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Dieme A, André S, Lapillonne H, Tounian P, Clément K, Dubern B. Characterization of lymphocyte profiles in children with syndromic obesity. Arch Pediatr 2023; 30:212-218. [PMID: 37061360 DOI: 10.1016/j.arcped.2023.02.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Accepted: 02/12/2023] [Indexed: 04/17/2023]
Abstract
BACKGROUND Little is known about blood lymphocyte subpopulations in children with common (CO) or syndromic (SO) obesity. We aimed to describe the blood lymphocyte profiles of obese children and to search for associations with clinical phenotypes. METHODS Main blood lymphocyte subpopulations were analyzed in 159 children with CO and 34 with SO in a retrospective cohort. Phenotypes included obesity history, body mass index (BMI) Z score, percentage fat mass, and inflammatory parameters. Correlations were performed between phenotypes and circulating lymphocyte profiles. RESULTS Children with SO had a higher BMI Z score (5.5 ± 1.7 SD) than children with CO (4.7 ± 0.9 SD; p = 0.01). Significant differences were found for lymphocyte counts, including a higher percentage of CD19+ B cells (SO = 20.1 ± 6.7 vs. CO = 17.1 ± 6.1%, p = 0.03), despite lower absolute numbers (SO = 0.57 ± 0.20 vs. CO = 0.63 ± 1.9 g/L, p < 0.01). However, no difference in the lymphocyte profile was found between children with SO and those with the most severe CO (BMI Z score ≥ 4.7 SD). CONCLUSION Children with SO have altered blood lymphocyte profiles with increased prevalence of CD19+ B cells, which is closely linked to the degree of obesity severity and inflammatory markers.
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Affiliation(s)
- A Dieme
- Armand-Trousseau Children's Hospital, Pediatric Nutrition and Gastroenterology Department, Paris, France
| | - S André
- Sorbonne Université, INSERM, Nutrition and Obesities, Systemic Approaches, Nutriomics, Paris, France
| | - H Lapillonne
- Armand-Trousseau Children's Hospital, Biological Hematology Department, Paris, France
| | - P Tounian
- Armand-Trousseau Children's Hospital, Pediatric Nutrition and Gastroenterology Department, Paris, France
| | - K Clément
- Sorbonne Université, INSERM, Nutrition and Obesities, Systemic Approaches, Nutriomics, Paris, France; Hôpital Universitaire Pitié Salpêtrière, Nutrition Department, Paris, France
| | - B Dubern
- Armand-Trousseau Children's Hospital, Pediatric Nutrition and Gastroenterology Department, Paris, France; Sorbonne Université, INSERM, Nutrition and Obesities, Systemic Approaches, Nutriomics, Paris, France.
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Dieme A, Lemoine A, Linglart A, Tressol C, Javalet M, Tounian P, Benoist G. Corrigendum à « Apports calciques chez l’enfant suivi pour allergie aux protéines du lait de vache : évaluation et conseils pratiques en consultation » [Revue française d’allergologie 62/8 (2022) 709]. Revue Française d'Allergologie 2023. [DOI: 10.1016/j.reval.2023.103311] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
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Dieme A, Lemoine A, Linglart A, Tressol C, Javalet M, Tounian P, Benoist G. Apports calciques chez l’enfant suivi pour allergie aux protéines du lait de vache : évaluation et conseils pratiques en consultation. Revue Française d'Allergologie 2022. [DOI: 10.1016/j.reval.2022.07.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Peretti N, Vimont A, Mas E, Ferrières J, Tounian P, Lemale J, Boccara F, Di Filippo M, Moulin P, Charrieres S, Poinsot P, Cottin Y, Ducluzeau P, Dourmap C, Cariou B, Farnier M, Paillard F, Pradignac A, Yelnik C, Gallo A, Bruckert E, Beliard S. Predictive factors of statin initiation during childhood in a cohort of 245 child-parent pairs with Familial Hypercholesterolemia: Importance of genetic diagnosis. Atherosclerosis 2022. [DOI: 10.1016/j.atherosclerosis.2022.06.120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
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Bacchetta J, Edouard T, Laverny G, Bernardor J, Bertholet-Thomas A, Castanet M, Garnier C, Gennero I, Harambat J, Lapillonne A, Molin A, Naud C, Salles JP, Laborie S, Tounian P, Linglart A. Vitamin D and calcium intakes in general pediatric populations: A French expert consensus paper. Arch Pediatr 2022; 29:312-325. [PMID: 35305879 DOI: 10.1016/j.arcped.2022.02.008] [Citation(s) in RCA: 23] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2021] [Accepted: 02/20/2022] [Indexed: 12/18/2022]
Abstract
OBJECTIVES Nutritional vitamin D supplements are often used in general pediatrics. Here, the aim is to address vitamin D supplementation and calcium nutritional intakes in newborns, infants, children, and adolescents to prevent vitamin D deficiency and rickets in general populations. STUDY DESIGN We formulated clinical questions relating to the following categories: the Patient (or Population) to whom the recommendation will apply; the Intervention being considered; the Comparison (which may be "no action," placebo, or an alternative intervention); and the Outcomes affected by the intervention (PICO). These PICO elements were arranged into the questions to be addressed in the literature searches. Each PICO question then formed the basis for a statement. The population covered consisted of children aged between 0 and 18 years and premature babies hospitalized in neonatology. Two groups were assembled: a core working group and a voting panel from different scientific pediatric committees from the French Society of Pediatrics and national scientific societies. RESULTS We present here 35 clinical practice points (CPPs) for the use of native vitamin D therapy (ergocalciferol, vitamin D2 and cholecalciferol, vitamin D3) and calcium nutritional intakes in general pediatric populations. CONCLUSION This consensus document was developed to provide guidance to health care professionals on the use of nutritional vitamin D and dietary modalities to achieve the recommended calcium intakes in general pediatric populations. These CPPs will be revised periodically. Research recommendations to study key vitamin D outcome measures in children are also suggested.
