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Paermentier L, Cano A, Chabrol B, Roy A. Neuropsychological Disorders in Moderate Hyperphenylalaninemia: Literature Review. Dev Neuropsychol 2023; 48:31-45. [PMID: 36594744 DOI: 10.1080/87565641.2022.2162902] [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] [Indexed: 01/04/2023]
Abstract
Moderate hyperphenylalaninemia (mHPA) is a hydroxylase deficiency corresponding to phenylalanine levels, at newborn screening, below 360 μmol/l. The neurological impact of mHPA is usually considered to be very low, but few studies have investigated the neuropsychological profile of mHPA patients.A systematic review of the neuropsychological aspects of mHPA was therefore conducted.The results showed a preservation of cognitive functions (intelligence, memory, visuoperception…). However, several indicators point to executive difficulties in this population. In regard to the important impact of executive functions in daily life, it is essential to conduct other studies in mHPA patients by proposing an integrative approach.
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Affiliation(s)
- L Paermentier
- Reference Center for Inborn Errors of Metabolism, Marseille University Children's Hospital, Marseille, France.,Neuro-Metabolism Department, Marseille University Children's Hospital, Marseille, France.,Psychology Laboratory, University of Angers, Angers, France
| | - A Cano
- Reference Center for Inborn Errors of Metabolism, Marseille University Children's Hospital, Marseille, France.,Neuro-Metabolism Department, Marseille University Children's Hospital, Marseille, France
| | - B Chabrol
- Reference Center for Inborn Errors of Metabolism, Marseille University Children's Hospital, Marseille, France.,Neuro-Metabolism Department, Marseille University Children's Hospital, Marseille, France
| | - A Roy
- Psychology Laboratory, University of Angers, Angers, France.,Neurofibromatosis Clinic and Reference Center for Learning Disabilities, Nantes University Hospital, Nantes, France
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Benhaïm-Mattout E, Cano A, Di Meglio C, Bosdure E, Chabrol B, Dubus J. A rare chest tumor in a 7-year old girl with a neurodegenerative disease. Respir Med Case Rep 2022; 37:101648. [PMID: 35433248 PMCID: PMC9006848 DOI: 10.1016/j.rmcr.2022.101648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2020] [Revised: 01/21/2021] [Accepted: 03/30/2022] [Indexed: 11/29/2022] Open
Abstract
We report the case of a 7-year-old girl with a history of San Filippo disease who presented with gingivitis and painful chest tumefaction. Microbiology of this tumefaction identified Aggregatibacter actinomycetemcomitans (AA), a slowly growing, commensal, Gram negative bacillus that is a very unusual cause of thoracic infection. We discuss this case in the light of available literature of pediatric cases of AA thoracic infection. Conclusion: a tumor-like chest mass in a patient with multiple disabilities should evoke an invasive AA infection.
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Affiliation(s)
- E. Benhaïm-Mattout
- Service de Spécialités Pédiatriques et Médecine Infantile, CHU Timone-Enfants, 13385, Marseille Cedex 5, France
| | - A. Cano
- Service de Spécialités Pédiatriques et Médecine Infantile, CHU Timone-Enfants, 13385, Marseille Cedex 5, France
- Centre de référence des maladies héréditaires du métabolisme, CHU Timone-Enfants, 13385, Marseille Cedex 5, France
| | - C. Di Meglio
- Service de Spécialités Pédiatriques et Médecine Infantile, CHU Timone-Enfants, 13385, Marseille Cedex 5, France
- Centre de référence des maladies héréditaires du métabolisme, CHU Timone-Enfants, 13385, Marseille Cedex 5, France
| | - E. Bosdure
- Service de Spécialités Pédiatriques et Médecine Infantile, CHU Timone-Enfants, 13385, Marseille Cedex 5, France
| | - B. Chabrol
- Service de Spécialités Pédiatriques et Médecine Infantile, CHU Timone-Enfants, 13385, Marseille Cedex 5, France
- Centre de référence des maladies héréditaires du métabolisme, CHU Timone-Enfants, 13385, Marseille Cedex 5, France
| | - J.C. Dubus
- Service de Spécialités Pédiatriques et Médecine Infantile, CHU Timone-Enfants, 13385, Marseille Cedex 5, France
- Aix-Marseille Université, AP-HM, IRD, MEPHI, IHU-Méditerranée Infection, 13005, Marseille, France
- Corresponding author. CHU Timone-Enfants, 264 rue Saint-Pierre, 13385, Marseille Cedex 5, France.
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Audic F, Catillon P, Berbis J, Paermentier L, Gizard F, Chabrol B. Use of a book to disclose a diagnosis of Duchenne muscular dystrophy to a young child: A pilot study. Arch Pediatr 2021; 29:51-55. [PMID: 34876333 DOI: 10.1016/j.arcped.2021.10.008] [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: 02/12/2021] [Revised: 07/24/2021] [Accepted: 10/19/2021] [Indexed: 10/19/2022]
Abstract
Disclosing the diagnosis of Duchenne muscular dystrophy, a progressive genetic disease, to children requires taking the time to talk with them and to identify the emotions that they experience on a daily basis. At the Reference Center for Neuromuscular Diseases of Children in Marseille, to accompany the disclosure of the diagnosis to the child, we have created a book to facilitate communication and dialog in the parent-child relationship. A single-center and prospective study was conducted of nine children and nine families to evaluate the usefulness of this tool. The results show that the book was appreciated by families and mainly recommended by children and their parents. Children's understanding of the disease improved, especially for the 6-8-year-old age group. The children's mental state was better at school after using the tool. The book offered them support to express their mood. As an accompaniment, this mediator tool helps parents and children alike. Caregivers use it as a support for the children to have a place to share their thoughts and emotions, from the very beginning of the follow-up. It helps build the child-parent-caregiver triad.
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Affiliation(s)
- F Audic
- Centre de Référence des Maladies Neuromusculaires de l'enfant PACARARE, Service de Neuropédiatrie, Hôpital Timone Enfants, 264 rue Saint Pierre, 13385 Marseille Cedex 5, France.
| | - P Catillon
- Centre de Référence des Maladies Neuromusculaires de l'enfant PACARARE, Service de Neuropédiatrie, Hôpital Timone Enfants, 264 rue Saint Pierre, 13385 Marseille Cedex 5, France
| | - J Berbis
- Assistance Publique Hopitaux de Marseille, Aix-Marseille University, UR 3279 CEReSS, Health Service Research and Quality of Life Center, Faculté de Médecine 27, Bd Jean Moulin, 13005 Marseille, France
| | - L Paermentier
- Centre de Référence des Maladies Neuromusculaires de l'enfant PACARARE, Service de Neuropédiatrie, Hôpital Timone Enfants, 264 rue Saint Pierre, 13385 Marseille Cedex 5, France
| | - F Gizard
- Plateforme Maladie Rare Hôpital Timone Enfants, 13385 Marseille Cedex 5, France
| | - B Chabrol
- Centre de Référence des Maladies Neuromusculaires de l'enfant PACARARE, Service de Neuropédiatrie, Hôpital Timone Enfants, 264 rue Saint Pierre, 13385 Marseille Cedex 5, France
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de la Banda MGG, Grimaldi-Bensouda L, Urtizberea J, Behin A, Vuillerot C, Saugier-Veber P, Audic F, Barnerias C, Cances C, Campana-Salort E, Espil C, Laforet P, Laugel V, Pereon Y, Sacconi S, Stojkovic T, Tard C, Chabrol B, Desguerre I, Quijano-Roy S. SMA – OUTCOME MEASURES AND REGISTRIES. Neuromuscul Disord 2021. [DOI: 10.1016/j.nmd.2021.07.292] [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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Gasmi O, Hodel K, Launay E, Paillé C, Chabrol B, Delacourt C, Guen CGL. Pediatric hospital care organization: Cross-sectional enquiry in four regions in France. Arch Pediatr 2021; 28:509-513. [PMID: 34511279 DOI: 10.1016/j.arcped.2021.08.007] [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: 04/01/2021] [Revised: 06/10/2021] [Accepted: 08/09/2021] [Indexed: 11/16/2022]
Abstract
OBJECTIVE The aim of this study was to characterize conventional pediatric care capacities in French public hospitals and identify the main difficulties in guiding upcoming health policies. The secondary objective was to assess the quality of care by the implementation of the European Charter of the Rights of Children in Hospital. METHOD Multicenter cross-sectional study using a questionnaire survey sent by e-mail to the heads of conventional pediatric departments in four French regions identified on the French Hospital Federation's website. The survey was conducted between 25 September and 25 October 2018. RESULTS Fifty-six of 113 heads of departments participated in the survey. The mean annual number of admissions per unit in 2017 was 2066 (SD, 1433), with a median length of stay of 2.7 days (range, 1-10). Children were admitted up to age 18 years in 76% of the departments, and 83% of the departments had an individualized pediatric emergency department. The nurse care load was very high, specifically during the night shift (9.5 patients/nurse). Inpatient education and academic teaching were unavailable in 38% of the departments. Overall, 89% of department heads declared knowing the European Charter of the Rights of Children in Hospital, and a copy of it was posted in all units in 57% (95% confidence interval, 44-70) of the services/departments. At all times and in all departments, parents were allowed to be with their children, and for 34% (95% CI, 21-47) of the departments, an accommodation for parents was available close to the hospital. CONCLUSION Public hospital pediatric departments lack sufficient medical and nonmedical caregivers. Department heads were well aware of the European Charter, and it was well disseminated but should be updated to address today's challenges in pediatrics. An area of improvement would be to include parents in their child's care more effectively.
