] [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: 09/03/2008] [Revised: 12/02/2008] [Accepted: 12/02/2008] [Indexed: 12/20/2022]
Abstract
Esophageal adenocarcinoma and its precursor Barrett's esophagus are increasing in incidence in western populations. Gastroesophageal reflux and high body mass index (BMI) are known risk factors. Studies about Barrett's esophagus in obese patients have emphasised the role of central adiposity as a stronger risk factor than BMI in the development of specialized intestinal metaplasia and subsequently esophagus adenocarcinoma. The proinflammatory impact of adipocytokines of the abdominal fat associated with the metabolic syndrome is also relevant. Except cardiovascular diseases, type 2 diabetes and non alcoholic steatohepatitis, abdominal obesity and metabolic syndrome are responsible of an increase of prevalence of esophageal adenocarcinoma, but also other cancer sites. In this review, we study the up to date main epidemiologic and physiopathologic data concerning this association that could be important in future for a preventive action in obese patients, especially when metabolic syndrome is present.
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Affiliation(s)
- D Béchade
- Service de clinique médicale, hôpital du Val-de-Grâce, 74, boulevard de Port-Royal, 75230 Paris cedex 05, France.
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7
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Sekkach Y, Carmoi T, Lebreton Y, Lecoules S, Billhot M, Blondon H, Desramé J, Béchade D, Algayres JP. [Cholangiocarcinoma and humoral hypercalcemia of malignancy]. Gastroenterol Clin Biol 2009; 33:85-87. [PMID: 19124210 DOI: 10.1016/j.gcb.2008.11.011] [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] [Received: 07/28/2008] [Revised: 10/17/2008] [Accepted: 11/03/2008] [Indexed: 05/27/2023]
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8
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Sekkach Y, Baizri H, Mounach J, Qacif H, El Omri N, Chahdi H, Rkiouak F, Belmejdoub G, Ghafir D, Ohayon V, Algayres JP. [An historical case of malignant hyperparathyroidism with unusual metastatic sites]. Ann Endocrinol (Paris) 2008; 70:64-70. [PMID: 18922512 DOI: 10.1016/j.ando.2008.08.001] [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] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/25/2008] [Revised: 07/02/2008] [Accepted: 08/06/2008] [Indexed: 10/21/2022]
Abstract
We report a historical case of hyperparathyroidism in a young patient hospitalized for an array of osteolytic foci and incomplete fracture associated with a swollen neck, revealing a very special form of a metastatic parathyroid carcinoma with unusual multiple locations and exceptional medullary flooding. Carcinoma of the parathyroid gland produces a malignant hypersecreting tumor particularly difficult to diagnose. Treatment of this rare tumor is primarily surgical. The preoperative syndrome is unusually severe primary hyperparathyroidism. Intraoperatively, the size of the tumor and its local extension to surrounding tissue are highly suggestive. Confirmation requires pathological analysis of the operative specimens and can be further supported by the clinical course of local recurrence or metastasic spread. Specific immunohistochemical techniques have recently been shown to be contributive. The diagnosis is strengthened in the presence of associated Schantz and Castelman criteria. Foci of local extension can be identified preoperatively with ultrasound, (99m)Tc-sestamibi scintigraphy and MRI of the neck and mediastinum. The prognosis depends mainly on the possibility of achieving complete resection at the initial surgery. In some cases, very aggressive complementary postoperative radiotherapy is likely to improve locoregional control of the tumor. Chemotherapy alone or in combination with radiation has not demonstrated its effectiveness. The disease course and control can be monitored by regular assay of serum calcium and the parathormone.
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Affiliation(s)
- Y Sekkach
- Clinique médicale, hôpital d'instruction des armées du Val-de-Grâce, BP 1-00446 Armées, 75230 Paris, France.
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9
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Carmoi T, Bordier L, Bonnefoy S, Callot D, Lecoules S, Algayres JP. [Ofloxacin is contraindicated in case of G6PD deficiency: is it evidenced based?]. Rev Med Interne 2008; 30:355-7. [PMID: 18774203 DOI: 10.1016/j.revmed.2008.07.007] [Citation(s) in RCA: 4] [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: 12/17/2007] [Revised: 06/21/2008] [Accepted: 07/06/2008] [Indexed: 11/29/2022]
Abstract
G6PD deficiency is very frequent with almost 400 millions of patients worldwide in Asia, Africa and Mediterranean. G6PD deficiency is involved in mild or severe haemolysis and the precipitating factor is usually a drug. More than 100 drugs have been implicated and fluoroquinolones are one of the more classic. However, the literature review shows that only a few observations have been clearly documented.