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Affiliation(s)
- J Bacchetta
- Centre de Référence des Maladies Rares du Calcium et du Phosphore, Service de Néphrologie Rhumatologie Dermatologie Pédiatriques, Filières Santé Maladies Rares OSCAR, ORKID et ERKNet, Hôpital Femme Mère Enfant, 59 Boulevard Pinel, Bron 69677 CEDEX, France; INSERM U1033, LYOS, Prévention des Maladies Osseuses, Lyon, France; Faculté de Médecine Lyon Est, Université de Lyon, Lyon, France.
| | - T Edouard
- Centre de Référence des Maladies Rares du Calcium et du Phosphore, Unité d'Endocrinologie, Génétique et Pathologies Osseuses, Filières Santé Maladies Rares OSCAR et BOND, Hôpital des Enfants, Toulouse, France
| | - G Laverny
- Institut de Génétique et de Biologie Moléculaire et Cellulaire, CNRS UMR7104, INSERM U1258, Université de Strasbourg, Illkirch, France
| | - J Bernardor
- INSERM U1033, LYOS, Prévention des Maladies Osseuses, Lyon, France; Département de Pédiatrie, CHU de Nice, Nice, France
| | - A Bertholet-Thomas
- Centre de Référence des Maladies Rares du Calcium et du Phosphore, Service de Néphrologie Rhumatologie Dermatologie Pédiatriques, Filières Santé Maladies Rares OSCAR, ORKID et ERKNet, Hôpital Femme Mère Enfant, 59 Boulevard Pinel, Bron 69677 CEDEX, France; INSERM U1033, LYOS, Prévention des Maladies Osseuses, Lyon, France
| | - M Castanet
- Centre de Référence des Maladies Rares du Calcium et du Phosphore, Département de Pédiatrie, Filière Santé Maladies Rares OSCAR, CHU Rouen, Rouen, France
| | - C Garnier
- Centre de Référence des Maladies Rares du Calcium et du Phosphore, Service de Néphrologie Rhumatologie Dermatologie Pédiatriques, Filières Santé Maladies Rares OSCAR, ORKID et ERKNet, Hôpital Femme Mère Enfant, 59 Boulevard Pinel, Bron 69677 CEDEX, France
| | - I Gennero
- Centre de Référence des Maladies Rares du Calcium et du Phosphore, Unité d'Endocrinologie, Génétique et Pathologies Osseuses, Filières Santé Maladies Rares OSCAR et BOND, Hôpital des Enfants, Toulouse, France
| | - J Harambat
- Centre de Référence Maladies Rénales Rares, Unité de Néphrologie Pédiatrique, Hôpital Pellegrin-Enfants, Bordeaux, France; INSERM U1219, Bordeaux, France
| | - A Lapillonne
- Service de Pédiatrie et Réanimation Néonatales, EHU 7328 Université de Paris, Hôpital Necker- Enfants Malades, Paris, France; CNRC, Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA
| | - A Molin
- Centre de Référence des Maladies Rares du Calcium et du Phosphore, Département de Génétique, Filière Santé Maladies Rares OSCAR, CHU Caen, Caen, France
| | - C Naud
- Centre de Référence des Maladies Rares du Calcium et du Phosphore, Service de Néphrologie Rhumatologie Dermatologie Pédiatriques, Filières Santé Maladies Rares OSCAR, ORKID et ERKNet, Hôpital Femme Mère Enfant, 59 Boulevard Pinel, Bron 69677 CEDEX, France
| | - J P Salles
- Centre de Référence des Maladies Rares du Calcium et du Phosphore, Unité d'Endocrinologie, Génétique et Pathologies Osseuses, Filières Santé Maladies Rares OSCAR et BOND, Hôpital des Enfants, Toulouse, France
| | - S Laborie
- Service de Réanimation Néonatale, Hôpital Femme Mère Enfant, Bron, France
| | - P Tounian
- Service de Nutrition et Gastroentérologie Pédiatriques, Hôpital Trousseau, Faculté de Médecine Sorbonne Université, Paris, France
| | - A Linglart
- AP-HP, Centre de Référence des Maladies Rares du Calcium et du Phosphore, Service d'Endocrinologie et diabète de l'enfant, Filières Santé Maladies Rares OSCAR, ERN endoRARE et BOND, Plateforme d'expertise des maladies rares Paris Saclay, Hôpital Bicêtre Paris-Saclay, Université Paris Saclay, INSERM U1185, Le Kremlin Bicêtre, France
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Lemoine A, Colas AS, Le S, Delacourt C, Tounian P, Lezmi G. Le syndrome d’entérocolite induite par les protéines alimentaires chez les enfants : une large cohorte multicentrique française. NUTR CLIN METAB 2022. [DOI: 10.1016/j.nupar.2021.12.126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Lemoine A, Tounian P. Childhood anemia and iron deficiency in sub-Saharan Africa – risk factors and prevention: A review. Arch Pediatr 2020; 27:490-496. [DOI: 10.1016/j.arcped.2020.08.004] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2019] [Revised: 04/15/2020] [Accepted: 08/13/2020] [Indexed: 12/17/2022]
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Tounian P, Bellaïche M, Legrand P. ARA or no ARA in infant formulae, that is the question. Arch Pediatr 2020; 28:69-74. [PMID: 33268182 DOI: 10.1016/j.arcped.2020.10.001] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [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: 02/13/2020] [Revised: 07/09/2020] [Accepted: 10/02/2020] [Indexed: 01/09/2023]
Abstract
Recently, the European Commission issued a Delegated Regulation updating the compositional and information requirements for infant and follow-on formulae that are to be applied at the latest in February 2021. This new regulation changes the status of docosahexaenoic acid (DHA) from an optional ingredient to a mandatory nutrient in these formulae at levels between 20 and 50mg/100kcal (0.5-1% of fatty acids). By contrast, arachidonic acid (ARA) becomes an optional nutrient. Following publication of the new regulation, global scientific experts have expressed concerns regarding the potential health risks of new infant formulae containing only DHA, especially at levels higher than those in breast milk and infant formulae marketed to date. Both DHA and ARA play a crucial role in infant development. First, breast milk, the gold standard for infant feeding, contains both DHA and ARA. Second, during development, the conversion of linoleic acid into ARA through desaturation steps is not sufficient to meet nutritional needs, especially in carriers of newly identified genetic variants in fatty acid desaturases, which weaken the biosynthetic production of ARA. Third, circulating levels of DHA and ARA in breastfed infants can only be matched with the addition of both fatty acids to formulae. And fourth, most studies performed to date have demonstrated that important physiological and developmental endpoints are sensitive to the ratio of dietary ARA:DHA. The precautionary principle applies when implementing the new EU regulation for infant and follow-on formulae. As a consequence, given the vulnerability of developing infants as well as the absence of conclusive evidence that formulae with at least 20mg DHA/100kcal, but no ARA, are safe and suitable to support the growth and development of infants similar to their breastfed peers, it remains necessary to still market formulas containing both ARA and DHA until proved otherwise.