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Affiliation(s)
- O Gasmi
- Department of General Pediatrics, University Hospital of Nantes, 38 boulevard Jean Monnet, 44400 Nantes, France.
| | - K Hodel
- Department of Medical Evaluation and Epidemiology, University Hospital of Nantes, 85 rue Saint-Jacques, 44093 Nantes, France
| | - E Launay
- Department of General Pediatrics, University Hospital of Nantes, 38 boulevard Jean Monnet, 44400 Nantes, France
| | - C Paillé
- Department of Medical Evaluation and Epidemiology, University Hospital of Nantes, 85 rue Saint-Jacques, 44093 Nantes, France
| | - B Chabrol
- Department of General Pediatrics, University Hospital of la Timone, APHM, 264 rue Saint-Pierre, 13005 Marseille, France
| | - C Delacourt
- Department of Pediatric Pneumology, Necker-Enfants Malades University Hospital, APHP, 149 rue de Sèvres, 75743 Paris, France
| | - C Gras-Le Guen
- Department of General Pediatrics, University Hospital of Nantes, 38 boulevard Jean Monnet, 44400 Nantes, France
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Héron B, Billette de Villemeur T, Dufaure Garé I, Brassier A, Chabrol B, Pichard S, Feillet F, Guemann A, Barth M, Tardieu M, Nadjar Y, Belmatoug N, Sacaze E, Roubertie A, Cador B, Beze-Beyrie P, Klising E, Guéguen S, Amselem S. Étude des mucopolysaccharidoses en France : constitution de la cohorte RaDiCo-MPS. Rev Epidemiol Sante Publique 2021. [DOI: 10.1016/j.respe.2021.05.034] [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] Open
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Rousseau MC, Hully M, Milh M, Juzeau D, Pollez B, Peudenier S, Bahi Buisson N, Gautheron V, Chabrol B, Billette de Villemeur T. Clinical characteristics of COVID-19 infection in polyhandicapped persons in France. Arch Pediatr 2021; 28:374-380. [PMID: 33994267 PMCID: PMC8064873 DOI: 10.1016/j.arcped.2021.04.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2020] [Revised: 03/29/2021] [Accepted: 04/16/2021] [Indexed: 01/02/2023]
Abstract
Aim Little is known about the clinical profile of COVID-19 infection in polyhandicapped persons. This study aimed to describe the characteristics of this infection among individuals with polyhandicap. Method This was a retrospective observational study. Polyhandicap was defined by the combination of motor deficiency, profound mental retardation, and age at onset of cerebral lesion younger than 6 years. A positive COVID-19 status was considered for patients with a positive COVID-19 laboratory test result, or patients presenting with compatible symptoms and living in an institution or at home with other patients or relatives who had laboratory-confirmed COVID-19 infection. Data collection included sociodemographic data, clinical and paraclinical characteristics, as well as the management and treatment for COVID-19 infection. Results We collected 98 cases, with a sex ratio of 0.98 and a mean age of 38.5 years (3 months to 73 years). COVID-19 infection was paucisymptomatic in 46% of patients, 20.6% of patients presented with dyspnea, while the most frequent extra-respiratory symptoms were digestive (26.5%) and neurological changes (24.5%); 18 patients required hospital admission, four adults died. The mean duration of infection was longer for adults than for children, and the proportion of taste and smell disorders was higher in older patients. Conclusion These findings suggest that PLH persons often develop paucisymptomatic forms of COVID-19 infection, although they may also experience severe outcomes, including death. Clinicians should be aware that COVID-19 symptoms in PLH persons are often extra-respiratory signs, mostly digestive and neurologic, which may help in the earlier identification of COVID-19 infection in this particular population of patients.
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Affiliation(s)
- M-C Rousseau
- Service polyhandicap adultes, Hôpital San Salvadour (Assistance Publique Hôpitaux de Paris), BP 30 080, 83407 Hyères cedex, France.
| | - M Hully
- MD, Services de Neurologie et Rééducation Pédiatriques, Hôpital Necker Enfants Malades, APHP, 75015 Paris, France
| | - M Milh
- Service de Neuropédiatrie, Hôpital d'Enfants CHU Timone, 13005 Marseille, France
| | - D Juzeau
- Santé Publique, Co Fondatrice du réseau NeurodeV, 59000 Lille, France
| | | | - S Peudenier
- CRDI, Hôpital Morvan, CHRU Brest, 29200 Brest, France
| | - N Bahi Buisson
- Pediatric Neurology, Necker Enfants Malades University Hospital, Université de Paris, 75015 Paris, France; Institut Imagine, INSERM U 1163, Université de Paris, Paris, France
| | - V Gautheron
- Physical and Rehabilitation Medicine, Bellevue University Hospital, 42100 Saint-Étienne, France
| | | | - B Chabrol
- Service de Neuropédiatrie, Hôpital d'Enfants CHU Timone, 13005 Marseille, France
| | - T Billette de Villemeur
- Service de Neuropédiatrie, Pathologie du développement, hôpital Trousseau-La Roche Guyon, 95780 La Roche-Guyon, France
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Dufosset M, Tosello B, Le Coz P, Chabrol B. New ethical challenges in the management of rare pediatric diseases with innovative therapies. Arch Pediatr 2021; 28:311-318. [PMID: 33814267 DOI: 10.1016/j.arcped.2021.02.004] [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: 09/06/2020] [Revised: 12/10/2020] [Accepted: 02/21/2021] [Indexed: 11/26/2022]
Abstract
INTRODUCTION Rare diseases, despite their low individual prevalence, affect a large number of children. Their management has considerably improved recently due to new treatments, modifying the diseases evolution without being totally curative. Since this raises many ethical dilemmas, we present a study about respecting the principles of medical ethics in the management of rare diseases in pediatrics. MATERIAL AND METHODS We carried out a qualitative study in a French pediatric neurology department. In our study, we included health caregivers and parents of children being monitored for rare diseases and benefiting from innovative therapies. We conducted semi-structured interviews and, after transcription, we performed computerized and manual analysis. RESULTS A total of 26 participants were included. Six main themes were addressed: rare diseases, science and medical research, general disease management, specific innovative treatments, neonatal screening, and cost of these treatments. Discussions centered on the children. Particular importance was given to the notions of information and the physician/family relationship. A major place is given to the treatment objectives and the improvement of quality of life. We also noted a sense of satisfaction with the current overall management of these diseases. CONCLUSION Our study suggests that our current practice, including the use of innovative therapies, respects the four main ethical principles, from the points of view of both caregivers and parents.
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Affiliation(s)
- M Dufosset
- Pediatric Neurology Department, Hôpital Timone Enfant, APHM, 263, rue Saint-Pierre, 13385 Marseille cedex 5, France.
| | - B Tosello
- Neonatology Department, Hôpital Nord, APHM, chemin des Bourrely, 13915 Marseille cedex 20, France; CNRS, EFS, UMR 7268 ADéS, Aix Marseille University, Marseille, France
| | - P Le Coz
- CNRS, EFS, UMR 7268 ADéS, Aix Marseille University, Marseille, France
| | - B Chabrol
- Pediatric Neurology Department, Hôpital Timone Enfant, APHM, 263, rue Saint-Pierre, 13385 Marseille cedex 5, France; CNRS, EFS, UMR 7268 ADéS, Aix Marseille University, Marseille, France
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André MV, Cacciagli P, Cano A, Vaugier L, Roussel M, Girard N, Chabrol B, Villard L, Milh M. The phenotype caused by recessive variations in SLC25A22: Report of a new case and literature review. Arch Pediatr 2020; 28:87-92. [PMID: 33342683 DOI: 10.1016/j.arcped.2020.10.015] [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: 06/25/2018] [Revised: 07/20/2020] [Accepted: 10/31/2020] [Indexed: 10/22/2022]
Abstract
We describe the clinical, electroencephalography (EEG), and developmental features of a patient with developmental and epileptic encephalopathy due to a homozygous pathogenic variation of mitochondrial glutamate/H+ symporter SLC25A22. Epilepsy began during the first week of life with focal onset seizures. Interictal EEG revealed a suppression-burst pattern with extensive periods of non-activity. The prospective follow-up confirmed developmental encephalopathy as well as ongoing active epilepsy and almost no sign of development at 8 years of age. We confirm in the following paper that SLC25A22 recessive variations may cause a severe developmental and epileptic encephalopathy characterized by a suppression-burst pattern. On the basis of an in-depth literature review, we also provide an overview of this rare genetic cause of neonatal onset epilepsy.
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Affiliation(s)
- M-V André
- Department of pediatric neurology, hôpital de la Timone, AP-HM, 13085 Marseille, France.
| | - P Cacciagli
- Inserm, GMGF, UMR_S 910, faculté de médecine, Aix-Marseille university, 13085 Marseille, France; Department of medical genetics, hôpital de La Timone, AP-HM, 13085 Marseille, France
| | - A Cano
- Department of pediatric neurology, hôpital de la Timone, AP-HM, 13085 Marseille, France
| | - L Vaugier
- Department of clinical neurophysiology, hôpital de la Timone, AP-HM, 13085 Marseille, France
| | - M Roussel
- Department of clinical neurophysiologie, hôpital Nord, AP-HM, 13015 Marseille, France
| | - N Girard
- Department of Neuroradiology, Aix-Marseille University, AP-HM, 13085 Marseille, France
| | - B Chabrol
- Department of pediatric neurology, hôpital de la Timone, AP-HM, 13085 Marseille, France
| | - L Villard
- Inserm, GMGF, UMR_S 910, faculté de médecine, Aix-Marseille university, 13085 Marseille, France; Department of medical genetics, hôpital de La Timone, AP-HM, 13085 Marseille, France
| | - M Milh
- Department of pediatric neurology, hôpital de la Timone, AP-HM, 13085 Marseille, France; Inserm, GMGF, UMR_S 910, faculté de médecine, Aix-Marseille university, 13085 Marseille, France
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Chabrol B, Desguerre I. Infantile spinal muscular atrophy (SMA). Arch Pediatr 2020; 27:7S1-7S2. [DOI: 10.1016/s0929-693x(20)30268-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Abstract
The pediatrician has a privileged relationship with a child with infantile spinal muscular atrophy (SMA). At all times, he/she must be the child's mentor, promoting a comprehensive approach and support in order to ensure the best possible solution for the patient's autonomy. In all circumstances, an ethical stance is essential. After a reminder on the notions of ethics of care, we will address various ethical questions encountered through three critical situations during the care of a child with infantile spinal muscular atrophy: the announcement of the diagnosis, the transmission of information on innovative therapies, and palliative care and end-of-life support. © 2020 French Society of Pediatrics. Published by Elsevier Masson SAS. All rights reserved.