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Affiliation(s)
- T Carmoi
- Service de médecine interne, HIA Val-de-Grâce, 74, boulevard de Port-Royal, 75005 Paris, France.
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10
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Bonnefoy S, Béchade D, Bertocchi C, Blondon H, Desramé J, Algayres JP. [Sporadic colonic juvenile polyps in adults]. ACTA ACUST UNITED AC 2008; 33:88-91. [PMID: 18603394 DOI: 10.1016/j.gcb.2008.05.009] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2008] [Revised: 03/30/2008] [Accepted: 05/09/2008] [Indexed: 11/18/2022]
Abstract
Sporadic colonic juvenile polyps are uncommon in adults. We report three cases for which clinical manifestations were presence of occult blood in the stool, rectal bleeding or chronic diarrhea. Two of these polyps occurred in the caecum which is an uncommon localisation. Endoscopic characteristics of these polyps were indistinguishable from adenomas. Endoscopic resection was complicated in one case by bleeding.
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Affiliation(s)
- S Bonnefoy
- Service de clinique médicale, hôpital du Val-de-Grâce, 74, boulevard de Port-Royal, 75230 Paris cedex 05, France
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Banal F, Lecoules S, Carmoi T, Thomas L, Bonnefoy S, Béchade D, Desramé J, Algayres JP. [Acute renal insufficiency after flurbiprofen treatment in a patient treated with angiotensin converting enzyme inhibitor]. Rev Med Interne 2008; 29:593-5. [PMID: 18280012 DOI: 10.1016/j.revmed.2007.12.014] [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: 08/10/2007] [Revised: 12/18/2007] [Accepted: 12/27/2007] [Indexed: 11/15/2022]
Abstract
We report a case of acute renal insufficiency in a 77 year-old patient who took flurbiprofen as antiplatelet therapy. This is an important observation because it illustrates the potential risk of acute renal insufficiency, when using flurbiprofen before invasive medical examination or surgery in patients receiving long-term treatment with angiotensin converting enzyme inhibitors or angiotensin II inhibitors. This risk is probably underestimated in usual clinical practice.
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Affiliation(s)
- F Banal
- Service de médecine interne, hôpital d'instruction des armées du Val-de-Grâce, Val-de-Grâce, 74, boulevard de Port-Royal, 75005 Paris, France.
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12
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Le Berre JP, Desramé J, Lecoules S, Coutant G, Béchade D, Algayres JP. Hyponatrémie due au tramadol. Rev Med Interne 2007; 28:888-9. [PMID: 17624638 DOI: 10.1016/j.revmed.2007.06.011] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.9] [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: 04/17/2007] [Revised: 06/06/2007] [Accepted: 06/15/2007] [Indexed: 11/23/2022]
Abstract
We reported a 92-year-old woman with hyponatremia (117 mmol/l) occurring three days after the introduction of tramadol. Diagnosis of inappropriate antidiuretic hormone secretion was based on blood and urinary analysis and dosage of antidiuretic hormone. Natremia became normal after tramadol cessation and fluid restriction. Natremia must be measured when neurological abnormality occurs with tramadol treatment.
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Affiliation(s)
- J-P Le Berre
- Service de médecine interne, hôpital d'instruction des armées du Val-de-Grâce, 74, boulevard de Port-Royal, 75230 Paris cedex 05, France.
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Bordier L, Lecoules S, Carmoi T, Zyani M, Ficko C, Desrame J, Bechade D, Algayres JP. [Bone and articular lesions in a patient with chronic hepatopathy]. Rev Med Interne 2007; 29:577-8. [PMID: 17977625 DOI: 10.1016/j.revmed.2007.08.002] [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] [Received: 08/01/2007] [Accepted: 08/07/2007] [Indexed: 12/01/2022]
Affiliation(s)
- L Bordier
- Service d'endocrinologie, hôpital d'instruction des armées Bégin, 69, avenue de Paris, 94160 Saint-Mandé, France.
