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Leclercq B, Bertolino J, Rossillon A, Gariboldi V, El Harake S, Silhol F, Bartoli M, Vaisse B, Bartoli A, Sarlon-Bartoli G. Late Post-Dissection Dynamic Intermittent Malperfusion of the Aortic Arch in Association with a Rare Heterogenous LOX Gene Variation. J Clin Med 2024; 13:952. [PMID: 38398265 PMCID: PMC10888595 DOI: 10.3390/jcm13040952] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 09/04/2023] [Revised: 12/29/2023] [Accepted: 01/26/2024] [Indexed: 02/25/2024] Open
Abstract
Late ischaemic consequences of type A aortic dissection are rare. We present a 6-year late complication of type A aortic dissection treated by Bentall surgery in a 41-year-old patient. The patient presented with several episodes of lipothymia associated with hypertensive attacks with anisotension, cervicalgia, hemicranial headache, abdominal pain and lower limb slipping initially on exertion and later at rest. On dynamic examination, we diagnosed an intermittent dynamic occlusion of the aortic arch and rare LOX gene variation, which is considered to be associated with aneurysm or dissection of the ascending aorta in young patients. Surgical treatment by replacement of the ascending aorta and the aortic arch with reimplantation of the brachiocephalic trunk (BcTr) allowed the symptoms to resolve.
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Affiliation(s)
- Barbara Leclercq
- Vascular Medicine and Arterial Hypertension Departement, La Timone Hospital, CHU Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France; (J.B.); (G.S.-B.)
| | - Julien Bertolino
- Vascular Medicine and Arterial Hypertension Departement, La Timone Hospital, CHU Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France; (J.B.); (G.S.-B.)
| | - Alexandre Rossillon
- Vascular Surgery Department, La Timone Hospital, CHU Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France; (A.R.)
| | - Vlad Gariboldi
- Department of Cardiac Surgery, La Timone Hospital, CHU Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France
| | - Sarah El Harake
- Vascular Medicine and Arterial Hypertension Departement, La Timone Hospital, CHU Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France; (J.B.); (G.S.-B.)
| | - François Silhol
- Vascular Medicine and Arterial Hypertension Departement, La Timone Hospital, CHU Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France; (J.B.); (G.S.-B.)
| | - Michel Bartoli
- Vascular Surgery Department, La Timone Hospital, CHU Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France; (A.R.)
| | - Bernard Vaisse
- Vascular Medicine and Arterial Hypertension Departement, La Timone Hospital, CHU Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France; (J.B.); (G.S.-B.)
| | - Axel Bartoli
- Radiology Department, La Timone Hospital, CHU Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France
| | - Gabrielle Sarlon-Bartoli
- Vascular Medicine and Arterial Hypertension Departement, La Timone Hospital, CHU Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France; (J.B.); (G.S.-B.)
- Center for CardioVascular and Nutrition Research (C2VN), Aix Marseille University, 13005 Marseille, France
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Bertolino J, Leclercq B, Bartoli M, Jacquier A, Benyamine A, Sarlon G, Granel B. [White and blue fingers]. Rev Med Interne 2023; 44:679-681. [PMID: 38000832 DOI: 10.1016/j.revmed.2023.09.005] [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: 07/12/2023] [Accepted: 09/25/2023] [Indexed: 11/26/2023]
Affiliation(s)
- J Bertolino
- Service de médecine vasculaire, hôpital de la Timone, Assistance publique-Hôpitaux de Marseille (AP-HM), Aix-Marseille université (AMU), Marseille, France
| | - B Leclercq
- Service de médecine vasculaire, hôpital de la Timone, Assistance publique-Hôpitaux de Marseille (AP-HM), Aix-Marseille université (AMU), Marseille, France
| | - M Bartoli
- Service de chirurgie vasculaire, hôpital de la Timone, Assistance publique-Hôpitaux de Marseille (AP-HM), Aix-Marseille Université (AMU), Marseille, France
| | - A Jacquier
- Service de radiologie, hôpital de la Timone, Assistance publique-Hôpitaux de Marseille (AP-HM), Aix-Marseille université (AMU), Marseille, France
| | - A Benyamine
- Service de médecine interne, Hôpital Nord, Assistance Publique Hôpitaux de Marseille (AP-HM), Aix-Marseille université (AMU), chemin des Bourrely, 1305 Marseille, France
| | - G Sarlon
- Service de médecine vasculaire, hôpital de la Timone, Assistance publique-Hôpitaux de Marseille (AP-HM), Aix-Marseille université (AMU), Marseille, France
| | - B Granel
- Service de médecine interne, Hôpital Nord, Assistance Publique Hôpitaux de Marseille (AP-HM), Aix-Marseille université (AMU), chemin des Bourrely, 1305 Marseille, France.
