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Couderc LJ, Bernaudin JF, Epardeau B, Caubarrere I. Pulmonary alveolar proteinosis and disseminated Mycobacterium avium infection. Respir Med 1996; 90:641-2. [PMID: 8959124 DOI: 10.1016/s0954-6111(96)90027-x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
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Couderc LJ, Caubarrère I. Tuberculous bronchiolitis. N Engl J Med 1996; 334:1748-9. [PMID: 8637532] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
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Couderc LJ, Flammang MP, Caubarrere I, Vernant JC. Human T cell leukemia/lymphoma virus type I DNA and polymyositis/dermatomyositis: comment on the article by Sherman et al. ARTHRITIS AND RHEUMATISM 1996; 39:535. [PMID: 8607905 DOI: 10.1002/art.1780390324] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
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Couderc LJ, Mosnier H, Soyer P, Voinchet O, Balloul-Delclaux E. [Splenic rupture after colonoscopy]. ANNALES DE MEDECINE INTERNE 1996; 147:379. [PMID: 9033748] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
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Couderc LJ, Philippe B, Franck N, Balloul-Delclaux E, Lessana-Leibowitch M. Necrotizing vasculitis and exacerbation of psoriasis after granulocyte colony-stimulating factor for small cell lung carcinoma. Respir Med 1995; 89:237-8. [PMID: 7538222 DOI: 10.1016/0954-6111(95)90256-2] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
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Couderc LJ, Mathez D, Leibowitch J, Autran B, Caubarrere I. [Prolonged treatment with thalidomide in a patient with HIV infection]. Presse Med 1995; 24:40. [PMID: 7899338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/27/2023] Open
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Couderc LJ, Dupuis M, Visot A, Kujas M, Epardeau B, Bamberger C, Caubarrère I. [Wegener's disease disclosed by diabetes insipidus]. ANNALES DE MEDECINE INTERNE 1995; 146:601. [PMID: 8734094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
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Blot F, Mayaud C, Frachon I, Couderc LJ, Stern M, Friard S, Caubarrère I. [Cytomegalovirus pneumopathies. What role should be given to cytomegaloviruses isolated from blood and bronchoalveolar lavage fluid in AIDS and from organ and bone marrow grafts?]. REVUE DE PNEUMOLOGIE CLINIQUE 1995; 51:309-320. [PMID: 8746018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
Cytomegalovirus (CMV) is often suspected as the causal agent in lung disease occurring in various immunodepressive states: AIDS, organ transplantation, bone marrow graft. The mechanisms involved in these three situations is however quite different. The role played by the cytopathogenic effect of the virus and the immune reaction of the host vary considerably depending on the underlying immunodepression. Thus, the criteria allowing to distinguish between CMV infection (presence of the virus or anti-CMV antibodies, no clinical signs) and CMV disease (generalized or organ specific disease resulting from the pathogenic effect of CMV replication) lack precision. The aim of this review of the literature is to assess the implicated immunovirology mechanism and thus the diagnostic (and thus therapeutic) criteria of CMV lung diseases. There is a graduation scale from AIDS, to organ transplantation and bone marrow allograft in the degree of immune reaction implicated in the lung disease and thus the need and timing of antiviral treatment. In AIDS, an interstitial pneumonia, associated with an isolation of CMV (whatever the sample origin, blood, bronchoalveolar lavage or the isolation technique) does not usually implicate treatment. Treatment may be indicated in rare cases (advanced stage immunodepression, high virus titre, endothelial involvement) or in cases in which the infection is also located in other organs. For organ transplantation, observation of CMV in blood or lavage samples in a patient with clinical or radiological signs would justify treatment. For lung transplantation, more so than for any other organ, treatment should be started early whenever respiratory signs are associated with evidence of CMV infection. Finally, in bone marrow allografts, the high rate of failure when pneumonitis has become patent implicates starting treatment immediately upon diagnosis of CMV infection. The strategy proposed here is based on a certain rationale but can be open to discussion. Controlled clinical trials are required to determine the most rigorous and coherent attitude. Finally, within the framework of the diseases examined here, search for lung disease caused by cytomegalovirus should not mask other organ localizations in, for example, the retina, the digestive tract.
