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Gault-Milassin A, Eyer D, De Blay F, Metz-Favre C. Impact de la pandémie Covid 19 sur les adolescents asthmatiques en Alsace, durant le premier confinement. Revue Française d'Allergologie 2021. [PMCID: PMC8111427 DOI: 10.1016/j.reval.2021.03.156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
Introduction L’Alsace a été particulièrement impactée par la première vague épidémique liée au Covid 19. Nous avons évalué l’impact de cette crise sanitaire sur des adolescents asthmatiques. Méthodes Au 1er déconfinement, au cours d’une consultation, nous avons proposé un questionnaire à des adolescents asthmatiques suivis au CHR Haguenau ou au CHRU de Strasbourg. Nous avons recueilli les données concernant une possible infection par le SARS-COV2, le contrôle de l’asthme, des allergies, l’observance, les activités physiques, l’adhésion aux gestes barrière, et leurs attitudes et craintes envers la reprise de l’école. Résultats Vingt trois adolescents, âgés de 11 à 17 ans ont été inclus. Un seul rapportait une symptomatologie compatible avec la COVID19, et 7 un cas familial. Dans l’ensemble, distanciation sociale et lavage des mains semblaient respectés, mais pas le port de masque. Vingt patients avaient un traitement de fond, qu’ils ont maintenu. Dans la majorité des cas l’asthme est resté contrôlé. Seul un patient a nécessité une corticothérapie orale. Les activités sportives ont été poursuivies durant le confinement par 50 % des patients et 96 % s’aéraient régulièrement. 74 % étaient allergiques, dont 65 % aux pollens. Seuls 27 % décrivaient une majoration des symptômes par rapport aux années précédentes. 2 adolescents allergiques aux allergènes d’environnement intérieur étaient plus gênés pendant cette période. Le vécu du confinement a été évalué en moyenne à 6,47/10. En ce qui concerne la reprise des cours, 56 % y étaient favorables, 26 % y étaient opposés. Conclusion Pendant le premier confinement lié à la pandémie Covid19, dans notre région particulièrement impactée, l’asthme des adolescents est resté bien contrôlé. L’observance thérapeutique n’a pas été altérée malgré les premières rumeurs concernant la corticothérapie inhalée. La majorité des asthmatiques avec allergies associées ne présentait pas d’aggravation. Les adolescents tenaient à respecter les gestes barrières pour retourner à l’école ou pratiquer une activité physique collective. Alertés, par le manque de masque, et soutenus par la fondation Gregory Pariente, nous avons pu équiper ces adolescents.
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Benlian P, Lacaille F, Mary S, Feillet F, Noel E, Eyer D, Gottrand F, Ouzounian S, Musikas M, Peretti N, Boidin-Ceschini L, Willefert M, Levade T, Froissard R, Valayannopoulos V. Cholesteryl ester storage disease: a predominant lipa genotype underlies disease manifestations and progression - A review of 12 french cases. Atherosclerosis 2014. [DOI: 10.1016/j.atherosclerosis.2014.05.519] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Cojean N, Entz-Werle N, Eyer D, Becmeur F, Kehrli P, Marcellin L, Christmann D, Babin A, Lutz P. [Dumbbell nephroblastoma: an uncommon cause of spinal cord compression]. Arch Pediatr 2003; 10:1075-8. [PMID: 14643537 DOI: 10.1016/j.arcped.2003.09.044] [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: 11/19/2022]
Abstract
UNLABELLED Rarely children with Wilms' tumor develop spinal cord dysfunction by metastatic spread into the epidural space or the cord parenchyma. In the case reported here, the mechanism of spinal compression was different. CASE REPORT The authors report the clinical course of a 2-month-old boy with retroperitoneal extrarenal Wilms' tumor below the left kidney, characterized with a spinal cord compression developed through the intervertebral foramina. CONCLUSION Abdominal tumor, usually corresponding to neuroblastoma, may be a nephroblastoma.