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Gomes de Pinho Q, Daumas A, Benyamine A, Bertolino J, Ebbo M, Schleinitz N, Harlé JR, Jarrot PA, Kaplanski G, Berbis J, Boucekine M, Rossi P, Granel B. Predictors of Relapses or Recurrences in Patients With Giant Cell Arteritis: A Medical Records Review Study. J Clin Rheumatol 2023; 29:e25-e31. [PMID: 36727749 DOI: 10.1097/rhu.0000000000001942] [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] [Indexed: 02/03/2023]
Abstract
OBJECTIVE Giant cell arteritis (GCA) is the most common systemic vasculitis in individuals aged ≥50 years. Its course is marked by a high relapse rate requiring long-term glucocorticoid use with its inherent adverse effects. We aimed to identify factors associated with relapses or recurrences in GCA at diagnosis. METHODS We reviewed the medical records of consecutive patients with GCA diagnosed between 2009 and 2019 and followed for at least 12 months. We recorded their characteristics at onset and during follow-up. Factors associated with relapses or recurrences were identified using multivariable analysis. RESULTS We included 153 patients, among whom 68% were female with a median age of 73 (47-98) years and a median follow-up of 32 (12-142) months. Seventy-four patients (48.4%) had at least 1 relapse or recurrence. Headache and polymyalgia rheumatica were the most frequent manifestations of relapses. The first relapse occurred at a median time of 13 months after the diagnosis, with a median dose of 5.5 (0-25) mg/d of glucocorticoids.In multivariable analysis, patients with relapses or recurrences had a higher frequency of cough and scalp tenderness at diagnosis (20.3% vs 5.1%; odds ratio [OR], 4.73; 95% confidence interval [CI], 1.25-17.94; p = 0.022; and 41.9% vs 29.1%; OR, 2.4; 95% CI, 1.07-5.39; p = 0.034, respectively). Patients with diabetes mellitus at diagnosis had fewer relapses or recurrences during follow-up (5.4% vs 19%; OR, 0.24; 95% CI, 0.07-0.83; p = 0.024). CONCLUSIONS Cough and scalp tenderness at diagnosis were associated with relapses or recurrences, whereas patients with diabetes experienced fewer relapses or recurrences.
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Affiliation(s)
- Quentin Gomes de Pinho
- From the Assistance Publique des Hôpitaux de Marseille, Hôpital Nord, Service de Médecine Interne
| | - Aurélie Daumas
- Assistance Publique des Hôpitaux de Marseille, Hôpital de la Timone, Service de Médecine Interne, Gériatrie et Thérapeutique
| | - Audrey Benyamine
- From the Assistance Publique des Hôpitaux de Marseille, Hôpital Nord, Service de Médecine Interne
| | - Julien Bertolino
- From the Assistance Publique des Hôpitaux de Marseille, Hôpital Nord, Service de Médecine Interne
| | - Mikaël Ebbo
- Assistance Publique des Hôpitaux de Marseille, Hôpital de la Timone, Service de Médecine Interne
| | - Nicolas Schleinitz
- Assistance Publique des Hôpitaux de Marseille, Hôpital de la Timone, Service de Médecine Interne
| | - Jean-Robert Harlé
- Assistance Publique des Hôpitaux de Marseille, Hôpital de la Timone, Service de Médecine Interne
| | - Pierre André Jarrot
- Assistance Publique des Hôpitaux de Marseille, Hôpital de la Conception, Service de Médecine Interne et Immunologie Clinique
| | - Gilles Kaplanski
- Assistance Publique des Hôpitaux de Marseille, Hôpital de la Conception, Service de Médecine Interne et Immunologie Clinique
| | - Julie Berbis
- Faculté de Médecine de la Timone, Laboratoire de Santé Publique, EA 3279, Centre d'Étude et de Recherche sur les Service de Santé et la Qualité de Vie, Aix-Marseille Université, Marseille, France
| | - Mohamed Boucekine
- Faculté de Médecine de la Timone, Laboratoire de Santé Publique, EA 3279, Centre d'Étude et de Recherche sur les Service de Santé et la Qualité de Vie, Aix-Marseille Université, Marseille, France
| | - Pascal Rossi
- From the Assistance Publique des Hôpitaux de Marseille, Hôpital Nord, Service de Médecine Interne
| | - Brigitte Granel
- From the Assistance Publique des Hôpitaux de Marseille, Hôpital Nord, Service de Médecine Interne
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Gomes de Pinho Q, Daumas A, Benyamine A, Bertolino J, Schleinitz N, Ebbo M, Harlé J, Jarrot P, Kaplanski G, Berbis J, Boucekine M, Rossi P, Granel B. Facteurs de risque de rechute au diagnostic d’une artérite à cellules géantes : une étude rétrospective. Rev Med Interne 2022. [DOI: 10.1016/j.revmed.2022.03.242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Gomes de Pinho Q, Daumas A, Benyamine A, Bertolino J, Rossi P, Schleinitz N, Harlé JR, Jarrot PA, Kaplanski G, Berbis J, Granel B. Pericardial effusion in giant cell arteritis is associated with increased inflammatory markers: a retrospective cohort study. Rheumatol Int 2022; 42:2013-2018. [PMID: 35525874 DOI: 10.1007/s00296-022-05137-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 02/22/2022] [Accepted: 04/16/2022] [Indexed: 12/01/2022]
Abstract
OBJECTIVE Giant cell arteritis (GCA) is the most frequent vasculitis affecting adults aged > 50 years. Cardiac involvement in GCA is considered rare, and only a few cases of pericarditis have been reported. The aim of this study was to determine the characteristics and prognosis of GCA patients suffering from pericardial involvement at diagnosis. METHODS We conducted a single-centre, retrospective chart review of patients with GCA in internal medicine departments (from 2000 to 2020). Patients were identified through a centralized hospital database. We retrospectively collected demographic, clinicobiological, histological, imaging, treatment and outcome data. Patients with pericardial effusion, defined as an effusion visible on the CT-scan performed at GCA diagnosis were compared to those without pericardial involvement. RESULTS Among the 250 patients with GCA, 23 patients (9.2%) had pericardial effusion on CT-scan. The comparison between the groups revealed similar distribution of age, gender, cranial symptoms and ocular ischaemic complications. Patients with pericardial effusion had a higher frequency of weight loss. They also had lower haemoglobin levels and higher platelet levels (p = 0.006 and p = 0.002, respectively), and they more frequently had positive temporal artery biopsy. There were no differences concerning the treatment, relapses, follow-up duration or deaths. CONCLUSIONS This case series sheds light on GCA as a cause of unexplained pericardial effusion or symptomatic pericarditis among adults aged > 50 years and elevated inflammatory biological markers. Fortunately, pericardial involvement is a benign GCA manifestation. In that context, the search for constitutional symptoms, cranial symptoms and associated signs of polymyalgia rheumatica is crucial for rapidly guiding GCA diagnosis.
