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Manckoundia P, Zarouala B, Lalu-Fraisse A, Besancenot JF, Lorcerie B, Pfitzenmeyer P. [Muscle hematoma in the very elderly receiving low-molecular-weight heparins]. Presse Med 2000; 29:702. [PMID: 10797822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/16/2023] Open
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102
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Bonnotte B, Gresset AC, Chvetzoff G, Martin F, Lorcerie B, Chauffert B. Efficacy of colchicine alone or in combination with vinca alkaloids in severe corticoid-resistant thrombocytopenic purpura: six cases. Am J Med 1999; 107:645-6. [PMID: 10625040 DOI: 10.1016/s0002-9343(99)00251-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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103
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Maillefert JF, Sibilia J, Toussirot E, Vignon E, Eschard JP, Lorcerie B, Juvin R, Parchin-Geneste N, Piroth C, Wendling D, Kuntz JL, Tavernier C, Gaudin P. Rheumatic disorders developed after hepatitis B vaccination. Rheumatology (Oxford) 1999; 38:978-83. [PMID: 10534549 DOI: 10.1093/rheumatology/38.10.978] [Citation(s) in RCA: 92] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE To obtain an overview of rheumatic disorders occurring after hepatitis B vaccination. METHODS A questionnaire was sent to rheumatology departments in nine French hospitals. Criteria for entry were rheumatic complaints of 1 week's duration or more, occurrence during the 2 months following hepatitis B vaccination, no previously diagnosed rheumatic disease and no other explanation for the complaints. RESULTS Twenty-two patients were included. The observed disorders were as follows: rheumatoid arthritis for six patients; exacerbation of a previously non-diagnosed systemic lupus erythematosus for two; post-vaccinal arthritis for five; polyarthralgia-myalgia for four; suspected or biopsy-proved vasculitis for three; miscellaneous for two. CONCLUSIONS Hepatitis B vaccine might be followed by various rheumatic conditions and might trigger the onset of underlying inflammatory or autoimmune rheumatic diseases. However, a causal relationship between hepatitis B vaccination and the observed rheumatic manifestations cannot be easily established. Further epidemiological studies are needed to establish whether hepatitis B vaccination is associated or not with an incidence of rheumatic disorders higher than normal.
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Bonnotte B, Gresset AC, Chauffert B, Courtois JM, Martin F, Collet E, Sgro C, Lorcerie B. [Early signs of systemic disease in patients taking minocycline chlorhydrate]. Presse Med 1999; 28:1105-8. [PMID: 10399498] [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: 02/13/2023] Open
Abstract
BACKGROUND Search for etiology in young subjects with joint disease must take into consideration causes other than reactional arthropathy or systemic disease. CASE REPORTS Two young subjects consulted for joint pain involving various joints. Physical examination did not reveal any other abnormality. Serum tests were positive for antinuclear antibodies and/or showed moderately and persistently elevated transaminases. History taking revealed that these subjects had been taking minocyclin chlorhydrate for several months, or even years, for acne. Joint pain subsided with drug withdrawal and serum tests returned to normal. DISCUSSION Long-term treatment with minocylin chlorhydrate should always be included in the search for an etiology in patients presenting joint pain.