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Affiliation(s)
- B Chabrol
- Centre de référence des maladies neuromusculaires de l'Enfant, Neuromuscular Commission of French Society of Pediatric Neurology, Filière FINELMUS, Hôpital d'Enfants, CHU Timone, 13385 Marseille cedex 5.
| | - I Desguerre
- Centre de référence des maladies neuromusculaires de l'Enfant, Neuromuscular Commission of French Society of Pediatric Neurology, Filière FINELMUS, Hôpital Necker, rue de Sèvres, 75015 Paris
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Albertini F, Bresson V, Tardieu S, Milh M, Chabrol B. Pediatric emergency room visits for neurological conditions: Description and use of pediatric neurologist advice. Arch Pediatr 2020; 27:416-422. [PMID: 33169688 DOI: 10.1016/j.arcped.2020.09.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [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: 09/30/2018] [Revised: 06/11/2020] [Accepted: 09/11/2020] [Indexed: 11/16/2022]
Abstract
INTRODUCTION AND OBJECTIVE Information on the spectrum and frequencies of pediatric neurological presentations to emergency departments is vital to optimize quality of care. The objective of this study was to determine the incidence of pediatric neurological emergencies and to analyze the impact of specialist neurological advice in emergency care. PATIENTS AND METHODS We performed a retrospective descriptive study of pediatric emergency room visits for neurological reasons at the Timone University Hospital in Marseille over a 6-month period (from October 2017 to March 2018). RESULTS Of the 14,572 emergencies analyzed, 370 (2.5%) were for neurological conditions. These were most commonly seizures (56.7% of cases), headache (19.7%), and motor or sensory deficits (5.1%). The most frequent diagnosis was epileptic seizure (30%), followed by febrile seizure (26.1%) and migraine (15%). Around two in every five patients (37.6%) required hospitalization. Neurological emergencies requiring critical care occurred at a frequency of about one per month (1.6% of cases). A pediatric neurologist was consulted in 37.3% of cases, resulting in a modification of the diagnosis or treatment in 66% of these referrals. CONCLUSION The results of this study suggest that a formal referral system between the emergency department and pediatric neurologists would be useful.
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Affiliation(s)
- F Albertini
- Service de neurologie pédiatrique, APHM, CHU de la Timone, 264, rue Saint-Pierre, 13005 Marseille, France.
| | - V Bresson
- Urgences pédiatriques, APHM, CHU de la Timone, 264, rue Saint-Pierre, 13005 Marseille, France
| | - S Tardieu
- Service de Santé publique, APHM, CHU de la Conception, 80, rue Brochier, 13005 Marseille, France
| | - M Milh
- Service de neurologie pédiatrique, APHM, CHU de la Timone, 264, rue Saint-Pierre, 13005 Marseille, France
| | - B Chabrol
- Service de neurologie pédiatrique, APHM, CHU de la Timone, 264, rue Saint-Pierre, 13005 Marseille, France
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Gomez-Garcia de la Banda M, Grimaldi L, Urtizberea J, Behin A, Vuillerot C, Saugier-Veber P, Audic F, Barnerias C, Cances C, Campana-Salort E, Spil C, Laforet P, Laugel V, Pereon Y, Sacconi S, Stojkovic T, Tard C, Chabrol B, Desguerre I, Quijano-Roy S. SMA: REGISTRIES, BIOMARKERS & OUTCOME MEASURES. Neuromuscul Disord 2020. [DOI: 10.1016/j.nmd.2020.08.188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Chavany J, Cano A, Roquelaure B, Bourgeois P, Boubnova J, Gaignard P, Hoebeke C, Reynaud R, Rhomer B, Slama A, Badens C, Chabrol B, Fabre A. Mutations in NBAS and SCYL1, genetic causes of recurrent liver failure in children: Three case reports and a literature review. Arch Pediatr 2020; 27:155-159. [DOI: 10.1016/j.arcped.2020.01.003] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2019] [Revised: 12/15/2019] [Accepted: 01/25/2020] [Indexed: 12/14/2022]
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Chabrol B, N’Guyen S. What's next in Neuropediatrics in 2019. Rev Neurol (Paris) 2020; 176:1. [DOI: 10.1016/j.neurol.2019.09.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2019] [Revised: 09/16/2019] [Accepted: 09/26/2019] [Indexed: 10/25/2022]
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Chabrol B, Milh M. Transition from paediatric to adult care in adolescents with neurological diseases and handicap. Rev Neurol (Paris) 2020; 176:37-42. [DOI: 10.1016/j.neurol.2019.09.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2019] [Revised: 07/16/2019] [Accepted: 09/03/2019] [Indexed: 11/16/2022]
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Mortreux J, Bacquet J, Boyer A, Alazard E, Bellance R, Giguet-Valard AG, Cerino M, Krahn M, Audic F, Chabrol B, Laugel V, Desvignes JP, Béroud C, Nguyen K, Verschueren A, Lévy N, Attarian S, Delague V, Missirian C, Bonello-Palot N. Identification of novel pathogenic copy number variations in Charcot-Marie-Tooth disease. J Hum Genet 2019; 65:313-323. [PMID: 31852984 DOI: 10.1038/s10038-019-0710-5] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2019] [Revised: 12/03/2019] [Accepted: 12/08/2019] [Indexed: 12/13/2022]
Abstract
Charcot-Marie-Tooth disease (CMT) is a hereditary sensory-motor neuropathy characterized by a strong clinical and genetic heterogeneity. Over the past few years, with the occurrence of whole-exome sequencing (WES) or whole-genome sequencing (WGS), the molecular diagnosis rate has been improved by allowing the screening of more than 80 genes at one time. In CMT, except the recurrent PMP22 duplication accounting for about 60% of pathogenic variations, pathogenic copy number variations (CNVs) are rarely reported and only a few studies screening specifically CNVs have been performed. The aim of the present study was to screen for CNVs in the most prevalent genes associated with CMT in a cohort of 200 patients negative for the PMP22 duplication. CNVs were screened using the Exome Depth software on next generation sequencing (NGS) data obtained by targeted capture and sequencing of a panel of 81 CMT associated genes. Deleterious CNVs were identified in four patients (2%), in four genes: GDAP1, LRSAM1, GAN, and FGD4. All CNVs were confirmed by high-resolution oligonucleotide array Comparative Genomic Hybridization (aCGH) and/or quantitative PCR. By identifying four new CNVs in four different genes, we demonstrate that, although they are rare mutational events in CMT, CNVs might contribute significantly to mutational spectrum of Charcot-Marie-Tooth disease and should be searched in routine NGS diagnosis. This strategy increases the molecular diagnosis rate of patients with neuropathy.
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Affiliation(s)
- J Mortreux
- Département de génétique médicale, Hôpital Timone enfants, Assistance-Publique Hôpitaux de Marseille, Marseille, France.,Aix Marseille Univ, INSERM, MMG, U1251, Marseille, France
| | - J Bacquet
- Département de génétique médicale, Hôpital Timone enfants, Assistance-Publique Hôpitaux de Marseille, Marseille, France.,Aix Marseille Univ, INSERM, MMG, U1251, Marseille, France
| | - A Boyer
- Département de génétique médicale, Hôpital Timone enfants, Assistance-Publique Hôpitaux de Marseille, Marseille, France
| | - E Alazard
- Département de génétique médicale, Hôpital Timone enfants, Assistance-Publique Hôpitaux de Marseille, Marseille, France
| | - R Bellance
- Centre de référence Caribéen pour les maladies neuromusculaires, CeRCa, Hôpital Pierre-Zobda-Quitman, CHU de Martinique, France
| | - A G Giguet-Valard
- Centre de référence Caribéen pour les maladies neuromusculaires, CeRCa, Hôpital Pierre-Zobda-Quitman, CHU de Martinique, France
| | - M Cerino
- Département de génétique médicale, Hôpital Timone enfants, Assistance-Publique Hôpitaux de Marseille, Marseille, France.,Aix Marseille Univ, INSERM, MMG, U1251, Marseille, France
| | - M Krahn
- Département de génétique médicale, Hôpital Timone enfants, Assistance-Publique Hôpitaux de Marseille, Marseille, France.,Aix Marseille Univ, INSERM, MMG, U1251, Marseille, France
| | - F Audic
- Centre de référence des maladies neuromusculaires, Hôpital de la Timone enfant, Assistance-Publique Hôpitaux de Marseille, Marseille, France
| | - B Chabrol
- Centre de référence des maladies neuromusculaires, Hôpital de la Timone enfant, Assistance-Publique Hôpitaux de Marseille, Marseille, France
| | - V Laugel
- Centre de référence des maladies neuromusculaires, Service de pédiatrie, CHU Strasbourg, France
| | - J P Desvignes
- Aix Marseille Univ, INSERM, MMG, U1251, Marseille, France
| | - C Béroud
- Département de génétique médicale, Hôpital Timone enfants, Assistance-Publique Hôpitaux de Marseille, Marseille, France.,Aix Marseille Univ, INSERM, MMG, U1251, Marseille, France
| | - K Nguyen
- Département de génétique médicale, Hôpital Timone enfants, Assistance-Publique Hôpitaux de Marseille, Marseille, France.,Aix Marseille Univ, INSERM, MMG, U1251, Marseille, France
| | - A Verschueren
- Centre de référence des maladies neuromusculaires, Hôpital de la Timone Adulte, Assistance-Publique Hôpitaux de Marseille, Marseille, France
| | - N Lévy
- Département de génétique médicale, Hôpital Timone enfants, Assistance-Publique Hôpitaux de Marseille, Marseille, France.,Aix Marseille Univ, INSERM, MMG, U1251, Marseille, France
| | - S Attarian
- Centre de référence des maladies neuromusculaires, Hôpital de la Timone Adulte, Assistance-Publique Hôpitaux de Marseille, Marseille, France
| | - V Delague
- Aix Marseille Univ, INSERM, MMG, U1251, Marseille, France
| | - C Missirian
- Département de génétique médicale, Hôpital Timone enfants, Assistance-Publique Hôpitaux de Marseille, Marseille, France.,Aix Marseille Univ, INSERM, MMG, U1251, Marseille, France
| | - N Bonello-Palot
- Département de génétique médicale, Hôpital Timone enfants, Assistance-Publique Hôpitaux de Marseille, Marseille, France. .,Aix Marseille Univ, INSERM, MMG, U1251, Marseille, France.