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Affiliation(s)
- Quentin Gomes de Pinho
- Assistance Publique des Hôpitaux de Marseille (APHM), Hôpital Nord, Service de Médecine Interne, Aix-Marseille Université (AMU), Marseille, France.
| | - Aurélie Daumas
- Assistance Publique des Hôpitaux de Marseille (APHM), Hôpital de la Timone, Service de Médecine Interne, Gériatrie et Thérapeutique, Aix-Marseille Université (AMU), Marseille, France
| | - Audrey Benyamine
- Assistance Publique des Hôpitaux de Marseille (APHM), Hôpital Nord, Service de Médecine Interne, Aix-Marseille Université (AMU), Marseille, France
| | - Julien Bertolino
- Assistance Publique des Hôpitaux de Marseille (APHM), Hôpital Nord, Service de Médecine Interne, Aix-Marseille Université (AMU), Marseille, France
| | - Pascal Rossi
- Assistance Publique des Hôpitaux de Marseille (APHM), Hôpital Nord, Service de Médecine Interne, Aix-Marseille Université (AMU), Marseille, France
| | - Nicolas Schleinitz
- Assistance Publique des Hôpitaux de Marseille (APHM), Hôpital de la Timone, Service de Médecine Interne, Aix-Marseille Université (AMU), Marseille, France
| | - Jean-Robert Harlé
- Assistance Publique des Hôpitaux de Marseille (APHM), Hôpital de la Timone, Service de Médecine Interne, Aix-Marseille Université (AMU), Marseille, France
| | - Pierre André Jarrot
- Assistance Publique des Hôpitaux de Marseille (APHM), Hôpital de la Conception, Service de Médecine Interne et Immunologie Clinique, Aix-Marseille Université (AMU), Marseille, France
| | - Gilles Kaplanski
- Assistance Publique des Hôpitaux de Marseille (APHM), Hôpital de la Conception, Service de Médecine Interne et Immunologie Clinique, Aix-Marseille Université (AMU), Marseille, France
| | - Julie Berbis
- Faculté de Médecine de la Timone, Laboratoire de Santé Publique, EA 3279, Centre d'étude et de Recherche sur les Service de Santé et la Qualité de vie, Aix-Marseille Université (AMU), Marseille, France
| | - Brigitte Granel
- Assistance Publique des Hôpitaux de Marseille (APHM), Hôpital Nord, Service de Médecine Interne, Aix-Marseille Université (AMU), Marseille, France
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Ruiz T, Denis D, Rossi P, Bagnères D, Bertolino J. [Fulminant idiopathic intracranial hypertension associated with macular atrophy: A case report]. J Fr Ophtalmol 2022; 45:580-583. [PMID: 35459571 DOI: 10.1016/j.jfo.2021.03.032] [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: 01/13/2021] [Revised: 03/22/2021] [Accepted: 03/24/2021] [Indexed: 11/29/2022]
Affiliation(s)
- T Ruiz
- Service d'ophtalmologie, centre hospitalo-universitaire, hôpital Nord, chemin des Bourrely, 13015 Marseille, France.
| | - D Denis
- Service d'ophtalmologie, centre hospitalo-universitaire, hôpital Nord, chemin des Bourrely, 13015 Marseille, France
| | - P Rossi
- Service de médecine interne, centre hospitalo-universitaire, hôpital Nord, chemin des Bourrely, 13015 Marseille, France
| | - D Bagnères
- Service de médecine interne, centre hospitalo-universitaire, hôpital Nord, chemin des Bourrely, 13015 Marseille, France
| | - J Bertolino
- Service de médecine interne, centre hospitalo-universitaire, hôpital Nord, chemin des Bourrely, 13015 Marseille, France
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Luchmaya A, Bui M, Fourcade L, Marin J, Benyamine A, Bertolino J, Devos M, Rossi P, Granel B. Thrombopénie ferriprive : à propos de deux cas. Rev Med Interne 2021. [DOI: 10.1016/j.revmed.2021.10.056] [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: 10/19/2022]
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Cosse C, Kernéis S, Lescoat A, Pugnet G, Truchetet ME, Priollet P, Diot E, Martin M, Maurier F, Viallard JF, Agard C, Granel B, Berthier S, Fagedet D, Watelet B, Toquet S, Luque Paz D, Giret C, Cerles O, Dion J, Nguyen C, Raffray L, Bertolino J, Jourde W, Le Jeunne C, Mouthon L, Chaigne B. Osteitis in Systemic Sclerosis: a nationwide case-control retrospective study (SCLEROS Study). Arthritis Care Res (Hoboken) 2020; 74:809-817. [PMID: 33278067 DOI: 10.1002/acr.24530] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 06/18/2020] [Revised: 11/05/2020] [Accepted: 12/01/2020] [Indexed: 11/09/2022]
Abstract
OBJECTIVE Systemic sclerosis (SSc) is an autoimmune (AI) connective tissue disorder characterized by skin fibrosis, vasculopathy and dysimmunity. Data regarding osteitis in SSc are scarce. METHOD We performed a nationwide multicentre retrospective case-control study including patients with SSc according to the 2013 ACR/EULAR classification, with a diagnosis of osteitis. The objectives of the study were to describe, to characterize, and to identify associated factors for osteitis in patients with SSc. RESULTS Forty-eight patients were included. Twenty-six patients (54.1%) had osteitis beneath digital tip ulcers. Physical symptoms included: pain (36/48, 75%), erythema (35/48, 73%), and local warmth (35/48, 73%). Thirty-one (65%) patients had C-reactive protein levels >2 mg/L (8 [2.7 - 44.3] mg/L). On X-ray, CT-scans or MRI, osteitis was characterized by swelling or abscess of soft tissues with acro-osteolysis or lysis in 28 patients (58%). Microbiological sampling was performed in 45 (94%) patients. Most pathogens were Staphylococcus aureus (43.8%); anaerobes and Enterobacteriaceae (29.1%) and Pseudomonas aeruginosa (10.4%). Management comprised antibiotics in 37 (77.1%) patients and/or surgery in 26 (54.2%). Fluoroquinolones were used in 22 (45.8%) patients and amoxicillin + beta-lactamase inhibitor in 7 (14.6%). Six (12.6%) patients relapsed, 6 (12.6%) patients had osteitis recurrence, 15 (32%) sequelae, and 2 patients had septic shock and died. CONCLUSION This study confirmed digital tip ulcers as an associated factor for osteitis, and revealed a high rate of functional sequelae. Antimicrobial therapy with oral fluoroquinolone or intravenous amoxicillin and beta-lactamase inhibitor are used as first-line antibiotherapy in SSc patients with osteitis.