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Affiliation(s)
- N Cojean
- Service de pédiatrie III, CHU de Hautepierre, avenue Molière, 67098 Strasbourg, France
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Perrin A, Gywer J, Vinzio S, Wicky C, Eyer D, Vedel-Chazot A, Schlienger J, Goicho B. Diète protéïnée et encéphalopathie hyperammoniémique. Rev Med Interne 2003. [DOI: 10.1016/s0248-8663(03)80567-2] [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: 11/26/2022]
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Guérin E, Entz-Werlé N, Eyer D, Pencreac'h E, Schneider A, Falkenrodt A, Uettwiller F, Babin A, Voegeli AC, Lessard M, Gaub MP, Lutz P, Oudet P. Modification of topoisomerase genes copy number in newly diagnosed childhood acute lymphoblastic leukemia. Leukemia 2003; 17:532-40. [PMID: 12646941 DOI: 10.1038/sj.leu.2402774] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.7] [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: 11/09/2022]
Abstract
Topoisomerase genes were analyzed at both DNA and RNA levels in 25 cases of newly diagnosed childhood acute lymphoblastic leukemia (ALL). The results of molecular analysis were compared to risk group classification of children in order to identify molecular characteristics associated with response to therapy. At diagnosis, allelic imbalance at topo-isomerase IIalpha (TOP2A) gene locus was found in 75% of informative cases whereas topoisomerase I and IIbeta gene loci are altered in none or only one case, respectively. By semi-quantitative Polymerase chain reaction, we found a 2.5 to 8-fold TOP2A gene amplification in 72% of the children, which was correlated to gene overexpression in every case. These results show that TOP2A gene amplification is a frequent event in ALL at diagnosis. Interestingly, we also identified a small population of children that do not present TOP2A gene amplification or gene overexpression and who are significantly associated with very high risk classified patients showing glucocorticoid resistance. In conclusion, characterization of TOP2A gene status in childhood ALL at diagnosis provides useful complementary information for risk assessment.
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Affiliation(s)
- E Guérin
- Laboratoire de Biochimie et de Biologie Moléculaire Hôpital de Hautepierre, Strasbourg, France
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Hélias C, Leymarie V, Entz-Werle N, Falkenrodt A, Eyer D, Costa JA, Cherif D, Lutz P, Lessard M. Translocation t(5;14)(q35;q32) in three cases of childhood T cell acute lymphoblastic leukemia: a new recurring and cryptic abnormality. Leukemia 2002; 16:7-12. [PMID: 11840257 DOI: 10.1038/sj.leu.2402347] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.1] [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: 06/27/2001] [Accepted: 10/02/2001] [Indexed: 01/05/2023]
Abstract
We report three cases of T-ALL in which conventional cytogenetic analysis yielded normal karyotypes, but for which a new M-FISH technique (IPM-FISH) was able to detect a translocation. For these patients this technique highlighted a new, recurring and cryptic translocation t(5;14)(q35;q32) in childhood T-ALL which might be phenotypically restricted. The most innovative part of this technique is the use of interspersed polymerase chain reaction (IRS-PCR) painting probes that show an R-band pattern simultaneous with the combinatorial labeling. Contrary to the DOP-PCR, IRS-PCR-derived probes provide stronger hybridization signals at the telomeric ends that potentially increase the possibility of detecting cryptic translocations. All the IPM-FISH findings were validated by FISH with whole chromosome painting and unique sequence probes. These results demonstrate the efficient use of IPM-FISH as an improved, single-step method for the identification of cryptic chromosomal abnormalities. This new IPM-FISH technique is a good tool to display cryptic chromosomal abnormalities.
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MESH Headings
- Child
- Child, Preschool
- Chromosome Painting/methods
- Chromosomes, Human, Pair 14/genetics
- Chromosomes, Human, Pair 14/ultrastructure
- Chromosomes, Human, Pair 5/genetics
- Chromosomes, Human, Pair 5/ultrastructure
- DNA Probes
- Humans
- Karyotyping
- Leukemia-Lymphoma, Adult T-Cell/genetics
- Leukemia-Lymphoma, Adult T-Cell/pathology
- Male
- Phenotype
- Polymerase Chain Reaction/methods
- Telomere/genetics
- Telomere/ultrastructure
- Translocation, Genetic
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Affiliation(s)
- C Hélias
- Laboratoire d'Hématologie, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
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Herbrecht R, Auvrignon A, Andrès E, Guillemain R, Suc A, Eyer D, Pailler C, Letscher-Bru V, Leverger G, Schaison G. Efficacy of amphotericin B lipid complex in the treatment of invasive fungal infections in immunosuppressed paediatric patients. Eur J Clin Microbiol Infect Dis 2001; 20:77-82. [PMID: 11305476 DOI: 10.1007/s100960000437] [Citation(s) in RCA: 37] [Impact Index Per Article: 1.6] [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: 11/29/2022]
Abstract
The safety and efficacy of amphotericin B lipid complex (ABLC) were evaluated in a retrospective study of 46 paediatric patients with invasive infections. The study included a large proportion of patients who were refractory to or intolerant of conventional antifungal therapy. The mean age of the children was 9.7 +/- 4.8 years. Primary underlying conditions included mainly haematopoietic stem cell transplantation, leukaemia and lung transplantation. The mean daily dose given was 4.11 mg/kg for a mean duration of 38.7 days. At the end of therapy, 38 of 46 (83%) patients responded successfully to treatment with ABLC, including 18 of 23 (78%) with aspergillosis and 17 of 19 (89%) with candidiasis. ABLC was well tolerated, with a low incidence of adverse events. The mean creatinine value was 74.5 microl/mol/l at baseline and 78.2 micromol/l at the end of therapy. These results support the use of ABLC in the treatment of invasive fungal infections in children, including patients who have previously failed, or are intolerant of, traditional antifungal regimens.