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Hoebeke C, Bonello-Palot N, Audic F, Boulay C, Tufod D, Attarian S, Chabrol B. Retrospective study of 75 children with peripheral inherited neuropathy: Genotype–phenotype correlations. Arch Pediatr 2018; 25:452-458. [DOI: 10.1016/j.arcped.2018.09.006] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2017] [Revised: 08/01/2018] [Accepted: 09/23/2018] [Indexed: 01/06/2023]
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Boulay C, Authier G, Castanier E, Merlo A, Pesenti S, Jouve J, Chabrol B, Gracies J. Gait improvement with decreased tibialis anterior recruitment after botulinum toxin injections into peroneus longus in very young children with hemiparetic cerebral palsy. Ann Phys Rehabil Med 2018. [DOI: 10.1016/j.rehab.2018.05.1300] [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: 10/28/2022]
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Chabrol B, Jacquin P, Francois L, Broué P, Dobbelaere D, Douillard C, Dubois S, Feillet F, Perrier A, Fouilhoux A, Labarthe F, Lamireau D, Mazodier K, Maillot F, Mochel F, Schiff M, Belmatoug N. Transition from pediatric to adult care in adolescents with hereditary metabolic diseases: Specific guidelines from the French network for rare inherited metabolic diseases (G2M). Arch Pediatr 2018; 25:S0929-693X(18)30115-5. [PMID: 29914755 DOI: 10.1016/j.arcped.2018.05.009] [Citation(s) in RCA: 7] [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: 05/15/2018] [Accepted: 05/20/2018] [Indexed: 11/15/2022]
Abstract
Inherited metabolic diseases (IMD) form a heterogeneous group of genetic disorders that surface primarily during childhood and result in significant morbidity and mortality. A prevalence of 1 in 2500-5000 live births is often reported. The transfer of adolescents from pediatric care to adult health facilities is often difficult for patients and their families and can lead to a breakdown in medical follow-up and therefore serious complications. Existing recommendations for the successful transition of patients with chronic disorders do not specifically address patients with IMDs associated with dietary treatment. Here, the French network for rare inherited metabolic diseases (G2M) presents its reflections and recommendations for a successful transition. Preparations for the transfer must be made well in advance. The transfer must aim for adolescents gaining autonomy by making them responsible and providing them with the knowledge that will enable them to manage their care themselves, know how to react appropriately if there is any change in their condition, and move comfortably within the adult healthcare system. This requires the active participation of the patient, his or her family, and pediatric and adult care teams. It involves multidisciplinary management plus the production and maintenance of an educational therapy program. Finally, the identification of physicians and dietitians trained in IMDs, relevant subspecialists, and even expert patients could improve the continuum of complete and appropriate care for these patients within adult medicine.
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Affiliation(s)
- B Chabrol
- Hôpital Timone enfants, 264, rue St-Pierre, 13385 Marseille, France.
| | - P Jacquin
- Hôpital Robert-Debré, 48, boulevard Sérurier, 75019 Paris, France
| | - L Francois
- Hôpital Robert-Debré, 48, boulevard Sérurier, 75019 Paris, France
| | - P Broué
- Hôpital des Enfants, 330, avenue de Grande-Bretagne, 31059 Toulouse cedex, France
| | - D Dobbelaere
- Hôpital Jeanne-de-Flandres, CHRU de Lille, avenue Eugène-Avinée, 59037 Lille cedex, France; Hôpital Claude-Huriez, CHRU de Lille, rue Michel-Polonovski, 59000 Lille, France
| | - C Douillard
- Hôpital Jeanne-de-Flandres, CHRU de Lille, avenue Eugène-Avinée, 59037 Lille cedex, France; Hôpital Claude-Huriez, CHRU de Lille, rue Michel-Polonovski, 59000 Lille, France
| | - S Dubois
- Hôpital Necker-Enfants Malades, 149, rue de Sèvres, 75015 Paris, France
| | - F Feillet
- Hopitaux de Brabois, CHU de Nancy, allée du Morvan, 54511 Vandoeuvre-les Nancy, France
| | - A Perrier
- Hôpital femme-mère-enfants, 59, boulevard Pinel, 69677 Bron, France
| | - A Fouilhoux
- Hôpital Clocheville, CHRU de Tours, 49, boulevard Béranger, 37000 Tours, France
| | - F Labarthe
- Hôpital Clocheville, CHRU de Tours, 49, boulevard Béranger, 37000 Tours, France
| | - D Lamireau
- CHU Bordeaux-Pellegrin, place Amélie-Raba-Léon, 33076 Bordeaux cedex, France
| | - K Mazodier
- Hôpital Timone enfants, 264, rue St-Pierre, 13385 Marseille, France
| | - F Maillot
- Hôpital Clocheville, CHRU de Tours, 49, boulevard Béranger, 37000 Tours, France
| | - F Mochel
- Hôpital Pitié-Salpêtrière, 47-83, boulevard de l'Hôpital, 75013 Paris, France
| | - M Schiff
- Hôpital Robert-Debré, 48, boulevard Sérurier, 75019 Paris, France
| | - N Belmatoug
- Hôpital Beaujon, 100, boulevard du Général-Leclerc, 92110 Clichy, France
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Bernardor J, Neveu J, Haas H, Pitelet G, Popoff MR, Mazuet C, Bérard E, Boulay C, Chabrol B. Infant botulism: Two case reports and electroneuromyogram findings. Arch Pediatr 2018; 25:S0929-693X(18)30108-8. [PMID: 29887515 DOI: 10.1016/j.arcped.2018.05.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [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: 03/06/2018] [Revised: 05/07/2018] [Accepted: 05/20/2018] [Indexed: 11/22/2022]
Abstract
Botulism is an uncommon severe neuromuscular disorder. We report two recent cases of confirmed infant botulism diagnosed in an 11-week and a 5-month-old infant along with electroneuromyogram (ENMG) findings. Then, we discuss the EMG features of infant botulism. In severe forms of infant botulism, presence of these features might help decide to use botulinum immune globulin. To our knowledge, case 1 is the first case reported in France based on confirmed dust contamination.
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Affiliation(s)
- J Bernardor
- Hôpitaux pédiatriques de Nice CHU, Lenval, 57, avenue de la Californie, 06200 Nice, France
| | - J Neveu
- Hôpitaux pédiatriques de Nice CHU, Lenval, 57, avenue de la Californie, 06200 Nice, France.
| | - H Haas
- Hôpitaux pédiatriques de Nice CHU, Lenval, 57, avenue de la Californie, 06200 Nice, France
| | - G Pitelet
- Hôpitaux pédiatriques de Nice CHU, Lenval, 57, avenue de la Californie, 06200 Nice, France
| | - M-R Popoff
- Unité des bactéries anaérobies et toxines, Institut Pasteur, 25, rue du Dr-Roux, 75724 Paris cedex 15, France
| | - C Mazuet
- Unité des bactéries anaérobies et toxines, Institut Pasteur, 25, rue du Dr-Roux, 75724 Paris cedex 15, France
| | - E Bérard
- Hôpital de l'Archet, CHU de Nice, 151, route de St-Antoine, 06200 Nice, France
| | - C Boulay
- Service de neuropédiatrie, hôpital La Timone-Enfants, AP-HM, 264, rue St-Pierre, 13385 Marseille cedex 5, France
| | - B Chabrol
- Service de neuropédiatrie, hôpital La Timone-Enfants, AP-HM, 264, rue St-Pierre, 13385 Marseille cedex 5, France
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Affiliation(s)
- B Chabrol
- Service de neurologie pédiatrique, hôpital d'Enfants, CHU de la Timone, 13385 Marseille cedex 05, France.