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Affiliation(s)
- Cyril Cosse
- Service de Médecine Interne, Centre de Référence Maladies systémiques auto-immunes rares d'Ile de France, Hôpital Cochin, Université Paris Descartes, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France
| | - Solen Kernéis
- Antimicrobial Stewardship Team, APHP, Cochin hospital, University of Paris, Paris, France
| | - Alain Lescoat
- Université Rennes, CHU Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail) - UMR_S 1085, F-35000 Rennes, France; Department of Internal Medicine and Clinical Immunology, Rennes University Hospital, 35203, Rennes, France
| | - Gregory Pugnet
- Service de Médecine Interne, CHU Toulouse, Toulouse, France ; Centre d'Investigation Clinique 1436, CHU Toulouse, Toulouse, France
| | - Marie-Elise Truchetet
- Rheumatology department and national center of reference for rare autoimmune diseases, Bordeaux University Hospital, France
| | - Pascal Priollet
- Service de médecine vasculaire, Hôpital Saint Joseph, Paris, France
| | - Elisabeth Diot
- Service de médecine Interne, Hôpital Bretonneau, Tours Cedex, France
| | - Mickael Martin
- Service de Médecine Interne, Maladies Infectieuses et Tropicales, CHU de Poitiers, Poitiers, France
| | - François Maurier
- Centre de compétence des maladies rares, Hôpitaux privés de Metz, Metz, France
| | - Jean François Viallard
- Département de Médecine Interne et Maladies Infectieuses, Centre Hospitalier Universitaire Haut Lévêque, Université de Bordeaux, Pessac, France
| | - Christian Agard
- Service de médecine interne, Hôtel-Dieu, CHU Nantes, Hôpital, Université de Nantes, France
| | - Brigitte Granel
- Service de Médecine Interne, Hôpital Nord, Aix-Marseille Université, Assistance Publique-Hôpitaux de Marseille (AP-HM), Marseille, France
| | - Sabine Berthier
- Service de Médecine Interne et Immunologie Clinique, CHU F MITTERRAND, Dijon, France
| | - Dorothée Fagedet
- Service de Médecine Interne - CHICAS, hôpital de GAP, Paris, France
| | | | | | - David Luque Paz
- Service des Maladies Infectieuses et Réanimation Médicale, CHU Rennes, France, Rennes
| | - Cloé Giret
- Service de médecine Interne, Hôpital Bretonneau, Tours Cedex, France
| | - Olivier Cerles
- Service de Médecine Interne, Centre de Référence Maladies systémiques auto-immunes rares d'Ile de France, Hôpital Cochin, Université Paris Descartes, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France
| | - Jérémie Dion
- Service de Médecine Interne, Centre de Référence Maladies systémiques auto-immunes rares d'Ile de France, Hôpital Cochin, Université Paris Descartes, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France
| | - Christelle Nguyen
- Service de Rééducation et de Réadaptation de l'Appareil Locomoteur et des Pathologies du Rachis, Hôpitaux Universitaires Paris Centre-Groupe Hospitalier Cochin, Assistance Publique-Hôpitaux de Paris, 75014, Paris, France.,Université de Paris, Faculté de Santé, UFR Médecine Paris Descartes, Sorbonne Paris Cité, 75006, Paris, France.,INSERM UMRS 1124, Toxicité Environnementale, Cibles Thérapeutiques, Signalisation Cellulaire et Biomarqueurs, UFR Sciences Fondamentales et Biomédicales, Centre Universitaire des Saints-Pères, 75006, Paris, France
| | - Loïc Raffray
- Service Médecine Interne et Dermatologie, CHU Réunion- Hôpital Félix Guyon, Saint Denis, France
| | - Julien Bertolino
- Service de Médecine Interne, Hôpital Nord, Aix-Marseille Université, Assistance Publique-Hôpitaux de Marseille (AP-HM), Marseille, France
| | - Wendy Jourde
- Département de Médecine Interne et Maladies Infectieuses, Centre Hospitalier Universitaire Haut Lévêque, Université de Bordeaux, Pessac, France
| | - Claire Le Jeunne
- Service de Médecine Interne, Centre de Référence Maladies systémiques auto-immunes rares d'Ile de France, Hôpital Cochin, Université Paris Descartes, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France
| | - Luc Mouthon
- Service de Médecine Interne, Centre de Référence Maladies systémiques auto-immunes rares d'Ile de France, Hôpital Cochin, Université Paris Descartes, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France
| | - Benjamin Chaigne
- Service de Médecine Interne, Centre de Référence Maladies systémiques auto-immunes rares d'Ile de France, Hôpital Cochin, Université Paris Descartes, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France
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Dejeans G, Bertolino J, Benabdelmoumene N, Bernard F, Demoux A, Benyamine A, Granel B, Bagneres D, Rossi P. Un thrombus flottant étendu de la veine iliaque gauche révélant une maladie de Biermer. Rev Med Interne 2020. [DOI: 10.1016/j.revmed.2020.10.154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Bertolino J, Jouve E, Skopinski S, Agard C, Achille A, Thoreau B, Diot E, Sanges S, Berthier S, Chaigne B, Régent A, Martin T, Pugnet G, Benyamine A, Rossi P, Launay D, Mouthon L, Granel B. Characteristics of patients with systemic sclerosis suffering from a lower limb amputation: Results of a French collaborative study. J Scleroderma Relat Disord 2020; 5:224-230. [PMID: 35382523 DOI: 10.1177/2397198320913689] [Citation(s) in RCA: 1] [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: 10/22/2019] [Accepted: 02/16/2020] [Indexed: 11/15/2022]