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Affiliation(s)
- P Tounian
- Pediatric Nutrition and Gastroenterology department, Trousseau Hospital, AP-HP, Sorbonne University, 75012 Paris, France.
| | - M Bellaïche
- Pediatric Gastroenterology and Nutrition department, Robert Debré Hospital, AP-HP, 75019 Paris, France
| | - P Legrand
- Biochemistry/Human Nutrition, Agrocampus-Ouest, Rennes, 35042 Rennes, France
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Lemoine A, Pauliat-Desbordes S, Challier P, Tounian P. Adverse reactions to food additives in children: A retrospective study and a prospective survey. Arch Pediatr 2020; 27:368-371. [PMID: 32807620 DOI: 10.1016/j.arcped.2020.07.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [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: 05/25/2020] [Accepted: 07/24/2020] [Indexed: 11/17/2022]
Abstract
BACKGROUND Allergic reactions to food additives are often suspected by families. The aim of this study was to describe oral food challenge (OFC) outcomes in a pediatric cohort with a suspected diagnosis of allergy to food additives (food dyes or sodium benzoate). METHODS All patients who underwent an open OFC to carmine red, cochineal red, erythrosine, patent blue V, tartrazine, yellow sunset S, and/or sodium benzoate were included. A survey was sent to families after testing to evaluate whether the OFC results had altered feeding behaviors with food additives. RESULTS Twenty-three patients were included. The main suspected food was candy (n=11/23; 48%). Only one OFC out of 45 was formally positive for the carmine and cochineal red. Subsequently, most OFCs were negative (44/45; 97.8%). Despite the negativity of the challenge, four families out of 14 reported occurrences of supposed allergic reactions to food additives and six out of 15 continued to completely avoid the additive of concern in their children's diet. CONCLUSIONS Allergies to food additives remain rare. Even if an IgE-mediated allergy was excluded with a negative OFC, families remained suspicious about ready-made products. Health professionals and parents should be reassured about the low risk of food dye intolerance or allergies.
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Affiliation(s)
- A Lemoine
- Department of Paediatric Nutrition and Gastroenterology, Trousseau Hospital, AP-HP, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France; Sorbonne Université, 21, rue de l'École-de-Médecine, 75006 Paris, France.
| | - S Pauliat-Desbordes
- Department of Paediatric Nutrition and Gastroenterology, Trousseau Hospital, AP-HP, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France
| | - P Challier
- Department of Paediatric Nutrition and Gastroenterology, Trousseau Hospital, AP-HP, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France
| | - P Tounian
- Department of Paediatric Nutrition and Gastroenterology, Trousseau Hospital, AP-HP, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France; Sorbonne Université, 21, rue de l'École-de-Médecine, 75006 Paris, France
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Lemoine A, Giabicani E, Lockhart V, Grimprel E, Tounian P. Case report of nutritional rickets in an infant following a vegan diet. Arch Pediatr 2020; 27:219-222. [PMID: 32334899 DOI: 10.1016/j.arcped.2020.03.008] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2019] [Revised: 02/19/2020] [Accepted: 03/28/2020] [Indexed: 01/24/2023]
Abstract
We report the case of a 13-month-old infant who was referred to the pediatric emergency department because of psychomotor regression with four bone fractures due to nutritional rickets. The reason was prolonged breastfeeding from a vegetarian mother followed by a vegan diet for the infant after weaning. Rickets is one of the many nutritional deficiencies that could affect infants fed vegan or vegetarian diets. These diets are a public health concern requiring adapted information that suggests alternative formulas made from rice or soy proteins and adapted supplementation after weaning.
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Affiliation(s)
- A Lemoine
- Paediatric Nutrition and Gastroenterology Department, Trousseau Hospital-AP-HP, Sorbonne Université, 26, avenue du Dr Arnold-Netter, 75012 Paris, France.
| | - E Giabicani
- Sorbonne Université, INSERM, Centre de Recherche Saint Antoine, APHP, Hôpital Armand Trousseau, Explorations Fonctionnelles Endocriniennes, 75012, Paris, France
| | - V Lockhart
- Sorbonne Université, INSERM, Centre de Recherche Saint Antoine, APHP, Hôpital Armand Trousseau, Explorations Fonctionnelles Endocriniennes, 75012, Paris, France
| | - E Grimprel
- Department of Paediatrics, Trousseau Hospital-AP-HP; Sorbonne Université, 75012 Paris, France
| | - P Tounian
- Paediatric Nutrition and Gastroenterology Department, Trousseau Hospital-AP-HP, Sorbonne Université, 26, avenue du Dr Arnold-Netter, 75012 Paris, France
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Courbage S, Poitou C, Le Beyec-Le Bihan J, Tounian P, Karsenty A, Lacorte J, Carel J, De Filippo G, Oppert J, Clément K, Dubern B. Implication des variants hétérozygotes dans les gènes de la voie leptine-mélanocortines dans l’obésité sévère. NUTR CLIN METAB 2020. [DOI: 10.1016/j.nupar.2020.02.212] [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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Lemale J, Mas E, Jung C, Bellaiche M, Tounian P. Vegan diet in children and adolescents. Recommendations from the French-speaking Pediatric Hepatology, Gastroenterology and Nutrition Group (GFHGNP). Arch Pediatr 2019; 26:442-450. [DOI: 10.1016/j.arcped.2019.09.001] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2019] [Accepted: 09/20/2019] [Indexed: 02/07/2023]
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Lemoine A, Mamann N, Larroquet M, Tounian P, Irtan S, Lemale J. Ingestion of neodymium magnet spheres: Three case studies. Arch Pediatr 2019; 26:179-181. [PMID: 30827774 DOI: 10.1016/j.arcped.2019.02.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [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: 06/28/2018] [Revised: 09/10/2018] [Accepted: 02/03/2019] [Indexed: 11/25/2022]
Abstract
We report three pediatric cases of two, five, and 12 neodymium magnet spheres ingested simultaneously. In two cases, endoscopic extraction failed because of the strength of the magnetic attraction and a gastrotomy was performed to remove all magnets. In the third case, the magnets were not accessible endoscopically and were removed by laparotomy. We wish to warn consumer groups and pediatricians about the danger of neodymium magnets.