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Tovmassian L, Cano A, Chabrol B, Ovaert C. Repolarisation anomalies and rhabdomyolysis. Archives of Cardiovascular Diseases Supplements 2018. [DOI: 10.1016/j.acvdsp.2017.11.157] [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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Camoin-Jau L, Kone-Paut I, Chabrol B, Sampol J, Dignat-George F. Circulating Endothelial Cells in Behçet’ Disease with Cerebral Thrombophlebitis. Thromb Haemost 2017. [DOI: 10.1055/s-0037-1613881] [Citation(s) in RCA: 16] [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] [Indexed: 10/17/2022]
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Girard B, Bendavid M, Faivre JC, Salleron J, Debillon T, Claris O, Chabrol B, Schweitzer C, Gajdos V. Enseignement théorique du Diplôme d’études spécialisées de pédiatrie en France : évaluation nationale par les internes. Arch Pediatr 2017; 24:728-736. [DOI: 10.1016/j.arcped.2017.05.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2017] [Revised: 05/03/2017] [Accepted: 05/21/2017] [Indexed: 10/19/2022]
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Affiliation(s)
- B Chabrol
- Centre de référence des maladies héréditaires du métabolisme, hôpital La Timone-Enfants, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France.
| | - C Delacourt
- Centre de référence des maladies héréditaires du métabolisme, hôpital La Timone-Enfants, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France
| | - J Sarles
- Centre de référence des maladies héréditaires du métabolisme, hôpital La Timone-Enfants, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France
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Arnoux V, Carsin A, Bosdure E, Retornaz K, Chabrol B, Gorincour G, Mancini J, Dabadie A, Dubus JC. Radiographie de thorax et bronchiolite aiguë : des indications en diminution ? Arch Pediatr 2017; 24:10-16. [DOI: 10.1016/j.arcped.2016.10.016] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2016] [Revised: 09/23/2016] [Accepted: 10/21/2016] [Indexed: 11/29/2022]
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Morand A, Chabrol B, Cadoret F, Fournier PE, Raoult D. " Corynebacterium urinapleomorphum" sp. nov., isolated from a urine sample of a 2-month-old boy affected by rotavirus gastroenteritis. New Microbes New Infect 2016; 15:21-23. [PMID: 27872750 PMCID: PMC5107731 DOI: 10.1016/j.nmni.2016.09.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2016] [Revised: 09/17/2016] [Accepted: 09/21/2016] [Indexed: 02/06/2023] Open
Abstract
We report the main characteristics of "Corynebacterium urinapleomorphum" strain Marseille-P2799T (CSURP2799), isolated from a urine sample from a 2-month-old boy with rotavirus gastroenteritis.
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Affiliation(s)
- A Morand
- Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes, CNRS (UMR 7278), IRD (198), INSERM (U1095), AMU (UM63), Marseille, France; Institut Hospitalo-Universitaire Méditerranée-Infection, Faculté de médecine, Aix-Marseille Université, Marseille, France
| | - B Chabrol
- Pédiatrie spécialisée et médecine infantile-Hôpital de la Timone, Marseille, France
| | - F Cadoret
- Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes, CNRS (UMR 7278), IRD (198), INSERM (U1095), AMU (UM63), Marseille, France; Institut Hospitalo-Universitaire Méditerranée-Infection, Faculté de médecine, Aix-Marseille Université, Marseille, France
| | - P-E Fournier
- Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes, CNRS (UMR 7278), IRD (198), INSERM (U1095), AMU (UM63), Marseille, France; Institut Hospitalo-Universitaire Méditerranée-Infection, Faculté de médecine, Aix-Marseille Université, Marseille, France
| | - D Raoult
- Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes, CNRS (UMR 7278), IRD (198), INSERM (U1095), AMU (UM63), Marseille, France; Institut Hospitalo-Universitaire Méditerranée-Infection, Faculté de médecine, Aix-Marseille Université, Marseille, France
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Ledoyen A, Bresson V, Dubus JC, Tardieu S, Petit P, Chabrol B, Bosdure E. [Complementary exams in child abuse: A French national study in 2015]. Arch Pediatr 2016; 23:1028-1039. [PMID: 27642147 DOI: 10.1016/j.arcped.2016.07.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2015] [Revised: 06/22/2016] [Accepted: 07/04/2016] [Indexed: 11/18/2022]
Abstract
INTRODUCTION Even if there are HAS (French National Health Authority) guidelines on shaken baby syndrome, many other child abuse situations are not included in these recommendations. The aim of this study was to invent the complementary exams in cases of child abuse in France and compare the practice to existing guidelines. MATERIAL AND METHODS This was a multicenter study by email to 128 French hospitals (35 university hospitals and 93 general hospitals) that receives children in emergency and hospitalization settings. Three child abuse clinical situations were included in a clinical case multiple-choice format concerning the further explorations. We described the main results and evaluated their adherence to the HAS protocol for case 1. RESULTS Of 128 hospitals surveyed, 104 responded, for an 81 % response rate, which corresponded to 274 doctors. Analysis of the results showed great heterogeneity in practices. The majority of physicians (99 %) performed systematic explorations in the situation of physical abuse, while only 27 % undertook such exams in situations of serious neglect. The situation of sexual abuse was the most consensual in terms of diagnostic tests for the detection of sexually transmitted diseases, but other types of associated abuse were not sought. In the first case, the HAS guidelines were respected in less than half of the cases for all complementary exams except the eye fundus exam. Abdominal imaging was insufficiently performed (40 % of cases). Examinations that were not indicated were still prescribed. Moreover, siblings under 2 years of age were examined in only one-third of cases (n=88/274; 32 %). Practices were not influenced by the age of the child. CONCLUSION This study illustrates the heterogeneity in the use of complementary exams in cases of child abuse in France. Common protocols throughout the country would be useful, standardizing the most relevant exams for potential medical-legal issues, and facilitating exchanges concerning practices between different centers.
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Affiliation(s)
- A Ledoyen
- Service de spécialités pédiatriques et médecine infantile, CHU Timone-Enfants, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France
| | - V Bresson
- Urgences pédiatriques, CHU Timone-Enfants, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France
| | - J-C Dubus
- Service de spécialités pédiatriques et médecine infantile, CHU Timone-Enfants, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France; Service de médecine infantile, hôpital Nord, chemin des Bourrely, 13915 Marseille cedex 20, France
| | - S Tardieu
- Pôle Santé publique, service d'évaluation médicale, CHU Conception, 147, boulevard Baille, 13005 Marseille, France
| | - P Petit
- Service de radiologie pédiatrique, CHU Timone-Enfants, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France
| | - B Chabrol
- Service de spécialités pédiatriques et médecine infantile, CHU Timone-Enfants, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France
| | - E Bosdure
- Service de spécialités pédiatriques et médecine infantile, CHU Timone-Enfants, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France.
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Banti T, Carsin A, Chabrol B, Reynaud R, Fabre A. [Infant food diversification. Assessment of practices in relation to French recommendations in pediatricians and pediatric residents in southern France]. Arch Pediatr 2016; 23:1018-1027. [PMID: 27642151 DOI: 10.1016/j.arcped.2016.07.007] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2015] [Revised: 07/05/2016] [Accepted: 07/07/2016] [Indexed: 11/28/2022]
Abstract
Infant food diversification has undergone a rapid succession of good practice recommendations in France, but there has been no assessment of pediatrician practices on food diversification. OBJECTIVE To assess the practices of pediatricians in relation to current recommendations of the French Society of Pediatrics on infant food diversification. METHODS This was an observational study conducted from 1 November 2014 to 31 March 2015. The study population consisted of 97 pediatricians in the Var department and 84 pediatric residents assigned to the University of Aix-Marseille in France. A questionnaire was sent by email or post to determine physician characteristics, food diversification methods in healthy children and those at atopic risk, and how the pediatric consultation was conducted. The expected answers were based on the most recent recommendations of the French Society of Pediatrics published in 2008, updated from 2003. In summary, breastfeeding is recommended up to 6 months. Food diversification can be started between 4 and 6 months in children with no allergy risk. Gluten, honey, legumes and cow's milk are introduced between 4 and 7 months, after 12 months and after 36 months, respectively. In atopic children, food diversification is delayed until after 6 months and the most allergenic foods (nuts, exotic fruits, peanuts, and shellfish) are introduced after the age of 12 months. RESULTS Eighty-four responses were obtained (51%): 50 pediatricians and 34 pediatric residents. Sixteen items were classified depending on whether or not an update after 2003 existed. Over 80% of the physicians responded as recommended for the recently updated items for the age of introduction of "solid food in healthy children", "gluten", "cow's milk protein hydrolysates", and "the time until introduction of cow's milk in the atopic child". At best, 65% of physicians responded in accordance with recommendations for items without a recent update, age of introduction of "cow's milk", "milk desserts", "animal proteins", "fats", "vegetables", "use of a hypoallergenic infant formula", and "breastfeeding extension with atopic child". Pediatric residents had the same responses as pediatricians. Seventy-two physicians did not consider the allergenic status of the children to delay the introduction of the most allergenic foods. The lack of complete updating the introduction of solid foods schedule could explain the differences between pediatrician practices and recommendations. Moreover, old recommendations on allergenic food eviction are still available. CONCLUSION Pediatricians and pediatric residents partially applied the current recommendations on the introduction of solid food.
