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Javier RM, Hachulla E, Rose C, Gressin V, Chérin P, Noël E, de Roux-Serratrice C, Dobbelaere D, Hartmann A, Jaussaud R, Clerson P, Grosbois B, Roux C. Vertebral fractures in Gaucher disease type I: data from the French "Observatoire" on Gaucher disease (FROG). Osteoporos Int 2011; 22:1255-61. [PMID: 20683713 DOI: 10.1007/s00198-010-1342-y] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/21/2009] [Accepted: 06/08/2010] [Indexed: 10/19/2022]
Abstract
UNLABELLED Gaucher disease type 1 (GD1), results in a range of skeletal complications including osteopenia, osteoporosis, and osteonecrosis, but there is little published information regarding vertebral fractures. Findings from this observational study indicated that the prevalence of vertebral fractures in a cohort of adult French GD1 patients is approximately 15%. INTRODUCTION The aim of the study was to assess the prevalence and characteristics of vertebral fractures in a cohort of adult patients with GD1. METHODS This study was performed in adult patients with GD1 based on a detailed and complete clinical examination. For all patients for whom vertebral fractures were reported, a specific questionnaire was sent to physicians, and imaging data were collected, when available, for centralized analysis. RESULTS Data were collected from a total of 105 adult GD1 patients. Bone complications were reported in 85% of patients, among whom vertebral fractures were diagnosed in 16 (15%); seven women and nine men (mean age, 45 years). We observed five patients with multiple vertebral fractures and one patient in whom the T3 vertebra was fractured. Most of these patients did not report fracture-related back pain. CONCLUSIONS The prevalence of vertebral fractures in this cohort of adult patients with GD1 was 15%. Greater awareness of the natural history of vertebral fractures in GD1, and rigorous monitoring of bone fragility and spine involvement in affected patients, should allow earlier detection and initiation of treatment tailored toward improving bone status.
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Affiliation(s)
- R-M Javier
- Department of Rheumatology, Hôpital de Hautepierre, 67000 Strasbourg, France.
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Chérin P, Rose C, de Roux-Serratrice C, Tardy D, Dobbelaere D, Grosbois B, Hachulla E, Jaussaud R, Javier RM, Noël E, Clerson P, Hartmann A. The neurological manifestations of Gaucher disease type 1: the French Observatoire on Gaucher disease (FROG). J Inherit Metab Dis 2010; 33:331-8. [PMID: 20532983 DOI: 10.1007/s10545-010-9095-5] [Citation(s) in RCA: 45] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/10/2009] [Revised: 02/10/2010] [Accepted: 03/31/2010] [Indexed: 01/02/2023]
Abstract
BACKGROUND Gaucher disease (GD), the most prevalent inherited lysosomal storage disorder, is caused by deficient glucocerebrosidase activity. Type 1 GD (GD1), the most common variant, is classically considered non-neuronopathic. METHODS We performed a national cross-sectional observational survey-the French Observatoire on Gaucher Disease (FROG)-in patients with GD1 between March 2005 and September 2006. The study included all patients over 18 years of age with confirmed GD1 who attended participating centers for regular follow-up. RESULTS One hundred and five patients were included, in whom we studied the prevalence and characteristics of relevant neurological symptoms associated with the neuraxis. Of these, 51 (49%) GD1 patients presented at least one neurological symptom. Four patients (4%) had Parkinson disease and 22 (21%) presented with at least one parkinsonian sign or at least one sign frequently associated with Parkinson disease. Five patients (5%) had a previous diagnosis of peripheral neuropathy. Other central nervous system symptoms were recorded in 20 (19%) patients and other peripheral nervous system symptoms in 39 (37%) patients. CONCLUSIONS These data challenge the current classification of GD, and suggest that the three forms of GD each involve a different profile of neurological manifestations.
