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Poncet-Wallet C, Ormezzano Y, Ernst E, Toffin C, Dhote R, Harboun-Cohen E, Frachet B. [Study of a case of cochlear implant with recurrent cutaneous extrusion]. ANNALES D'OTO-LARYNGOLOGIE ET DE CHIRURGIE CERVICO FACIALE : BULLETIN DE LA SOCIETE D'OTO-LARYNGOLOGIE DES HOPITAUX DE PARIS 2009; 126:264-8. [PMID: 19729148 DOI: 10.1016/j.aorl.2009.07.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/15/2008] [Accepted: 07/22/2009] [Indexed: 11/30/2022]
Abstract
OBJECTIVE An observation of a difficult-to-diagnose complication of the cochlear implant: recurring cutaneous extrusion of a cochlear implant is reported. PATIENTS AND METHODS The history of an adult patient with total deafness is reported. She received an implant in her right ear in 1988, which was then explanted because of absence of hearing results. She received a second implant in her left ear in 2002, which was then explanted in 2007 because of cutaneous extrusion. In 2008, a second implant of a different brand was placed in her left ear, with the central part placed away from the first site, but extrusion recurred. A new attempt to encapsulate the central part with a hydroxyapatite box also ended in extrusion and was explanted in 2008. RESULTS Various diagnoses to explain these cutaneous problems were suggested during this clinical progression: infection, allergy, and a reaction to a foreign body. No hypothesis could be clearly ruled out. CONCLUSION Cutaneous complications after cochlear implant are exceptional. As soon as cutaneous disorders appear, a rigorous diagnostic process must be followed so that the patient can be recommended a long-lasting solution to restore quality hearing.
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Abad S, Monnet D, Caillat-Zucman S, Mrejen S, Blanche P, Chalumeau M, Mouthon L, Dhote R, Brézin AP. Characteristics of Vogt-Koyanagi-Harada Disease in a French Cohort: Ethnicity, Systemic Manifestations, and HLA Genotype Data. Ocul Immunol Inflamm 2009; 16:3-8. [DOI: 10.1080/09273940801923895] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Abad S, Sève P, Dhote R, Brézin AP. Uvéites et médecine interne : stratégies diagnostique et thérapeutique. Rev Med Interne 2009; 30:492-500. [DOI: 10.1016/j.revmed.2008.08.011] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/29/2008] [Revised: 06/02/2008] [Accepted: 08/04/2008] [Indexed: 01/14/2023]
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Duchet-Niedziolka P, Launay O, Coutsinos Z, Ajana F, Arlet P, Barrou B, Beytout J, Bouchaud O, Brouqui P, Buzyn A, Chidiac C, Couderc LJ, Debord T, Dellamonica P, Dhote R, Duboust A, Durrbach A, Fain O, Fior R, Godeau B, Goujard C, Hachulla E, Marchou B, Mariette X, May T, Meyer O, Milpied N, Morlat P, Pouchot J, Tattevin P, Viard JP, Lortholary O, Hanslik T. Vaccination in adults with auto-immune disease and/or drug related immune deficiency: results of the GEVACCIM Delphi survey. Vaccine 2009; 27:1523-9. [PMID: 19168104 DOI: 10.1016/j.vaccine.2009.01.003] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2008] [Revised: 12/09/2008] [Accepted: 01/07/2009] [Indexed: 11/17/2022]
Abstract
INTRODUCTION There are insufficient data regarding the efficacy and safety of vaccination in patients with auto-immune disease (AID) and/or drug-related immune deficiency (DRID). The objective of this study was to obtain professional agreement on vaccine practices in these patients. METHODS A Delphi survey was carried out with physicians recognised for their expertise in vaccinology and/or the caring for adult patients with AID and/or DRID. For each proposed vaccination practice, the experts' opinion and level of agreement were evaluated. RESULTS The proposals relating to patients with AID specified: the absence of risk of AID relapse following vaccination; the possibility of administering live virus vaccines (LVV) to patients not receiving immunosuppressants; the pertinence of determining protective antibody titre before vaccination; the absence of need for specific monitoring following the vaccination. The proposals relating to patients with DRID specified that a 3-6 month delay is needed between the end of these treatments and the vaccination with LVV. There is no contraindication to administering LVV in patients receiving systemic corticosteroids prescribed for less than two weeks, regardless of their dose, or at a daily dose not exceeding 10mg of prednisone, if this involves prolonged treatment. Out of 14 proposals, the level of agreement between the experts was "very good" for eleven, and "good" for the remaining three. CONCLUSION Proposals for vaccine practices in patients with AID and/or DRID should aid with decision-making in daily medical practice and provide better vaccine coverage for these patients.