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Affiliation(s)
- T Banti
- Unité de pédiatrie multidisciplinaire, CHU Timone-Enfants, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France.
| | - A Carsin
- Unité de pneumologie et médecine infantile, CHU Timone-Enfants, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France
| | - B Chabrol
- Unité de pneumologie et médecine infantile, CHU Timone-Enfants, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France
| | - R Reynaud
- Unité de pédiatrie multidisciplinaire, CHU Timone-Enfants, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France
| | - A Fabre
- Unité de pédiatrie multidisciplinaire, CHU Timone-Enfants, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France
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Banti T, Carsin A, Chabrol B, Fabre A. Diversification alimentaire : l’information disponible sur Internet est-elle en accord avec les recommandations des sociétés savantes ? Arch Pediatr 2016; 23:706-13. [DOI: 10.1016/j.arcped.2016.04.017] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2016] [Accepted: 04/25/2016] [Indexed: 11/25/2022]
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Chabrol B, Desguerre I. Dystrophies musculaires (DM) de Duchenne (DMD) et de Becker (DMB). Arch Pediatr 2015; 22:12S1-2. [DOI: 10.1016/s0929-693x(16)30001-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: 10/22/2022]
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Vinti M, Gracies J, Merlo A, Bayle N, Viehweger E, Authier G, Chabrol B, Boulay C. Spastic co-contraction of gastrocnemius medialis and peroneus longus during swing phase of gait in hemiplegic children. Ann Phys Rehabil Med 2015. [DOI: 10.1016/j.rehab.2015.07.372] [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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de Montaigne L, Bernard O, Da Fonseca D, Gaudart J, Richardson A, Soffer M, Chabrol B, Dubus JC, Bosdure E. [Study of reports to the departmental home of disabled children placed in social assistance to children in the Bouches-du-Rhône]. Arch Pediatr 2015; 22:932-42. [PMID: 26251055 DOI: 10.1016/j.arcped.2015.06.018] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2014] [Revised: 05/18/2015] [Accepted: 06/26/2015] [Indexed: 10/23/2022]
Abstract
INTRODUCTION By the end of 2011, 275,000 children in France were included in the Aide sociale à l'enfance (ASE, Child Welfare System). Half of these children were entrusted to public care. There is limited data on these children. The MDPH (Maison départementale des personnes handicapées) is an administrative body assisting in the care of disabled children, through material, financial, and human means. Analyzing MDPH medical records can provide medical information about these children. The aim of this study was to describe the characteristics of children left to the ASE with a record at MDPH in Bouches-du-Rhône. METHODS We extracted administrative data from two registers, the ASE register and the MDPH register. The MDPH medical files of each patient were analyzed and their medical information was coded: gestational age, deficiencies, and pathologies. RESULTS In Bouches-du-Rhône, 2965 children were entrusted, 506 (17%) of whom were known by the MDPH: 30.6% of the entrusted children known by MDPH were taken into foster care and 48% were in residential group homes. Half of the MDPH notifications concerned a referral to a school or medico-social institution. By analyzing the medical data, we observed an average of 2.1 deficiencies per child. The types of deficiencies were distributed as follows: 35.9% were psychological deficiencies, 26.4% were speech deficiencies, and 21.6% were intellectual cognitive deficiencies. The most common pathology was mental and behavioral disorder (71% of diagnoses). DISCUSSION The MDPH notification rate in children entrusted to public care was seven times higher than in the general population. Overall, explaining the relation between child abuse and neglect and disability is difficult. The psychopathology of these children is complex. These results show the importance of specific medical monitoring for these children.
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Affiliation(s)
- L de Montaigne
- Service de pédiatrie, centre hospitalier du Pays d'Aix, avenue des Tamaris, 13616 Aix-en-Provence, France
| | - O Bernard
- Protection maternelle et infantile, conseil général des Bouches-du-Rhône, 4, quai d'Arenc, 13304 Marseille, France
| | - D Da Fonseca
- Unité de pédopsychiatrie, hôpital Salvator, 249, boulevard Sainte-Marguerite, 13009 Marseille, France
| | - J Gaudart
- Aix-Marseille université, UMR912 SESSTIM (Inserm-IRD-AMU), 13005 Marseille, France
| | - A Richardson
- Maison départementale des personnes handicapées, conseil général des Bouches-du-Rhône, 4, quai d'Arenc, 13304 Marseille, France
| | - M Soffer
- Maison départementale des personnes handicapées, conseil général des Bouches-du-Rhône, 4, quai d'Arenc, 13304 Marseille, France
| | - B Chabrol
- Unité de neuropédiatrie, CHU Timone Enfant, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France
| | - J-C Dubus
- Unité de médecine infantile, CHU Timone Enfant, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France
| | - E Bosdure
- Unité de médecine infantile, CHU Timone Enfant, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France.
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Claris O, Chabrol B. [Research activity during residency in pediatrics: an opportunity for early publication]. Arch Pediatr 2015; 22:799-801. [PMID: 26142762 DOI: 10.1016/j.arcped.2015.05.009] [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: 05/26/2015] [Accepted: 05/27/2015] [Indexed: 11/15/2022]
Affiliation(s)
- O Claris
- Hospices civils de Lyon, service de néonatologie et réanimation néonatale, hôpital Femme Mère Enfant, EAM 4128, université Claude-Bernard Lyon I, 59, boulevard Pinel, 69677 Bron cedex, France.
| | - B Chabrol
- Service de pédiatrie, hôpital d'Enfants de la Timone, 264, rue Saint-Pierre, 13005 Marseille, France
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Sterling B, Amatore F, Le MS, Hesse S, Chabrol B, Retornaz K, Macagno N, De Paula AM, Petit P, Colavolpe N, Degardin N, Grob JJ, Richard MA, Mallet S. P-362 – Fasciite à éosinophile: à propos d'un cas et particularités pédiatriques. Arch Pediatr 2015. [DOI: 10.1016/s0929-693x(15)30540-6] [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: 12/01/2022]
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Pailhous S, Bresson V, Loundou A, Grasleguen C, Marguet C, Chabrol B, Dubus J. CO-20 – Bronchiolite aiguë du nourrisson: enquête nationale aux urgences pédiatriques. Arch Pediatr 2015. [DOI: 10.1016/s0929-693x(15)30123-8] [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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Barraud C, Desguerre I, Barnerias C, Gitiaux C, Boulay C, Milh M, Chabrol B. CO-59 – Myasthénie auto-immune de l'Enfant: À propos d'une cohorte de 40 cas. Arch Pediatr 2015. [DOI: 10.1016/s0929-693x(15)30159-7] [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: 10/23/2022]
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Barraud C, Cano A, Boulay C, Milh M, Bollini G, Chabrol B. [Vitamin D deficiency rickets complicating Dorfman-Chanarin syndrome]. Arch Pediatr 2015; 22:414-7. [PMID: 25753274 DOI: 10.1016/j.arcped.2015.01.011] [Citation(s) in RCA: 2] [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: 09/22/2014] [Accepted: 01/20/2015] [Indexed: 11/28/2022]
Abstract
Vitamin D deficiency rickets remains a public health issue in many parts of the world. In France, this diagnosis has almost disappeared since 1992 with routine vitamin D supplementation for children. Therefore, it is more difficult for doctors to identify risk factors and early signs of this disease. In this article, we report a rickets diagnosis acquired by vitamin D deficiency in a child who presented with the onset of a genu valgum and difficulty walking at the age of 9½ years. This patient was a Comorian child followed up from his birth for Dorfman-Chanarin syndrome. Dorfman-Chanarin syndrome is a rare disease, with about 80 cases reported in the literature. It belongs to the group of neutral lipid storage diseases (NLSD) characterized especially on the skin by ichthyosis. This child presented risk factors for vitamin D deficiency (dark skin color, prolonged and exclusive breastfeeding, premature end of supplementation, and particularly severe ichthyosis) that should have alerted us to the risk of vitamin D deficiency and the need for supplementation. This case highlights the importance of vitamin D, especially if there are risk factors such as ichthyosis, and the need to remain watchful in monitoring all chronic diseases.
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Affiliation(s)
- C Barraud
- Service de neuropédiatrie, hôpital de la Timone-Enfants, boulevard Jean-Moulin, 13005 Marseille, France.
| | - A Cano
- Service de neuropédiatrie, hôpital de la Timone-Enfants, boulevard Jean-Moulin, 13005 Marseille, France
| | - C Boulay
- Service de neuropédiatrie, hôpital de la Timone-Enfants, boulevard Jean-Moulin, 13005 Marseille, France
| | - M Milh
- Service de neuropédiatrie, hôpital de la Timone-Enfants, boulevard Jean-Moulin, 13005 Marseille, France
| | - G Bollini
- Service de chirurgie orthopédique, hôpital de la Timone-Enfants, boulevard Jean-Moulin, 13005 Marseille, France
| | - B Chabrol
- Service de neuropédiatrie, hôpital de la Timone-Enfants, boulevard Jean-Moulin, 13005 Marseille, France
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Busa T, Milh M, Degardin N, Girard N, Sigaudy S, Longy M, Olshchwang S, Sobol H, Chabrol B, Philip N. Clinical presentation of PTEN mutations in childhood in the absence of family history of Cowden syndrome. Eur J Paediatr Neurol 2015; 19:188-92. [PMID: 25549896 DOI: 10.1016/j.ejpn.2014.11.012] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/17/2014] [Revised: 11/27/2014] [Accepted: 11/28/2014] [Indexed: 10/24/2022]
Abstract
BACKGROUND PTEN gene (MIM 601628) is a tumor suppressor gene implicated in PTEN hamartoma tumor syndromes (PHTS) including Cowden syndrome, Bannayan-Riley-Ruvalcaba syndrome, and Proteus-like syndrome. Bannayan-Riley-Ruvalcaba syndrome is considered as the pediatric form of PHTS. More recently, children presenting autism spectrum disorders with macrocephaly (ASD-M) have been reported. METHODS We report clinical data from seven patients diagnosed in childhood with a PTEN germline mutation, excluding cases of familial Cowden syndrome. RESULTS This study underlines the variability of phenotype associated with PTEN mutations diagnosed at pediatric age. Most of the patients did not fulfill usual criteria of Bannayan-Riley-Ruvalcaba syndrome or ASD-M. CONCLUSION PTEN testing should be considered in any child presenting with severe macrocephaly (>+4SD) and another feature of PHTS.
