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Nguekap O, Martin M, Salaun K, Fontanelle J, Landron C, Roy-Péaud F, Souchaud-Debouverie O, Luca L, Ramassamy A, Gellen-Dautremer J, Roblot P, Puyade M, Prat L. [Thrombocytosis in a 56 year-old woman]. Rev Med Interne 2021; 42:746-749. [PMID: 34462152 DOI: 10.1016/j.revmed.2021.08.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2021] [Accepted: 08/08/2021] [Indexed: 02/07/2023]
Affiliation(s)
- O Nguekap
- Service de médecine interne, Maladies infectieuses, CHU de Poitiers, 2, rue de la Milétrie, 86000 Poitiers, France
| | - M Martin
- Service de médecine interne, Maladies infectieuses, CHU de Poitiers, 2, rue de la Milétrie, 86000 Poitiers, France; Faculté de médecine et pharmacie, Université de Poitiers, 6, rue de la Milétrie, 86000 Poitiers, France
| | - K Salaun
- Service de médecine interne, Maladies infectieuses, CHU de Poitiers, 2, rue de la Milétrie, 86000 Poitiers, France
| | - J Fontanelle
- Service de médecine interne, Maladies infectieuses, CHU de Poitiers, 2, rue de la Milétrie, 86000 Poitiers, France
| | - C Landron
- Service de médecine interne, Maladies infectieuses, CHU de Poitiers, 2, rue de la Milétrie, 86000 Poitiers, France
| | - F Roy-Péaud
- Service de médecine interne, Maladies infectieuses, CHU de Poitiers, 2, rue de la Milétrie, 86000 Poitiers, France
| | - O Souchaud-Debouverie
- Service de médecine interne, Maladies infectieuses, CHU de Poitiers, 2, rue de la Milétrie, 86000 Poitiers, France
| | - L Luca
- Service de médecine interne, Maladies infectieuses, CHU de Poitiers, 2, rue de la Milétrie, 86000 Poitiers, France
| | - A Ramassamy
- Service de médecine interne, Maladies infectieuses, CHU de Poitiers, 2, rue de la Milétrie, 86000 Poitiers, France
| | - J Gellen-Dautremer
- Service de médecine interne, Maladies infectieuses, CHU de Poitiers, 2, rue de la Milétrie, 86000 Poitiers, France
| | - P Roblot
- Service de médecine interne, Maladies infectieuses, CHU de Poitiers, 2, rue de la Milétrie, 86000 Poitiers, France; Faculté de médecine et pharmacie, Université de Poitiers, 6, rue de la Milétrie, 86000 Poitiers, France
| | - M Puyade
- Service de médecine interne, Maladies infectieuses, CHU de Poitiers, 2, rue de la Milétrie, 86000 Poitiers, France.
| | - L Prat
- Service de médecine interne, hôpital privé Jacques-Cartier, 6, avenue du Noyer Lambert, 91300 Massy, France
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Motillon G, Landron C, Frouin E, Boutin D, Puyade M, Roblot P, Martin M. Dermatose neutrophilique urticarienne associée à un syndrome de Gougerot-Sjögren : description d’une nouvelle association. Rev Med Interne 2021. [DOI: 10.1016/j.revmed.2021.03.212] [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: 10/21/2022]
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Guidarelli C, Landron C, Roblot P, Martin M. L’aortite, c’est pas automatique. Rev Med Interne 2020. [DOI: 10.1016/j.revmed.2020.10.195] [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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Agard C, Bonnard G, Samson M, de Moreuil C, Lavigne C, Jégo P, Connault J, Artifoni M, Le Gallou T, Landron C, Roblot P, Magnant J, Belizna C, Maillot F, Diot E, Néel A, Hamidou M, Espitia O. Giant cell arteritis-related aortitis with positive or negative temporal artery biopsy: a French multicentre study. Scand J Rheumatol 2019; 48:474-481. [PMID: 31766965 DOI: 10.1080/03009742.2019.1661011] [Citation(s) in RCA: 3] [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] [Indexed: 12/13/2022]
Abstract
Objective: To compare the clinical presentation and outcome of giant cell arteritis (GCA)-related aortitis according to the results of temporal artery biopsy (TAB).Method: Patients with GCA-related aortitis diagnosed between 2000 and 2017, who underwent TAB, were retrospectively included from a French multicentre database. They all met at least three American College of Rheumatology criteria for the diagnosis of GCA. Aortitis was defined by aortic wall thickening > 2 mm on computed tomography scan and/or an aortic aneurysm, associated with an inflammatory syndrome. Patients were divided into two groups [positive and negative TAB (TAB+, TAB-)], which were compared regarding aortic imaging characteristics and aortic events, at aortitis diagnosis and during follow-up.Results: We included 56 patients with TAB+ (70%) and 24 with TAB- (30%). At aortitis diagnosis, patients with TAB- were significantly younger than those with TAB+ (67.7 ± 9 vs 72.3 ± 7 years, p = 0.022). Initial clinical signs of GCA, inflammatory parameters, and glucocorticoid therapy were similar in both groups. Coronary artery disease and/or lower limb peripheral arterial disease was more frequent in TAB- patients (25% vs 5.3%, p = 0.018). Aortic wall thickness and type of aortic involvement were not significantly different between groups. Diffuse arterial involvement from the aortic arch was more frequent in TAB- patients (29.1 vs 8.9%, p = 0.03). There were no differences between the groups regarding overall, aneurism-free, relapse-free, and aortic event-free survival.Conclusion: Among patients with GCA-related aortitis, those with TAB- are characterized by younger age and increased frequency of diffuse arterial involvement from the aortic arch compared to those with TAB+, without significant differences in terms of prognosis.