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Manckoundia P, Troussard-Mischis C, Piroth C, Camus A, Lalu-Fraisse A, Pfitzenmeyer P, Lorcerie B. Hématomes musculaires sous héparine de bas poids moléculaire chez le sujet très âgé. Rev Med Interne 1999. [DOI: 10.1016/s0248-8663(99)80431-7] [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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106
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Bonnotte B, Krause D, Fanton AL, Theron J, Chauffert B, Lorcerie B. False aneurysm of the internal carotid artery in Behçet's disease: successful combined endovascular treatment with stent and coils. Rheumatology (Oxford) 1999; 38:576-7. [PMID: 10402082 DOI: 10.1093/rheumatology/38.6.576] [Citation(s) in RCA: 23] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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107
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Chérin P, Authier F, Généreau T, Abdelmoumni A, Ranoux D, Lorcerie B, Ghérardi R, Herson S. Atteinte du système nerveux central au cours de la myofasciite à macrophages. Rev Med Interne 1999. [DOI: 10.1016/s0248-8663(99)80148-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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108
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Bonnotte B, Chauffert B, Caillot D, Martin F, Lorcerie B. Successful treatment with antithymocyte globulin and cyclosporin A of a severe aplastic anaemia associated with an eosinophilic fasciitis. BRITISH JOURNAL OF RHEUMATOLOGY 1998; 37:1358-9. [PMID: 9973169 DOI: 10.1093/rheumatology/37.12.1358] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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109
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Turcu A, Bonnotte B, Fein F, Martin F, Chauffert B, Lorcerie B. [Association of celiac disease and antiphospholipid syndrome]. Presse Med 1998; 27:1789. [PMID: 9850693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/09/2023] Open
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110
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Bonnotte B, Wautot A, Chauffert B, Sgro C, Martin F, Lorcerie B. [Iatrogenic aseptic meningitis]. Presse Med 1998; 27:1102. [PMID: 9767811] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/09/2023] Open
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111
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Charles PE, Bonnotte B, Turcu A, Prost P, Olsson NO, Chauffert B, Martin F, Becker F, Lorcerie B. Intérêt des marqueurs tumoraux dans le bilan étiologique d'une thrombose veineuse profonde chez un sujet de plus de 50 ans. Rev Med Interne 1998. [DOI: 10.1016/s0248-8663(98)80142-2] [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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Lévêque L, Michiels C, Collet E, Jouve JL, Lorcerie B, Lambert D. [Eosinophilic ascites and urticaria]. Rev Med Interne 1998; 19:334-7. [PMID: 9775167 DOI: 10.1016/s0248-8663(98)80103-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
INTRODUCTION The finding of eosinophilic ascites is unusual. It requires the search for the main etiology, i.e., parasitic or malignant disease, vasculitis or hypereosinophilic syndrome. The diagnosis of exclusion is either mucosal, muscular or serous eosinophilic gastroenteritis. This last type, the most unusual--as less than 50 cases have been documented until now--is associated with eosinophilic ascites. EXEGESIS We report a new case of serous eosinophilic gastroenteritis that occurred in a 23-year-old woman. This case was unusual because of its clinical history, as abdominal pain fits (along with the occurrence of ascites) were associated with urticaria fits. The lack of eosinophils in both the blood counts and the various digestive biopsies were unusual too. The disease evolution was favorable with corticosteroid therapy; however, a minimal dose of 8 mg/day was necessary to control the disease symptoms. CONCLUSION Because of its association with urticaria fits, this case emphasizes the need for differential diagnosis in patients with hypereosinophilic syndrome and food allergy.
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Bonnotte B, Mercier E, Chvetzoff G, Martin F, Chauffert B, Lorcerie B. Purpura thrombopénique auto-immun réfractaire : ne pas oublier la colchicine ! Rev Med Interne 1998. [DOI: 10.1016/s0248-8663(98)90210-7] [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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115
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Collet E, Durieu I, Didier AF, Bonotte B, Petit JM, Vital Durand D, Lambert D, Lorcerie B, Levrat R. Sclérœdème de Buschke : à propos de sept cas. Rev Med Interne 1998. [DOI: 10.1016/s0248-8663(98)90076-5] [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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116
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Bonnotte B, Chauffert B, Martin F, Lorcerie B. Side-effects of high-dose intravenous (pulse) methylprednisolone therapy cured by potassium infusion. BRITISH JOURNAL OF RHEUMATOLOGY 1998; 37:109. [PMID: 9487265 DOI: 10.1093/rheumatology/37.1.109a] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
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117
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Bonnotte B, Huyen TE, Chauffert B, Jouve JL, Martin F, Lorcerie B. [Bolus of corticoids: side-effects and precautions of use]. Presse Med 1997; 26:1070-3. [PMID: 9246122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
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118