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Affiliation(s)
- T Busa
- Unité de génétique clinique, APHM, CHU Timone-Enfants, France.
| | - M Milh
- Service de neurologie pédiatrique, APHM, CHU Timone-Enfants, France
| | - N Degardin
- Service de chirurgie plastique pédiatrique, APHM, CHU Timone-Enfants, France
| | - N Girard
- Service de neuroradiologie diagnostique et interventionnelle, APHM, CHU Timone, France
| | - S Sigaudy
- Unité de génétique clinique, APHM, CHU Timone-Enfants, France
| | - M Longy
- Laboratoire de génétique moléculaire, Institut Bergonié, France
| | - S Olshchwang
- Laboratoire de génétique moléculaire, Institut Paoli Calmette, France
| | - H Sobol
- Laboratoire de génétique moléculaire, Institut Paoli Calmette, France
| | - B Chabrol
- Service de neurologie pédiatrique, APHM, CHU Timone-Enfants, France
| | - N Philip
- Unité de génétique clinique, APHM, CHU Timone-Enfants, France
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Sterling B, Bosdure E, Stremler-Le Bel N, Chabrol B, Dubus JC. [Acute bronchiolitis and chest physiotherapy: the end of a reign]. Arch Pediatr 2014; 22:98-103. [PMID: 25482994 DOI: 10.1016/j.arcped.2014.09.021] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/25/2013] [Revised: 08/24/2014] [Accepted: 09/30/2014] [Indexed: 11/16/2022]
Abstract
Every winter, numerous infants are hospitalized for acute bronchiolitis. The severity criteria and symptomatic treatment are well known, with chest physiotherapy codified in 2000 by the French Health Authority (HAS) consensus conference (with techniques varying from one country to another) and becoming nearly systematic for the treatment of bronchial obstruction in infants. However, is this treatment really effective and legitimate for acute bronchiolitis? The objective of this study was to review the main studies on this subject. Few studies are available and most have a low level of evidence. However, they all tend to agree that chest physiotherapy does not change the natural history of the disease and most particularly the duration of hospitalization. Therefore, it does not seem that the prescription of chest physiotherapy in infant acute bronchiolitis is recommended.
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Affiliation(s)
- B Sterling
- Service de spécialités pédiatriques et unité de pneumopédiatrie, CHU de la Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France.
| | - E Bosdure
- Service de spécialités pédiatriques et unité de pneumopédiatrie, CHU de la Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France
| | - N Stremler-Le Bel
- Service de spécialités pédiatriques et unité de pneumopédiatrie, CHU de la Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France
| | - B Chabrol
- Service de spécialités pédiatriques et unité de pneumopédiatrie, CHU de la Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France
| | - J-C Dubus
- Service de spécialités pédiatriques et unité de pneumopédiatrie, CHU de la Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France
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Pailhous S, Lamoureux S, Caietta E, Bosdure E, Chambost H, Chabrol B, Bresson V. [Scurvy, an old disease still in the news: two case reports]. Arch Pediatr 2014; 22:63-5. [PMID: 25455083 DOI: 10.1016/j.arcped.2014.10.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2014] [Accepted: 10/07/2014] [Indexed: 10/24/2022]
Abstract
Scurvy is the clinical manifestation of a deficiency in vitamin C, which is present in fresh fruits and vegetables. It is historically linked to the era of great maritime expeditions. Manifestations are misleading in children, in contrast with adults: bone disease and hemorrhagic syndrome are the earliest and most frequent manifestations due to a collagen biosynthesis defect. Scurvy is an old, potentially fatal disease but is easily curable with ascorbic acid. It can be prevented with vitamin C treatment in pediatric populations with unusual eating habits. We describe two cases of pediatric scurvy in two 7-year-old boys who had dietary restrictions stemming from developmental disorders.
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Affiliation(s)
- S Pailhous
- Unité de médecine infantile, CHU de la Timone Enfants, AP-HM, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France; Service de pédiatrie générale, CHG Henri-Duffaut, 305, rue Raoul-Follereau 84902 Avignon cedex 9, France
| | - S Lamoureux
- Service de pédiatrie générale, CHG Henri-Duffaut, 305, rue Raoul-Follereau 84902 Avignon cedex 9, France
| | - E Caietta
- Service de neurologie pédiatrique, CHU de la Timone Enfants, AP-HM, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France
| | - E Bosdure
- Unité de médecine infantile, CHU de la Timone Enfants, AP-HM, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France
| | - H Chambost
- Service d'hématologie pédiatrique, CHU de la Timone Enfants, AP-HM, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France
| | - B Chabrol
- Service de neurologie pédiatrique, CHU de la Timone Enfants, AP-HM, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France
| | - V Bresson
- Unité de médecine infantile, CHU de la Timone Enfants, AP-HM, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France.
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Delmas O, Marrec C, Caietta E, Simonin G, Morel Y, Girard N, Roucher F, Sarles J, Chabrol B, Reynaud R. [Uncommon neonatal case of hypoglycemia: ACTH resistance syndrome]. Arch Pediatr 2014; 21:1353-8. [PMID: 25445127 DOI: 10.1016/j.arcped.2014.09.010] [Citation(s) in RCA: 2] [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: 10/15/2013] [Revised: 06/23/2014] [Accepted: 09/24/2014] [Indexed: 12/29/2022]
Abstract
Monitoring of blood glucose is usually reported to reduce the risk of hypoglycemia in term newborns with high risk factors and for prematurity in neonatal intensive care unit patients. Differential diagnosis has rarely been discussed. In the eutrophic term newborn, hypoglycemia remains rare and an etiological diagnosis must be made. Intensive management of neonatal hypoglycemia is required to prevent neurodevelopmental defects. Without evident cause or if hypoglycemia persists, a systematic review of possible causes should be made. We report isolated glucocorticoid deficiency diagnosed in an infant at 10 months of age. This boy had neonatal hypoglycemia and mild jaundice that had not been investigated. During his first 9 months of life, he presented frequent infections. At 10 months of age, febrile seizures occurred associated with shock, hypoglycemia, hyponatremia, mild hyperpigmentation, and coma. He was diagnosed with hypocortisolemia and elevated ACTH levels. Brain injury was revealed by MRI after resuscitation, with hypoxic-ischemic and hypoglycemic encephalopathy. The molecular studies demonstrated the presence of p.Asp107Asn and previously unreported frameshift p.Pro281GlnfsX9 MC2R gene mutations. A substitutive hormone therapy was provided and during a follow-up of 12 months no adrenal crisis was noted. We report an unusual case of familial glucocorticoid deficiency with severe neurological injury. This case demonstrates the importance of an appropriate etiological diagnosis in neonatal hypoglycemia.
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Affiliation(s)
- O Delmas
- Service de pédiatrie multidisciplinaire, pôle médical et chirurgical de pédiatrie, Aix-Marseille université, hôpital de la Timone-Enfants, Assistance publique des hôpitaux de Marseille, 13005 Marseille, France.
| | - C Marrec
- Service de pédiatrie multidisciplinaire, pôle médical et chirurgical de pédiatrie, Aix-Marseille université, hôpital de la Timone-Enfants, Assistance publique des hôpitaux de Marseille, 13005 Marseille, France
| | - E Caietta
- Service de neurologie pédiatrique, pôle médical et chirurgical de pédiatrie, Aix-Marseille université, hôpital de la Timone-Enfants, Assistance publique-Hôpitaux de Marseille, 13005 Marseille, France
| | - G Simonin
- Service de pédiatrie multidisciplinaire, pôle médical et chirurgical de pédiatrie, Aix-Marseille université, hôpital de la Timone-Enfants, Assistance publique des hôpitaux de Marseille, 13005 Marseille, France
| | - Y Morel
- Laboratoire d'endocrinologie moléculaire et maladies rares, centre de biologie et pathologie Est, université Lyon-Sud, CHU de Lyon, 69677 Bron, France
| | - N Girard
- Service de neuroradiologie diagnostique et interventionelle, pôle de radiologie, Aix-Marseille université, hôpital de la Timone, Assistance publique-Hôpitaux de Marseille, 13005 Marseille, France
| | - F Roucher
- Laboratoire d'endocrinologie moléculaire et maladies rares, centre de biologie et pathologie Est, université Lyon-Sud, CHU de Lyon, 69677 Bron, France
| | - J Sarles
- Service de pédiatrie multidisciplinaire, pôle médical et chirurgical de pédiatrie, Aix-Marseille université, hôpital de la Timone-Enfants, Assistance publique des hôpitaux de Marseille, 13005 Marseille, France
| | - B Chabrol
- Service de neurologie pédiatrique, pôle médical et chirurgical de pédiatrie, Aix-Marseille université, hôpital de la Timone-Enfants, Assistance publique-Hôpitaux de Marseille, 13005 Marseille, France
| | - R Reynaud
- Service de pédiatrie multidisciplinaire, pôle médical et chirurgical de pédiatrie, Aix-Marseille université, hôpital de la Timone-Enfants, Assistance publique des hôpitaux de Marseille, 13005 Marseille, France
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Sauvaget E, Bresson V, Oudyi M, Bosdure E, Loundou AD, Chabrol B, Charrel R, Dubus JC. [Value of routine identification of respiratory infectious agents in children hospitalized with an acute asthma exacerbation]. Arch Pediatr 2014; 21:1173-9. [PMID: 25284733 PMCID: PMC7133295 DOI: 10.1016/j.arcped.2014.08.024] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2013] [Revised: 07/09/2014] [Accepted: 08/21/2014] [Indexed: 11/18/2022]
Abstract
Introduction Chez l’enfant les exacerbations d’asthme sont le plus souvent déclenchées par une infection respiratoire. L’objectif de cette étude était d’évaluer l’intérêt de l’identification des pathogènes respiratoires chez les enfants hospitalisés pour une exacerbation d’asthme. Patients et méthodes Il s’agit d’une étude rétrospective incluant tout enfant hospitalisé pour une exacerbation d’asthme dans notre unité entre janvier 2010 et décembre 2011 et analysant la prescription des examens microbiologiques, leurs indications, leur rendement, leur impact sur la prise en charge médicale et leur coût. Résultats Cent quatre-vingt-dix-sept enfants ont été inclus. Une recherche d’agent pathogène respiratoire avait été réalisée chez 157 enfants (79,7 %), surtout en cas d’infection oto-rhino-laryngologique (ORL), d’hypoxémie ou de pneumonie. Un virus avait été identifié chez 30 (23,8 %) des 126 enfants prélevés. Les analyses bactériologiques avaient eu un rendement faible puisque seulement 3,2 % des analyses par amplification génique (PCR) pour Mycoplasma pneumoniae avaient été positives (n = 4/125). Aucune autre bactérie n’avait été identifiée. Aucun lien n’a pu être établi entre les résultats microbiologiques et la gravité de l’exacerbation. La prise en charge thérapeutique avait été peu modifiée par ces résultats. Le coût global avait été de plus de 40 400 euros pour les 2 ans d’étude. Conclusion D’après nos résultats la recherche de pathogènes respiratoires au cours des exacerbations d’asthme a un intérêt modéré en dehors de l’aspect épidémiologique. L’impact du rhinovirus, du coronavirus, du bocavirus et de l’entérovirus, non recherchés en routine hospitalière, reste cependant à préciser.
