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Marie I, Levesque H, Tranvouez JL, François A, Riachi G, Cailleux N, Courtois H. Autoimmune hepatitis and systemic sclerosis: a new overlap syndrome? Rheumatology (Oxford) 2001; 40:102-6. [PMID: 11157149 DOI: 10.1093/rheumatology/40.1.102] [Citation(s) in RCA: 36] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE We report the cases of two patients with the complete CREST variant (calcinosis, Raynaud's phenomenon, oesophageal dysmotility, sclerodactyly, telangiectasia) of systemic sclerosis (SSc) who developed autoimmune hepatitis. RESULTS Our findings suggest that autoimmune hepatitis can be considered to be one of the liver manifestations associated with SSc. Our data also indicate that, because liver involvement may precede skin manifestations, evaluation for SSc is appropriate when autoimmune hepatitis is noted, and that the evaluation should include clinical examination, testing for antinuclear antibodies (especially for anticentromere antibodies) and nailfold capillaroscopy. CONCLUSIONS From a practical point of view, our two cases emphasize that suspicion of autoimmune hepatitis in SSc patients presenting with cytolytic hepatitis will help to achieve both accurate diagnosis and optimal management.
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Marie I, Levesque H, Courtois H, François A, Riachi G. Polymyositis, cranial neuropathy, autoimmune hepatitis, and hepatitis C. Ann Rheum Dis 2000; 59:839-40. [PMID: 11203156 PMCID: PMC1753003 DOI: 10.1136/ard.59.10.839a] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
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353
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Cailleux N, Marie I, Lévesque H, Courtois H. [An anterior thoracic painful cord]. Rev Med Interne 2000; 21:804-5. [PMID: 11039178 DOI: 10.1016/s0248-8663(00)00228-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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354
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Marie I, Joly P, Levesque H, Heron F, Courville P, Cailleux N, Courtois H. Pseudo-dermatomyositis as a complication of hydroxyurea therapy. Clin Exp Rheumatol 2000; 18:536-7. [PMID: 10949738] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
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355
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Marie I, Lévesque H, Joly P, Reumont G, Cailleux N, Henry J, Courville P, Janvresse A, Courtois H. [A febrile myositis ... not very nice!]. Rev Med Interne 2000; 21 Suppl 3:313s-315s. [PMID: 10916841 DOI: 10.1016/s0248-8663(00)89255-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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356
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Marie I, Lévesque H, Cailleux N, Henry J, Janvresse A, Courtois H. [An uncommon cause of venous thrombosis]. Rev Med Interne 2000; 21:557-8. [PMID: 10909158 DOI: 10.1016/s0248-8663(00)89234-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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357
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Marie I, Levesque H, Plissonnier D, Balguerie X, Cailleux N, Courtois H. Digital necrosis related to cisplatin in systemic sclerosis. Br J Dermatol 2000; 142:833-4. [PMID: 10792254 DOI: 10.1046/j.1365-2133.2000.03448.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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358
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Marie I. Association du risque de néoplasie à la durée du traitement immunosuppresseur au cours des maladies systémiques. Rev Med Interne 2000. [DOI: 10.1016/s0248-8663(00)88946-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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359
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Marie I. Évolution à long terme au cours de la pseudopolyarthrite rhizomélique : influence de l'association à une artérite temporale. Rev Med Interne 2000. [DOI: 10.1016/s0248-8663(00)80060-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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360
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Cailleux N, Marie I, Chrétien MH, Noblet C, Lévesque H, Courtois H. [Spontaneous hematoma: thoughts about selective serotonin uptake inhibitors]. JOURNAL DES MALADIES VASCULAIRES 2000; 25:63-4. [PMID: 10705138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/15/2023]
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362
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Liegeois F, Cailleux N, Perrier G, Marie I, Nouvellon M, Watelet J, Primard E, Lévesque H, Courtois H. [Aortic Salmonella infection. A new observation]. Rev Med Interne 2000; 21:114-6. [PMID: 10685466 DOI: 10.1016/s0248-8663(00)87240-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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363
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Marie I, Levesque H, Le Cam-Duchez V, Borg JY, Ducrotté P, Philippe C. Mesenteric venous thrombosis revealing both factor II G20212A mutation and hyperhomocysteinemia related to pernicious anemia. Gastroenterology 2000; 118:237-8. [PMID: 10644179 DOI: 10.1016/s0016-5085(00)70442-2] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
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364
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Marie I, Lévesque H, Courtois H. [D-penicillamine: an outdated cure for systemic scleroderma?]. Rev Med Interne 1999; 20:1077-81. [PMID: 10635068 DOI: 10.1016/s0248-8663(00)87520-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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365
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Marie I, Hachulla E, Levesque H, Reumont G, Ducrotte P, Cailleux N, Hatron PY, Devulder B, Courtois H. Intravenous immunoglobulins as treatment of life threatening esophageal involvement in polymyositis and dermatomyositis. J Rheumatol 1999; 26:2706-9. [PMID: 10606390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
Abstract
Esophageal involvement is considered a major cause of morbidity and an indicator of poor prognosis in polymyositis (PM) and dermatomyositis (DM). We describe 3 patients with steroid resistant PM/DM with life threatening esophageal involvement, resulting in impossible oral feeding and enteral nutrition with a gastric tube. All patients had both dramatic and rapid improvement of all clinical manifestations after initiation of intravenous immunoglobulin (IVIG) therapy. Swallowing disorders completely disappeared after the second infusion of IVIG, which permitted normal oral feeding and ablation of the gastric tube. Our findings suggest IVIG should be considered the treatment of choice in such cases.
