76
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Godeau B, Palazzo E, Morinet F, Deplanche M, Deforge L, Schaeffer A, Kahn MF. Is Still's disease associated with parvovirus B19 infection? Lancet 1995; 345:59-60. [PMID: 7799719 DOI: 10.1016/s0140-6736(95)91182-0] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
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77
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Godeau B, Durand JM, Thénnezé A, Roudot-Thoraval F, Oksenhendler E, Schaeffer A, Bierling P. Traitement du purpura thrombopénique immunologique chronique par la dapsone: soixante-six observations. Rev Med Interne 1995. [DOI: 10.1016/0248-8663(96)86563-5] [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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78
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Mouly F, Pawlotsky JM, Schaeffer A, Benkhraba F, Roujeau JC, Revuz J, Bagot M. Association of porphyria cutanea tarda and lichen planus in a patient with chronic hepatitis C virus infection. Br J Dermatol 1995; 132:158-9. [PMID: 7756135 DOI: 10.1111/j.1365-2133.1995.tb08649.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
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79
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Godeau B, Paul M, Autegarden JE, Leynadier F, Astier A, Schaeffer A. Hypersensitivity to azathioprine mimicking gastroenteritis. Absence of recurrence with 6-mercaptopurine. GASTROENTEROLOGIE CLINIQUE ET BIOLOGIQUE 1995; 19:117-9. [PMID: 7720971] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Hypersensitivity mimicking gastroenteritis is a rare complication of azathioprine therapy for which the mechanism is unknown. We report a case of devastating diarrhoea and vomiting due to azathioprine treatment in which hypersensitivity to the imidazole moiety of azathioprine was demonstrated. This has important therapeutic implications: in this situation, 6-mercaptopurine, which is the portion of azathioprine responsible for the cytotoxic therapeutic effect, can be administered without recurrence of side-effects.
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80
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Coutant-Perronne V, Bachir D, Schaeffer A, Lee K, Galacteros F, Thuret I, Rose C, Lahary A, Godeau B. De quoi meurent les adultes drépanocytaires? Rev Med Interne 1995. [DOI: 10.1016/0248-8663(96)86538-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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81
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Godeau B, Lebargy F, Fleury J, Vaillant JN, Bachir D, Galacteros F, Escudier E, Devaux D, Schaeffer A. Les syndromes thoraciques aigus drépanocytaires peuvent-ils être dus à des embolies graisseuses ? Rev Med Interne 1994. [DOI: 10.1016/s0248-8663(05)82583-4] [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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82
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Godeau B, Bachir D, Randrianjohanny A, Jouault H, Galacteros F, Portos JL, Schaeffer A. [Extensive bone marrow necrosis and major sickle cell syndromes]. Rev Med Interne 1994; 15:25-9. [PMID: 8052750 DOI: 10.1016/s0248-8663(05)82126-5] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
Three cases of extensive bone marrow necrosis in patients with sickle cell disease are reported. All three patients presented severe bone pains with severe anaemia (haemoglobin value less than 5 g/dl) and high increased of LDH serum values (upper than 20 fold normal value). Bone marrow aspirate and biopsy showed typical signs of necrosis. The extent of necrosis was evaluated by reticuloendothelial scan obtained with 111In chloride. Treatment required transfusions of phenotyped red blood cell concentrates. Favourable outcome was observed in all patients.