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Ait Badi MA, Zyani M, Kaddouri S, Niamane R, Hda A, Algayres JP. [Skeletal manifestations in Behçet's disease. A report of 79 cases]. Rev Med Interne 2007; 29:277-82. [PMID: 18289738 DOI: 10.1016/j.revmed.2007.09.031] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2007] [Accepted: 09/11/2007] [Indexed: 11/27/2022]
Abstract
PURPOSE Our aim is to describe the skeletal manifestations of Behcet's disease (BD) among young adults in a military population. METHODS We conducted a retrospective study of 176 patients with BD who were followed between 1980 and 2005. All the patients fulfilled the international study group on Behcet's disease diagnostic criteria. RESULTS Rheumatic manifestations were noticed in 79 out of 176 patients (45%), ranking second after the skin and mucosal manifestations of the disease. Articular manifestations were the first disease manifestation in 16.5% of the patients. Inflammatory arthralgias were the most common manifestation and observed in 81%, interesting mainly the large lower limb joints. Disease course was acute in most of the patients. Arthritis was less common: oligoarthritis (7.5%), monoarthritis (6.5%) and polyarthritis (5%). Axial involvement was also noted: spine pain in 29%, isolated sacroiliitis in 7.5%, and definite ankylosing spondylitis in 5%. CONCLUSION Joint involvement is common in BD and could be the first manifestation of the disease. Most of the patients present with inflammatory arthralgias of the large lower limb joints. Disease course is usually favourable, spontaneously or with treatment. However, in our study population, skeletal manifestations were responsible for significant disability.
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Affiliation(s)
- M A Ait Badi
- Service de médecine interne, hôpital militaire Avicenne, 74, boulevard de Pont-Royal, B.P. 100446, 40000 Marrakech, Maroc.
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Bladé JS, Desramé J, Corberand D, Lecoules S, Blondon H, Carmoi T, Zyani M, Béchade D, Algayres JP. [Diagnosis of anemia in alcoholic cirrhosis]. Rev Med Interne 2007; 28:756-65. [PMID: 17559980 DOI: 10.1016/j.revmed.2007.05.005] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2007] [Accepted: 05/03/2007] [Indexed: 01/29/2023]
Abstract
PURPOSE Anemia in patients with alcoholic liver cirrhosis is a common issue. The diagnosis could be difficult because of the multiplicity of causes, usually associated, and specificities in the diagnostic approach. This subject has not been reviewed for almost two decades. We propose a review based upon analysis of the literature and our clinical experience. CURRENT KNOWLEDGE AND KEY POINTS Because of the alcoholism and the biological consequences of the liver disease, laboratory findings, especially the mean corpuscular volume, should be interpreted with caution in the diagnostic approach. Despite these drawbacks, the diagnosis of anemia is detailed according to the usual plan: normocytic, macrocytic and microcytic anemias. Finally, we propose practical guidelines. FUTURE PROSPECTS AND PROJECTS Further prospective studies should assess the real burden of nutritional deficiencies, easily treatable. The prognostic significance of hemolytic anemias in patients with alcoholic liver cirrhosis should be studied.
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Affiliation(s)
- J-S Bladé
- Clinique médicale, hôpital d'instruction des armées du Val-de-Grâce, 74, boulevard de Port-Royal, 75230 Paris cedex 05, France.
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16
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Affiliation(s)
- D Béchade
- Department of Gastroenterology, Val de Grâce Hospital, Paris, France.
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17
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Béchade D, Durand X, Desramé J, Rambelo A, Corberand D, Baranger B, Farge D, Algayres JP. [Etiologic spectrum of mesenteric panniculitis: report of 7 cases]. Rev Med Interne 2007; 28:289-95. [PMID: 17316921 DOI: 10.1016/j.revmed.2006.12.020] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2006] [Accepted: 12/30/2006] [Indexed: 12/13/2022]
Abstract
OBJECTIVE Mesenteric panniculitis is a rare disorder characterized by nonspecific inflammation and/or necrosis and/or fibrosis in the adipose tissue of the bowel mesentery. Its signification, primary or associated with other diseases, is a subject of controversy. METHODS A descriptive and retrospective study of patients with an abdominal CT examination showing features of mesenteric panniculitis and for whom biopsy with immunohistochemical examination was obtained in all cases. RESULTS Seven patients were enrolled (4 men and 3 women) with a median age of 62,1 years. None of the patients without an identified etiology had a history of abdominal surgery. An associated disease was identified in 4 cases: breast cancer (1), non-Hodgkin's lymphoma based on peripheric lymph nodes biopsy (2) and cryoglobulinemic vascularitis based on renal biopsy (1). In the 3 remaining cases, isolated mesenteric panniculitis was the only abnormality despite thorough imaging and pathologic investigations. CONCLUSION Except an obvious malignancy context or a history of abdominal surgery, a pathologic examination of the mesenteric panniculitis lesions is necessary, especially to eliminate another mesenteric disorder. Mesenteric panniculitis is often associated with lymphoma.
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Affiliation(s)
- D Béchade
- Service de clinique médicale, hôpital du Val-de-Grâce, 74, boulevard de Port-Royal, 75230 Paris cedex 05, France.
