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Pourquet A, Teoli J, Bouty A, Renault L, Roucher F, Mallet D, Rigaud C, Dijoud F, Mouriquand P, Mure PY, Sanlaville D, Ecochard R, Plotton I. Steroid profiling in the amniotic fluid: reference range for 12 steroids and interest in 21-hydroxylase deficiency. J Clin Endocrinol Metab 2022; 108:e129-e138. [PMID: 36402139 DOI: 10.1210/clinem/dgac656] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/15/2022] [Revised: 10/25/2022] [Accepted: 11/10/2022] [Indexed: 11/21/2022]
Abstract
INTRODUCTION Determination of steroid levels in the amniotic fluid gives some insight on foetal adrenal and gonadal functions. Our objectives were to establish reference ranges of 12 steroid levels throughout pregnancy and to compare them with steroid levels from pregnancies with foetuses presenting 21-hydroxylase deficiency (21OHD). MATERIALS AND METHODS Liquid chromatography coupled with tandem mass spectrometry (LC-MS/MS) was applied to 145 "control" amniotic fluid samples from gynaecology activity (12 + 6 to 32 + 4 Gestational Weeks, GW). The following steroids were analysed according to gestational age and compared to 23 amniotic fluid samples from foetuses with classic 21-hydroxylase deficiency confirmed by molecular studies: delta-4-androstenedione (D4), dehydroepiandrosterone (DHEA), 17-hydroxyprogesterone (17OHP), 11-deoxycortisol (11OH), 21-deoxycortisol (21OH), corticosterone, deoxycorticosterone (DOC), testosterone, pregnenolone, 17-hydroxypregnenolone (17Pregn), cortisol and cortisone. Chromosomal sex was determined by karyotype and gestational age by biometric measurements. RESULTS Analysis of "control" samples showed a statistically significant difference for D4 and testosterone levels according to foetal sex. Cortisol, corticosterone, and DOC had lower concentrations before 20 GW than after 20 GW, whereas 17Pregn and pregnenolone had higher concentrations before 20 GW. This allowed us to establish age- and sex-dependant reference values. We observed higher 21OH, 17Pregn, D4 and testosterone levels in females 21OHD than female controls. The ratios 17OHP/17Pregn, D4/DHEA and 11OH/17OHP appeared discriminant for the diagnosis of 21OHD. CONCLUSION Our study provides information on foetal steroidogenesis and suggests reference values for 12 steroids during pregnancy. This allows a prenatal diagnosis of 21-hydroxylase deficiency within 24 hours and might be useful in the diagnosis of other variations of sex development (VSD).
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Affiliation(s)
- Anne Pourquet
- Department of Clinical Biochemistry, University Hospital of Lyon, Lyon, France
- Department of Pediatric Surgery, University Hospital of Lyon, Lyon, France
- Claude Bernard Lyon 1 University
| | - Jordan Teoli
- Department of Clinical Biochemistry, University Hospital of Lyon, Lyon, France
- Claude Bernard Lyon 1 University
| | - Aurore Bouty
- Department of Pediatric Surgery, University Hospital of Lyon, Lyon, France
- Claude Bernard Lyon 1 University
| | - Lucie Renault
- Department of Clinical Biochemistry, University Hospital of Lyon, Lyon, France
- Claude Bernard Lyon 1 University
| | - Florence Roucher
- Department of Clinical Biochemistry, University Hospital of Lyon, Lyon, France
- Claude Bernard Lyon 1 University
| | - Delphine Mallet
- Department of Clinical Biochemistry, University Hospital of Lyon, Lyon, France
- Claude Bernard Lyon 1 University
| | - Chantal Rigaud
- Department of Clinical Biochemistry, University Hospital of Lyon, Lyon, France
| | - Frédérique Dijoud
- Department of Pathology, University Hospital of Lyon, Lyon, France
- Claude Bernard Lyon 1 University
| | - Pierre Mouriquand
- Department of Pediatric Surgery, University Hospital of Lyon, Lyon, France
- Claude Bernard Lyon 1 University
| | - Pierre-Yves Mure
- Department of Pediatric Surgery, University Hospital of Lyon, Lyon, France
- Claude Bernard Lyon 1 University
| | - Damien Sanlaville
- Department of Medical Genetics, University Hospital of Lyon, Lyon, France
- Claude Bernard Lyon 1 University
| | - René Ecochard
- Department of Biostatistics, University Hospital of Lyon, Lyon, France
- Claude Bernard Lyon 1 University