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Affiliation(s)
- P Chérin
- Médecine Interne, Hôpital de la Pitié-Salpêtrière, Paris, France
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3
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Jaussaud R, Grosbois B, Leone J, Rose C, Robin JP, Lamy T, Solary E, Camou F, Harlé JR, Luca L, Plane C, de Roux-Serratrice C. Gammapathies monoclonales associées à la Maladie de Gaucher. À propos de 16 cas de l'Observatoire de la Maladie de Gaucher. Rev Med Interne 2006. [DOI: 10.1016/j.revmed.2006.10.075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Serratrice J, Dodé C, de Roux-Serratrice C, Ené N, Ben Amri A, Thalet HBS, Disdier P, Weiller PJ. Fièvres sciatalgiques chroniques révélant une mutation du TNFRSF1A à propos de deux observations. Rev Med Interne 2006. [DOI: 10.1016/j.revmed.2006.10.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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5
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Javier RM, Jaussaud R, Grosbois B, Hartmann A, Noël E, Dobbelaere D, Rose C, Cherin P, de Roux-Serratrice C, Hachulla E. Manifestations ostéoarticulaires de la maladie de Gaucher (MG). Données des 101 patients de l'Observatoire français de la MG. Rev Med Interne 2006. [DOI: 10.1016/j.revmed.2006.10.072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Serratrice J, Fournier PE, de Roux-Serratrice C, Faucher B, Ené N, Granel B, Swiader L, Laugier R, Petit P, Drancourt M, Disdier P, Weiller PJ. [One curettage, two celioscopies, two or three laparotomies...]. Rev Med Interne 2005; 26 Suppl 2:S272-3. [PMID: 16129171 DOI: 10.1016/s0248-8663(05)81281-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- J Serratrice
- Service de médecine interne, CHU Timone, Marseille, France
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7
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de Roux-Serratrice C, Serratrice J, Champsaur P, Faucher B, Ené N, Granel B, Swiader L, Coulange C, Disdier P, Weiller PJ. Vous avez dit post-hoc ?…. Rev Med Interne 2005; 26 Suppl 2:S282-3. [PMID: 16129175 DOI: 10.1016/s0248-8663(05)81285-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Serratrice J, de Roux-Serratrice C, Faucher B, Ené N, Granel B, Swiader L, Disdier P, Xerri L, Bouabdallah R, Weiller PJ. Un cas typique…. Rev Med Interne 2005; 26 Suppl 2:S290-1. [PMID: 16129178 DOI: 10.1016/s0248-8663(05)81288-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Affiliation(s)
- J Serratrice
- Service de médecine interne, CHU Timone, Marseille, France
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Serratrice J, de Roux-Serratrice C, Ené N, Granel B, Disdier P, Weiller PJ. Urticarial vasculitis revealing relapsing polychondritis. Eur J Intern Med 2005; 16:207-208. [PMID: 15967340 DOI: 10.1016/j.ejim.2004.10.022] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/24/2004] [Revised: 10/05/2004] [Accepted: 10/12/2004] [Indexed: 11/18/2022]
Abstract
We report a case of hypocomplementemic urticarial vasculitis heralding a relapsing polychondritis in a 63-year-old woman. The patient, who had suffered in the past from polymyalgia rheumatica, suddenly experienced a generalized urticarial eruption with a dramatic decrease in C4 complement fraction and the presence of anti-C1q antibodies. Two months later, an ear chondritis occurred and the patient rapidly responded to steroids and dapsone. To our knowledge, this association has never been reported.
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Affiliation(s)
- J Serratrice
- Service de Médecine Interne, CHU Timone, 264 Rue Saint Pierre, 13385 Marseille Cedex 5, France
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Serratrice J, Ené N, de Roux-Serratrice C, Granel B, Igual JP, Drancourt M, Petit P, Disdier P, Weiller PJ. Fièvre de Fort Bragg ictérique : discussion nosologique à propos d'un cas. Rev Med Interne 2004; 25:663-6. [PMID: 15363622 DOI: 10.1016/j.revmed.2004.04.027] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2003] [Accepted: 04/02/2004] [Indexed: 11/26/2022]
Abstract
INTRODUCTION Ictero-hemorrhagic leptospirosis is an endemic disease in France. Weil's disease, a form of leptospirosis, is well known. Fort Bragg fever is characterized by a constant pretibial papular lesion. First described in the USA, this non icteric form of leptospirosis is usually benign. We report the first French case of a mixed form of leptospirosis. EXEGESIS A 52-year-old man living in South East France suffered from fever and myalgias associated with a pretibial papular lesion. A severe icterus appeared and permitted a diagnosis of leptospirosis. CONCLUSION Our case recalls the clinical presentation of Fort Bragg fever, which is recognized through its inflammatory pretibial lesion associated or not with icterus.