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Affiliation(s)
- C Agard
- Department of Internal Medicine, University Hospital of Nantes, Nantes University, Nantes, France
| | - G Bonnard
- Department of Internal Medicine, University Hospital of Nantes, Nantes University, Nantes, France
| | - M Samson
- Department of Internal Medicine and Clinical Immunology, University Hospital of Dijon, University of Burgundy, Dijon, France
| | - C de Moreuil
- Department of Internal Medicine, University Hospital of Brest, University of Bretagne Occidentale, Brest, France
| | - C Lavigne
- Department of Internal Medicine, University Hospital of Angers, Angers, France
| | - P Jégo
- Department of Internal Medicine, University Hospital of Rennes, Rennes University, Rennes, France
| | - J Connault
- Department of Internal Medicine, University Hospital of Nantes, Nantes University, Nantes, France
| | - M Artifoni
- Department of Internal Medicine, University Hospital of Nantes, Nantes University, Nantes, France
| | - T Le Gallou
- Department of Internal Medicine, University Hospital of Rennes, Rennes University, Rennes, France
| | - C Landron
- Department of Internal Medicine, University Hospital of Poitiers, Poitiers University, Poitiers, France
| | - P Roblot
- Department of Internal Medicine, University Hospital of Poitiers, Poitiers University, Poitiers, France
| | - J Magnant
- Department of Internal Medicine, University Hospital of Tours, Tours University, Tours, France
| | - C Belizna
- Department of Internal Medicine, University Hospital of Angers, Angers, France
| | - F Maillot
- Department of Internal Medicine, University Hospital of Tours, Tours University, Tours, France
| | - E Diot
- Department of Internal Medicine, University Hospital of Tours, Tours University, Tours, France
| | - A Néel
- Department of Internal Medicine, University Hospital of Nantes, Nantes University, Nantes, France
| | - M Hamidou
- Department of Internal Medicine, University Hospital of Nantes, Nantes University, Nantes, France
| | - O Espitia
- Department of Internal Medicine, University Hospital of Nantes, Nantes University, Nantes, France
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Rolland M, Fontanelle J, Puyade M, Landron C, Roblot P, Martin M. Tularémie. Rev Med Interne 2019. [DOI: 10.1016/j.revmed.2019.10.304] [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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Espitia O, Blonz G, Magant J, Urbanski G, Landron C, Roblot P, Maillot F, Lavigne C, Hamidou M, Agard C. Aortites de l’artérite à cellules géantes symptomatiques vs asymptomatiques : évaluation des complications aortiques sur une cohorte multicentrique de 171 cas. Rev Med Interne 2019. [DOI: 10.1016/j.revmed.2019.10.044] [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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Joos M, Gasparini S, Landron C, Souchaud-Debouverie O, Roblot P, Martin M. Ce n’est pas le bon cheval ! Rev Med Interne 2019. [DOI: 10.1016/j.revmed.2019.10.229] [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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Giraud V, Landron C, Cohen-Aubart F, Lhote R, Nguekap Tchoumba O, Bourgarit A, Puyade M. L’obésité est-elle prise en compte dans la prescription d’une anticoagulation préventive ? Étude post-hoc de la base SiFMI 2017. Rev Med Interne 2019. [DOI: 10.1016/j.revmed.2019.10.034] [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: 10/25/2022]
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Martellosio JP, Lauda-Maillen M, Landron C, Le Moal G, Allouchery M, Arrivé F, Roblot P, Martin M. [Inflammatory myopathy following acute meningoccemia in a properdin-deficient patient: A case report]. Rev Med Interne 2019; 41:46-49. [PMID: 31735371 DOI: 10.1016/j.revmed.2019.10.339] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2019] [Revised: 10/18/2019] [Accepted: 10/23/2019] [Indexed: 11/30/2022]
Abstract