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Luchon L, Couderc LJ, Stern M, Friard S, Caubarrere I. [Pulmonary pneumocystosis revealing HIV infection]. Presse Med 1994; 23:951. [PMID: 7937635] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/28/2023] Open
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Piette AM, Mourad JJ, Karmochkine M, Didon D, Gepner P, Graveleau P, Grenet D, Couderc LJ, Chapman A. [Antiphospholipid syndrome. 20 cases]. Presse Med 1994; 23:607-12. [PMID: 8029190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/28/2023] Open
Abstract
OBJECTIVES We analyzed the clinical and biological characteristics as well as the clinical course and outcome observed in 20 patients with antiphospholipid antibodies and clinical signs including thrombosis or repeated spontaneous abortion to better identify the recently described antiphospholipid syndrome. METHODS We retrospectively studied all patients observed in our unit from 1981 to 1992 who fulfilled the following inclusion criteria: a) at least one episode of arterial or venous thrombosis and/or repeated spontaneous abortions, b) positive for antiphospholipid antibodies. RESULTS Twenty patients were included, 3 with systemic lupus erythematosus (according to the American Rheumatism Association criteria). Arterial or venous thrombosis occurred in 9 and 16 respectively, including exceptional cases of cerebral phlebitis and thrombosis of dermal capillaries. High blood pressure was recorded in 8. Only 1 or 2 types of antiphospholipid antibodies were found in most patients. Anticardiolipin, a circulating anticoagulant and a false-positive Bordet-Wassermann reaction were found together in only 3 out of 16. In addition, the antibody level varied independently from the thrombotic events. There was no case with a clinical course from primary antiphospholipid syndrome to systemic erythromatosus lupus. The effect to treatment on occurrence of new thrombotic events was studied. Three patients suffered one or more haemorrhagic events during antivitamin K treatment. CONCLUSION It is difficult to establish a differentiation between primary antiphospholipid syndrome, systemic lupus erythematosus and lupus-like syndromes, and precise methods of identifying antiphospholipid antibodies should be further developed.
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Crestani B, Jaccard A, Israël-Biet D, Couderc LJ, Frija J, Clauvel JP. Chlorambucil-associated pneumonitis. Chest 1994; 105:634-6. [PMID: 8306788 DOI: 10.1378/chest.105.2.634] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023] Open
Abstract
A patient developed an interstitial pneumonitis while receiving chlorambucil for a chronic lymphocytic leukemia (cumulative dose, 8,340 mg). Withdrawal of drug treatment was followed by rapid improvement in the clinical condition. Bronchoalveolar lavage showed a T-lymphocytic alveolitis, whereas blood lymphocytes were predominantly of the B phenotype. The T-lymphocytic alveolitis persisted 6 weeks after drug therapy cessation with a predominant CD8+ phenotype, as observed in some hypersensitivity pneumonitis induced by drugs.
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Pulik M, Lionnet F, Couderc LJ, Matheron S, Saimot AG. Thromboembolic disease and human immunodeficiency virus infection. Blood 1993; 82:2931. [PMID: 8219243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023] Open
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Couderc LJ, Clauvel JP, Caubarrere I. Lung limited lymphocytic proliferation in human immunodeficiency virus (HIV) infection. Respir Med 1993; 87:559. [PMID: 8265847 DOI: 10.1016/0954-6111(93)90016-s] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
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Couderc LJ, Said G, Truelle JL, Israel-Biet D, Epardeau B. Absence of lymphocytic alveolitis in patients with multiple sclerosis. Chest 1992; 102:1303. [PMID: 1395797 DOI: 10.1378/chest.102.4.1303a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022] Open
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Couderc LJ, Epardeau B, Dazza MC, Clauvel JP, Autran B, Grosset J, Caubarrere I. Disseminated Mycobacterium avium intracellulare infection without predisposing conditions. Lancet 1992; 340:731. [PMID: 1355830 DOI: 10.1016/0140-6736(92)92272-h] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Couderc LJ, Brun-Vezinet F, Rey MA, Michard P, Clauvel JP. Lymphoid interstitial pneumonitis and infection with human immunodeficiency virus type 2. Chest 1991; 99:1320. [PMID: 2019216 DOI: 10.1378/chest.99.5.1320-b] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022] Open