Abstract
Objective Systemic sclerosis mainly affects the microvascular network. However, macrovascular manifestations have been reported. We aimed to investigate the characteristics of systemic sclerosis patients with an amputation of a lower limb segment. Methods We designed a retrospective, case-control, multicentric study on systemic sclerosis patients with amputation of a lower limb segment secondary to critical ischemia via the French Research Group on Systemic Sclerosis. For each case, a control (systemic sclerosis patient without lower limb symptom) was matched with sex, age (±5 years), and cutaneous subset of systemic sclerosis. Results In total, 26 systemic sclerosis patients (mean age of 67.2 ± 10.9 years, 20 females, 21 limited cutaneous forms) with a lower limb amputation and 26 matched controls (mean age of 67.3 ± 11.2 years, 20 females, 22 limited cutaneous forms) were included. At the time of amputation, the mean disease duration was 12.8 (±8.6) years. In comparison to controls, systemic sclerosis patients with amputation had more digital ulcers (p = 0.048), history of digital ulcers (p = 0.026), and a higher prevalence of pulmonary arterial hypertension (p = 0.024). Systemic sclerosis patients with amputation were more often smokers (p = 0.008) and under corticosteroids (p = 0.015). In the multivariate model, pulmonary arterial hypertension, smoking status, and corticosteroids were independent markers associated with lower limb amputation in systemic sclerosis. In the follow-up, 10 patients (38.5%) had recurrent ischemia requiring a new limb amputation, and five patients (19.2%) had an amputation of the contralateral limb. Conclusion This study identifies some markers associated with lower limb amputation in systemic sclerosis such as digital ulcers and pulmonary arterial hypertension and points out the high risk associated with tobacco consumption and corticosteroid use.
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Affiliation(s)
- Julien Bertolino
- Internal Medicine Department, Hôpital Nord, AP-HM, Marseille, France
| | - Elisabeth Jouve
- Medical Evaluation Service, AP-HM, CIC-CPCET, Marseille, France
| | - Sophie Skopinski
- Vascular Medicine Department, Hôpital St André, Bordeaux, France
| | | | | | | | | | - Sebastien Sanges
- University of Lille, U995-LIRIC-Lille Inflammation Research International Center, INSERM, U995, CHU Lille, Internal Medicine and Clinical Immunology Department, Lille, France, Referral Center for Rare Systemic Autoimmune Diseases North and North-West of France, Lille, France
| | - Sabine Berthier
- Internal Medicine and Clinical Immunology Department, CHU Dijon, Dijon, France
| | - Benjamin Chaigne
- Internal Medicine Department, Reference Center for Rare Systemic Autoimmune Diseases of Ile de France, Hôpital Cochin, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France
| | - Alexis Régent
- Internal Medicine Department, Reference Center for Rare Systemic Autoimmune Diseases of Ile de France, Hôpital Cochin, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France
| | - Thierry Martin
- Clinical Immunology Department, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Gregory Pugnet
- Internal Medicine Department, Hôpital Purpan, CHU Toulouse, Toulouse, France
| | - Audrey Benyamine
- Internal Medicine Department, Hôpital Nord, AP-HM, Marseille, France
| | - Pascal Rossi
- Internal Medicine Department, Hôpital Nord, AP-HM, Marseille, France
| | - David Launay
- University of Lille, U995-LIRIC-Lille Inflammation Research International Center, INSERM, U995, CHU Lille, Internal Medicine and Clinical Immunology Department, Lille, France, Referral Center for Rare Systemic Autoimmune Diseases North and North-West of France, Lille, France
| | - Luc Mouthon
- Internal Medicine Department, Reference Center for Rare Systemic Autoimmune Diseases of Ile de France, Hôpital Cochin, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France
| | - Brigitte Granel
- Internal Medicine Department, Hôpital Nord, AP-HM, Marseille, France