INTRODUCTION Myalgia is a classical sign in invasive meningococcal diseases (IMD), but severe and persistent myalgia following an IMD have never been reported to date. CASE REPORT A 20-year-old man presented with purpura fulminans and meningitis caused by Neisseria meningitidis serogroup Y, revealing properdin deficiency. Although meningitis symptoms improved after antibiotherapy, initial myalgia of the lower limbs increased, associated with mild rhabdomyolysis. Magnetic resonance imaging (MRI) revealed an increased STIR (Short TI inversion recovery) signal of both quadriceps muscles, without abscess. After exclusion of other causes of myopathy, a post-infectious myositis was diagnosed. A four-week course of corticosteroids led to dramatic improvement. CONCLUSION Post-infectious inflammatory myopathy should be suspected in case of severe and persistent myalgia associated with rhabdomyolysis following an IMD, after exclusion of pyomyositis especially. A short course of corticosteroids seems to be effective.
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Affiliation(s)
- J-P Martellosio
- Service de médecine interne, maladies infectieuses et tropicales, CHU de Poitiers, 2 rue de la Milétrie, 86021 Poitiers cedex, France.
| | - M Lauda-Maillen
- Service de médecine interne, maladies infectieuses et tropicales, CHU de Poitiers, 2 rue de la Milétrie, 86021 Poitiers cedex, France
| | - C Landron
- Service de médecine interne, maladies infectieuses et tropicales, CHU de Poitiers, 2 rue de la Milétrie, 86021 Poitiers cedex, France
| | - G Le Moal
- Service de médecine interne, maladies infectieuses et tropicales, CHU de Poitiers, 2 rue de la Milétrie, 86021 Poitiers cedex, France
| | - M Allouchery
- Service de pharmacologie clinique et vigilances, CHU de Poitiers, 2, rue de la Milétrie, 86021 Poitiers cedex, France
| | - F Arrivé
- Service de médecine interne, maladies infectieuses et tropicales, CHU de Poitiers, 2 rue de la Milétrie, 86021 Poitiers cedex, France
| | - P Roblot
- Service de médecine interne, maladies infectieuses et tropicales, CHU de Poitiers, 2 rue de la Milétrie, 86021 Poitiers cedex, France
| | - M Martin
- Service de médecine interne, maladies infectieuses et tropicales, CHU de Poitiers, 2 rue de la Milétrie, 86021 Poitiers cedex, France
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Motillon G, Landron C, Roblot P, Puyade M, Suhrab S, Léger A, Peyrou J. Syndrome de Tako-Tsubo secondaire à un choc anaphylactique traité par adrénaline. Rev Med Interne 2019. [DOI: 10.1016/j.revmed.2019.03.270] [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: 10/26/2022]
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Liberatore J, Landron C, Roblot P, Allouchery M, Haroche J, Martin M. Erdheim Chester, quand les anticorps s’en mêlent. Rev Med Interne 2019. [DOI: 10.1016/j.revmed.2019.03.235] [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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Lauda Maillen M, Perier A, Souchaud-Debouverie O, Roy-Peaud F, Luca L, Landron C, Roblot P, Martin M. Élévation isolée des ASAT : un diagnostic simple à évoquer. Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.10.202] [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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Martellosio JP, Landron C, Milin S, Sarfati R, Arrivé F, Beuvon C, Roblot P. [Surgical treatment of an auto-immune hemolytic anemia]. Rev Med Interne 2018; 39:435-438. [PMID: 29650300 DOI: 10.1016/j.revmed.2018.03.018] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2017] [Revised: 02/11/2018] [Accepted: 03/10/2018] [Indexed: 11/18/2022]
Abstract
INTRODUCTION Auto-immune hemolytic anemia (AIHA) is a rare cause of anemia, characterized by autoantibodies directed against self red blood cells. It can be primary or secondary, in particular due to lymphoproliferative diseases. CASE REPORT We report the case of a 24-year-old woman who presented with a severe macrocytic anemia associated with an ovarian teratoma. CONCLUSION Ovarian teratoma is a rare cause of secondary AIHA, with only few cases reported. Its treatment differs from primary AIHA as steroids may be ineffective. Indeed, complete response can only be achieved with surgical excision of the tumor.