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Bonnotte B, Rossignoli N, Goegebœur G, Chauffert B, Wautot A, Martin F, Lorcerie B. Tuberculose hépatique et syndrome hémophagocytaire. Rev Med Interne 1997. [DOI: 10.1016/s0248-8663(97)80507-3] [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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119
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Bonnotte B, Wautot A, Krause D, Théron J, Chauffert B, Martin F, Lorcerie B. Anévrismes cérébraux au cours d'une maladie de Behçet. Succès de la radiologie interventionnelle. Rev Med Interne 1997. [DOI: 10.1016/s0248-8663(97)80460-2] [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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120
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Bonnotte B, Lemaire V, Krause D, Chauffert B, Martin F, Lorcerie B. Dysplasie fibreuse et myxomes intramusculaires. Rev Med Interne 1997. [DOI: 10.1016/s0248-8663(97)80473-0] [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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121
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Lorcerie B, Bonnotte B, Chauffert B, Khardouche H, Aho S, Meynadier M, Martin F. Ferritine sérique et glycosylée dans les syndromes inflammatoires et les cancers. Rev Med Interne 1997. [DOI: 10.1016/s0248-8663(97)80248-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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122
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Bonnotte B, Schaeffer F, Guillaume S, Martin F, Chauffert B, Lorcerie B. Hématomes spontanés récidivants. Rev Med Interne 1997. [DOI: 10.1016/s0248-8663(97)80108-7] [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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123
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Munsch B, Chauffert B, Baulot E, Bonnotte B, Lorcerie B. [Consumption coagulopathy in a periprosthetic fracture of the hip]. Presse Med 1996; 25:84. [PMID: 8745730] [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] Open
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124
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Bonnotte B, Deboulard A, Charmoille V, Chauffert B, Lorcerie B, Martin F. Manifestations rhumatologiques associées aux syndromes myélodysplasiques: six observations. Rev Med Interne 1996. [DOI: 10.1016/s0248-8663(97)81164-2] [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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125
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Bonnotte B, Jolimoy C, Pacaud A, Allain P, Lorcerie B, Chevet D. Hyperchlorémie révélant une intoxication par le brome: trois observations. Rev Med Interne 1996. [DOI: 10.1016/s0248-8663(97)81126-5] [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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126
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Bonnotte B, Jouve J, Casanovas R, Caillot D, Solary E, Chauffert B, Lorcerie B, Martin F. Aplasie médullaire: complication d'un syndrome de Shulman. Réponse favorable au niveau cutané et sanguin de l'association sérum antilymphocytaire (SAL) et ciclosporine A (CsA). Rev Med Interne 1996. [DOI: 10.1016/s0248-8663(97)81077-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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127
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Munsch B, Chauffert B, Cuny C, Lorcerie B, Martin F. [Perforation of colonic diverticulum under corticoids: a complication to be known and recognized]. Rev Med Interne 1995; 16:137-40. [PMID: 7709103 DOI: 10.1016/0248-8663(96)80678-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Glucocorticoids can produce acute perforation of colonic diverticula and peritoneal infection. We report two observations in which patients presented a peritoneal collection with no specific clinical signs. The diagnosis was considered after C-T scan or ultrasans. Residues of contrast liquid, after an earlier X-ray exploration, have made the diagnosis of diverticula easier. In one case, corticosteroids were started as a short cure for the treatment of a myeloma. In the other case, patient received a long term corticosteroid therapy at low dose for an asthmatic disease. The perforation was induced by an increased dosage. Diverticular perforations result from inhibition of synthesis of prostaglandins who have the beneficial property of "cytoprotection" and from the immunosuppressive action of glucocorticoids which favour the diffusion of the peritoneal infection. diffusion of the peritoneal infection.
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128
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Piroth L, Cuny C, Baulot E, Gabrielle F, Chauffert B, Krause D, Brenot R, Lorcerie B, Martin F. [Association of infectious aneurysm and microbial spondylodiscitis: physiopathological hypotheses, diagnostic and therapeutic approach]. Rev Med Interne 1994; 15:528-34. [PMID: 7938968 DOI: 10.1016/s0248-8663(05)81483-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
Two years after a Staphylococcus aureus septicaemia, in a patient with dermatopolymyositis occurred an infectious aneurysm of abdominal aorta with contiguous pyogenic spondylodiscitis. Coexistence of both pathologies is rare and physiopathological mechanisms still remain uncertain. However, many arguments in the present case report are in favour of the initial responsibility of an infectious aneurysm. Main interest in early diagnosing infectious aneurysm, allowed by new investigations such as magnetic resonance imaging and marked leukocyte bone scanning, is the prevention of major complications. Antibiotherapy and surgical removal of infectious aneurysm must be quickly achieved in every case.