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Vignon M, Cazenave B, Gambier N, Abad S, Larroche C, Falgarone G, Dhote R. Toxicité musculaire de la cochicine : caractères évolutifs. Rev Med Interne 2008. [DOI: 10.1016/j.revmed.2008.10.310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Gilson M, Abad S, Larroche C, Dhote R. Treatment of Schnitzler's syndrome with anakinra. Clin Exp Rheumatol 2007; 25:931. [PMID: 18173934] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
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Abad S, Badelon I, Warzocha U, Larroche C, Morax S, Dhote R. Xanthogranulomatose de l'orbite et des annexes chez l'adulte: À propos de deux patients et revue de la littérature. Rev Med Interne 2006. [DOI: 10.1016/j.revmed.2006.10.316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Fontaine A, Mahé I, Bergmann JF, Fiessinger JN, Dhote R, Cohen P, Vinceneux P. Effectiveness of written guidelines on the appropriateness of thromboprophylaxis prescriptions for medical patients: a prospective randomized study. J Intern Med 2006; 260:369-76. [PMID: 16961674 DOI: 10.1111/j.1365-2796.2006.01699.x] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To assess the effectiveness of providing doctors with written thromboprophylaxis prescription aids based on current recommendations. DESIGN A prospective trial of specific anticoagulant prescription forms: a 1-day survey before and after the intervention in each centre. SETTING 30 Internal Medicine departments of Assistance Publique-Hôpitaux de Paris. SUBJECTS All inpatients were included, except those who were either admitted or discharged on the day of the survey, and those receiving curative anticoagulant treatment. INTERVENTIONS The study included three parts: (i) a 1-day baseline survey; (ii) over the following 3-month period, departments were randomized into two groups: all practitioners in wards allocated to the intervention group were required to systematically use specific anticoagulant prescription forms, whilst doctors in the control group continued prescribing according to their usual practices and (iii) a 1-day postintervention survey. MAIN OUTCOME MEASURE The proportion of prescriptions in accordance with the recommendations. RESULTS 1,469 patients were included. The intervention produced a significant reduction in the frequency of over-prescriptions, from 25% to 14% of the patients who did not meet the guideline criteria (adjusted OR: 0.3; 95% CI: 0.1-0.8). Using specific forms did not improve under-prescription of anticoagulants. A little over 60% of the patients who met guideline criteria for thromboprophylaxis were prescribed anticoagulants in both intervention and control wards, either at baseline or after intervention. CONCLUSIONS Multitargeted interventions using a variety of means and strategies should still be considered to improve prescriptions that may have a significant impact on health expenses and, most importantly, on patients outcomes.
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Streho M, Delair E, Abad S, Sablé-Fourtassou R, Blanche P, Monnet D, Brion MC, Brezin AP, Dhote R. Uvéite et thyroïdite associée à HTLV-1. Rev Med Interne 2005; 26:894-6. [PMID: 16146665 DOI: 10.1016/j.revmed.2005.07.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2005] [Accepted: 07/11/2005] [Indexed: 11/25/2022]
Abstract
INTRODUCTION The oncovirus HTLV-1 is aetiologically associated with uveitis and autoimmune thyroiditis in endemic areas. The association of uveitis with autoimmune thyroiditis in HTLV-1 carriers is less common moreover in non-endemic area. EXEGESE We report two original cases of simultaneous uveitis and autoimmune thyroiditis in HTLV-1 carriers, without other disease due to HTLV-1. The visual outcome was favorable in both cases. CONCLUSION A significant correlation exists between hyperthyroidism, uveitis and HTLV-1, but still needs to be confirmed. The autoimmune or immune mediated mecanism of HTLV-1 may be involved in the uveitis and the thyroidits.