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Houdent C, Martincourt F, Lecomte F, Marie I, Lemoine F, François A, Lévesque H, Courtois H. ["Hypereosinophilia pseudo-syndrome" presenting as an intestinal T-cell lymphoma, associated with an atrophic villosity]. Rev Med Interne 1999; 20:1150-1. [PMID: 10635082 DOI: 10.1016/s0248-8663(00)87534-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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367
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Marie I, Lévesque H, Dominique S, Hatron PY, Michon-Pasturel U, Remy-Jardin M, Courtois H. [Pulmonary involvement in systemic scleroderma. Part I. Chronic fibrosing interstitial lung disease]. Rev Med Interne 1999; 20:1004-16. [PMID: 10586439 DOI: 10.1016/s0248-8663(00)87081-2] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
INTRODUCTION Chronic pulmonary interstitial fibrosis is the most frequent respiratory manifestation in systemic sclerosis, occurring in 80% of cases. It remains a severe complication of the disease and is the primary cause of mortality related to respiratory insufficiency in 20 to 60% of cases. CURRENT KNOWLEDGE AND KEY POINTS The date of onset of interstitial lung disease remains undetermined, and only in rare cases does it reveal the presence of systemic sclerosis. The clinical signs are only observable at a later stage, when at least 50% of the lung parenchyma is affected. The methods of choice adopted for early diagnosis of this disease are high resolution computed tomography and pulmonary functional investigations; they should be carried out during the preliminary investigation and at follow-up once a year. Moreover, high resolution computed tomography also provides prognostic data, for there is a correlation between the type of lesion and its severity as determined by high resolution computed tomography and by histological findings. The value of other methods of investigation, in particular bronchoalveolar lavage, has not yet been clearly established. The association of cyclophosphamide and corticoids is currently being evaluated (indications, administration modalities, duration), and this combination may be the most effective treatment. FUTURE PROSPECTS AND PROJECTS Interstitial lung disease is one of the major causes of morbidity and mortality in systemic sclerosis. Early diagnosis and management of this disease is therefore of utmost importance.
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Marie I, Lévesque H, Hatron PY, Dominique S, Courtois H. [Pulmonary involvement in systemic scleroderma. Part II. Isolated pulmonary arterial hypertension, bronchopulmonary cancer, alveolar hemorrhage]. Rev Med Interne 1999; 20:1017-27. [PMID: 10586440 DOI: 10.1016/s0248-8663(00)87082-4] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
INTRODUCTION Pulmonary interstitial fibrosis is the most frequent cause of lung disease in systemic sclerosis. However, other pulmonary complications exist, including lung cancer, alveolar hemorrhage, and in particular isolated pulmonary arterial hypertension, which is still considered the bête noire as regards this disease. CURRENT KNOWLEDGE AND KEY POINTS The prevalence of pulmonary arterial hypertension has been reported to range from 5 to 60% in cases of systemic sclerosis; isolated pulmonary arterial hypertension has been principally observed in subjects with a ten-year history of limited forms of the disease. As the patient remains asymptomatic for a long period, with nonspecific respiratory clinical manifestations, the diagnosis is made at a much later stage in the course of the disease. The diagnostic method of choice is echocardiography-doppler, which should be performed during the preliminary investigation, and at follow-up. The prognosis is poor, and patient survival rate at 2 years after onset of symptoms amounts to 40%. To date, no curative therapy for pulmonary arterial hypertension has yet been found. FUTURE PROSPECTS AND PROJECTS A knowledge of the mechanisms involved in the development of isolated pulmonary arterial hypertension is essential to the determination of new and relevant therapeutic strategies. Vasodilatory treatment, notably calcium channel blockers, prostacyclin and analogs such as iloprost, may be effective at an early stage of the disease before the appearance of permanent vascular damage.