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Bertolino J, Jouve E, Skopinski S, Agard C, Achille A, Thoreau B, Diot E, Sanges S, Berthier S, Chaigne B, Regent A, Martin T, Pugnet G, Benyamine A, Rossi P, Launay D, Mouthon L, Granel B. Caractéristiques des patients atteints de sclérodermie systémique souffrant d’une amputation d’un segment d’un membre inférieur. Étude collaborative au sein du GFRS. Rev Med Interne 2019. [DOI: 10.1016/j.revmed.2019.10.084] [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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Christen JR, Bertolino J, Jean E, Camoin L, Ebbo M, Harlé JR, Schleinitz N, Sarlon G, Bernit E. Use of Direct Oral Anticoagulants in Patients with Sickle Cell Disease and Venous Thromboembolism: A Prospective Cohort Study of 12 Patients. Hemoglobin 2019; 43:296-299. [PMID: 31724442 DOI: 10.1080/03630269.2019.1689997] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Patients with sickle cell disease have an increased risk of venous thromboembolism (VTE) and with a mortality 2-fold higher. The anticoagulation of VTE in a young population is an important question. Indeed, hemorrhagic complications of anticoagulation may occur more frequently than in the general population. The use of a direct oral anticoagulant (DOAC) is not recommended for VTE in patients with sickle cell disease because those patients were not included in the clinical studies. We aimed to study the safety of using DOACs in a prospective cohort of patients with sickle cell disease and VTE. We prospectively followed the cohort of all sickle cell disease patients undergoing recent DOAC treatment for VTE at a sickle cell disease reference center. Twelve patients received rivaroxaban for VTE (eight women and four men). The median age was 27 years (20-45). The sickle cell disease variants included homozygous Hb SS (HBB: c.20A>T) in eight patients, Hb S-β+-thalassemia (Hb S-β+-thal) in two, Hb S-β0-thal in one and Hb S-Hb C (HBB: c.19G>A) in one. The cumulative duration of follow-up was 3134 days under rivaroxaban treatment. There were two thrombotic events, including a patient with a double positivity of antiphospholipid antibodies. No major bleeding was observed, and 6/12 patients presented minor bleeding (epistaxis: n = 4; anal fissure bleeding: n = 1; menorrhagia n = 4). Of these, 3/6 required their treatment to be switched to apixaban, which stopped the bleeding. Direct oral anticoagulants may be an alternative treatment for VTE in patients with sickle cell disease, except for an associated antiphospholipid syndrome.
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Affiliation(s)
| | - Julien Bertolino
- Department of Internal Medicine, La Timone Hospital, Marseille, France
| | - Estelle Jean
- Department of Internal Medicine, La Timone Hospital, Marseille, France
| | - Laurence Camoin
- Department of Hematology, La Timone Hospital, Marseille, France
| | - Mikael Ebbo
- Department of Internal Medicine, La Timone Hospital, Marseille, France
| | - Jean-Robert Harlé
- Department of Internal Medicine, La Timone Hospital, Marseille, France
| | | | - Gabrielle Sarlon
- Department of Vascular Surgery, La Timone Hospital, Marseille, France
| | - Emmanuelle Bernit
- Department of Internal Medicine, La Timone Hospital, Marseille, France
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Gutierrez B, Gayet S, Bertolino J, Jean E, Le Goff L, Voisin H, Sampo M, Meunier B, Harle JR, Ebbo M, Schleinitz N, Menard A, Bernit E. [Ocular syphilis, a re-emergent pathology: Series of 12 patients in one Hospital, 2017]. Rev Med Interne 2019; 41:160-167. [PMID: 31301942 DOI: 10.1016/j.revmed.2019.06.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2018] [Revised: 06/09/2019] [Accepted: 06/12/2019] [Indexed: 10/26/2022]
Abstract
INTRODUCTION Syphilis is a sexually transmitted disease. All organs might be affected, but ocular syphilis only occurs in 0.6 percent of patients. We collected all cases of ocular syphilis requiring hospitalization at the University Hospital Center (UHC) in Marseille in 2017. PATIENTS AND METHODS This was a retrospective monocentric study. The diagnosis of ocular syphilis was based on the combination of ocular inflammation with a positive syphilitic serology. For each patient, sex, age, HIV status, ocular and extraocular symptoms, initial visual acuity, syphilis serology, cerebrospinal fluid (CSF) analysis if done, treatment and clinical response were collected. RESULTS Ten men and two women, aged 28 to 86 years, were hospitalized. Two patients were HIV-positive. Ophtalmological lesions were heterogeneous the posterior structures were most affected. Anterior uveitis was isolated in one patient. Five patients had extraocular signs with cutaneous and/or mucosal involvement. No patient had neurological symptoms. Diagnosis of neurosyphilis through CSF analysis was definite for one patient, probable for 5 patients and ruled out for 2 patients. Six patients received treatment with penicillin G and six with ceftriaxone. Visual acuity improved in all cases. DISCUSSION Ophtalmic cases of syphilis have become more frequent over the past few years in France. The diagnosis should be suspected in cases of eye inflammation even in the absence of favourable clinical presentation or anamnesis. Search for HIV co-infection should be systematic. Our study shows that ceftriaxone remains an effective alternative to penicillin G.