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Abad S, Vidal R, Valadier P, Abgral S, Sablé R, Larroche C, Dhote R. Une toux bien invalidante !…. Rev Med Interne 2005; 26 Suppl 2:S287-9. [PMID: 16129177 DOI: 10.1016/s0248-8663(05)81287-1] [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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Abad S, Meyssonier V, Allali J, Gouya H, Giraudet AL, Monnet D, Parc C, Tenenbaum F, Alberini JL, Grabar S, Pesce F, Rollot F, Sicard D, Dhote R, Blanche P, Brézin AP. Association of peripheral multifocal choroiditis with sarcoidosis: a study of thirty-seven patients. ACTA ACUST UNITED AC 2005; 51:974-82. [PMID: 15593175 DOI: 10.1002/art.20839] [Citation(s) in RCA: 57] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVE To assess the clinical spectrum of peripheral multifocal choroiditis (PMC) and its association with sarcoidosis. METHODS Thirty-seven patients examined between November 1997 and November 2001 who met all diagnostic criteria for PMC were included in this retrospective study. Patients were assessed for the following signs of sarcoidosis: typical changes on chest radiography or computed tomography; predominantly CD4 lymphocytosis in bronchoalveolar lavage fluid; elevated serum angiotensin-converting enzyme levels; elevated gallium uptake; and noncaseating granuloma on biopsy. RESULTS Most of the patients were female (30 of 37; 81%) and white (30 of 37; 81%). Mean +/- SD age at onset was 57.5 +/- 18.7 years. Seven (19%) of the 37 patients had biopsy-proven sarcoidosis and 18 patients (49%) with presumed sarcoidosis met at least 2 of the above-mentioned criteria for sarcoidosis but had normal biopsy results. Twelve patients (32%) had an indeterminate diagnosis. Patients with presumed sarcoidosis did not differ from those with proven sarcoidosis as regards the above-mentioned criteria, except for noncaseating granuloma, implying that more than two-thirds of patients (predominantly whites) had underlying sarcoidosis. Most patients with positive gallium scintigraphy had increased mediastinal uptake, as described in sarcoidosis. Patients with underlying sarcoidosis had more severe visual impairment due to cystoid macular edema (CME). Weekly methotrexate (0.3 mg/kg) seemed to control CME. CONCLUSION White patients with PMC should be considered to have sarcoidosis. The identification of sarcoidosis in patients with severe ocular disease can help with therapeutic choices.
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Guenoun JM, Parc C, Dhote R, Brezin AP. Le syndrome de Vogt-Koyanagi-Harada : aspects cliniques, traitement et suivi à long terme dans une population caucasienne et africaine. J Fr Ophtalmol 2004; 27:1013-6. [PMID: 15557863 DOI: 10.1016/s0181-5512(04)96257-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
PURPOSE Seventeen consecutive cases of Vogt-Koyanagi-Harada (VKH) disease were studied to determine their clinical profile. METHODS This was a retrospective study of 17 cases, in a white and African population. RESULTS The sex ratio (female/male) was 1.6. Mean age was 37.65 +/- 10.2 years. Eight patients were Caucasian (47%), and seven were from North Africa (41%), and two were black Africans (12%). Eleven patients were referred during the acute stage, and six patients secondarily. All patients had bilateral ocular involvement. Panuveitis with retinal serous detachment was the most frequent presentation (88%). Extraocular signs were found in 87% of the cases. Initial visual acuity was 0.29 +/- 0.36, and final visual acuity was 0.78 +/- 0.3. Patients seen during the acute stage were treated with general corticotherapy. Immunosuppressive agents were given in 56% of the cases. CONCLUSIONS Vogt-Koyanagi-Harada disease, in a Caucasian and African population, has a presentation close to that of the Japanese population. However, cutaneous signs are much rarer. Visual prognosis was generally favorable.