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Affiliation(s)
- A Lemoine
- Pediatric Nutrition and Gastroenterology Department, Trousseau Hospital, AP-HP, 26, avenue du Dr Arnold-Netter, 75012 Paris, France; Sorbonne université, faculté de médecine, 91, boulevard de l'hôpital, 75013 Paris, France.
| | - N Mamann
- Pediatric Nutrition and Gastroenterology Department, Trousseau Hospital, AP-HP, 26, avenue du Dr Arnold-Netter, 75012 Paris, France; Sorbonne université, faculté de médecine, 91, boulevard de l'hôpital, 75013 Paris, France
| | - M Larroquet
- Department of Pediatric Surgery, Trousseau Hospital, AP-HP, 26, avenue du Dr Arnold-Netter, 75012 Paris, France
| | - P Tounian
- Pediatric Nutrition and Gastroenterology Department, Trousseau Hospital, AP-HP, 26, avenue du Dr Arnold-Netter, 75012 Paris, France
| | - S Irtan
- Department of Pediatric Surgery, Trousseau Hospital, AP-HP, 26, avenue du Dr Arnold-Netter, 75012 Paris, France; Sorbonne université, faculté de médecine, 91, boulevard de l'hôpital, 75013 Paris, France
| | - J Lemale
- Pediatric Nutrition and Gastroenterology Department, Trousseau Hospital, AP-HP, 26, avenue du Dr Arnold-Netter, 75012 Paris, France; Sorbonne université, faculté de médecine, 91, boulevard de l'hôpital, 75013 Paris, France
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De Oliveira Mota J, Tounian P, Guillou S, Pierre F, Membré JM. Risque et bénéfice nutritionnels associés à la consommation de viande rouge en France. NUTR CLIN METAB 2019. [DOI: 10.1016/j.nupar.2019.01.430] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Le Beyec-Le Bihan J, Christine Poitou-Bernert C, Karsenty A, Pelloux V, Lacorte J, Tounian P, Oppert J, Clement K, Dubern B. Fréquence des mutations des gènes de la voie leptine/mélanocortines dans l’obésité sévère. NUTR CLIN METAB 2019. [DOI: 10.1016/j.nupar.2019.01.251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Mayer Lacrosniere S, Dubern B, Karsenty A, Chantereau H, Oderda L, Bouillot J, Tounian P. Chirurgie bariatrique de l’adolescent obèse : première série française incluant les 3 techniques chirurgicales. NUTR CLIN METAB 2019. [DOI: 10.1016/j.nupar.2019.01.223] [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: 11/27/2022]
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Lemale J, Keloua S, Dubern B, Girardet JP, Tounian P. Pancréatite aigue secondaire à une hypertriglycéridémie chez l’enfant : une cause rare à évoquer. NUTR CLIN METAB 2019. [DOI: 10.1016/j.nupar.2019.01.394] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Lemoine A, Aroulandom J, O’Neill C, Lemale J, Tounian P. Les suspicions d’allergies au lait de vache non IgE-médiée sont rarement confirmées. NUTR CLIN METAB 2019. [DOI: 10.1016/j.nupar.2019.01.399] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Badaoui A, Tounian P, Mahé E. Psoriasis and metabolic and cardiovascular comorbidities in children: A systematic review. Arch Pediatr 2019; 26:86-94. [PMID: 30638928 DOI: 10.1016/j.arcped.2018.12.005] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [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: 08/24/2018] [Revised: 11/13/2018] [Accepted: 12/11/2018] [Indexed: 12/27/2022]
Abstract
INTRODUCTION Psoriasis is associated with a higher risk of cardiovascular and/or metabolic comorbidity in adults, but discordant data have been reported in children. OBJECTIVE To evaluate the frequency of metabolic and cardiovascular comorbidity in children with psoriasis and to establish whether age at onset of psoriasis correlates with metabolic and cardiovascular comorbidity in adulthood. MATERIAL AND METHODS We conducted a systematic review on MEDLINE, using PubMed and Ovid. The search was limited to children (<18 years). The following key words were used: "psoriasis" with "children or childhood or adolescent" and "obesity" or "hypertension" or "diabetes" or "dyslipidemia" or "cardiovascular risk factor" or "myocardial infarction" or "stroke" or "coronaropathy" or "comorbidity". The reference lists of the articles retrieved were checked for additional relevant studies. RESULTS A total of 377 potential citations were analyzed. After removing duplicate articles and reviewing eligibility in titles and abstracts, 16 articles remained. The studies analyzed revealed significantly higher risk of overweight and obesity in children with psoriasis, despite the numerous definitions used. Four studies reported higher risk of abdominal obesity in children with psoriasis. Data on hypertension, diabetes, dyslipidemia, metabolic syndrome, and major cardiovascular events suggested there was no higher risk of these comorbidities in children with psoriasis. Two studies suggested that age at onset of psoriasis did not increase the frequency of comorbidity in adulthood. CONCLUSION This systematic review suggests that psoriasis in children is not associated with metabolic and cardiovascular comorbidities, except overweight and obesity, for which higher prevalence is clearly demonstrated in the literature.
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Affiliation(s)
- A Badaoui
- Service de Dermatologie, Centre Hospitalier Victor-Dupouy, 69, rue du Lieutenant-Colonel-Prud'hon, 95100 Argenteuil, France
| | - P Tounian
- Service de nutrition et gastro-entérologie pédiatriques, Hôpital Trousseau, Assistance publique-Hôpitaux de Paris, Université Pierre-et-Marie-Curie, Paris VI, 75012 Paris, France
| | - E Mahé
- Service de Dermatologie, Centre Hospitalier Victor-Dupouy, 69, rue du Lieutenant-Colonel-Prud'hon, 95100 Argenteuil, France.
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Dieme A, Lapillonne H, Karsenty A, Tounian P, Dubern B. Étude du profil lymphocytaire des enfants obèses. NUTR CLIN METAB 2018. [DOI: 10.1016/j.nupar.2018.09.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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21
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Lemoine A, Tounian P. Allergie aux colorants alimentaires : une pathologie à évoquer avec parcimonie. Revue Française d'Allergologie 2018. [DOI: 10.1016/j.reval.2018.09.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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22
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Tounian P. [Iron deficiency in childhood: recommendations of the French Pediatric Society]. Arch Pediatr 2017; 24:5S1. [PMID: 28622775 DOI: 10.1016/s0929-693x(17)24001-9] [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: 11/16/2022]
Affiliation(s)
- P Tounian
- Service de nutrition et gastroentérologie pédiatriques, hôpital Trousseau, 26, avenue du Dr Arnold-Netter, 75012 Paris, France.