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83
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Ollivaud L, Godeau B, Lionnet F, Abbou CC, Lejonc JL, Schaeffer A. Cogan's syndrome and Peyronie's disease: a non-fortuitous association. BRITISH JOURNAL OF RHEUMATOLOGY 1993; 32:1111. [PMID: 8252326 DOI: 10.1093/rheumatology/32.12.1111] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
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84
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Godeau B, Brun-Buisson C, Brugières P, Roucoules J, Schaeffer A. Complete resolution of spinal epidural abscess with short medical treatment alone. THE EUROPEAN JOURNAL OF MEDICINE 1993; 2:510-1. [PMID: 8258060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
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85
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Godeau B, Bachir D, Galacteros F, Anglade MC, Portos JL, Schaeffer A. [Acute aseptic arthritis in major sickle cell syndromes]. Presse Med 1993; 22:995-8. [PMID: 8367439] [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: 01/30/2023] Open
Abstract
We report 9 cases of febrile aseptic arthritis which occurred in 6 adults presenting with major sickle cell disease. The monoarticular arthritis affected the knee in 8 cases and the ankle in 1 case. Body temperature ranged from 38 degrees C to 39.5 degrees C in 7 cases, and neutrophilia (12.7 to 24 x 10(9)/l) was noted on six occasions. The always sterile synovial fluid contained 100 to 1700 cells/mm3 in 6 cases and 5200 to 12,500 cell/mm3 in 3 cases. Uricacidaemia was normal, and a search for crystals in the synovial fluid gave negative results. Bone scintigraphy and magnetic resonance imaging, performed in 3 patients, revealed the presence of a juxta-articular cortical bone infarct, whereas standard radiography was normal. In all patients, a brief immobilization and treatment with non-steroidal anti-inflammatory drugs resulted in complete cure in less than 10 days. These cases illustrate the characteristics of sickle cell arthritis, a rare complication of major sickle cell disease. Clinically, the condition resembles septic arthritis, being febrile and showing granulocytosis, but articular needle aspiration corrects the diagnosis. The mechanisms underlying these disorders have not yet been elucidated, but the bone scintigraphy and MRI performed in our patients are in favour of a reaction to a juxta-articular bone infarct.
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86
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Godeau B, Leroy-Matheron C, Gouault-Heilmann M, Schaeffer A. A case of portal vein thrombosis associated with protein S deficiency. J Hepatol 1993; 18:258. [PMID: 8409344 DOI: 10.1016/s0168-8278(05)80257-0] [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: 01/30/2023]
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87
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Godeau B, Bachir D, Galacteros F, Rosemberg P, Portos J, Schaeffer A. Nécrose médullaire étendue et syndromes drépanocytaires majeurs. Rev Med Interne 1993. [DOI: 10.1016/s0248-8663(05)80433-3] [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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88
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Godeau B, Mainardi JL, Hachulla E, Guillevin L, Roudot-Thoraval F, Remy P, Huong-Boutin LT, Schaeffer A, Piette JC. [Is the risk of pneumocystosis predictable in Wegener's disease?]. Rev Med Interne 1993; 14:1025. [PMID: 8009021 DOI: 10.1016/s0248-8663(05)80142-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
Twelve cases of Pneumocystis pneumonia in patients with Wegener's granulomatosis were compared with a control-group of 32 patients. Our study showed that the dose of cyclophosphamide received in the first three months and a profound lymphocytopenia were strongly predictive of a risk of Pneumocystis carinii pneumonia in these patients.
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89
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Mortier E, Godeau B, Roy PM, Dhainaut JF, Schlemmer B, Carlet J, Alquier P, Schaeffer A, Chastang C. [Outcome of 161 patients with systemic diseases after their admission in intensive care unit]. Rev Med Interne 1993; 14:973. [PMID: 8009068 DOI: 10.1016/s0248-8663(05)80091-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
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90
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Chariot P, Benbrik E, Schaeffer A, Gherardi R. Tubular aggregates and partial cytochrome c oxidase deficiency in skeletal muscle of patients with AIDS treated with zidovudine. Acta Neuropathol 1993; 85:431-6. [PMID: 8386898 DOI: 10.1007/bf00334455] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
We report on two patients, who had myalgias while receiving long-term zidovudine treatment for an HIV infection, in whom muscle biopsy findings included a partial cytochrome c oxidase (CCO) deficiency, a feature of zidovudine myopathy, and tubular aggregates, a finding hitherto unreported in HIV-infected patients. The CCO deficit was observed in 28% and 24% of muscle fibers, respectively. Tubular aggregates were the prominent histopathological feature in patient 1, and were detected by systematic electron microscopy in patient 2. Inflammation and myonecrosis were not detected. In patient 1, the typical mitochondrial and myofibrillar changes of zidovudine myopathy were present and 12% of fibers showed tubular aggregates. The aggregates were not stained at CCO reaction, and 96% of myofibers enclosing tubular aggregates showed a decreased CCO activity. This suggested more than a chance association between mitochondrial dysfunction and the formation of tubular aggregates. We conclude that tubular aggregates are detected in some patients treated by zidovudine, and that the finding could be related to the long-term administration of the drug.