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Abstract
INTRODUCTION Thromboembolic events are serious complications in patients with inflammatory bowel disease. EXEGESIS An 18-year-old patient, with a one year history of ulcerative colitis, presented with cerebral venous thrombosis during the decreasing period of corticotherapy after an active phase of the disease. Under treatment, the neurological disorder rapidly improved. No inherited thrombophilia was found. CONCLUSION The role of acquired and inherited risks factors is discussed.
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Affiliation(s)
- D Béchade
- Service de clinique médicale, hôpital du Val-de-Grâce, 74, boulevard de Port-Royal, 75230 Paris cedex 05, France.
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Bonnet S, Durand X, Baton O, Gimenez-Roqueplo AP, Baudin E, Visset J, Algayres JP, Baranger B. Paragangliomes malins héréditaires : problèmes liés à la prise en charge des formes non sécrétantes. ACTA ACUST UNITED AC 2006; 131:626-30. [PMID: 16815237 DOI: 10.1016/j.anchir.2006.05.004] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [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: 12/20/2005] [Accepted: 05/27/2006] [Indexed: 10/24/2022]
Abstract
Non-functional paraganglioma have not clinical or biological characteristics, so that the diagnostic is most of the time delayed and made on the occasion of advanced abdominal tumor or symptomatic metastasis management. Hereditary forms, notably those with SDHB mutation, seem to have a poor prognosis. On the other hand, and on the oposite to sporadic forms, they are the only ones to benefit from genetic testing which make possible, if positive, an earlier diagnostic, before apparition of symptoms, recurrence or metastasis. We report a case of non-functional malignant hereditary paraganglioma diagnosed belatedly and we will consider management problems raised by non-functional forms.
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Affiliation(s)
- S Bonnet
- Service de Chirurgie Viscérale et Vasculaire, Hôpital d'Instruction des Armées du Val-de-Grâce, 74, boulevard de Port-Royal, 75230 Paris cedex 05, France.
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20
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Le Berre JP, Coutant G, Lecoules S, Desramé J, Amezyane T, Béchade D, Algayres JP. Des anomalies cornéennes et cérébrales. Rev Med Interne 2006; 27:631-2. [PMID: 16530890 DOI: 10.1016/j.revmed.2006.01.014] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2006] [Accepted: 01/18/2006] [Indexed: 11/20/2022]
Affiliation(s)
- J P Le Berre
- Service de médecine interne, hôpital d'instruction des armées du Val-de-Grâce, 74, boulevard de Port-Royal, 119, rue de Javel, 75230 Paris cedex 05, France.
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Amezyane T, Pouit B, Bassou D, Lecoules S, Desramé J, Blade JS, Béchade D, Algayres JP. Une cause rare de lombosciatique. Rev Med Interne 2006; 27:494-6. [PMID: 16310292 DOI: 10.1016/j.revmed.2005.10.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2005] [Accepted: 10/03/2005] [Indexed: 10/25/2022]
Affiliation(s)
- T Amezyane
- Clinique médicale, HIA Val-de-Grâce, 00446 ARMEES cedex, France
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22
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Rouquie D, Eggenspieler P, Algayres JP, Béchade D, Camparo P, Baranger B. [Malignant-like angiomyolipoma of the liver: report of one case and review of the literature]. ACTA ACUST UNITED AC 2005; 131:338-41. [PMID: 16386232 DOI: 10.1016/j.anchir.2005.11.014] [Citation(s) in RCA: 35] [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] [Received: 07/13/2005] [Accepted: 11/23/2005] [Indexed: 12/14/2022]
Abstract
Frequently found in kidney, angiomyolipoma is a rare mesenchymal tumor when diagnosed in the liver and usually benign composed of proliferative blood vessels, fatty tissue and smooth muscle. We report the case of a 67-year-old woman who underwent a left hepatectomy for a 4th segment tumor unidentified after imaging and fine needle biopsy. Final anatomopathologic examination revealed an epithelioïd hepatic angiomyolipoma with signs of malignant behaviour as vascular and lymphatics embolus and invaded left portal vein thrombosis. During the subsequent 24-month follow-up, no recurrence was observed. A review of the literature found only two cases of malignant hepatic angiomyolipoma with fatal issue, however, their incidence must be underrated because of their scarcity and the difficulty of their diagnosis, which needs immunohistochemical confirmation with HMB 45 in particularly. Advances in imaging and anatomopathology in particular with the concept of PEComa (Perivascular-Epithelioïd Cell) as the unifying feature should lead to the recognition of the various variant patterns and cell types. The latter which are important for a correct diagnosis, in order to obtain reliable data about frequency, possible malignant behaviour and therefore consensus management for hepatic angiomyolipoma.