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Cailleux N, Marie I, Peillon C, Lévesque H, Courtois H. [Hammer, did you say hammer?]. Rev Med Interne 1999; 20:947-8. [PMID: 10573733 DOI: 10.1016/s0248-8663(00)80102-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Marie I, Levesque H, Levade MH, Cailleux N, Lecomte F, François A, Métayer J, Lerebours E, Courtois H. Hypertrophic osteoarthropathy can indicate recurrence of Whipple's disease. ARTHRITIS AND RHEUMATISM 1999; 42:2002-6. [PMID: 10513818 DOI: 10.1002/1529-0131(199909)42:9<2002::aid-anr29>3.0.co;2-c] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
We report the case of a patient with Whipple's disease (WD) who developed hypertrophic osteoarthropathy (HOA) characterized by digital clubbing, periostosis of the tubular bones, and polysynovitis. The HOA disclosed the recurrence of the patient's WD, since polymerase chain reaction (PCR) analysis clearly demonstrated the presence of Tropheryma whippelii in the synovial fluid from the patient's left knee. Initiation of appropriate antibiotic therapy resulted in complete healing of all clinical rheumatologic manifestations within 2 months and in disappearance of radiographic bone changes at 7-month followup. We suggest that HOA be included within the spectrum of rheumatologic manifestations of WD, and that an evaluation for WD should be considered in patients, especially middle-aged men, presenting with HOA even without gastrointestinal symptoms. PCR analysis may be useful in accurate diagnosis and management of early WD with unusual clinical manifestations, and may contribute to decreased morbidity and mortality.
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Marie I. Comparaison d'un traitement par D-pénicillamine à doses élevées et réduites au cours de la sclérodermie systémique diffuse à un stade précoce. Rev Med Interne 1999. [DOI: 10.1016/s0248-8663(00)88700-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Marie I, Cailleux N, Henry J, Janvresse A, Muir JF, Lévesque H, Courtois H. [Pulmonary lymphangioleiomyomatosis: an often fortuitous diagnosis. A case report]. Rev Med Interne 1999; 20:806-9. [PMID: 10522304 DOI: 10.1016/s0248-8663(00)88689-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
INTRODUCTION Lymphangioleiomyomatosis is an uncommon disorder of unknown origin, which exclusively occurs in women of reproductive age. The condition is characterized by proliferation of immature smooth muscle cells throughout the lungs, i.e., in the peribronchial, perilymphatic, and perivascular areas. This results in obliteration of the respiratory tract and in the development of cysts. Lymphangioleiomyomatosis has a poor prognosis due to both numerous lung complications and progression of the disease to respiratory failure. EXEGESIS We report the case of a patient in whom lymphangioleiomyomatosis was fortuitously diagnosed from chest CT scan, itself performed for the diagnosis of pulmonary embolism. This case is therefore of particular interest. CONCLUSION Our results suggest that the prevalence of lymphangioleiomyomatosis is probably underestimated due to its clinical latency and the absence of specific laboratory tests. Therefore, the development of non-invasive radiological methods should permit early diagnosis of the disease.
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Marie I, Levesque H, Perraudin N, Cailleux N, Lecomte F, Courtois H. Aseptic meningitis and cranial nerve palsy revealing adult-onset Still's disease. Clin Infect Dis 1999; 29:220-1. [PMID: 10433601 DOI: 10.1086/520170] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Marie I, Levesque H, Heron F, Courtois H, Callat MP. Gelatinous transformation of the bone marrow: an uncommon manifestation of intestinal lymphangiectasia (Waldmann's disease). Am J Med 1999; 107:99-100. [PMID: 10403358 DOI: 10.1016/s0002-9343(99)00035-2] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Bienvenu B, Cailleux N, Marie I, Levesque H, Courtois H, Emmerich J, Fliessinger J. Cancer et thrombose veineuse profonde bilatérale. Rev Med Interne 1999. [DOI: 10.1016/s0248-8663(99)80237-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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