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Paepegaey AC, Dubern B, Karsenty A, Chantereau H, Aron-Wisnewsky J, Oderda L, Hadoux M, Robert-Gary A, Bouillot JL, Oppert JM, Tounian P, Poitou C. [Bariatric surgery in obese adolescents: When and how should the transition from pediatric to adult medical management be made?]. Arch Pediatr 2016; 22:1233-9. [PMID: 26527542 DOI: 10.1016/j.arcped.2015.09.010] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2014] [Revised: 08/03/2015] [Accepted: 09/13/2015] [Indexed: 11/25/2022]
Abstract
INTRODUCTION In young obese patients, the transition from adolescence to adulthood, i.e., the transition from the pediatric to the adult medical team, is a new issue. In particular, it is important to define when and how this transition should be made in the setting of bariatric surgery. MATERIALS AND METHODS Fourteen young obese patients (under the age of 20), who underwent bariatric surgery, were included in the study (nine cases of Roux-en-Y gastric by-pass, three sleeve gastrectomy, one gastric banding). After surgery, the patients were followed in both the pediatric and adult departments (protocol 1) or only in the pediatric department during the 1st year and then in the adult department afterwards (protocol 2). Anthropometric and metabolic data, before and after surgery, and compliance monitoring were analyzed using a retrospective design. Twelve patients completed a questionnaire assessing how they experienced the transition. RESULTS Before surgery, mean age±SD was 16.3±1.8 years old and mean body mass index (BMI) 55.0±8.6kg/m(2). At 1 year after surgery, mean weight loss was -32.1±8.2% of initial body weight. Adherence to vitamin supplementation was judged to be adequate (vitamins were not taken less than once a week) for only 57.5% patients. Mean follow-up was 34.8±25.1 months [95% CI, 9.5-78.4]. None of the patients was lost to follow-up. Compliance was significantly better for patients following protocol 2. Adolescents reported being satisfied with meetings and newsletters about surgery, specific to this age group (91.7%). They also reported that information on the adult department was sufficient and 91.7% of them expressed satisfaction on the first outpatient visit in the adult department. However, all patients spontaneously reported having difficulties identifying members of the different teams: nutritionist pediatrician, nutritionist, and adult surgeon. DISCUSSION These preliminary data suggest that, in obese adolescents, it is important to differentiate the transition period and the time and preparation for bariatric surgery. A prospective follow-up with a larger number of subjects and recommendations are needed to better define and improve the specific clinical management of obese adolescents transitioning to adulthood.
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Affiliation(s)
- A-C Paepegaey
- Institut de cardiométabolisme et de nutrition (ICAN), service de nutrition, hôpital Pitié-Salpétrière, Assistance publique-Hôpitaux de Paris, 47-83, boulevard de l'Hôpital, 75013 Paris, France
| | - B Dubern
- Service de nutrition et gastroentérologie pédiatriques, hôpital Trousseau, Assistance publique-Hôpitaux de Paris, 75013 Paris, France; Faculté de médecine, université Pierre-et-Marie-Curie, Paris 6, 75005 Paris, France
| | - A Karsenty
- Service de nutrition et gastroentérologie pédiatriques, hôpital Trousseau, Assistance publique-Hôpitaux de Paris, 75013 Paris, France; Faculté de médecine, université Pierre-et-Marie-Curie, Paris 6, 75005 Paris, France
| | - H Chantereau
- Service de nutrition et gastroentérologie pédiatriques, hôpital Trousseau, Assistance publique-Hôpitaux de Paris, 75013 Paris, France
| | - J Aron-Wisnewsky
- Institut de cardiométabolisme et de nutrition (ICAN), service de nutrition, hôpital Pitié-Salpétrière, Assistance publique-Hôpitaux de Paris, 47-83, boulevard de l'Hôpital, 75013 Paris, France; Faculté de médecine, université Pierre-et-Marie-Curie, Paris 6, 75005 Paris, France
| | - L Oderda
- Service de nutrition et gastroentérologie pédiatriques, hôpital Trousseau, Assistance publique-Hôpitaux de Paris, 75013 Paris, France
| | - M Hadoux
- Institut de cardiométabolisme et de nutrition (ICAN), service de nutrition, hôpital Pitié-Salpétrière, Assistance publique-Hôpitaux de Paris, 47-83, boulevard de l'Hôpital, 75013 Paris, France
| | - A Robert-Gary
- Institut de cardiométabolisme et de nutrition (ICAN), service de nutrition, hôpital Pitié-Salpétrière, Assistance publique-Hôpitaux de Paris, 47-83, boulevard de l'Hôpital, 75013 Paris, France
| | - J-L Bouillot
- Service de chirurgie digestive et métabolique, hôpital Ambroise-Paré, Assistance publique-Hôpitaux de Paris, 92104 Boulogne, France; Faculté de médecine, université Pierre-et-Marie-Curie, Paris 6, 75005 Paris, France
| | - J-M Oppert
- Institut de cardiométabolisme et de nutrition (ICAN), service de nutrition, hôpital Pitié-Salpétrière, Assistance publique-Hôpitaux de Paris, 47-83, boulevard de l'Hôpital, 75013 Paris, France; Faculté de médecine, université Pierre-et-Marie-Curie, Paris 6, 75005 Paris, France
| | - P Tounian
- Service de nutrition et gastroentérologie pédiatriques, hôpital Trousseau, Assistance publique-Hôpitaux de Paris, 75013 Paris, France; Faculté de médecine, université Pierre-et-Marie-Curie, Paris 6, 75005 Paris, France
| | - C Poitou
- Institut de cardiométabolisme et de nutrition (ICAN), service de nutrition, hôpital Pitié-Salpétrière, Assistance publique-Hôpitaux de Paris, 47-83, boulevard de l'Hôpital, 75013 Paris, France; Faculté de médecine, université Pierre-et-Marie-Curie, Paris 6, 75005 Paris, France.