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Affiliation(s)
- J Serratrice
- Service de médecine interne, CHU de la Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France
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11
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Serratrice J, de Roux-Serratrice C, Ene N, Granel B, Cantiniaux S, Herzog-Landais C, Swiader L, Disdier P, Djiane P, Weiller PJ. Un bon automobiliste! Rev Med Interne 2004; 25 Suppl 2:S289. [PMID: 15460483 DOI: 10.1016/s0248-8663(04)80036-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- J Serratrice
- Service de médecine interne, CHU Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France
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Serratrice J, Granel B, Jacquier A, Ené N, de Roux-Serratrice C, Swiader L, Disdier P, Bartoli J, Weiller P. Un échographiste trop zélé. Rev Med Interne 2003. [DOI: 10.1016/s0248-8663(03)80662-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Serratrice J, Granel B, Swiader L, Disdier P, Weiller-Merli C, Lepidi H, de Roux-Serratrice C, Andrac-Meyer L, Weiller PJ. Sarcoidosis preceding chronic myelomonocytic leukemia. Report of two cases. Dermatology 2003; 205:409-12. [PMID: 12444342 DOI: 10.1159/000066420] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
We report 2 patients who had sarcoidosis with skin involvement associated with bilateral anterior uveitis. During the follow-up, they developed chronic myelomonocytic leukemia. This association is of particular interest as sarcoidosis and chronic myelomonocytic leukemia may be considered as disorders of a common monocyte-macrophage cell lineage.
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MESH Headings
- Antineoplastic Combined Chemotherapy Protocols/administration & dosage
- Biopsy, Needle
- Blood Chemical Analysis
- Bone Marrow/pathology
- Bronchoscopy
- Diagnosis, Differential
- Female
- Follow-Up Studies
- Humans
- Leukemia, Myelomonocytic, Chronic/diagnosis
- Leukemia, Myelomonocytic, Chronic/drug therapy
- Middle Aged
- Precancerous Conditions/pathology
- Risk Assessment
- Sarcoidosis, Pulmonary/diagnosis
- Sarcoidosis, Pulmonary/drug therapy
- Sarcoidosis, Pulmonary/pathology
- Severity of Illness Index
- Steroids/administration & dosage
- Tomography, X-Ray Computed
- Treatment Outcome
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Affiliation(s)
- J Serratrice
- Service de Médecine Interne, CHU Timone, Marseille, France
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14
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de Roux-Serratrice C, Allègre T, Bensaïd T, Bigorgne C, Vassal D, Caillères S. [Eosinophilic meningitis on returning from Tahiti]. Presse Med 2002; 31:1219. [PMID: 12212514] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/26/2023] Open
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15
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Serratrice J, Granel B, Cremades S, Branger S, Seux V, Ené N, de Roux-Serratrice C, Swiader L, Laugier R, Disdier P, Weiller P. Manifestations oesophagiennes du lupus et/ou du syndrome des antiphospholipides. À propos de 5 observations. Rev Med Interne 2002. [DOI: 10.1016/s0248-8663(02)80120-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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16
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Granel B, Camoin L, Serratrice J, de Roux-Serratrice C, Brunet C, Pache X, Swiader L, Disdier P, Weiller PJ. [Retrospective study of 55 patients with circulating blood T gama/delta lymphocytosis]. Rev Med Interne 2002; 23:137-43. [PMID: 11876057 DOI: 10.1016/s0248-8663(01)00529-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
PURPOSE Gamma/delta T lymphocytes constitute a singular population due to their particular antigenic recognition and their localization inside the epithelium. Their functions are complementary to those of the alpha/beta T-cells and they are involved in the defense and regulation of the immune system. Their role in human diseases is not very well understood and the aim of our study was to analyze a population of patients with a peripheral gamma/delta T-cell lymphocytosis. METHODS The study included 55 patients, recruited from 1997 to 2000, with a peripheral gamma/delta T lymphocytosis (defined by a proportion of gamma/delta T-cells of over 10% of total peripheral T lymphocytes). Analysis of the lymphocyte population was obtained by cytometry after peripheral blood sampling. RESULTS Three main groups of diseases were observed: infectious diseases (viral infections and tuberculosis), inflammatory diseases (sarcoidosis and autoimmune diseases) and blood diseases (monoclonal gammopathies and hemopathies). Persistence of gamma/delta T lymphocytosis was dependent on the underlying disease (transitional when associated with an infectious disease and lasting when associated with sarcoidosis). The rest of the immunophenotyping analysis was usually normal. CONCLUSION Our results confirm the data published in the literature concerning the role of the gamma/delta T lymphocytes in infectious, inflammatory and autoimmune diseases and neoplasias. These data are in agreement with the cytotoxic and regular functions of these lymphocytes.