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Affiliation(s)
- J-P Martellosio
- Service de médecine interne, CHU de Poitiers, 2, rue de la Milétrie, 86021 Poitiers cedex, France.
| | - C Landron
- Service de médecine interne, CHU de Poitiers, 2, rue de la Milétrie, 86021 Poitiers cedex, France
| | - S Milin
- Service d'anatomie et cytologie pathologique, CHU de Poitiers, 2, rue de la Milétrie, 86021 Poitiers cedex, France
| | - R Sarfati
- Service de gynécologie-obstétrique, CHU de Poitiers, 2, rue de la Milétrie, 86021 Poitiers cedex, France
| | - F Arrivé
- Service de médecine interne, CHU de Poitiers, 2, rue de la Milétrie, 86021 Poitiers cedex, France
| | - C Beuvon
- Service de médecine interne, CHU de Poitiers, 2, rue de la Milétrie, 86021 Poitiers cedex, France
| | - P Roblot
- Service de médecine interne, CHU de Poitiers, 2, rue de la Milétrie, 86021 Poitiers cedex, France
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Meriglier E, Roblot P, Landron C. Manifestations cutanées de la tularémie. Med Mal Infect 2018; 48:145-147. [DOI: 10.1016/j.medmal.2017.10.004] [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: 06/22/2017] [Revised: 08/29/2017] [Accepted: 10/13/2017] [Indexed: 10/18/2022]
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Mekinian A, Durtette C, Hachulla E, Lavigne C, Papo T, Zenone T, Lioger B, Deligny C, Landron C, Pouchot J, Kahn J, Fain O, Resche-Rigon M, Lambert M, De Wazieres B, Dhote R, Gondran G, Pertuiset E, Quemeneur T, Hamidou M, Sève P, Le Gallou T, Grasland A, Hatron PY. Syndrome de Cogan : étude rétrospective nationale française. Rev Med Interne 2017. [DOI: 10.1016/j.revmed.2017.10.300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Abstract
BACKGROUND Acute Q fever is asymptomatic in 60% of the patients, while the reminder may present with fever, pneumoniae, and hepatitis. Skin manifestations are uncommon including transient punctiform rashes, purpuric, or maculopapular eruptions. Erythema nodosum have seldom been reported. CASE PRESENTATION A 37-year-old female presented with fever for 1 month and skin lesions consists of erythematous painful nodule of the legs. Serological testing for Coxiella burnetii was positive. Treatment consisted with doxycycline for 2 weeks. Evolution was favorable. The patient completely recovered and had no evidence of skin lesion 1 month later. CONCLUSION Because of its nonspecific clinical presentation, Q fever with erythema nodosum is probably underestimated. Q fever should be evocated when facing unexplained erythema nodosum even if there is not other typical clinical manifestation of Q fever.
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Affiliation(s)
- E Meriglier
- Department of Internal Medicine, Centre hospitalier universitaire de Poitiers, 2 Rue de la milétrie, 86000, Poitiers, France. .,Department of infectious diseases, Centre hospitalier universitaire de Poitiers, 2 Rue de la milétrie, 86000, Poitiers, France.