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Affiliation(s)
- D Rouquie
- Service de chirurgie viscérale et vasculaire, hôpital du Val-de-Grâce, 74, boulevard Port-Royal, 75230 Paris cedex 05, France.
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Béchade D, Desramé J, Raynaud JJ, Coutant G, Algayres JP. [Lymphocytic colitis following administration of mianserine]. Rev Med Interne 2005; 27:78-80. [PMID: 16260071 DOI: 10.1016/j.revmed.2005.09.006] [Citation(s) in RCA: 1] [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: 06/06/2005] [Accepted: 09/09/2005] [Indexed: 11/22/2022]
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Lecoules S, Blade JS, Bordier L, Desramé J, Coutant G, Bechade D, Algayres JP. [A spinal disease which causes toothache...]. Rev Med Interne 2005; 26 Suppl 2:S307-9. [PMID: 16129185 DOI: 10.1016/s0248-8663(05)81295-0] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- S Lecoules
- Clinique médicale, hôpital d'Instruction de Armées du Val-de-Grâce, Paris, France
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Lecoules S, Jagou M, Blade JS, Desramé J, Coutant G, Algayres JP. La malédiction des Balkans: gare au coup de bélier !…. Rev Med Interne 2005; 26 Suppl 2:S292-3. [PMID: 16129179 DOI: 10.1016/s0248-8663(05)81289-5] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Affiliation(s)
- S Lecoules
- Clinique médicale, hôpital d'Instruction des Armées du Val-de-Grâce, Paris, France
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26
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Coutant G, Lecoules S, Desramé J, Camparo P, Gros P, Rapp C, Raynaud JJ, Béchade D, Algayres JP. [Inflammatory pseudotumor of lymph node]. Rev Med Interne 2005; 26:242-6. [PMID: 15777587 DOI: 10.1016/j.revmed.2004.11.018] [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: 07/02/2004] [Accepted: 11/18/2004] [Indexed: 11/23/2022]
Abstract
INTRODUCTION Inflammatory pseudotumor of lymph node is a rare case in the etiology of fever of unknown origin. OBSERVATION We report the observation of a woman, aged 40, hospitalized with intermittent fever revealing under-diaphragm adenopathy related to inflammatory pseudotumor of lymph node. CONCLUSION Inflammatory pseudotumor of lymph node is a rare pathology whose nosological definition is unclear. It should probably be considered as belonging to a category different from the inflammatory pseudotumor of other organs. The diagnosis presents itself in case of isolated adenopathy or prolonged fever and is based on an anatomopathology that essentially calls to mind a lymphoma. The evolution of the condition is shown to be favorable : it can lead to a spontaneous remission, or call for a non-steroid anti-inflammatory treatment, or a steroid therapy.
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Affiliation(s)
- G Coutant
- Clinique médicale, HIA du Val-de-Grâce, 74, boulevard de Port-Royal, 75230 Paris cedex 05, France.
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27
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Desramé J, Delacour H, Béchade D, Adem C, Raynaud JJ, Lecoules S, Coutant G, Algayres JP. Fistule pancréatico-péritonéale avec bisalbuminémie. Presse Med 2005; 34:223-6. [PMID: 15798534 DOI: 10.1016/s0755-4982(05)88252-1] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
Abstract
INTRODUCTION Pancreatic fistulas are a complication that occur in 3 to 15% of cases during the progression of chronic or acute pancreatitis, usually alcohol-induced. Bisalbuminemia is characterised by two albumin fractions on serum protein electrophoresis. The presence of Bisalbuminemia is inconsistent and has only rarely been reported. OBSERVATION A 42 year-old man, excessive drinker, developed pancreatic ascites related to a pancreatic-peritoneal fistula and associated with transitory bisalbuminemia. Treatment was medical with good short term results. DISCUSSION Ascites was secondary to a pancreatic-peritoneal fistula. It can be constitutional or acquired and transitory, and secondary to prolonged treatment with b-lactamines in a patient with kidney failure or a pancreatic fistula.
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Affiliation(s)
- J Desramé
- Clinique médicale, Hôpital d'Instruction des Armées Val de Grace, 74 boulevard Port Royal, 75005 Paris, France.