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Le Stradic C, Aroulandom J, Kotobi H, Pariente D, Gaboran C, Lemale J, Dubern B, Tounian P. [Duodenal duplication revealed by acute pancreatitis]. Arch Pediatr 2016; 23:1063-1066. [PMID: 27618291 DOI: 10.1016/j.arcped.2016.06.015] [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: 12/24/2015] [Revised: 03/01/2016] [Accepted: 06/24/2016] [Indexed: 10/21/2022]
Abstract
INTRODUCTION Duodenal duplications are rare congenital malformations whose revealing signs are highly variable and nonspecific. OBSERVATION We report the case of a female infant who presented with neonatal acute pancreatitis complicated by recurrent ascites, profound hypoalbuminemia responsible for pleural and pericardial effusions, revealing a duodenal duplication cyst. The unusual and original clinical presentation as well as the difficulty detecting the duplication radiologically delayed the diagnosis. A prolonged medical treatment with octreotide, albumin infusions, and exclusive parenteral nutrition led to an almost total disappearance of the ascites before surgery. The outcome was favorable after surgical removal of the duplication with 1 year of follow-up. CONCLUSION The diagnosis of duodenal duplication can be difficult and it may be necessary to repeat the ultrasound examinations. Surgical resection is delicate, especially when there is an abundant pancreatic ascites. Therefore, an adequate prolonged medical treatment to reduce this ascites is recommended before the surgery.
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Affiliation(s)
- C Le Stradic
- Service de nutrition et gastroentérologie pédiatriques, hôpital Trousseau, AP-HP, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France
| | - J Aroulandom
- Service de nutrition et gastroentérologie pédiatriques, hôpital Trousseau, AP-HP, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France.
| | - H Kotobi
- Service de chirurgie pédiatrique viscérale et néonatale, hôpital Trousseau, AP-HP, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France
| | - D Pariente
- Service de radiologie pédiatrique, hôpital Bicêtre, AP-HP, 78, rue du Général-Leclerc, 94270 Le Kremlin-Bicêtre, France
| | - C Gaboran
- Service de pédiatrie, centre hospitalier François-Quesnay, boulevard Sully, 78200 Mantes-la-Jolie, France
| | - J Lemale
- Service de nutrition et gastroentérologie pédiatriques, hôpital Trousseau, AP-HP, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France
| | - B Dubern
- Service de nutrition et gastroentérologie pédiatriques, hôpital Trousseau, AP-HP, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France
| | - P Tounian
- Service de nutrition et gastroentérologie pédiatriques, hôpital Trousseau, AP-HP, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France
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Béliard S, Millier A, Carreau V, Carrié A, Moulin P, Fredenrich A, Farnier M, Luc G, Rosenbaum D, Toumi M, Bruckert E, Angoulvant D, Béliard S, Boccara F, Bruckert E, Durlach V, Farnier M, Ferrières J, Hankard R, Krempf M, Lalau J, Luc G, Moulin P, Paillard F, Peretti N, Pradignac A, Pucheu Y, Tounian P, Vergès B, Ziegler O. The very high cardiovascular risk in heterozygous familial hypercholesterolemia: Analysis of 734 French patients. J Clin Lipidol 2016; 10:1129-1136.e3. [DOI: 10.1016/j.jacl.2016.06.007] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2016] [Revised: 05/17/2016] [Accepted: 06/15/2016] [Indexed: 02/02/2023]
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Goisbault M, Legrand A, Bonnet D, Tounian P, Dubern B. Atteinte hépatique et lésions vasculaires précoces chez l’enfant obèse. NUTR CLIN METAB 2016. [DOI: 10.1016/j.nupar.2016.09.096] [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: 10/20/2022]
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Lemoine A, Salem J, Harbison M, Tounian P, Netchine I, Dubern B. Effet de la cyproheptadine sur la croissance staturopondérale des enfants atteints du syndrome de Silver-Russell. NUTR CLIN METAB 2016. [DOI: 10.1016/j.nupar.2016.09.034] [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: 11/15/2022]
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Rives-Lange C, Karsenty A, Chantereau H, Oderda L, Dubern B, Lecendreux M, Tounian P. [Narcolepsy in sleepy obese children. Two case reports]. Arch Pediatr 2016; 23:603-6. [PMID: 27133373 DOI: 10.1016/j.arcped.2016.03.012] [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: 05/19/2015] [Revised: 10/26/2015] [Accepted: 03/11/2016] [Indexed: 11/17/2022]
Abstract
Narcolepsy is a disabling disorder, characterized by excessive daytime sleepiness, irresistible sleep attacks, and partial or complete cataplexy. Many cases of obesity and precocious puberty have been reported in narcoleptic children, suggesting that the deficiency of hypocretin in narcolepsy could also be implicated in appetite stimulation. We report the observations of two young girls, who were referred for obesity and who developed narcolepsy accompanied by an abrupt weight gain. In both cases, specific drugs promoted wakefulness and overweight stabilization. Narcolepsy has to be suspected in sleepy obese children and not misdiagnosed as obstructive apnea. A nocturnal polysomnography with multiple sleep latency tests should be performed to confirm the diagnosis and begin specific treatment that is effective for sleep disorders and weight gain.
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Affiliation(s)
- C Rives-Lange
- Service de nutrition et gastro-entérologie pédiatriques, hôpital Trousseau, AP-HP, université Paris 6, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France
| | - A Karsenty
- Service de nutrition et gastro-entérologie pédiatriques, hôpital Trousseau, AP-HP, université Paris 6, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France.
| | - H Chantereau
- Service de nutrition et gastro-entérologie pédiatriques, hôpital Trousseau, AP-HP, université Paris 6, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France
| | - L Oderda
- Service de nutrition et gastro-entérologie pédiatriques, hôpital Trousseau, AP-HP, université Paris 6, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France
| | - B Dubern
- Service de nutrition et gastro-entérologie pédiatriques, hôpital Trousseau, AP-HP, université Paris 6, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France
| | - M Lecendreux
- Centre pédiatrique des pathologies du sommeil, CHU Robert-Debré, AP-HP, 48, boulevard Serrurier, 75019 Paris, France; CNR narcolepsie-hypersomnie, 75019 Paris, France
| | - P Tounian
- Service de nutrition et gastro-entérologie pédiatriques, hôpital Trousseau, AP-HP, université Paris 6, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France
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Huvenne H, Le Beyec J, Pépin D, Alili R, PigeonKherchiche P, Jeannic E, Frelut M, Lacorte J, Nicolino M, Viard A, Laville M, Ledoux S, Tounian P, Poitou C, Clément K, Dubern B. Identification de 7 nouvelles mutations du gène du récepteur de la leptine dans l’obésité humaine. Arch Pediatr 2016. [DOI: 10.1016/j.arcped.2016.02.042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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31
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Tounian P. [Prevention of allergies in utero and in the neonatal period]. Arch Pediatr 2015; 22:208-9. [PMID: 26112595 DOI: 10.1016/s0929-693x(15)30104-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- P Tounian
- Service de nutrition et gastroentérologie pédiatriques, AP-HP, Hôpital Trousseau, 26 avenue du Dr Arnold Netter, 75012 Paris, France.