| | - L Asquier
- Emergency unit, Centre hospitalier de La Rochelle, Rue du Dr Schweitzer, 17000, La Rochelle, France
| | - F Roblot
- Department of infectious diseases, Centre hospitalier universitaire de Poitiers, 2 Rue de la milétrie, 86000, Poitiers, France
| | - P Roblot
- Department of Internal Medicine, Centre hospitalier universitaire de Poitiers, 2 Rue de la milétrie, 86000, Poitiers, France
| | - C Landron
- Department of Internal Medicine, Centre hospitalier universitaire de Poitiers, 2 Rue de la milétrie, 86000, Poitiers, France
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Bonnard G, Espitia O, Connault J, De Moreuil C, Le Gallou T, Landron C, Lavigne C, Belizna C, Néel A, Serfaty J, Hamidou M, Agard C. Aortite au cours de l’artérite à cellules géantes à biopsie de l’artère temporale positive ou négative : étude multicentrique comparative de 80 patients. Rev Med Interne 2017. [DOI: 10.1016/j.revmed.2017.03.095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Delaval L, Schein F, Agard C, Aumaître O, Deroux A, Dupuy H, Garrouste C, Landron C, Maurier F, Cathébras P, Guillevin L, Terrier B. Artérites temporales révélant une vascularite associée aux ANCA : étude rétrospective portant sur 44 cas. Rev Med Interne 2017. [DOI: 10.1016/j.revmed.2017.03.097] [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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Espitia O, Samson M, Le Gallou T, Landron C, Lavigne C, Belizna C, Magant J, De Moreuil C, Diot E, Jego P, Hamidou M, Agard C. Aortite associée à l’artérite à cellules géantes versus aortite idiopathique : étude rétrospective sur 117 cas. Rev Med Interne 2016. [DOI: 10.1016/j.revmed.2016.10.022] [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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Nguekap Tchoumba OF, Landron C, Ramassamy A, Roblot P. Statine ou acide fusidique, il faut choisir ! Rev Med Interne 2016. [DOI: 10.1016/j.revmed.2016.10.195] [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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Beuvon C, Meriglier E, Bachelet-Rousseau C, Roblot P, Roy-Peaud F, Martellosio J, Landron C. Glomérulonéphrite à lésions glomérulaires minimes : un cas rare qui a du Still. Rev Med Interne 2016. [DOI: 10.1016/j.revmed.2016.04.148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Machet A, Debouverie O, Roy-Péaud F, Du Sorbier C, Roblot P, Landron C. Un livedo brunâtre à mailles larges. Rev Med Interne 2014. [DOI: 10.1016/j.revmed.2014.03.306] [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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Debouverie O, Roy-Péaud F, Luca L, Chauveau P, Roblot P, Landron C. Hémorragie cérébro-méningée au cours d’une granulomatose avec polyangéite. Rev Med Interne 2014. [DOI: 10.1016/j.revmed.2014.03.166] [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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Chauveau P, Riche A, Ighilahriz O, Landron C, Roblot P. Erratum à l’abstract CA096. Hémorragie méningée médullaire au cours d’une maladie de Wegener [Rev. Med. Interne. 34 (Suppl. 1) (2013) A127–8]. Rev Med Interne 2014. [DOI: 10.1016/j.revmed.2013.11.013] [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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Lauda M, Belhadj Chaidi R, Catroux M, Roblot P, Landron C. Ischémie aiguë des membres inférieurs conduisant à une amputation majeure et révélant une maladie de Horton. Rev Med Interne 2013. [DOI: 10.1016/j.revmed.2013.10.250] [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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Marie I, Josse S, Decaux O, Diot E, Landron C, Roblot P, Jouneau S, Hatron PY, Hachulla E, Vittecoq O, Menard JF, Jouen F, Dominique S. Clinical manifestations and outcome of anti-PL7 positive patients with antisynthetase syndrome. Eur J Intern Med 2013; 24:474-9. [PMID: 23375620 DOI: 10.1016/j.ejim.2013.01.002] [Citation(s) in RCA: 51] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/17/2012] [Revised: 12/31/2012] [Accepted: 01/03/2013] [Indexed: 12/01/2022]
Abstract
BACKGROUND The aims of the present study were to determine both clinical manifestations and outcome of anti-PL7 patients with antisynthetase syndrome (ASS). METHODS The medical records of 15 consecutive anti-PL7 patients with biopsy proven ASS were retrospectively analyzed without prior selection. RESULTS Anti-PL7 patients exhibited polymyositis (n=14) and dermatomyositis (n=1); extra-pulmonary manifestations of ASS included: Raynaud's phenomenon (40%), mechanic's hands (33.3%), joint impairment (26.7%), pericardial effusion (20%) and esophageal/gastrointestinal involvement (20%). The outcome of myositis was as follows: remission/improvement (91.7%) and deterioration (8.3%). Fourteen patients (93.3%) experienced interstitial lung disease (ILD). ILD preceded ASS diagnosis (n=5), was identified concomitantly with ASS (n=8) and occurred after ASS diagnosis (n=1). Patients could be divided into 3 groups according to their presenting lung manifestations: acute onset of lung disease (n=1), progressive onset of lung signs (n=11) and asymptomatic patients exhibiting abnormalities consistent with ILD on PFT and HRCT-scan (n=2). No patient had resolution of ILD, whereas 64.3% and 35.7% experienced improvement and deterioration of ILD, respectively. ILD resulted in respiratory insufficiency requiring O2 therapy in 14.3% of cases. Two patients died. Predictive parameters of ILD deterioration were: DLCO<45% at ILD diagnosis and HRCT-scan pattern of usual interstitial pneumonia (UIP). CONCLUSION Our series mainly underscores that ILD is frequent in anti-PL7 patients, leading to high morbidity. Our study further suggests that patients with predictive factors of ILD deterioration may require more aggressive therapy, especially the group of patients with DLCO<45% at ILD diagnosis and UIP pattern on HRCT-scan.