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Affiliation(s)
- B Granel
- Service de médecine interne, hôpital de la Timone, CHU, 264, rue Saint-Pierre, 13385 Marseille, France
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Serratrice J, Desnuelle C, Granel B, de Roux-Serratrice C, Disdier P, Weiller PJ. [Mitochondrial diseases in adults]. Rev Med Interne 2001; 22 Suppl 3:356s-366s. [PMID: 11794880] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/23/2023]
Abstract
PURPOSE Mitochondrial diseases have numerous phenotypic expression, and form an heterogeneous group of genetic diseases in which the production of energy fails. Well known in childhood, these mitochondrial diseases can onset in adulthood and may remain unrecognized. We propose a recent review (Medline 1981-2001) of the literature on adult forms of mitochondriopathies, illustrated with a typical case report. CURRENT KNOWLEDGE AND KEY POINTS Mitochondrial diseases have numerous phenotypic expression in adulthood. Principles of diagnosis are i) recognize a phenotype, ii) prove the mitochondrial abnormalities, iii) realize a genetical analysis. Main varieties of adult phenotypes are studied and separated in 1) skeletal muscular involvement, ocular myopathies above all; 2) mitochondrial cardiomyopathies; 3) neurological involvement (MERRF, MELAS, NARP, MNGIE syndromes); 4) endocrinological involvement and diabetes mellitus; 5) multisystemic diseases with a particular focus on Kearns Sayre syndrome. FUTURE PROSPECTS AND PROJECTS Phenotypic analysis of a patient with mitochondrial disease is not simple. A "multi-tissues" involvement is the main characteristic feature. Faced with such patients, replacement therapy, genomic therapy and genetic advice are evoked.
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Affiliation(s)
- J Serratrice
- Service de médecine interne, CHU Timone, 264, rue Saint-Pierre, 13385 Marseille, France
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18
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de Roux-Serratrice C, Conrath J, Serratrice J, Granel B, Disdier P, Weiller PJ. Pinguecula and Sjögren's syndrome: two cases. Lupus 2001; 10:368-9. [PMID: 11403269 DOI: 10.1191/096120301674503535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
A pinguecula is a small, raised conjunctival nodule at the temporal or nasal limbus classically associated with conjunctival microtrauma from exposure to sunlight and/or to dust. We report two cases occurring during the course of Sjögren's syndrome. To our knowledge this association has never been described.