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Desramé J, Duvic C, Bredin C, Béchade D, Artru P, Brézault C, Defuentes G, Poirier JM, Dourthe LM, Coutant G, Chaussade S, de Gramont A, Algayres JP. [Hemolytic uremic syndrome as a complication of gemcitabine treatment: report of six cases and review of the literature]. Rev Med Interne 2005; 26:179-88. [PMID: 15777580 DOI: 10.1016/j.revmed.2004.11.016] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.5] [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: 06/16/2004] [Accepted: 11/23/2004] [Indexed: 11/23/2022]
Abstract
UNLABELLED Hemolytic uremic syndrome is a rare condition during gemcitabine therapy. METHODS We report six new cases of hemolytic uremic syndrome related to gemcitabine, three issued from a retrospective study of 136 consecutive patients treated with gemcitabine for which a systematic screening of this side effect has been performed and 29 cases with clinical data available identified in the literature in order to better characterised frequency and clinical presentation of this side effect. RESULTS In our series, frequency of HUS is 2.2% and is higher than this previously reported (0.015%) or estimated with the data of clinical trials analysed (0.072 %). For 35 cases with clinical data available, the patients were always treated for a local advanced and/or metastatic disease. For our cases and for literature cases, at the time of diagnosis of hemolytic uremic syndrome, mean number of doses received (mean+/-standard deviation. Minimum/maximum)) (personal cases: 26.5+/-6.6. 16/36, literature cases: 21+/-11. 8/54), cumulative dose received (g/m2) (personal cases : 24.5+/-6.3. 16/31.6, literature cases: 21.7+/-12.4. 2.4/54) and duration of treatment (months) (personal cases: 8.2+/-1.9. 5.6/11, literature cases: 8.5+/-4.0. 3/18) are very closed and high individual variations observed for these factors are not consistent with a time and/or dose dependant toxicity. New-onset hypertension or exacerbation of underlying hypertension is the most common clinical manifestation, with mild anemia; thrombocytopenia is inconstant. The degree of severity of renal failure is highly variable. The existence of subacute clinical form with progressive worsening of the symptoms and biological form at the time of diagnosis suggest the interest of a systematic clinical and biological screening of this side effect, before each injection of gemcitabine. Early prognosis is linked to the evolution of hemolytic uremic syndrome and after hemolytic uremic syndrome healing, cancer progression. Treatment include gemcitabine discontinuation, antihypertensive drugs and if necessary fresh frozen plasma. CONCLUSIONS Systematic clinical and biological screening of hemolytic uremic syndrome during gemcitabine therapy should allow to better know this complication, to recognize and treat it earlier with a potential positive impact for patients.
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Affiliation(s)
- J Desramé
- Clinique médicale, hôpital d'instruction des armées du Val-de-Grâce, 74, boulevard de Port-Royal, 75005 Paris, France.
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29
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Defuentes G, Lecoules S, Desramé J, Béchade D, Coutant G, Flocard F, Algayres JP. [Amyotrophic lateral sclerosis during multiple myeloma]. Rev Med Interne 2004; 25:766-8. [PMID: 15471606 DOI: 10.1016/j.revmed.2004.06.005] [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] [Received: 03/26/2004] [Accepted: 06/07/2004] [Indexed: 04/30/2023]
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30
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Defuentes G, Lecoules S, Desramé J, Coutant G, Algayres JP. [Polymyositis during adult-onset Still's disease]. Rev Med Interne 2004; 25:531-3. [PMID: 15219374 DOI: 10.1016/j.revmed.2004.03.002] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2004] [Accepted: 03/18/2004] [Indexed: 10/26/2022]
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31
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Desrame J, Lechevalier D, Bechade D, Teritehau C, Lecoules S, Raynaud JJ, Bladé JS, Damiano J, du Bourguet F, Coutant G, Algayres JP. Un antécédent difficile à digérer. Rev Med Interne 2004; 25 Suppl 2:S286-8. [PMID: 15460482 DOI: 10.1016/s0248-8663(04)80035-3] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- J Desrame
- Clinique médicale, hôpital d'instruction des armées du Val-de-Grâce, 74, boulevard de Port-Royal, 75005 Paris, France
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Defuentes G, Lecoules S, Bladé JS, Desramé J, Raynaud JJ, Béchade D, Coutant G, Algayres JP. Une camerounaise bien habillée. Rev Med Interne 2004; 25 Suppl 2:S218-20. [PMID: 15460455 DOI: 10.1016/s0248-8663(04)80008-0] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Affiliation(s)
- G Defuentes
- Clinique médicale, hôpital d'Instruction des Armées du Val-de-Grâce, 74, boulevard Port-Royal, 75005 Paris, France
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Affiliation(s)
- L Védrine
- Service de clinique médicale, hôpital d'instruction des armées du Val-de-Grâce, 75230 Paris cedex 05, France.