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Larroche C, Zidi S, Maissiat E, Fenaux P, Dhote R. [A treatment that messes one's hair up and works on an unhealthy liver...]. Rev Med Interne 2004; 25 Suppl 2:S253-4. [PMID: 15460467 DOI: 10.1016/s0248-8663(04)80020-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Abstract
This study confirmed several independent risk and protective factors for RCC identified in the authors' previous study. Protective factors such as oral contraceptive use and moderate alcohol consumption were identified only in women. Tobacco consumption and severe obesity were the main independent risk factors. There were other modifiable risk markers, however, such as occupational exposure, thiazidic drug intake, and urinary tract infections. The associations between risk factors and RCC were weak, even for tobacco, for which the association was weaker than that for lung cancer. The identified risks involve a large proportion of the population, however, and the risk attributable to these types of exposure is high. The authors' recommendations for the prevention of RCC are therefore similar to those for the prevention of cardiovascular disease and cancer, and should be disseminated to the general population. The high-risk groups identified are too large for a specific early-screening program for RCC, but such screening might be appropriate if restricted to selected age groups.
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Mir O, Dhote R, Scavennec R, Ropert S, Christoforov B. Cyclooxygenase 2 selective inhibitor induced bowel stricture: a case report. Gut 2004; 53:154. [PMID: 14684594 PMCID: PMC1773943 DOI: 10.1136/gut.53.1.154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/08/2022]
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Aubart F, Diebold B, Dhote R, Weinmann P, Valeyre D. [Cardiac sarcoidosis]. Rev Mal Respir 2003; 20:S45-9. [PMID: 15143310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/29/2023]
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Mir O, Scavennec R, Burnat P, Ropert S, Blanche P, Guillevin L, Dhote R. Adénosine désaminase : quelle valeur dans le diagnostic de la tuberculose? Rev Med Interne 2003. [DOI: 10.1016/s0248-8663(03)80517-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Abad S, Meyssonier V, Allali J, Monnet D, Parce C, Dhote R, Sicard D, Blanched P, Brezin A. La choroïdite multifocale périphérique idiopathiqueune maladie de système proche de la sarcoïdose? À propos d'une série de 32 patients. Rev Med Interne 2003. [DOI: 10.1016/s0248-8663(03)80092-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Dhote R, Mir O, Moulin V, Ropert S, Permal S, Scavennec R, Christoforov B. Un glissement trop fébrile. Rev Med Interne 2003. [DOI: 10.1016/s0248-8663(03)80673-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Mir O, Dhote R, Ropert S, Moulin V, Scavennec R, Christoforov B. Hépatite virale C associée à un lymphome splénique de type villeux : Un traitement unique. Rev Med Interne 2002. [DOI: 10.1016/s0248-8663(02)80669-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Bachet J, Dhote R, Permal S, Touzé E, Prots L, Christoforov B. Bulles. Rev Med Interne 2002. [DOI: 10.1016/s0248-8663(02)80040-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Marque N, Dhote R, Permal S, Corlieu P, Christoforov B. Mucocèle intra-orbitaire et maladie de Wegener. Rev Med Interne 2002. [DOI: 10.1016/s0248-8663(02)80209-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Girier Dufournier P, Fain O, Assous M, Dhote R, Salama J, Mas J, Pierrot-Deseilligny C, Kettaneh A, Stimemann J, Thomas M. Formes neurologiques centrales chroniques de la borréliose de Lyme : 5 observations. Rev Med Interne 2001. [DOI: 10.1016/s0248-8663(01)80276-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Dhote R, Assous M, Lefebvre E, Blanche P, Sogni P, Piette J, Vinceneux P, Tulliez M, Christoforov B. Hépatite au cours de la fièvre Q. Rev Med Interne 2001. [DOI: 10.1016/s0248-8663(01)80040-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Dhote R, Sogni P, Assous MV. [Hepatic injuries related to Lyme borreliosis: response to 2 cases presented by I. Dadamessi et al]. GASTROENTEROLOGIE CLINIQUE ET BIOLOGIQUE 2001; 25:1125-6. [PMID: 11911003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/24/2023]
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