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Tavernier C, Lorcerie B, Maillefert JF, Cusenier B, Peere T. Rhumatisme parasitaire à anguillule. Rev Med Interne 1994. [DOI: 10.1016/s0248-8663(05)82756-0] [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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130
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Paris P, Collet E, Chauffert B, Gaumont N, Guiard-Schmid JB, Cuny C, Lorcerie B. Manifestations extradigestives des giardiases. Rev Med Interne 1994. [DOI: 10.1016/s0248-8663(05)82757-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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131
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Pfitzenmeyer P, Besancenot JF, Verges B, Cougard P, Lorcerie B, Cercueil JP, Monnier V, Turcu A, Gaudet M. Primary hyperparathyroidism in very old patients. THE EUROPEAN JOURNAL OF MEDICINE 1993; 2:453-6. [PMID: 8258044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
OBJECTIVES To evaluate the clinical presentation and biological features of primary hyperparathyroidism (pHPT) in very old subjects. METHODS Thirty patients aged 75 years or more, with pHPT were analyzed retrospectively. The diagnosis of pHPT was based on usual biological signs and was always confirmed by the finding of morphological abnormalities with parathyroid imaging or neck surgical exploration. RESULTS At initial examination, recent general symptoms and neuromuscular symptoms were observed in 87% and 83% of the cases, respectively. Neuropsychiatric manifestations were noted in 73% of the cases. Confusion and depression were the most frequent findings, observed in 30% and 27% of the cases, respectively. In one of two patients with dementia like state, the mental status improved dramatically after surgery of the parathyroid adenoma. Serum calcium levels were in the normal range in 13% of the cases and equal or below 110 mg/L in 47% of the cases. There was no correlation between serum calcium level and the severity of mental changes. Serum parathyroid hormone determinations were abnormal in 93% of the patients. Thirteen patients underwent surgery with biological improvement in all cases. An ultrasonically guided percutaneous ethanol injection of parathyroid adenoma was performed in 10 patients with a biological cure rate of 50%. CONCLUSION This study shows the major prevalence and potential severity of neuropsychiatric disorders in pHPT in very old patients. Because neuropsychiatric disturbances can respond favourably to surgical treatment, the clinician must systematically look for pHPT in elderly patients with cognitive impairment.
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Lorcerie B, Chauffert B, Cuny C, Daeuble S, Chantereau M, Martin F. Toxicité médicamenteuse: fièvre sous Hydréa®. Rev Med Interne 1993. [DOI: 10.1016/s0248-8663(05)80545-4] [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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133
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Cuny C, Eicher JC, Collet E, Chatard C, Chauffert B, Lorcerie B, Martin F, Wolf JE, Louis P. [Dilated cardiomyopathy disclosing dermatopolymyositis. Management]. Ann Cardiol Angeiol (Paris) 1993; 42:155-8. [PMID: 8498803] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
Cardiac involvement in dermatopolymyositis is common but rarely symptomatic. Cardiac failure as the presentation is very rare. No correlation exists between the severity of muscular involvement and cardiac involvement. Myocarditis is not uncommon and must be borne in mind if CK MB are above 3% of total CK. It is always associated with electrocardiographic abnormalities. Corticosteroids remain first line treatment. They generally lead to regression of cardiac problems which are usually of secondary importance. If cardiac involvement is severe, the spectacular action of venoglobulins should lead to their use being envisaged from the outset, combined with corticosteroids.
