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Bouvry D, Mouthon L, Brillet PY, Kambouchner M, Ducroix JP, Cottin V, Haroche J, Viallard JF, Lazor R, Lebargy F, Tazi A, Wallaert B, Smail A, Pellegrin JL, Nunes H, Amoura Z, Cordier JF, Valeyre D, Naccache JM. Granulomatosis-associated common variable immunodeficiency disorder: a case-control study versus sarcoidosis. Eur Respir J 2012; 41:115-22. [PMID: 22903958 DOI: 10.1183/09031936.00189011] [Citation(s) in RCA: 64] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Abstract
The aim of the present study was to investigate to what extent interstitial lung disease (ILD) in common variable immunodeficiency disorder (CVID)-associated granulomatous disease (GD) is similar to pulmonary sarcoidosis 20 patients with CVID/GD were included in a retrospective study conducted by the Groupe Sarcoïdose Francophone. Medical records were centralised. Patients were compared with 60 controls with sarcoidosis. Clinical examination showed more frequent crackles in patients than controls (45% versus 1.7%, respectively; p<0.001). On thoracic computed tomography scans, nodules (often multiple and with smooth margins), air bronchograms and halo signs were more frequent in patients than controls (80% versus 42%, respectively; p=0.004) as well as bronchiectasis (65% versus 23%, respectively; p<0.001). The micronodule distribution was perilymphatic in 100% of controls and in 42% of patients (p<0.001). Bronchoalveolar lavage analysis showed lower T-cell CD4/CD8 ratios in patients than in controls (mean ± sd 1.6 ± 1.1 versus 5.3 ± 4, respectively; p<0.01). On pathological analysis, nodules and consolidations corresponded to granulomatous lesions with or without lymphocytic disorders in most cases. Mortality was higher in patients than controls (30% versus 0%, respectively) and resulted from common variable immunodeficiency complications. ILD in CVID/GD presents a specific clinical picture and evolution that are markedly different from those of sarcoidosis.
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Ducroix JP, Cadet E, Mazière JC, Desblache J, Thevenot C, Deraison MC, Dadamessi I, Orain JP, Smail A, Salle V, Schmidt J, Rochette J, Duhaut P. Génétique des hyperferritinémies idiopathiques : étude cas–témoins prospective multicentrique. Rev Med Interne 2012. [DOI: 10.1016/j.revmed.2012.03.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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78
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Lion-Daolio S, Guillaumont MP, Le Page L, Oukachbi Z, Smail A, Ducroix JP, Duhaut P. La non-compaction des ventricules nécessite de la compliance ! Rev Med Interne 2012. [DOI: 10.1016/j.revmed.2012.03.327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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79
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Salle V, Schmidt J, Mazière JC, Smail A, Fuentes V, Dahmani R, Krim M, Brihaye B, Mazière C, Ducroix JP, Duhaut P. Anticorps dirigés contre l’annexine A2 et morbidité obstétricale. Rev Med Interne 2012. [DOI: 10.1016/j.revmed.2012.03.079] [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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80
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Le Page L, Schmidt J, Lion-Daolio S, Oukachbi Z, Salle V, Smail A, Duhaut P, Ducroix J. Caractéristiques initiales des patients hétérozygotes composites (C282Y H63D). Rev Med Interne 2012. [DOI: 10.1016/j.revmed.2012.03.025] [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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81
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Ducroix JP, Leflon P, Desblache J, Orain JP, Thevenot C, Deraison MC, Dadamessi I, Cadet E, Schmidt J, Smail A, Salle V, Le Page L, Duhaut P. Hyperferritinémies idiopathiques et syndrome métabolique : étude cas–témoins prospective multicentrique. Rev Med Interne 2012. [DOI: 10.1016/j.revmed.2012.03.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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82
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Ducroix JP, Desblache J, Leflon P, Thevenot C, Deraison MC, Dadamessi I, Smail A, Krim M, Schmidt J, Cadet E, Salle V, Duhaut P. Hyperferritinémie idiopathique et insulino-résistance : étude cas–témoins prospective multicentrique. Rev Med Interne 2012. [DOI: 10.1016/j.revmed.2012.03.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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83
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Lanoix JP, Hamdad F, Borel A, Thomas D, Salle V, Smail A, El Samad Y, Schmit JL. Sphingomonas paucimobilis bacteremia related to intravenous human immunoglobulin injections. Med Mal Infect 2012; 42:37-9. [DOI: 10.1016/j.medmal.2011.10.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2011] [Revised: 09/19/2011] [Accepted: 10/03/2011] [Indexed: 11/26/2022]
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84