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Serratrice J, Granel B, de Roux-Serratrice C, Touitou I, Chaudier B, Pache X, Swiader L, Disdier P, Weiller P. Variétés de présentation de la maladie périodique : à propos de 33 observations. Rev Med Interne 2001. [DOI: 10.1016/s0248-8663(01)83412-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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20
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de Roux-Serratrice C, Serratrice J, Granel B, Ene N, Volot F, Morange P, Aillaud M, Swiader L, Disdier P, Juhan-Vague I, Weiller P. Anticoagulant lupique sans syndrome des antiphospholipides : une étude rétrospective de 70 patients. Rev Med Interne 2001. [DOI: 10.1016/s0248-8663(01)83380-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Granel B, Mazodier K, Serratrice J, de Roux-Serratrice C, Ene N, Lipidi H, Pache X, Juhan V, Swiader L, Disdier P, Weiller PJ. [The sixth case....parathyroid adenoma]. Rev Med Interne 2001; 22 Suppl 2:253s-255s. [PMID: 11433586 DOI: 10.1016/s0248-8663(01)83664-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- B Granel
- Service de médecine interne, CHU Timone, 264, rue Saint-Pierre, 13385 Marseille, France
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22
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Granel B, Gaudy C, Serratrice J, de Roux-Serratrice C, Félician O, Swiader L, Pache X, Ceccaldi M, Balzamo M, Donnet A, Manera L, Raybaud C, Disdier P, Weiller PJ. [Psychological and behavioral disorders with good outcome in neurosarcoidosis]. Rev Med Interne 2001; 22:183-8. [PMID: 11234677 DOI: 10.1016/s0248-8663(00)00309-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
INTRODUCTION Neurological involvement is observed in 5% of cases of sarcoidosis and includes impairment of the central nervous system, the meninges, and the cranial and peripheral nerves. Besides neurological defects, cognitive impairment may be encountered ranging from isolated memory defect to dementia. EXEGESIS We report a case of neurosarcoidosis occurring in a 40-year-old woman, a native of Reunion Island, with initial meningeal and hypophyseal involvement. Three years later, while treated with low dose prednisolone and methotrexate, she presented a paranoid state associated with cognitive impairment of frontal type and severe behavioral disturbances. After 2 years of high dose steroid treatment associated with hydroxychloroquine, her behavioral status improved, allowing social and familial reinsertion. CONCLUSION In our observation, sarcoidosis was revealed through a central neurological impairment, with chronic meningitis, facial nerve palsy, and, finally, through psychiatric symptoms and severe behavioral disturbances. A slow favorable outcome was obtained using high dose methylprednisolone and hydroxychloroquine with total regression of behavioral disturbances but with persisting cognitive alteration.
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Affiliation(s)
- B Granel
- Service de médecine interne, hôpital de la Timone, 264, rue Saint-Pierre, 13385 Marseille, France
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Affiliation(s)
- C de Roux-Serratrice
- Service de Médecine Interne, CHU Timone; and the Service de Gastro-Entérologie CHU Conception, Marseille, France
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Serratrice J, Granel B, Swiader L, de Roux-Serratrice C, Vanuxem P, Disdier P, Weiller PJ. [Spontaneous paroxysmal hypothermia. Discussion of a case of a high level athlete]. Rev Med Interne 2000; 21:641-2. [PMID: 10942985 DOI: 10.1016/s0248-8663(00)80014-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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25
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Serratrice J, Granel B, Swiader L, de Roux-Serratrice C, Azulay JP, Pouget J, Disdier P, Weiller PJ. [Gamstorp's disease in a Marseilles family]. Presse Med 2000; 29:1217-9. [PMID: 10916530] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/17/2023] Open
Abstract
BACKGROUND Primary periodic palsy is a group of muscular diseases transmitted by autosomal dominant inheritance. The characteristic features are flaccid muscular deficiency, abolition of reflexes, and dyskalemia. CASE REPORT A 36-year-old woman presented a 5-year history of acute episodes of myalgia, muscle contracture, and muscle paralysis involving first the hand, then all four limbs and the face, sparing the respiratory muscles. The symptoms totally regressed spontaneously within one hour or in a shorter time if the patient ingested sugar. Demonstration of hyperkalemia during an acute episode led to the diagnosis of transfer hyperkalemia typical of Gamstorp's disease. Several members of the family presented identical symptoms. DISCUSSION Despite progress in our understanding of this disease, diagnosis is often made late. The diagnostic strategy is however quite simple: serum potassium during an acute episode and provocation test with fasting and rest.
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Affiliation(s)
- J Serratrice
- Service de Médecine interne, CHU Timone, Marseille
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