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Piroth L, Cuny C, Chauffetr B, Krause D, Lorcerie B, Martin F. Association anévrysme infectieux et spondylodiscite microbienne: mécanismes physiopathologiques et attitudes pratiques. Rev Med Interne 1993. [DOI: 10.1016/s0248-8663(05)80158-4] [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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135
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Lorcerie B, Chauffert B, Cuny C, Collet E, Boutron MC, Chantereau MJ, Martin F. Association hydroxyurée-interféron alpha dans le traitement d'une mastocytose systémique. Rev Med Interne 1993. [DOI: 10.1016/s0248-8663(05)80229-2] [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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136
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Castell P, Collet E, Chauffert B, Cuny C, Morlevat F, Lambert D, Lorcerie B. Abcès cutanés récidivants: rôle pathogène de Mycobacterium terrae? Rev Med Interne 1993. [DOI: 10.1016/s0248-8663(05)80232-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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137
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Bonnotte B, Caillot D, Chauffert B, Cuny C, Bone M, Lorcerie B, Martin F. Maladie de Hodgkin et mélanome malin: une association non forfuite. Rev Med Interne 1992. [DOI: 10.1016/s0248-8663(05)81049-5] [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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138
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Bonnotte B, Chantereau MJ, Lorcerie B, Chauffert B, Noblet JF, Chalopin JM, Martin F. [Intra-alveolar hemorrhages in systemic diseases]. Presse Med 1992; 21:839-42. [PMID: 1535148] [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: 12/27/2022] Open
Abstract
Alveolar haemorrhage is usually, but often belatedly, diagnosed in patients presenting with haemoptysis and radiological alveolar syndrome. Its occurrence frequently marks a turn for the worst in the course of a systemic disease, since its prognosis is sombre. Recognizing its early signs might enable treatment to be instituted and prognosis to be improved. In the presence of typical alveolar haemorrhage, if high-dose corticosteroid therapy and immunosuppressants do not improve the symptoms within 48 hours plasmapheresis must be started. Alveolar haemorrhage must be considered a vital emergency justifying this therapeutic approach without waiting for the hypothetical diagnosis of the underlying systemic disease.
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Bielefeld P, Dalac S, Petrella T, Liet J, Bailly F, Collet E, Lorcerie B, Lambert D, Besancenot J. Mastocytose systémique de l'adulte : à propos de 8 observations. Rev Med Interne 1992. [DOI: 10.1016/s0248-8663(05)81540-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Abstract
Homocystinuria was discovered in a 21-year-old woman when she presented with lower limb ischemia and pulmonary embolism. This patient had a partial deficit in cystathionine-synthetase and took strongly dosed oral contraceptive medication. This report underscores: (1) the value of searching for this type of pathology even in the adult; (2) the possibility of disclosure by another condition, and particularly, drug-induced; (3) the importance of searching for other involved members of the same family; and (4) the possibility of treatment in vitamin sensitive patients.
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Chauffert B, Chevet D, Chantereau MJ, Tanter Y, Charffedine K, Lorcerie B. [Hypocalcemia induced by cisplatin. Inappropriate parathyroid response due to hypomagnesemia]. Presse Med 1991; 20:1288-9. [PMID: 1832768] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/29/2022] Open
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142
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Lorcerie B, Besancenot JF, Maillefert F, Chantereau MJ, Olsson O, Chauffert B, Lalu-Fraisse A, Strauss J, Martin F. [False hyperphosphoremia in multiple myeloma. Interference of monoclonal immunoglobulin G with the determination of blood phosphorus level]. Rev Med Interne 1991; 12:262-4. [PMID: 1759064 DOI: 10.1016/s0248-8663(05)82861-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
A case of pseudohyperphosphataemia detected in a male patient with multiple IgG myeloma is reported. Phosphataemia, measured by a technique without previous deproteinization, reached 5.66 mM before any treatment and varied with treatment-induced changes in monoclonal immunoglobulin levels. Conversely, normal phosphataemia levels were found in blood samples taken before and after treatment when serum was deproteinized. This pseudohyperphosphataemia resulted from an increase in optic density due to interference between monoclonal immunoglobulin and the molybdic reagent used to determine phosphataemia. A retrospective investigation yielded three similar cases: two in patients with myeloma and one in a patient with non-myelomatous monoclonal dysglobulinaemia. A brief prospective study showed that this phenomenon was relatively frequent, as it was found in 2 out of 9 patients with monoclonal immunoglobulin (IgG in all 9 cases). These data indicate that the finding of marked hyperphosphataemia in subjects with monoclonal dysglobulinaemia should always prompt a control assay performed on deproteinized blood.