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Affiliation(s)
- R Herbrecht
- Département d'Hématologie et d'Oncologie, H pital de Hautepierre, Strasbourg, France.
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Chastagner P, Plouvier E, Eyer D, Plesiat P, Lozniewski A, Sommelet D. Efficacy of cefepime and amikacin in the empiric treatment of febrile neutropenic children with cancer. Med Pediatr Oncol 2000; 34:306-8. [PMID: 10742081 DOI: 10.1002/(sici)1096-911x(200004)34:4<306::aid-mpo24>3.0.co;2-2] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- P Chastagner
- Pediatric Oncology Department, CHU Nancy, Nancy, France.
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Stoll C, Eyer D. A syndrome of congenital ichthyosis, hypogonadism, small stature, facial dysmorphism, scoliosis and myogenic dystrophy. Ann Genet 1999; 42:45-50. [PMID: 10214507] [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] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
Abstract
Rud syndrome formerly was considered as a genetically heterogeneous but distinct clinical entity with the manifestations of ichtyosis, hypogonadism, small stature, mental retardation, epilepsy and, infrequently, retinitis pigmentosa. The existence of such a syndrome has recently been dismissed based on a new understanding of the ichthyoses. We report on the clinical history of a 14-year-old boy with congenital ichthyosis, small stature, hypogonadism, facial dysmorphism, nystagmus, kypho-scoliosis and myogenic dystrophy. He was diagnosed as Rud syndrome but developed neither seizures nor mental retardation. However a cousin was mentally retarded. The ichthyosis was familial as five relatives had ichthyosis but no other features of Rud syndrome. The patient had a deletion of the steroid-sulfatase gene. He had neither chondrodysplasia punctata, nor Kallmann syndrome, two conditions which are part of the contiguous gene syndrome of the Xp22.3 region. Most case reports previously reported as Rud syndrome can now be reassigned under a contemporary ichthyosis classification that does not include Rud syndrome as a distinct entity. This case was clearly distinct from Refsum disease, Sjögren-Larsson syndrome and any of the other ichthyosis disorders that have been suggested as a replacement for Rud syndrome. Thus the case reported here appears distinct from any previously described, currently recognized syndrome.
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Affiliation(s)
- C Stoll
- Service de Génétique Médicale, Hôpital de Hautepierre, Strasbourg, France
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Fischbach C, Graff V, Mark J, Terzic J, Bergère V, Laugel V, Eyer D, This V, De Saint Martin A. Influence De L'age Sur Le Taux Serique De La Cystatine. Arch Pediatr 1999. [DOI: 10.1016/s0929-693x(99)80526-0] [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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Eyer D, Petiau P, Finck S, Heid E, Grosshans E, Lutz P. [Granulomatous skin lesions in Griscelli disease]. Ann Dermatol Venereol 1998; 125:727-8. [PMID: 9835967] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
Affiliation(s)
- D Eyer
- Unité d'hémato-oncologie de l'enfant, Hôpital de Hautepierre, Strasbourg
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Chognot D, Babin-Boilletot A, Brugières L, Marcellin L, Zix-Kieffer I, Eyer D, Lutz P. Lymphomes anaplasiques à grandes cellules Ki-1+: cinq cas avec localisations neuroméningées. Arch Pediatr 1997. [DOI: 10.1016/s0929-693x(97)86706-1] [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: 11/16/2022]
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Messer J, Eyer D, Donato L, Gallati H, Matis J, Simeoni U. Evaluation of interleukin-6 and soluble receptors of tumor necrosis factor for early diagnosis of neonatal infection. J Pediatr 1996; 129:574-80. [PMID: 8859265 DOI: 10.1016/s0022-3476(96)70123-3] [Citation(s) in RCA: 137] [Impact Index Per Article: 4.9] [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] [Indexed: 02/02/2023]
Abstract