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Krim M, Domont F, Salle V, Smail A, Schmidt J, Duhaut P, Ducroix J, Magois E, François G, Quenum S, Leborgne L, Chauffert B. Caractéristiques cliniques et paracliniques de patients présentant des métastases cardiaques : étude rétrospective de 8 cas. Rev Med Interne 2011. [DOI: 10.1016/j.revmed.2011.10.327] [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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85
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Gobert D, Bussel JB, Cunningham-Rundles C, Galicier L, Dechartres A, Berezne A, Bonnotte B, DeRevel T, Auzary C, Jaussaud R, Larroche C, LeQuellec A, Ruivard M, Seve P, Smail A, Viallard JF, Godeau B, Hermine O, Michel M. Efficacy and safety of rituximab in common variable immunodeficiency-associated immune cytopenias: a retrospective multicentre study on 33 patients. Br J Haematol 2011; 155:498-508. [PMID: 21981575 DOI: 10.1111/j.1365-2141.2011.08880.x] [Citation(s) in RCA: 111] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
Patients with common variable immunodeficiency (CVID) are at high risk of developing immune thrombocytopenia (ITP) and/or autoimmune haemolytic anaemia (AHA). Given their underlying immunodeficiency, immunosuppressive treatment of these manifestations may increase the risk of infection. To assess efficacy and safety of rituximab in patients with CVID-associated ITP/AHA, a multicentre retrospective study was performed. Thirty-three patients, 29 adults and four children, were included. Patients received an average of 2·6 treatments prior to rituximab including steroids, intravenous immunoglobulin and splenectomy (21%). The median ITP/AHA duration at time of first rituximab administration was 12 months [range 1-324] and the indication for using rituximab was ITP (22 cases), AHA (n = 5) or both (n = 7); 1 patient was treated sequentially for ITP and then AHA. The overall initial response rate to rituximab was 85% including 74% complete responses. After a mean follow-up of 39 ± 30 months after rituximab first administration, 10 of the initial responders relapsed and re-treatment with rituximab was successful in 7/9. Severe infections occurred after rituximab in eight adults (24%), four of whom were not on immunoglobulin replacement therapy. In conclusion, rituximab appears to be highly effective and relatively safe for the management of CVID-associated severe immune cytopenias.
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86
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Krim M, Salle V, Smail A, Duhaut P, Ducroix JP. Un œdème du visage fort curieux. Rev Med Interne 2011. [DOI: 10.1016/j.revmed.2011.03.204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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87
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Salle V, Cordonnier C, Smail A, Mabille M, Krim M, Desblache J, Schmidt J, Duhaut P, Makdassi R, Choukroun G, Ducroix J. Étude de l’expression vasculaire de l’annexine A2 dans la néphrite lupique. Rev Med Interne 2011. [DOI: 10.1016/j.revmed.2011.03.085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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88
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Lanoix JP, Bourgeois AM, Schmidt J, Desblache J, Salle V, Smail A, Mazière JC, Betsou F, Choukroun G, Duhaut P, Ducroix JP. Serum procalcitonin does not differentiate between infection and disease flare in patients with systemic lupus erythematosus. Lupus 2010; 20:125-30. [DOI: 10.1177/0961203310378862] [Citation(s) in RCA: 48] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Systemic erythematosus lupus (SLE) is a common autoimmune disease. Disease flares may mimic infection with fever, inflammatory syndrome and chills, sometimes resulting in a difficult differential diagnosis. Elevated serum procalcitonin (PCT) levels have been reported to be predictive of bacterial infections, but with conflicting results. The value of serum procalcitonin has not been assessed in large series of SLE. We aimed to describe the distribution of PCT levels in SLE patients with and without flares, to assess the factors associated with increased PCT levels, and to determine the positive and negative predictive values of increased PCT for bacterial infection in SLE patients. Hospitalized SLE patients were included in a retrospective study. Serum PCT had been assayed, or a serum sample had been frozen on admission, before treatment modification. Serum PCT, measured by an automated immunofluorometric assay, and SLEDAI were assessed at the same time. Some 53 women (median age: 33.7 years, range 16–76) and seven men (median age: 52.5 years ± 19) were included. The median SLEDAI for patients with flare ( n = 16, 28%) was 2 (range: 0–29). Five patients (8%) had systemic infection. Only one patient had increased PCT levels. Men had significantly higher PCT levels than women (0.196 ± 0.23 versus 0.066 ± 0.03, p < 0.01) and a significant correlation was observed between PCT, age, erythrocyte sedimentation rate, and C-reactive protein. We conclude that PCT levels were within the normal range in infected and non-infected SLE patients and there was no ability to differentiate SLE patients with or without bacterial infection.