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Abstract
INTRODUCTION The authors report four cases of non Hodgkin's lymphomas (NHL) among patients infected by the hepatitis C virus (HCV). They discuss the epidemiological, physiopathological and clinical features of this association. CURRENT KNOWLEDGE AND KEY POINTS The role of the HCV in the development of B-cell NHL is probable but the reported frequency of the association with HCV infection is variable especially in different countries. Most of the reported cases are low-grade NHL with frequent extranodal involvement. FUTURE PROSPECTS AND PROJECTS New studies will improve the understanding of the physiopathological mechanisms that might explain the occurrence of NHL in the course of HCV infection. The recent evidence that the antiviral treatment is effective in splenic lymphoma with villous lymphocytes leads to reconsider the relationship between HCV and NHL and to think about new therapeutic possibilities.
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Affiliation(s)
- K Ennibi
- Service de médecine interne A, hôpital militaire d'instruction Mohammed V, Rabat, Maroc
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35
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Béchade D, Berthelet O, Desramé J, Lecoules S, Coutant G, Algayres JP. [Recurrent cholestatic jaundice in adult-onset Still's disease]. Rev Med Interne 2002; 23:1034-5. [PMID: 12504244 DOI: 10.1016/s0248-8663(02)00733-6] [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: 10/27/2022]
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36
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Béchade D, Palazzo L, Desramé J, Duvic C, Hérody M, Didelot F, Coutant G, Algayres JP. [Pancreatic metastasis of renal cell carcinoma: report of three cases]. Rev Med Interne 2002; 23:862-6. [PMID: 12428491 DOI: 10.1016/s0248-8663(02)00693-8] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.5] [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: 11/28/2022]
Abstract
INTRODUCTION The pancreas is an uncommon site of metastasis from renal cell carcinoma. EXEGESIS Three observations are described in this review which is aimed at reporting recent data on diagnosis, prognosis and therapeutic features of this kind of metastasis 0: The average space of time between nephrectomy and the diagnosis of the metastasis was 16 years. They have been fortuitously discovered in 2 cases, in patients who did not complain of any pancreatic symptom, during abdominal ultrasonography done for another reason. In the third case, pancreatic symptoms led to the diagnosis. Endoscopic ultrasonography (EUS) was useful to diagnose multiple lesions misdiagnosed on CT-scan or MRI imaging. EUS patterns are characteristic, but histological and cytological examinations of EUS-guided needle biopsies are difficult to study according to the hypervascularized character of these metastasis. CONCLUSION The diagnosis of pancreatic metastasis must be suggested for patients suffering from a pancreatic mass with a previous medical history of late renal cell carcinoma. According to their hypervascularized character, the negativity of EUS-guided needle biopsies could strongly direct the diagnosis. When surgery is possible, the survival rate is better than in primary pancreatic adenocarcinoma and is even better than in pancreatic metastasis from other sites.
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Affiliation(s)
- D Béchade
- Service de clinique médicale, hôpital du Val-de-Grâce, 74, boulevard de Port-Royal, 75230 Paris, France.
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37
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Béchade D, Desramé J, Hélie O, Berthelet O, Coutant G, Hélie C, Algayres JP. [Mirizzi syndrome]. Presse Med 2002; 31:217. [PMID: 11878139] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/24/2023] Open
Affiliation(s)
- D Béchade
- Service de Clinique Médicale, Service de radiologie diagnostique, Hôpital du Val-de-Grâce, 74 boulevard de Port-Royal, 75230 Paris
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38
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Béchade D, Desramé J, Damiano J, Berthelet O, Coutant G, Hélie C, Algayres JP. [Aortoduodenal fistula on aortic prosthesis]. Presse Med 2001; 30:1688. [PMID: 11760599] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/23/2023] Open
Affiliation(s)
- D Béchade
- Service de Clinique Médicale, hôpital du Val-de-Grâce, 74 boulevard de Port-Royal, 75230 Paris
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Béchade D, Baranger B, Desramé J, Szymczyszyn P, Eggenspieler P, Hélie C, Higuero T, Algayres JP. [Giant colonic diverticulum]. Gastroenterol Clin Biol 2001; 25:1032-4. [PMID: 11845061] [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: 02/23/2023]
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40
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Béchade D, Algayres JP, Ehre P, Texier F, Foehrenbach H, Bili H, Hélie C, Coutant G, Daly JP. [Atypical focal nodular hyperplasia]. Rev Med Interne 2001; 22:310-3. [PMID: 11270279 DOI: 10.1016/s0248-8663(00)00336-2] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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42
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Pagnoux C, Mennecier D, Ait Ameur A, Coutant G, Algayres JP. [Obliterating thromboangiitis: contribution of magnetic resonance angiography]. Presse Med 2001; 30:356. [PMID: 11262815] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/19/2023] Open