OBJECTIVE To evaluate plasma levels of interleukin-6 (IL-6) and soluble tumor necrosis factor receptors (sTNF-R) 55 and 75 in neonates as a contribution to the early diagnosis of infection. STUDY DESIGN We prospectively measured IL-6 and sTNF-R 55 and sTNF-R 75 plasma levels in 157 newborn infants admitted to our regional neonatal center in a 3-month period and in cord blood of 131 newborn infants delivered in our obstetrics unit. C-reactive protein was sequentially determined after admission. Newborn infants were classified into four groups: group 0, not infected; group 1, possibly infected; group 2a, infected (culture positive), and group 2b, probably infected (culture negative). We looked for the optimal cutoff point of these parameters, using the receiver operating characteristics (ROC) curve. RESULTS IL-6 levels were significantly higher in group 2 (n = 11; median level, 250 pg/ml; range, 0 to 81,000), group 2b (n = 25; median level, 750 pg/ml; range, 0 to 180,000), and group 1 (n = 35; median level, 160 pg/ml; range 0 to 10,000), in comparison with group 0 (n = 217; median level, 0 pg/ml; range, 0 to 3400). A cutoff value of 100 pg/ml or greater obtained by the ROC method gives a sensitivity of 83.3% and a specificity of 90.3%. For inborn infants (n = 220) sampled at birth, sensitivity is 100% and specificity 92.3%. This high sensitivity persists until the twelfth hour of life. The sTNF-R 55 levels are significantly higher in group 2a (median, 12.0 ng/ml; range, 3.2 to 24.4). In group 2b (median, 7.0 ng/ml; range, 3.0 to 25.2), and in group 1 (median, 7.0 ng/ml; range, 2.5 to 18.9) than in group 0 (median, 3.9 ng/ml; range, 1.5 to 15.0), and with a cutoff value of 6 ng/ml, sensitivity is 75% and specificity 69%. The sTNF-R 75 levels are significantly higher in group 2a (median, 17.0 ng/ml; range, 7.2 to 48.8). In group 2b (median, 11.2 ng/ ml; range, (2.0 to 31.3), and in group 1 (median, 10.6 ng/ml; range, 2.0 to 33.0); than in group 0 (median, 7.0 ng/ml; range, 1 to 23.0). With a cutoff value of 9 ng/ ml, sensitivity is 80% and specificity 67%. Sensitivity of C-reactive protein is low initially but improves with time. Combining IL-6 with C-reactive protein provides the possibility of identifying the majority of infected infants in the postnatal period. CONCLUSION A plasma IL-6 level of 100 pg/ml or greater, obtained before the twelfth hour of life, appears to be an ideal marker for detecting early-onset neonatal infection with a high degree of sensitivity and specificity. After the twelfth hour, the combined determination of IL-6 and C-reactive protein may be equally useful. The sTNF-R levels appear to be less useful in the early diagnosis of infection because of their smaller magnitude of variation.
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Affiliation(s)
- J Messer
- Neonatal Unit, University Hospital of Strasbourg, Hopital de Hautepierre, France
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Zix-Kieffer I, Langer B, Eyer D, Acar G, Racadot E, Schlaeder G, Oberlin F, Lutz P. Successful cord blood stem cell transplantation for congenital erythropoietic porphyria (Gunther's disease). Bone Marrow Transplant 1996; 18:217-20. [PMID: 8832020] [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: 02/02/2023]
Abstract
Congenital erythropoietic porphyria (Gunther's disease, GD) is a rare autosomal recessive disease. It results from the deficiency of uroporphyrinogen III synthase, the fourth enzyme on the metabolic pathway of heme synthesis. GD leads to severe scarring of the face and hands as a result of photosensitivity and fragility of the skin due to uroporphyrin I and coproporphyrin I accumulation. It also causes erythrocyte fragility leading to haemolytic anaemia. The other clinical features include hirsutism, red discolouration of teeth, finger-nails and urine and stunted growth. The outcome is poor, and the disfiguring nature of GD may partly explain the legend of the werewolf. No curative treatment was known until 1991, when the first case of BMT in GD was reported. The clinical and biological outcome after transplantation was encouraging, with an important regression of the symptoms of the disease, but the child died of CMV-infection 11 months after BMT. We report the second case of GD treated successfully by stem cell transplantation using umbilical cord blood from an HLA-identical brother in a 4-year-old girl suffering from severe GD. Our patient is very well 10 months after transplantation. We confirm that stem cell transplantation is curative for GD.
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Affiliation(s)
- I Zix-Kieffer
- Unité d'Onco-Hématologie, Institut de Puériculture, Strasbourg, France
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Montalvo JG, Scrignar CB, Alderette E, Harper B, Eyer D. Flushing, pale-colored urines, and false negatives. Urinalysis of narcotic addicts. Int J Addict 1972; 7:355-64. [PMID: 5074798 DOI: 10.3109/10826087209026784] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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