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Lemale J, Dainese L, Tounian P. [Eosinophilic gastroenteritis and colitis in pediatric patients: Increasingly frequent diseases]. Arch Pediatr 2015; 22:769-77. [PMID: 26051270 DOI: 10.1016/j.arcped.2015.04.005] [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: 11/06/2014] [Revised: 01/14/2015] [Accepted: 04/18/2015] [Indexed: 10/23/2022]
Abstract
Eosinophilic gastrointestinal disorders are a heterogeneous group of disorders characterized by no specific digestive symptoms associated with dense eosinophilic inflammation of the gastrointestinal tract in the absence of known causes for such tissue eosinophilia. Among these diseases, eosinophilic gastroenteritis (EGE) and colitis (EC) are less common than esophagitis, but their incidence and prevalence have been increasing over the past decade due in part to increased disease recognition. The exact pathophysiology is not clear: EGE and EC are immune-mediated diseases implicating adaptive T-helper cell type 2 immunity. According to the site of eosinophilic infiltration, there is a wide spectrum of digestive symptoms ranging from food refusal, nausea, vomiting, abdominal pain, weight loss, gastrointestinal bleeding (anemia), protein loosing enteropathy, ascites, bowel obstruction or perforation for EGE and diarrhea ± bleeding for CE. Endoscopic lesions are not specific: friability, erythematous mucosa with superficial erosions, or ulceration is often observed. Histologically, markedly increased numbers of mucosal eosinophils are seen in biopsy specimens. However, no standards for the diagnosis of EGE or CE exist and few findings support the diagnosis: intraepithelial eosinophils, eosinophil crypt abscesses, and eosinophils in muscularis mucosa and/or submucosa. Other organs are not involved. The other causes of tissue eosinophilia (infections, inflammatory bowel diseases) should be excluded. Food allergy appears to play a central role in driving inflammation in EGE and CE, as evidenced by symptomatic improvement with initiation of food exclusion or elemental diets. Dietary treatment should be the first therapeutic option in children. If the elimination diet fails, corticosteroids are currently the best characterized treatment but appropriate duration is unknown and relapses are frequent. In severe forms, immunomodulators or biologic agents (anti-IL5, anti-IgE, or anti-TNFa) can potentially play a role in the treatment of EGE and CE.
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Affiliation(s)
- J Lemale
- Service de nutrition et gastroentérologie pédiatriques, hôpital Trousseau, AP-HP, 26, avenue du Dr-Arnold-Netter, 75571 Paris cedex 12, France.
| | - L Dainese
- Service d'anatomo-pathologie, hôpital Trousseau, AP-HP, 26, avenue du Dr-Arnold-Netter, 75571 Paris cedex 12, France
| | - P Tounian
- Service de nutrition et gastroentérologie pédiatriques, hôpital Trousseau, AP-HP, 26, avenue du Dr-Arnold-Netter, 75571 Paris cedex 12, France
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Dubern B, Aron-Wisnewsky J, Karsenty A, Chantereau H, Oderda L, Clement K, Oppert J, Basdevant A, Bouillot J, Tounian P. CO-85 – Chirurgie bariatrique et obésité massive de l'adolescent. Arch Pediatr 2015. [DOI: 10.1016/s0929-693x(15)30185-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Tounian P. Les régurgitations. Arch Pediatr 2015; 22:107-8. [DOI: 10.1016/s0929-693x(15)30054-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Lemale J, Salaün JF, Assathiany R, Garcette K, Clouzeau H, Languepin J, Dubern B, Peretti N, Tounian P. CO-11 – Conséquences nutritionnelles de l'utilisation des jus végétaux chez le nourrisson. Arch Pediatr 2015. [DOI: 10.1016/s0929-693x(15)30114-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Storey C, Tillous-Borde I, Dubern B, Boelle PY, Bonnet D, Tounian P. P317: Étude des anomalies morphologiques et fonctionnelles myocardiques chez les enfants obèses. NUTR CLIN METAB 2014. [DOI: 10.1016/s0985-0562(14)70959-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Guinard-Samuel V, Oderda L, Cimerman P, Maillard F, Dubern B, Tounian P. P303: Prévention de la douleur liée à la mise en place de sonde naso-gastrique chez l’enfant par l’administration de lidocaïne en nébulisation nasale. NUTR CLIN METAB 2014. [DOI: 10.1016/s0985-0562(14)70945-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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38
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Venaille A, Viola S, Peycelon M, Grand d’Esnon A, Fasola S, Audry G, Ducou Le Pointe H, Tounian P. Invagination intestinale récidivante révélatrice d’une bécégite disséminée liée à un déficit immunitaire combiné sévère. Arch Pediatr 2014; 21:879-81. [DOI: 10.1016/j.arcped.2014.05.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2014] [Revised: 04/07/2014] [Accepted: 05/14/2014] [Indexed: 11/24/2022]
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Mouterde O, Chouraqui JP, Ruemmele F, Mas E, Bellaïche M, Faure C, Gottrand F, Tounian P. Cessons de prescrire des inhibiteurs de pompe à proton pour suspicion de reflux gastro-œsophagien, en dehors des indications justifiées ! Arch Pediatr 2014; 21:686-9. [DOI: 10.1016/j.arcped.2014.04.030] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2014] [Accepted: 04/18/2014] [Indexed: 12/12/2022]
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Destruys L, Guinard-Samuel V, Peycelon M, Ducou Le Pointe H, Tounian P. [Duodenal duplication cyst causing acute obstructive pancreatitis in a young girl with Crohn disease]. Arch Pediatr 2014; 21:532-4. [PMID: 24709318 DOI: 10.1016/j.arcped.2014.02.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2013] [Accepted: 02/20/2014] [Indexed: 11/27/2022]
Affiliation(s)
- L Destruys
- Service de nutrition et gastroentérologie pédiatriques, hôpital Armand-Trousseau, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France; Université Pierre-et-Marie-Curie, 75005 Paris, France
| | - V Guinard-Samuel
- Service de nutrition et gastroentérologie pédiatriques, hôpital Armand-Trousseau, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France; Université Pierre-et-Marie-Curie, 75005 Paris, France.