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Affiliation(s)
- I Marie
- Department of Internal Medicine, CHU Rouen, University of Rouen IFRMP, Institute for Biochemical Research, Rouen, France.
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Charles S, Luca L, Roblot P, Landron C. Vascularite secondaire à un traitement par thalidomide chez une patiente traitée pour aphtose buccale chronique récidivante. Rev Med Interne 2013. [DOI: 10.1016/j.revmed.2013.03.212] [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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Brunet T, Belhadj-Chaidi R, Lauda M, Guyon C, Roblot P, Landron C. Vascularite systémique révélant une hémopathie myéloïde avec hyperéosinophilie et anomalie de PDGFR alpha. Rev Med Interne 2013. [DOI: 10.1016/j.revmed.2013.03.151] [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: 10/26/2022]
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Dupui J, Belhadj Chaidi R, Chennebault H, Roy-Péaud F, Ramassamy A, Roblot P, Landron C. Association d’une dermatomyosite et d’une neuropathie périphérique type Acute Motor Axonal Neuropathy (AMAN). Rev Med Interne 2012. [DOI: 10.1016/j.revmed.2012.03.240] [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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Marie I, Josse S, Decaux O, Dominique S, Diot E, Landron C, Roblot P, Jouneau S, Hatron PY, Tiev KP, Vittecoq O, Noel D, Mouthon L, Menard JF, Jouen F. Comparison of long-term outcome between anti-Jo1- and anti-PL7/PL12 positive patients with antisynthetase syndrome. Autoimmun Rev 2012; 11:739-45. [PMID: 22326685 DOI: 10.1016/j.autrev.2012.01.006] [Citation(s) in RCA: 109] [Impact Index Per Article: 9.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2012] [Accepted: 01/21/2012] [Indexed: 12/16/2022]
Abstract
The aims of the present study were to: compare the characteristics between antisynthetase syndrome (ASS) patients with anti-Jo1 antibody and those with anti-PL7/PL12 antibody. The medical records of 95 consecutive patients with ASS were reviewed. Seventy-five of these patients had anti-Jo1 antibody; the other patients had anti-PL7 (n=15) or anti-PL12 (n=5) antibody. At ASS diagnosis, the prevalence of myalgia (p=0.007) and muscle weakness (p=0.02) was significantly lower in the group of anti-PL7/PL12-positive patients than in those with anti-Jo1 antibody; median value of CK (p=0.00003) was also lower in anti-PL7/PL12 patients. Anti-Jo1 positive patients developed more rarely myositis resolution (21.3% vs. 46.2%); in addition, the overall recurrence rate of myositis was higher in anti-Jo1 positive patients than in patients with anti-PL7/PL12 antibody (65.9% vs. 19.4%). Anti-Jo1-positive patients, compared with those with anti-PL7/PL12 antibody, more often experienced: joint involvement (63.3%vs. 40%) and cancer (13.3% vs. 5%). By contrast, anti-PL7/PL12 positive patients, compared with those with anti-Jo1 antibody, more commonly exhibited: ILD (90% vs. 68%); in anti-PL7/PL12 positive patients, ILD was more often symptomatic at diagnosis, and led more rarely to resolution of lung manifestations (5.6% vs. 29.4%). Finally, the group of anti-PL7/PL12 positive patients more commonly experienced gastrointestinal manifestations related to ASS (p=0.02). Taken together, although anti-Jo1 positive patients with ASS share some features with those with anti-PL7/PL12 antibody, they exhibit many differences regarding clinical phenotype and long-term outcome. Our study underscores that the presence of anti-Jo1 antibody results in more severe myositis, joint impairment and increased risk of cancer. On the other hand, the presence of anti-PL7/PL12 antibody is markedly associated with: early and severe ILD, and gastrointestinal complications. Thus, our study interestingly indicates that the finding for anti-Jo1 and anti-PL7/PL12 antibodies impacts both the long-term outcome and prognosis of patients with ASS.
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Affiliation(s)
- I Marie
- Department of Internal Medicine, CHU Rouen, and INSERM U 905, University of Rouen IFRMP, Institute for Biochemical Research, Rouen, France.