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Affiliation(s)
- B Gutierrez
- Service de medecine interne, CHU limoges, CHU de Limoges, 2, avenue Martin-Luther-King, 87000 Limoges, France.
| | - S Gayet
- Service de gériatrie, AP-HM, 278, rue Saint-Pierre, 13005 Marseille, France
| | - J Bertolino
- Service de service de médecine interne, AP-HM, 278, rue Saint-Pierre, 13005 Marseille, France
| | - E Jean
- Service de service de médecine interne, AP-HM, 278, rue Saint-Pierre, 13005 Marseille, France
| | - L Le Goff
- 8, allée Turcat-Mery, 13008 Marseille, France
| | - H Voisin
- Service d'ophtalmologie, AP-HM, 278, rue Saint-Pierre, 13005 Marseille, France
| | - M Sampo
- Service d'ophtalmologie, AP-HM, 278, rue Saint-Pierre, 13005 Marseille, France
| | - B Meunier
- Service de service de médecine interne, AP-HM, 278, rue Saint-Pierre, 13005 Marseille, France
| | - J-R Harle
- Service de service de médecine interne, AP-HM, 278, rue Saint-Pierre, 13005 Marseille, France
| | - M Ebbo
- Service de service de médecine interne, AP-HM, 278, rue Saint-Pierre, 13005 Marseille, France
| | - N Schleinitz
- Service de service de médecine interne, AP-HM, 278, rue Saint-Pierre, 13005 Marseille, France
| | - A Menard
- Service de maladies infectieuses et tropicales de l'IHU méditerranée infection, 19-21, boulevard Jean-Moulin, 13005 Marseille, France
| | - E Bernit
- Service de service de médecine interne, AP-HM, 278, rue Saint-Pierre, 13005 Marseille, France
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Bertolino J, Ibrahim M, Seguier J, Masson E, Bernit E, Veit V, Ebbo M, Harlé JR, Khibri H, Pouymayou C, Morange PE, Schleinitz N. Intravenous immunoglobulin in patients with acquired Von Willebrand syndrome: A single referral centre experience. Haemophilia 2018; 25:e42-e45. [PMID: 30461133 DOI: 10.1111/hae.13639] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2018] [Revised: 10/26/2018] [Accepted: 10/29/2018] [Indexed: 11/26/2022]
Affiliation(s)
- Julien Bertolino
- Department of Internal Medicine, La Timone Hospital, Marseille, France
| | - Manal Ibrahim
- Laboratory of Haematology, La Timone Hospital, Marseille, France.,C2VN, INRA, INSERM, Aix Marseille University, Marseille, France
| | - Julie Seguier
- Department of Internal Medicine, La Timone Hospital, Marseille, France
| | - Elodie Masson
- Department of Internal Medicine, La Timone Hospital, Marseille, France
| | - Emmanuelle Bernit
- Department of Internal Medicine, La Timone Hospital, Marseille, France
| | - Veronique Veit
- Department of Internal Medicine, La Timone Hospital, Marseille, France
| | - Mikael Ebbo
- Department of Internal Medicine, La Timone Hospital, Marseille, France
| | - Jean-Robert Harlé
- Department of Internal Medicine, La Timone Hospital, Marseille, France
| | - Hajar Khibri
- Laboratory of Haematology, La Timone Hospital, Marseille, France
| | | | - Pierre-Emmanuel Morange
- Laboratory of Haematology, La Timone Hospital, Marseille, France.,C2VN, INRA, INSERM, Aix Marseille University, Marseille, France
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Bertolino J, Ecosse Q, Coso D, Meunier B, Gutierrez B, Schleinitz N, Harlé J, Daniel L, Gaubert J, Bernit E. Amylose AL et maladie kystique pulmonaire : une association rare. Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.03.148] [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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Christen J, Bertolino J, Jean E, Camoin L, Sarlon G, Ebbo M, Schleinitz N, Harlé J, Bernit E. Anticoagulants oraux directs : peut-on les utiliser chez les patients drépanocytaires ? Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.03.328] [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: 10/14/2022]
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Meunier B, Bertolino J, Gutierrez B, Doddoli S, Seguier J, Ebbo M, Durand J, Swiader L, Harlé J, Bernit E, Schleinit N. Agranulocytose néonatale : une complication rare des neutropénies auto-immunes. Rev Med Interne 2017. [DOI: 10.1016/j.revmed.2017.10.219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Bertolino J, Bregeon F, Meunier B, Gutierrez B, Ecosse Q, Richaud L, Doddoli S, Jean E, Schleinitz N, Bernit E. Atteinte des muscles expiratoires chez l’adulte drépanocytaire, à propos d’un cas. Rev Med Interne 2017. [DOI: 10.1016/j.revmed.2017.10.222] [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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Richaud L, Bertolino J, Gutierrez B, Meunier B, Ecosse Q, Doddoli S, Jean E, Doche E, Brunel H, Schleinitz N, Bernit E. Récupération clinico-radiologique d’un syndrome d’embolie graisseuse cérébrale chez un patient drépanocytaire. Rev Med Interne 2017. [DOI: 10.1016/j.revmed.2017.10.223] [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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Ernest V, Sautereau N, Masson E, Chemouni D, Garcia M, Bertolino J, Rossi P, Granel B. [Eosinophilia heralding the diagnosis of eosinophilic fasciitis (Shulman's disease)]. Rev Med Interne 2017; 38:840-843. [PMID: 28867532 DOI: 10.1016/j.revmed.2017.07.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 02/12/2017] [Revised: 07/07/2017] [Accepted: 07/25/2017] [Indexed: 11/26/2022]
Abstract
INTRODUCTION Eosinophilic fasciitis or Shulman's disease is characterized, in its typical form, by palpable thickening of the skin and soft tissues, blood hypereosinophilia and fascia lesions. We hereby report a case of eosinophilic fasciitis in which hypereosinophilia preceded for several months the clinical signs of fasciitis. CASE REPORT A 64-year-old woman, with a history of Little's syndrome with motor disability, was admitted in internal medicine for eosinophilia. For almost three months, no origin to the eosinophilia was found. The secondary onset of an edema and pain located on four limbs led to the diagnosis of eosinophilic fasciitis. Muscle magnetic resonance imaging was supportive and the muscle histological analysis confirmed the diagnosis of eosinophilic fasciitis. Treatment with steroids induced a rapid normalization of the eosinophilia and edema. CONCLUSION In this case report, eosinophilia was preceding the clinical cutaneous signs that led to the diagnosis of eosinophilic fasciitis. It is likely to believe that myalgias, frequently found in the onset of eosinophilic fasciitis, may have been hidden by the history of infantile encephalopathy. The diagnosis of eosinophilic fasciitis must be kept in mind of physicians in the investigation of an eosinophilia, even though cutaneous signs are lacking.