Affiliation(s)
- C Pagnoux
- Clinique médicale, Hôpital d'Instruction des Armées Val de Grâce, F 75005 Paris
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Karsenti D, Bechade D, Fallik D, Bili H, Desrame J, Coutant G, Algayres JP, Daly JP. [Small intestine bacterial overgrowth: six case reports and literature review]. Rev Med Interne 2001; 22:20-9. [PMID: 11218295 DOI: 10.1016/s0248-8663(00)00282-4] [Citation(s) in RCA: 3] [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] [Indexed: 11/30/2022]
Abstract
INTRODUCTION Small intestinal bacterial overgrowth syndrome (SIBOS) has various clinical and biological presentations. Six observations are described in this review which is aimed at reporting recent data on SIBOS and proposing diagnosis and therapeutic attitudes. CURRENT KNOWLEDGE AND KEY POINTS Chronic diarrhea, malabsorption syndrome and exsudative enteropathy are the main criteria of diagnosis. Breath hydrogen testing is commonly performed to confirm diagnosis, with a 78% sensitivity and a 89% specificity. The aim of therapy is reparation of malabsorption consequences, reduction of intestinal bacterial overgrowth, and surgical correction of intestinal stasis. In the absence of consensus, norfloxacin or amoxicillin-clavulinic acid (administered for a mean of 7 to 15 days) seem the more appropriate antibiotics. When possible, surgery represents the primary treatment of SIBOS recurrences. FUTURE PROSPECTS AND PROJECTS Diagnosis of small intestinal bacterial overgrowth syndrome must be evoked on the basis of either surgical or medical context, i.e., the existence of chronic diarrhea, malabsorption syndrome (complete or not), and exsudative enteropathy. This review reports essential factors for diagnosis and treatment.
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Affiliation(s)
- D Karsenti
- Service de clinique médicale hôpital du Val-de-Grâce, 74, boulevard de Port-Royal, 75230 Paris, France.
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Béchade D, Algayres JP, Texier F, Bili H, Mennecier D, Hélie C. [Malignant humoral hypercalcemia complicating hepatocellular carcinoma and rectal adenocarcinoma]. Presse Med 2000; 29:2096. [PMID: 11147049] [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: 02/18/2023] Open
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45
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Béchade D, Algayres JP, Baranger B, Arborio M, Louvet C, Krulik M, Bili H, Coutant G, Daly JP. [Malignant peritoneal mesothelioma revealed by small bowel obstruction]. Gastroenterol Clin Biol 2000; 24:1237-40. [PMID: 11173742] [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: 02/18/2023]
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46
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Mennecier D, Coutant G, Pagnoux C, Béchade D, Desramé J, Algayres JP. [Tumor of the ampulla of Vater]. Presse Med 2000; 29:1793. [PMID: 11098282] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/18/2023] Open
Affiliation(s)
- D Mennecier
- Service de Médecine interne, Hôpital d'Instruction des Armées du Val de Grâce, Paris
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47
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Coutant G, Bechade D, Mayaudon H, Moulin O, Algayres JP. [Association of sarcoidosis and multiple autoimmune syndrome]. Ann Med Interne (Paris) 2000; 151:519-20. [PMID: 11104935] [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: 02/18/2023]
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48
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Desramé J, Béchade D, Patte JH, Jean R, Karsenti D, Coutant G, Algayres JP, Daly JP. [Yellow nail syndrome associated with intestinal lymphangiectasia]. Gastroenterol Clin Biol 2000; 24:837-40. [PMID: 11011259] [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: 02/17/2023]
Abstract
The yellow nail syndrome, a combination of yellow discoloured nails, lymphedema and pleural effusions, is a rare clinical condition. We report a case of the yellow nail syndrome associated with intestinal lymphangiectasia revealed by chylous ascites and protein-losing gastroenteropathy. This association reported in only three cases in the literature leads us to discuss the relations between yellow nail syndrome, primitive intestinal lymphangiectasia and primary lymphatic disorders.
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Affiliation(s)
- J Desramé
- Clinique Médicale, HIA du Val-de-Grâce, Paris.
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49
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Béchade D, Algayres JP, Henrionnet A, Texier F, Bili H, Coutant G, Helie C, Daly JP. [Secondary hyponatremia caused by omeprazole treatment]. Gastroenterol Clin Biol 2000; 24:684-5. [PMID: 10962398] [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: 02/17/2023]
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50
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Henrionnet A, Béchade D, Algayres JP, Daly JP. [Analysis of a circulating anticoagulant in the course of treatment with an antivitamin K. Importance in a febrile patient]. Presse Med 2000; 29:542. [PMID: 10761521] [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: 02/16/2023] Open
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