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Veyssier-Belot C, Couderc LJ, Desgranges C, Leblond V, Dairou F, Caubarrere I, de Gennes JL. Kaposi's sarcoma and HTLV-I infection. Lancet 1990; 336:575. [PMID: 1975075 DOI: 10.1016/0140-6736(90)92139-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
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Desgranges C, Bechet JM, Couderc LJ, Caubarrere I, Vernant JC. Detection of HTLV-1 DNA by polymerase chain reaction in alveolar lymphocytes of patients with tropical spastic paraparesis. J Infect Dis 1989; 160:162-3. [PMID: 2732511 DOI: 10.1093/infdis/160.1.162] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
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Vilgrain V, Frija J, Yana C, Couderc LJ, David M, Clauvel JP, Laval-Jeantet M. [High-resolution x-ray computed tomography in lymphoid interstitial pneumonia]. JOURNAL DE RADIOLOGIE 1989; 70:167-73. [PMID: 2659786] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Three patients with lymphoid interstitial pneumonia (two HIV 1+ patients with chronic lymphadenopathic syndromes and one with a not-characterized autoimmune disease) have been studied with high-resolution computed tomography (HR-CT). This technique reveals septal lines, small reticulonodular opacities, polyhedral micronodular opacities, "ground-glass" opacities and a dense, subpleural, curved broken line in one patient. The lesions dominate in the bases of the lungs. They are not characteristic for lymphoid interstitial pneumonia. If a patient present with a chronic lymphadenopathic syndrome, the diagnosis of an opportunistic infection should not be automatically made, since the syndrome can be caused by lymphoid interstitial pneumonia.
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Caubarrère I, Chebat J, Couderc LJ, Friand S, Stern M. [Lung diseases and chemotherapy in cancerology]. PATHOLOGIE-BIOLOGIE 1989; 37:165-6. [PMID: 2469056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
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Couderc LJ, Caubarrere I, Venet A, Magdeleine J, Jouanelle A, Danon F, Buisson G, Vernant JC. Bronchoalveolar lymphocytosis in patients with tropical spastic paraparesis associated with human T-cell lymphotropic virus type 1 (HTLV-1). Clinical, immunologic, and cytologic studies. Ann Intern Med 1988; 109:625-8. [PMID: 2901817 DOI: 10.7326/0003-4819-109-8-625] [Citation(s) in RCA: 35] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
Abstract
STUDY OBJECTIVE To determine the features of pulmonary involvement in patients with tropical spastic paraparesis associated with human T-cell lymphotropic virus type 1. DESIGN Nonrandomized prospective case series. SETTING Tertiary care units in two university medical centers. PATIENTS Consecutive sample of 21 patients with tropical spastic paraparesis associated with human T-cell lymphotropic virus type 1 infection. INTERVENTIONS Chest roentgenogram and bronchoalveolar lavage were done in all patients. Fifteen patients had pulmonary function tests. Alveolar T-lymphocyte subsets were analysed in 10 patients and thoracic computed tomographic scans were done in 10 patients. MEASUREMENTS AND MAIN RESULTS All patients were free of clinical pulmonary symptoms and had normal chest roentgenograms. Thoracic computed tomographic scans were normal in 9 of 10 patients and showed mild interstitial pneumonitis in 1. Pulmonary function tests were within the normal range in 13 patients and showed a mild restrictive syndrome in 2. Eighteen patients had increased absolute numbers of alveolar lymphocytes (mean, 77 +/- 39 X 10(3) lymphocytes/mL; range, 13.5 X 10(3) to 259 X 10(3) lymphocytes/mL). Sixteen patients had percentages of alveolar lymphocytes higher than 20% of all alveolar cells (mean, 33.5 +/- 12.7; range, 9 to 69). In all 10 patients tested, 64.2% +/- 13.2% of alveolar lymphocytes were CD8+ cells. CONCLUSIONS Excessive absolute numbers and percentages of alveolar lymphocytes were observed in 18 and 16 patients, respectively. Most alveolar lymphocytes were CD8+ cells.
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Couderc LJ, Caubarrère I, Venet A, Jouannelle A, Vernant JC. [Lymphocyte alveolitis and paraplegia associated with HTLV-I]. Presse Med 1988; 17:1703. [PMID: 2973034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
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