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Affiliation(s)
- V Ernest
- Service de médecine interne, hôpital Nord, Aix-Marseille université, Assistance publique-Hôpitaux de Marseille (AP-HM), chemin des Bourrely, 13915 Marseille cedex 15, France
| | - N Sautereau
- Service de médecine interne, hôpital Nord, Aix-Marseille université, Assistance publique-Hôpitaux de Marseille (AP-HM), chemin des Bourrely, 13915 Marseille cedex 15, France
| | - E Masson
- Service de médecine interne, hôpital Nord, Aix-Marseille université, Assistance publique-Hôpitaux de Marseille (AP-HM), chemin des Bourrely, 13915 Marseille cedex 15, France
| | - D Chemouni
- Service d'imagerie médicale, hôpital Nord, Aix-Marseille université, Assistance publique-Hôpitaux de Marseille (AP-HM), chemin des Bourrely, 13915 Marseille cedex 15, France
| | - M Garcia
- Service de médecine interne, hôpital Nord, Aix-Marseille université, Assistance publique-Hôpitaux de Marseille (AP-HM), chemin des Bourrely, 13915 Marseille cedex 15, France
| | - J Bertolino
- Service de médecine interne, hôpital Nord, Aix-Marseille université, Assistance publique-Hôpitaux de Marseille (AP-HM), chemin des Bourrely, 13915 Marseille cedex 15, France
| | - P Rossi
- Service de médecine interne, hôpital Nord, Aix-Marseille université, Assistance publique-Hôpitaux de Marseille (AP-HM), chemin des Bourrely, 13915 Marseille cedex 15, France
| | - B Granel
- Service de médecine interne, hôpital Nord, Aix-Marseille université, Assistance publique-Hôpitaux de Marseille (AP-HM), chemin des Bourrely, 13915 Marseille cedex 15, France.
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Bertolino J, Scemama U, D'Journo XB, Daniel L, Melenotte C, Benyamine A, Granel B. Mediastinal nodular AL-amyloidosis with progressive calcification. QJM 2016; 109:683-684. [PMID: 27521579 DOI: 10.1093/qjmed/hcw145] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/08/2016] [Indexed: 11/13/2022] Open
Affiliation(s)
- J Bertolino
- Aix-Marseille Université, Marseille, 13284, France
- Internal Medicine Department, Assistance Publique-Hôpitaux de Marseille (AP-HM), Hôpital Nord, Marseille, 13915, France
| | - U Scemama
- Aix-Marseille Université, Marseille, 13284, France
- Radiological Department, AP-HM, Hôpital Nord, Marseille, 13915, France
| | - X B D'Journo
- Aix-Marseille Université, Marseille, 13284, France
- Thoracic Surgery Department, AP-HM, Hôpital Nord, Marseille, 13915, France
| | - L Daniel
- Aix-Marseille Université, Marseille, 13284, France
- Pathology Department, AP-HM, Hôpital de La Timone, Marseille, 13005, France
| | - C Melenotte
- Aix-Marseille Université, Marseille, 13284, France
- Internal Medicine Department, Assistance Publique-Hôpitaux de Marseille (AP-HM), Hôpital Nord, Marseille, 13915, France
| | - A Benyamine
- Aix-Marseille Université, Marseille, 13284, France
- Internal Medicine Department, Assistance Publique-Hôpitaux de Marseille (AP-HM), Hôpital Nord, Marseille, 13915, France
| | - B Granel
- Aix-Marseille Université, Marseille, 13284, France
- Internal Medicine Department, Assistance Publique-Hôpitaux de Marseille (AP-HM), Hôpital Nord, Marseille, 13915, France
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Bertolino J, Abdo L, Khau D, Meckenstock R, Sautereau N, Jean E, Greder-Belan A, Frances Y, Cabane J, Granel B. Syndrome d’hyperémèse cannabique : à propos de 6 cas. Rev Med Interne 2015; 36:694-7. [DOI: 10.1016/j.revmed.2014.11.012] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2014] [Revised: 10/31/2014] [Accepted: 11/23/2014] [Indexed: 12/19/2022]
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Affiliation(s)
- J Bertolino
- Service de médecine interne, hôpital Nord, chemin des Bourrely, 13915 Marseille, France; Aix-Marseille université, 13005 Marseille, France
| | - U Scemama
- Aix-Marseille université, 13005 Marseille, France; Service d'imagerie médicale, hôpital Nord, 13915 Marseille, France
| | - E Jean
- Service de médecine interne, hôpital Nord, chemin des Bourrely, 13915 Marseille, France; Aix-Marseille université, 13005 Marseille, France
| | - Y Frances
- Service de médecine interne, hôpital Nord, chemin des Bourrely, 13915 Marseille, France; Aix-Marseille université, 13005 Marseille, France
| | - B Granel
- Service de médecine interne, hôpital Nord, chemin des Bourrely, 13915 Marseille, France; Aix-Marseille université, 13005 Marseille, France.
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