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Josse S, Decaux O, Dominique S, Diot E, Landron C, Roblot P, Hatron P, Tiev K, Mouthon L, Vittecoq O, Jouen F, Marie I. Myopathies inflammatoires idiopathiques et anticorps anti-PL7 ou anti-PL12. À propos d’une série de 20 observations. Rev Med Interne 2011. [DOI: 10.1016/j.revmed.2011.10.289] [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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Lecroart A, Roblot P, Landron C, Ramassamy A, Roy Peaud F, Boinot C, Pierre F, Pourrat O. Résultats du bilan thrombophilique en médecine interne de la grossesse : une série de 287 cas. Rev Med Interne 2011. [DOI: 10.1016/j.revmed.2011.03.108] [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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Mériglier E, Landron C, Roy-Péaud F, Ramassamy A, Pourrat O, Roblot P. Faut-il doser les anticorps anti-phosphatidyléthanolamine ? Rev Med Interne 2011. [DOI: 10.1016/j.revmed.2011.03.056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Kurrimbukus R, Landron C, Coudroy R, Roy-Péaud F, Debiais F, Roblot P. La maladie de Horton chez les patients de moins de 60ans : une corticothérapie cumulée plus élevée et un profil évolutif différent ? Rev Med Interne 2011. [DOI: 10.1016/j.revmed.2011.03.061] [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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Puyade M, Albouy-Llaty M, Kurrimbukus R, Baudemont C, Bellarbre F, Roy-Péaud F, Landron C, Roblot P, Paccalin M. Étude d’intervention pour diminuer la prescription des numérations formule sanguine en médecine interne et en gériatrie. Rev Med Interne 2011. [DOI: 10.1016/j.revmed.2011.03.028] [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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Landron C, Delrez C, Ramassamy A, Roy-Péaud F, Luca L, Roblot P. AVK : quelle opinion ont les patients de leur traitement ? Rev Med Interne 2010. [DOI: 10.1016/j.revmed.2010.10.272] [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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Roy-Péaud F, Landron C, Ramassamy A, Elsendoorn A, Roblot P. Thrombose porte et mesentérique supérieure après splénectomie pour purpura thrombopénique immunologique. Rev Med Interne 2010. [DOI: 10.1016/j.revmed.2010.10.152] [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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Coudroy R, Kurrimbukus R, Elsendoorn A, Roblot P, Landron C. Presence of Cryofibrinogen in a Cannabis user with Digital Ischaemia. Eur J Vasc Endovasc Surg 2010. [DOI: 10.1016/j.ejvs.2010.02.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Elsendoorn A, Bouche G, Roblot P, Landron C. La biopsie ostéomédullaire : qualité, indications et apport diagnostique en médecine interne, étude rétrospective de 327 examens. Rev Med Interne 2010. [DOI: 10.1016/j.revmed.2010.03.359] [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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Coudroy R, Ecotiere L, Godet C, Ramassamy A, Landron C, Roblot P. Manifestations thoraciques extrapulmonaires au cours d’une maladie de Wegener : à propos d’un cas. Rev Med Interne 2009. [DOI: 10.1016/j.revmed.2009.10.342] [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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Landron C, Roy-Péaud F, Pourrat O, Boinot C, Magnou B, Roblot P. Intérêt d’une réunion pluridisciplinaire dans le domaine de la thrombophilie. Rev Med Interne 2009. [DOI: 10.1016/j.revmed.2009.10.318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Puyade M, Landron C, Paccalin M, Roblot P. Neuropathie périphérique d’un syndrome de Gougerot-Sjögren liée à des anticorps anti-Yo sans cancer retrouvé. Rev Med Interne 2009. [DOI: 10.1016/j.revmed.2009.03.158] [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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de Bouverie O, Ramassamy A, Becq-Giraudon B, Voultoury J, Landron C, Roblot P. Mycoplasma pneumoniae et syndrome de Kawasaki : une association inhabituelle chez l’adulte. Rev Med Interne 2008. [DOI: 10.1016/j.revmed.2008.10.243] [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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Landron C, Roy-Péaud F, Godet C, Papin V, Bourgoin A, Roblot P. Manifestations extrapulmonaires de la fièvre Q aiguë. Rev Med Interne 2008. [DOI: 10.1016/j.revmed.2008.10.249] [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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Elsendoorn A, Landron C, Moumas E, Roy-Péaud F, Luca L, Roblot P. Un érysipèle résistant aux antibiotiques. Rev Med Interne 2007. [DOI: 10.1016/j.revmed.2007.03.170] [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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Affiliation(s)