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Affiliation(s)
- E Sauvaget
- Service de spécialités pédiatriques et de médecine infantile, CHU Timone Enfants, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France
| | - V Bresson
- Service de spécialités pédiatriques et de médecine infantile, CHU Timone Enfants, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France
| | - M Oudyi
- Service de spécialités pédiatriques et de médecine infantile, CHU Timone Enfants, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France
| | - E Bosdure
- Service de spécialités pédiatriques et de médecine infantile, CHU Timone Enfants, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France
| | - A-D Loundou
- Unité d'aide méthodologique à la recherche clinique, laboratoire de santé publique, faculté de médecine, 27, boulevard Jean-Moulin, 13385 Marseille cedex, France
| | - B Chabrol
- Service de spécialités pédiatriques et de médecine infantile, CHU Timone Enfants, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France
| | - R Charrel
- UMR_D 190 « émergence des pathologies virales », institut de recherche pour le développement (IRD), école des hautes études en santé publique (EHESP) & IHU méditerranée infection, hôpitaux de Marseille, Aix Marseille université, AP-HM, 13005 Marseille, France
| | - J-C Dubus
- Service de spécialités pédiatriques et de médecine infantile, CHU Timone Enfants, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France.
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Chaussenot A, Rouzier C, Quere M, Plutino M, Ait-El-Mkadem S, Bannwarth S, Barth M, Dollfus H, Charles P, Nicolino M, Chabrol B, Vialettes B, Paquis-Flucklinger V. Mutation update and uncommon phenotypes in a French cohort of 96 patients with WFS1-related disorders. Clin Genet 2014; 87:430-9. [PMID: 24890733 DOI: 10.1111/cge.12437] [Citation(s) in RCA: 25] [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: 03/20/2014] [Revised: 05/09/2014] [Accepted: 05/26/2014] [Indexed: 11/29/2022]
Abstract
WFS1 mutations are responsible for Wolfram syndrome (WS) characterized by juvenile-onset diabetes mellitus and optic atrophy, and for low-frequency sensorineural hearing loss (LFSNHL). Our aim was to analyze the French cohort of 96 patients with WFS1-related disorders in order (i) to update clinical and molecular data with 37 novel affected individuals, (ii) to describe uncommon phenotypes and, (iii) to precise the frequency of large-scale rearrangements in WFS1. We performed quantitative polymerase chain reaction (PCR) in 13 patients, carrying only one heterozygous variant, to identify large-scale rearrangements in WFS1. Among the 37 novel patients, 15 carried 15 novel deleterious putative mutations, including one large deletion of 17,444 base pairs. The analysis of the cohort revealed unexpected phenotypes including (i) late-onset symptoms in 13.8% of patients with a probable autosomal recessive transmission; (ii) two siblings with recessive optic atrophy without diabetes mellitus and, (iii) six patients from four families with dominantly-inherited deafness and optic atrophy. We highlight the expanding spectrum of WFS1-related disorders and we show that, even if large deletions are rare events, they have to be searched in patients with classical WS carrying only one WFS1 mutation after sequencing.
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Affiliation(s)
- A Chaussenot
- Department of Medical Genetics, National Centre for Mitochondrial Diseases, Nice Teaching Hospital, Nice, France; IRCAN UMR CNRS 7284/INSERM U1081/UNS, School of Medicine, Nice Sophia-Antipolis University, Nice, France
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Feillet F, Chabrol B, Sarles J, Roussey M. Le dépistage néonatal face au défi des progrès de la biologie. Arch Pediatr 2014; 21:816-20. [DOI: 10.1016/j.arcped.2014.06.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2014] [Revised: 06/09/2014] [Accepted: 06/10/2014] [Indexed: 10/25/2022]
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Nguyen K, Putoux A, Busa T, Cordier M, Sigaudy S, Till M, Chabrol B, Michel-Calemard L, Bernard R, Julia S, Malzac P, Labalme A, Missirian C, Edery P, Popovici C, Philip N, Sanlaville D. Incidental findings on array comparative genomic hybridization: detection of carrier females of dystrophinopathy without any family history. Clin Genet 2014; 87:488-91. [DOI: 10.1111/cge.12421] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2014] [Revised: 04/23/2014] [Accepted: 05/05/2014] [Indexed: 01/19/2023]
Affiliation(s)
- K. Nguyen
- Département de Génétique Médicale; Hôpital d'enfants de la Timone; Marseille France
| | - A. Putoux
- Service de Génétique; Hospices Civils de Lyon; Lyon France
- CNRL, INSERM U1028, CNRS UMR5292; Université Claude Bernard Lyon 1; Lyon France
| | - T. Busa
- Département de Génétique Médicale; Hôpital d'enfants de la Timone; Marseille France
| | - M.P. Cordier
- Service de Génétique; Hospices Civils de Lyon; Lyon France
| | - S. Sigaudy
- Département de Génétique Médicale; Hôpital d'enfants de la Timone; Marseille France
| | - M. Till
- Service de Génétique; Hospices Civils de Lyon; Lyon France
| | - B. Chabrol
- Service de Pédiatrie et Neuropédiatrie; Hôpital d'enfants de la Timone; Marseille France
| | - L. Michel-Calemard
- Service d'Endocrinologie Moléculaire et Maladies Rares; Hospices Civils de Lyon; Lyon France
| | - R. Bernard
- Département de Génétique Médicale; Hôpital d'enfants de la Timone; Marseille France
| | - S. Julia
- Service de Génétique; CHU de Toulouse; Toulouse France
| | - P. Malzac
- Département de Génétique Médicale; Hôpital d'enfants de la Timone; Marseille France
- UMR 7268 ADES; Aix-Marseille Université-EFS-CNRS; Marseille France
| | - A. Labalme
- Service de Génétique; Hospices Civils de Lyon; Lyon France
| | - C. Missirian
- Département de Génétique Médicale; Hôpital d'enfants de la Timone; Marseille France
| | - P. Edery
- Service de Génétique; Hospices Civils de Lyon; Lyon France
- CNRL, INSERM U1028, CNRS UMR5292; Université Claude Bernard Lyon 1; Lyon France
| | - C. Popovici
- Département de Génétique Médicale; Hôpital d'enfants de la Timone; Marseille France
| | - N. Philip
- Département de Génétique Médicale; Hôpital d'enfants de la Timone; Marseille France
| | - D. Sanlaville
- Service de Génétique; Hospices Civils de Lyon; Lyon France
- CNRL, INSERM U1028, CNRS UMR5292; Université Claude Bernard Lyon 1; Lyon France
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Boulay C, Lemoine M, Chabrol B. Prise en charge globale fonctionnelle des mucopolysaccharidoses. Arch Pediatr 2014; 21 Suppl 1:S46-9. [DOI: 10.1016/s0929-693x(14)72259-6] [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: 10/25/2022]
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Chappuy H, Aujard Y, Chabrol B, de Montalembert M, Sarles J. [Recommendations for the management and publication of research articles in pediatrics. Application to the Archives de Pédiatrie]. Arch Pediatr 2014; 21:567-70. [PMID: 24819670 DOI: 10.1016/j.arcped.2014.03.021] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2014] [Accepted: 03/21/2014] [Indexed: 11/19/2022]
Affiliation(s)
- H Chappuy
- Urgences pédiatriques, hôpital Armand-Trousseau, université Pierre-et-Marie-Curie, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France.
| | - Y Aujard
- Comité consultatif d'éthique local, service de néonatalogie, pôle de périnatalogie, hôpital Robert-Debré, Assistance publique-Hôpitaux de Paris, université Paris-7 - Denis-Diderot, 48, boulevard Sérurier, 75019 Paris, France
| | - B Chabrol
- Service de spécialités pédiatriques, hôpital d'enfants de la Timone, Aix-Marseille université, 264, rue Saint-Pierre, 13005 Marseille, France
| | - M de Montalembert
- Service de pédiatrie générale, hôpital Necker-Enfants-Malades, 149, rue de Sèvres, 75015 Paris, France
| | - J Sarles
- Service de pédiatrie multidisciplinaire, hôpital d'enfants de la Timone, Aix-Marseille université, 264, rue Saint-Pierre, 13005 Marseille, France
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