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89
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Costedoat-Chalumeau N, Galicier L, Francès C, Aumaitre O, Lioté F, Le Guern V, Limal N, Smail A, Ninet J, Perard L, Le Huong Thi D, Asli B, Grandpeix C, Sailler L, Ackermann F, Papo T, Brihaye B, Fain O, Stirnemann J, Jallouli M, Leroux G, Hulot JS, Lechat P, Musset L, Piette JC, Amoura Z. Étude des facteurs associés à une concentration basse d’hydroxychloroquine chez 523 patients inclus dans l’étude Plaquénil Lupus Systémique (PLUS, étude française multicentrique). Rev Med Interne 2010. [DOI: 10.1016/j.revmed.2010.03.410] [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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90
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Costedoat-Chalumeaum N, Galicier L, Aumaitre O, Francès C, Le Guern V, Lioté F, Smail A, Limal N, Perard L, Desmurs-Clavel H, Le Thi Huong D, Asli B, Grandpeix C, Pourrat J, Ackermann F, Papo T, Brihaye B, Fain O, Stirnemann J, Cohen J, Jallouli M, Hulot JS, Lechat P, Musset L, Piette JC, Amoura Z. Données épidémiologiques d’une cohorte française multicentrique de 569 patients lupiques. Rev Med Interne 2010. [DOI: 10.1016/j.revmed.2010.03.407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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91
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Desblache J, Duhaut P, Schmidt J, Domont F, Leroy G, Lanoix JP, Salle V, Smail A, Ducroix JP. Thrombocytose réactionnelle et risque thrombotique : étude de cohorte rétrospective. Rev Med Interne 2010. [DOI: 10.1016/j.revmed.2010.03.357] [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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92
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Schmidt J, Duhaut P, Dessort L, Desblache J, Smail A, Salle V, Le Page L, Brihaye B, Ducroix JP. Hyperéosinophilies de l’adulte : quel spectre étiologique, et quel seuil pathologique ? Rev Med Interne 2010. [DOI: 10.1016/j.revmed.2010.03.360] [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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93
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Schmidt J, Duhaut P, Dessort L, Desblache J, Le Page L, Brihaye B, Salle V, Smail A, Ducroix JP. Hyperéosinophilies d’origine médicamenteuse : mythe ou réalité ? Rev Med Interne 2010. [DOI: 10.1016/j.revmed.2010.03.419] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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94
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Costedoat-Chalumeau N, Jallouli M, Galicier L, Aumaître O, Francès C, Le Guern V, Liote F, Smail A, Limal N, Pérard L, Desmurs-Clavel H, Le Thi Huong D, Asli B, Grandpeix C, Pourrat J, Ackermann F, Papo T, Brihaye B, Fain O, Stirnemann J, Cohen J, Tanguy ML, Hulot JS, Lechat P, Musset L, Piette JC, Amoura Z. Description des patients lupiques inclus dans l’étude PLUS (Plaquénil Lupus Systémique, étude française multicentrique) en fonction de leur origine ethnique. Rev Med Interne 2010. [DOI: 10.1016/j.revmed.2010.03.406] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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95
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Le Roy G, Salle V, Smail A, Schmidt J, Desblache J, Domont F, Duhaut P, Ducroix JP. Un syndrome POEMS d’évolution gravissime. Rev Med Interne 2010. [DOI: 10.1016/j.revmed.2010.03.150] [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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96
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Qassemyar Q, Smail A, Perignon D, Robbe M, Sinna R. [Cold abscess and Bazin's indurated erythema associated to pubic symphysis tuberculosis]. Med Mal Infect 2010; 40:552-4. [PMID: 20447788 DOI: 10.1016/j.medmal.2010.02.008] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2009] [Revised: 11/07/2009] [Accepted: 02/12/2010] [Indexed: 11/27/2022]
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97
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Lanoix JP, Bourgeois AM, Schmidt J, Desblache J, Salle V, Smail A, Mazière J, Duhaut P, Ducroix JP. La procalcitonine dans le lupus systémique : taux de base, en poussée, en infection. Rev Med Interne 2009. [DOI: 10.1016/j.revmed.2009.10.353] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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98
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Schmidt J, Duhaut P, Le Page L, Chatelain D, Smail A, Salle V, Piette J, Bosshard S, Pellet H, Ducroix J. Causes de mortalité dans la PPR : étude de double cohorte multicentrique GRACG. Rev Med Interne 2009. [DOI: 10.1016/j.revmed.2009.10.115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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99
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Schmidt J, Duhaut P, Smail A, Salle V, Le Page L, Desblache J, Bosshard S, Piette J, Pellet H, Ducroix JP. Corticothérapie et contraintes diététiques : qu’en pensent les patients ? Étude multicentrique GRACG. Rev Med Interne 2009. [DOI: 10.1016/j.revmed.2009.10.038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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100
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Zaatar R, Biet A, Smail A, Strunski V, Page C. [Cervical lymph node tuberculosis: diagnosis and treatment]. ACTA ACUST UNITED AC 2009; 126:250-5. [PMID: 19836725 DOI: 10.1016/j.aorl.2009.09.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2009] [Accepted: 09/03/2009] [Indexed: 11/24/2022]
Abstract
OBJECTIVES The purpose of this study was to evaluate the advantages of surgery for diagnosis and treatment of cervical lymph node tuberculosis. MATERIAL AND METHODS This was a retrospective study from 1st January 1998 to 31st December 2007 including 30 patients with cervical lymph node tuberculosis. The population included 60% autochthones with a mean age of 47.1 years and a female predominance (73.33%). RESULTS The lymph nodes were most often supraclavicular, unilateral, firm, and a mean 3 cm at its largest span. Lymph nodes were excised for diagnosis in 22 patients, which demonstrated specific granulomatous and giant cell lesions with caseous necrosis in 21 patients out of 22. Five abscessed adenopathies required surgical drainage, and three cases required repeated lymph node cleaning after well-conducted medical treatment. CONCLUSION Surgery retains an important place in the diagnosis and treatment of cervical lymph node tuberculosis.
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