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Chantereau M, Lorcerie B, Chauffert B, Petion A, Martin F. Syndrome de Sjögren maternel et agénésie diaphragmatique fœtale. Rev Med Interne 1991. [DOI: 10.1016/s0248-8663(05)83058-9] [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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144
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Lorcerie B, Dutrillaux F, Chantereau M, Lorenzini J, Chauffert B, Zeller V, Aho S, Martin F. Les héparines de bas poids moléculaire en traitement anti-thrombotique préventif ; étude comparative de leur action sur deux marqueurs de thrombose. Rev Med Interne 1991. [DOI: 10.1016/s0248-8663(05)82976-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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145
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Collet E, Dalac S, Lorcerie B, Petrella T, Escallier F, Lambert D, Martin F. [Cutaneous plasmacytoma: review of the literature apropos of a case]. Rev Med Interne 1991; 12:183-6. [PMID: 1896710 DOI: 10.1016/s0248-8663(05)83169-8] [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: 12/29/2022]
Abstract
Extramedullary plasmocytomas are ubiquitous plasmocytic tumours which are principally located in bones and mucosae but rarely found on the skin. Clinically, they present as purplish-blue cutaneous nodules or, less frequently, as papular or urticarial eruptions. The diagnosis rests on histology and immunostaining. Cutaneous plasmocytomas are usually divided into two types: (1) primary plamocytomas which occur in the absence of myeloma, present as solitary or multiple skin tumours, accompanied or not by monoclonal gammopathy, and have an imperfectly known course and prognosis; (2) secondary plasmocytomas--a case of which is reported here--which appear in the course of a large tumoral mass myeloma and have a very poor prognosis.
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146
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Chantereau M, Lorcerie B, Camus P, Chauffert B, Sgro C, Martin F. Ribomunyl® — Maladie thromboembolique. Relation de cause à effet ? Rev Med Interne 1991. [DOI: 10.1016/s0248-8663(05)83047-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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147
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Chantereau M, Pichon E, Matagrin C, Giraud J, Matagrin G, Chauffert B, Lorcerie B, Martin F. Polychondrite atrophiante et manifestations inhabituelles. Rev Med Interne 1990. [DOI: 10.1016/s0248-8663(05)81844-2] [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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148
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Bonnotte B, Lorcerie B, Noblet J, Chantereau M, Chauffert B, Chalopin J, Martin F. Syndrome d'hémorragie intra-alvéolaire et maladie de système. Réflexions diagnostiques et thérapeutiques à propos de 5 observations. Rev Med Interne 1990. [DOI: 10.1016/s0248-8663(05)81782-5] [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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149
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Chantereau M, Mabille J, Giraud J, Couaillier J, Chauffert B, Lorcerie B, Martin F. Main de Jaccoud et CREST syndrome. Rev Med Interne 1990. [DOI: 10.1016/s0248-8663(05)81839-9] [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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150
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Obadia JF, Becker F, Sgro C, Morelon P, Lancon JP, Lorcerie B, Raoux MH, Brenot R, David M. [Ischemic vascular complications following thrombopenia induced by heparin. Diagnostic and therapeutic problems]. ARCHIVES DES MALADIES DU COEUR ET DES VAISSEAUX 1990; 83:1429-33. [PMID: 2122862] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
The authors report 21 cases of heparin-induced thrombocytopenia with ischemic vascular complications. The clinical presentations were peripheral arterial ischemia (16 cases), hemiplegia (1 case) and deep vein thrombosis (4 cases). The vascular surgeon confronted by these complications in an emergency situation should recognise the difficulties of clinical diagnosis (atypical forms) and biological investigations (problems of tests of platelet aggregation). Arterial occlusions are usually accessible to disobliteration with a Fogarty catheter without peroperative heparinisation. Delayed diagnosis explains the seriousness of these complications; in our series of 21 patients, there were 2 deaths, 1 paraplegia, 4 amputations due to arterial problems, 4 severe post-deep vein thrombosis conditions, two of which followed trans-metatarsal amputation. The diagnosis of heparin-induced thrombocytopenia implies immediate withdrawal of heparin therapy. A relay with a low molecular weight heparin is not without risk and should only be undertaken after a negative platelet aggregation test (with the low molecular weight heparin). These tests are rarely practicable in emergency situations and a relay using oral anti-vitamin K antagonists with a rapid onset of action is probably the safest option.
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