- J. P. Coutures
- a Centre de Recherche sur la Physique des Hautes Températures
| | - R. Erre
- b Centre de Recherche sur les Solides à Organisation Cristalline Imparfaite, CNRS , 45045, Orléans, Cedex , France
| | - D. Massiot
- c Centre de Recherche sur la Physique des Hautes Températures, CNRS , 45045, Orléans, Cedex , France
| | - C. Landron
- c Centre de Recherche sur la Physique des Hautes Températures, CNRS , 45045, Orléans, Cedex , France
| | - D. Billard
- c Centre de Recherche sur la Physique des Hautes Températures, CNRS , 45045, Orléans, Cedex , France
| | - G. Peraudeau
- d Laboratoire des Ultra-Refractaires, CNRS , BP 5, 66120, Odeillo Font Romeu , France
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Paccalin M, Manic H, Bouche G, Landron C, Mercié M, Boinot C, Gombert JM, Roblot P, Dighiero P. Antiphospholipid syndrome in patients with retinal venous occlusion. Thromb Res 2006; 117:365-9. [PMID: 16461072 DOI: 10.1016/j.thromres.2005.03.005] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2005] [Revised: 03/29/2005] [Accepted: 03/30/2005] [Indexed: 11/20/2022]
Abstract
INTRODUCTION We conducted a prospective study to determine the prevalence and the prognosis of antiphospholipid syndrome (APS) in patients with retinal venous occlusion (RVO). PATIENTS Consecutive patients presenting with retinal vein occlusion were screened for vascular risk factors (diabetes mellitus, hypertension, hyperlipidemia) and for antiphospholipid antibodies (aPL): anticardiolipin (aCL), anti-beta2-glycoprotein I, and lupus anticoagulant. Patients with a serum sample positive for aPL returned at least 6 weeks later for a new screening to determine the prevalence of antiphospholipid syndrome. All patients were followed to determine the outcome. RESULTS Sixty-eight patients presented with RVO, 16 had vascular risk factors for RVO. After two screenings for aPL, nine cases of antiphospholipid syndrome associated with RVO were diagnosed (13.2%). Eight patients were over age 50 years and none had a previous thrombotic event before RVO. All patients were treated with aspirin (160 mg/day). With a mean follow-up of 26.1+/-8.2 months (range, 16-36 months), there were no recurrences. CONCLUSION Retinal venous occlusion is multifactorial in origin. In patients aged 50 years and older, without previous thrombotic event, aPL might not be predictive of recurrences and treatment with aspirin might be sufficient. In such patients, the routine screening for aPL does not appear warranted, but a randomized study should be conducted to really ascertain the pathogenic role of aPL and the most appropriate treatment in RVO.
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Affiliation(s)
- M Paccalin
- Department of Internal Medicine, University hospital La Milétrie, Poitiers, France.
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Godet C, Beby-Defaux A, Landron C, Moal GL, Becq-Giraudon B, Agius G. Concomitant disseminated herpes simplex virus type 2 infection and varicella zoster virus primoinfection in a pregnant woman. ACTA ACUST UNITED AC 2005; 37:774-6. [PMID: 16191900 DOI: 10.1080/00365540410024763] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
We report the first case of a HSV and VZV coinfection during pregnancy. VZV infection was diagnosed by a seroconversion and PCR. HSV 2 infection was diagnosed by cell culture. The mother and the newborn received no treatment and did not develop any complication. This case report highlights the need for increased surveillance of pregnant women with herpes virus infections.
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Affiliation(s)
- C Godet
- From the Department of Internal Medicine and Infectious Diseases, CHU La Milétrie, Poitiers, France
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Landron C, Voultoury J, Paccalin M, Roblot P, Bellou A. Je t'aime, moi non plus…. Rev Med Interne 2005; 26 Suppl 2:S203-5. [PMID: 16129146 DOI: 10.1016/s0248-8663(05)80026-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- C Landron
- Service de médecine interne, CHU La Milétrie, Poitiers, France
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Le Moal G, Godet C, Beby-Defaux A, Landron C, Roblot F, Becq-Giraudon B, Agius G. No evidence of improved survival in HIV elderly patients since introduction of highly active antiretroviral therapy. J Infect 2005; 50:168-70. [PMID: 15667922 DOI: 10.1016/j.jinf.2004.08.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/07/2004] [Indexed: 11/19/2022]
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