| | - M Peycelon
- Service de chirurgie viscérale néonatale et pédiatrique, hôpital Armand-Trousseau, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France; Université Pierre-et-Marie-Curie, 75005 Paris, France
| | - H Ducou Le Pointe
- Service de radiologie, hôpital Armand-Trousseau, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France; Université Pierre-et-Marie-Curie, 75005 Paris, France
| | - P Tounian
- Service de nutrition et gastroentérologie pédiatriques, hôpital Armand-Trousseau, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France; Université Pierre-et-Marie-Curie, 75005 Paris, France
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Lemale J, Le Louer B, Garcette K, Girardet JP, Tounian P. P217 Conséquences nutritionnelles de l’utilisation de boissons végétales chez le nourrisson. NUTR CLIN METAB 2013. [DOI: 10.1016/s0985-0562(13)70548-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Herry E, Geraldes K, Serfaty A, Christol R, Dubern B, Mercier C, Tounian P. O49 La dénutrition chez l’enfant hospitalisé : toujours d’actualité en 2013. NUTR CLIN METAB 2013. [DOI: 10.1016/s0985-0562(13)70321-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Huvenne H, Alili R, Hooton H, Clément K, Tounian P, Dubern B. Implication de trois variants des gènes MC4R et FTO dans l’évolution de la corpulence chez l’enfant. Arch Pediatr 2013. [DOI: 10.1016/j.arcped.2013.02.050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Hankard R, Tounian P, Chabrol B. [Research: a priority for the French Society of Pediatrics (SFP)]. Arch Pediatr 2013; 20:217-8. [PMID: 23375422 DOI: 10.1016/j.arcped.2012.12.018] [Citation(s) in RCA: 2] [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] [Received: 12/01/2012] [Accepted: 12/14/2012] [Indexed: 11/30/2022]
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Dubern B, Lafarge JC, Fellahi S, Naour N, Copin N, Bastard JP, Simon C, Clément K, Bonnet D, Tounian P, Guerre-Millo M. Relevance of increased serum cystatin C to vascular alterations in obese children. Pediatr Obes 2012; 7:374-81. [PMID: 22653843 DOI: 10.1111/j.2047-6310.2012.00053.x] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/10/2011] [Revised: 01/15/2012] [Accepted: 02/08/2012] [Indexed: 10/28/2022]
Abstract
OBJECTIVE Epidemiological studies report a positive relationship between serum cystatin C and cardiovascular outcomes in adults. Here, we tested the relevance of cystatin C as a biomarker for early vascular alterations in severely obese children. METHODS Two hundred nineteen obese (140 girls; age = 11.7 ± 2.7 years, BMI Z-score = 4.7 ± 1.2 SD) and 262 non-obese children (129 girls; age = 11.6 ± 0.6 years, body mass index [BMI] Z-score = 0.1 ± 1.0 SD). Serum cystatin C was measured by immunonephelometry. Intima media thickness (IMT), incremental elastic modulus, and flow-mediated and glyceryl-trinitrate-mediated dilations were determined at the common carotid artery and the brachial artery in obese children. RESULTS Obese children had significantly higher serum cystatin C than normal weight controls (0.86 ± 0.01 vs. 0.80 ± 0.01, P < 0.0001). In obese children, serum cystatin C correlates positively with BMI and the homeostasis model assessment index and negatively with the quantitative insulin sensitivity check index and adiponectin. A positive relationship was found between serum cystatin C and carotid IMT (r = 0.23, P = 0.0005), which remained significant in multivariate models adjusted for BMI (P = 0.01) and adiponectin with a trend towards significance (P = 0.05). CONCLUSION This study positions cystatin C and adiponectin as covariables associated with arterial wall thickness in obese children. Although the underlying pathophysiology linking cystatin C to early vascular disease remains to be deciphered, cystatin C may represent a novel adipose tissue-derived biomarker implicated in obesity-related comorbidities early in life.
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Affiliation(s)
- B Dubern
- Institute of Cardiometabolism and Nutrition, Paris, France; INSERM, Paris, France
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Mosca A, Leblanc A, Bellaïche M, Tounian P, Cohen R. [How many deaths before rotavirus vaccination becomes routine?]. Arch Pediatr 2012; 19:783-5. [PMID: 22748690 DOI: 10.1016/j.arcped.2012.05.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2012] [Accepted: 05/29/2012] [Indexed: 10/26/2022]
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Auber F, Lisan Q, Parmentier B, Louvet N, Blondiaux E, Tounian P, Mitanchez D, Audry G. Atrésie de l’œsophage : faut-il opérer le reflux gastro-œsophagien persistant ? Arch Pediatr 2012. [DOI: 10.1016/s0929-693x(12)71138-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Aron-Wisnewsky J, Moutel S, Tordjman J, Dubern B, Cotillard A, Bouillot JL, Tounian P, Basdevant A, Clément K. P085 Altération des différents dépôts de tissu adipeux et du foie chez l’adolescent obèse avant une chirurgie bariatrique. NUTR CLIN METAB 2011. [DOI: 10.1016/s0985-0562(11)70152-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Dubern B, Aaron-Wisnewski J, Bouillot JL, Basdevant A, Clément K, Tounian P. P193 Chirurgie bariatrique et obésité massive de l’adolescent. NUTR CLIN METAB 2011. [DOI: 10.1016/s0985-0562(11)70260-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Marsaud C, Rossignol S, Vu-Hong TA, Tounian P, Girardet JP, Netchine I, Dubern B. O08 Prévalence et prise en charge des troubles digestifs et nutritionnels chez les enfants ayant un syndrome de Silver-Russell. NUTR CLIN METAB 2011. [DOI: 10.1016/s0985-0562(11)70012-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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