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91
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Pairon JC, Mora V, Garnier R, Laureillard J, Hoguet L, Schaeffer A, Efthymiou ML, Brochard P. [Acute poisoning by arsine in a ferrous metal foundry]. JOURNAL DE TOXICOLOGIE CLINIQUE ET EXPERIMENTALE 1992; 12:289-91. [PMID: 1295982] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
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92
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Geny C, Binaghi M, Lionnet F, Deforges L, Defer G, Schaeffer A. Uveomyelitis associated with HIV infection. AIDS 1992; 6:1220-1. [PMID: 1466858 DOI: 10.1097/00002030-199210000-00029] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
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93
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Godeau B, Bachir D, Schaeffer A, Brun-Buisson C, Billy I, Portos JL, Galacteros F. Severe pneumococcal sepsis and meningitis in human immunodeficiency virus-infected adults with sickle cell disease. Clin Infect Dis 1992; 15:327-9. [PMID: 1520768 DOI: 10.1093/clinids/15.2.327] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Abstract
Pneumococcal infection is frequent in children with sickle-cell disease (SCD) but is less common in adults. Infection due to human immunodeficiency virus (HIV) is also a risk factor for pneumococcal infection. The purpose of this study was to determine the clinical course of HIV infection in adults with SCD. During a 6-year period, 283 adults suffering from SCD were screened for HIV type 1 and HIV type 2 infections. The clinical course of HIV infections in these patients was retrospectively analyzed at the term of the study. HIV type 1 infection was detected in eight patients. The mean follow-up period after diagnosis of HIV infection was 4.6 years. None of the patients had AIDS. Five episodes of severe pneumococcal infection were observed in four of these eight patients (septic shock in two patients and three episodes of meningitis in two patients); two patients died of meningitis. Only one severe pneumococcal infection (meningitis) was observed in the 275 non-HIV-infected patients with SCD (P = .000001). Our results show that pneumococcal infection appears to occur frequently and is often serious in HIV-infected adults with SCD.
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94
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Godeau B, Bachir D, Galacteros F, Anglade M, Portos J, Schaeffer A. Arthrite aiguë aseptique au cours des syndromes drépanocytaires majeurs : 6 observations. Rev Med Interne 1992. [DOI: 10.1016/s0248-8663(05)81521-8] [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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95
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Godeau B, Galacteros F, Schaeffer A, Morinet F, Bachir D, Rosa J, Portos JL. Aplastic crisis due to extensive bone marrow necrosis and human parvovirus infection in sickle cell disease. Am J Med 1991; 91:557-8. [PMID: 1659190 DOI: 10.1016/0002-9343(91)90198-7] [Citation(s) in RCA: 30] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
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96
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97
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Godeau B, Billy I, Bachir D, Schaeffer A, Lionnet F, Galacteros F, Portos J. Syndrome drépanocytaire majeur et infection par le VIH. À propos de 8 observations. Rev Med Interne 1991. [DOI: 10.1016/s0248-8663(05)82898-x] [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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98
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Lionnet F, Gouault-Heilmann M, Azoulay C, Lacorte JM, Schaeffer A. Auto-immune factor VIII:C inhibitor durably responsive to immunoglobulin: a new case. Thromb Haemost 1990; 64:488-9. [PMID: 2128979] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
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99
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Guibal F, Roujeau J, Schaeffer A, Lionnet F, Portos J. Photo-onycholyse associée à la prise de doxycycline. Rev Med Interne 1990. [DOI: 10.1016/s0248-8663(05)81868-5] [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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100
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Maurel C, Abhay K, Schaeffer A, Lange F, Castot A, Melon E. Acute thrombotic accident in the postpartum period in a patient receiving bromocriptine. Crit Care Med 1990; 18:1180-1. [PMID: 2209050 DOI: 10.1097/00003246-199010000-00026] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
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