| | - Ingrid Plotton
- Department of Clinical Biochemistry, University Hospital of Lyon, Lyon, France
- Claude Bernard Lyon 1 University
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Bruel AL, Masurel-Paulet A, Rivière JB, Duffourd Y, Lehalle D, Bensignor C, Huet F, Borgnon J, Roucher F, Kuentz P, Deleuze JF, Thauvin-Robinet C, Faivre L, Thevenon J. Autosomal recessive truncating MAB21L1 mutation associated with a syndromic scrotal agenesis. Clin Genet 2016; 91:333-338. [PMID: 27103078 DOI: 10.1111/cge.12794] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2016] [Revised: 04/18/2016] [Accepted: 04/19/2016] [Indexed: 12/28/2022]
Abstract
We report on a boy with a rare malformative association of scrotum agenesis, ophthalmological anomalies, cerebellar malformation, facial dysmorphism and global development delay. The reported patient was carrying a homozygous frameshift in MAB21L1 detected by whole-exome sequencing, considered as the most likely disease-causing variant. Mab21l1 knockout mice present a strikingly similar malformative association of ophthalmological malformations of the anterior chamber and preputial glands hypoplasia. We hypothesize that MAB21L1 haploinsufficiency cause a previously undescribed syndrome with scrotal agenesis, ophthalmological anomalies, facial dysmorphism and gross psychomotor delay as remarkable hallmarks. Four cases from the literature were reported with features suggestive of a similar and recognizable clinical entity. We hypothesize that MAB21L1 should be the culprit gene in these patients.
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Affiliation(s)
- A-L Bruel
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD), Centre Hospitalier Universitaire Dijon, Dijon, France.,Génétique des Anomalies du Développement, Université de Bourgogne, Dijon, France
| | - A Masurel-Paulet
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD), Centre Hospitalier Universitaire Dijon, Dijon, France.,Centre de Génétique et Centre de Référence Anomalies du Développement et Syndromes Malformatifs de l'Inter-région Est, Centre Hospitalier Universitaire Dijon, Dijon, France
| | - J-B Rivière
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD), Centre Hospitalier Universitaire Dijon, Dijon, France.,Génétique des Anomalies du Développement, Université de Bourgogne, Dijon, France
| | - Y Duffourd
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD), Centre Hospitalier Universitaire Dijon, Dijon, France.,Génétique des Anomalies du Développement, Université de Bourgogne, Dijon, France
| | - D Lehalle
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD), Centre Hospitalier Universitaire Dijon, Dijon, France.,Génétique des Anomalies du Développement, Université de Bourgogne, Dijon, France.,Centre de Génétique et Centre de Référence Anomalies du Développement et Syndromes Malformatifs de l'Inter-région Est, Centre Hospitalier Universitaire Dijon, Dijon, France
| | - C Bensignor
- Service de Pédiatrie, Centre Hospitalier Universitaire Dijon, Dijon, France
| | - F Huet
- Service de Pédiatrie, Centre Hospitalier Universitaire Dijon, Dijon, France
| | - J Borgnon
- Chirurgie Pédiatrique, Centre Hospitalier Universitaire Dijon, Dijon, France
| | - F Roucher
- Endocrinologie Moléculaire et Maladies Rares, Centre de Biologie et Pathologie Est, Hospices Civils de Lyon, Bron, France
| | - P Kuentz
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD), Centre Hospitalier Universitaire Dijon, Dijon, France.,Génétique des Anomalies du Développement, Université de Bourgogne, Dijon, France
| | - J-F Deleuze
- CEA/Institut de Génomique, Centre National de Génotypage, Evry, France
| | - C Thauvin-Robinet
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD), Centre Hospitalier Universitaire Dijon, Dijon, France.,Génétique des Anomalies du Développement, Université de Bourgogne, Dijon, France.,Centre de Génétique et Centre de Référence Anomalies du Développement et Syndromes Malformatifs de l'Inter-région Est, Centre Hospitalier Universitaire Dijon, Dijon, France
| | - L Faivre
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD), Centre Hospitalier Universitaire Dijon, Dijon, France.,Génétique des Anomalies du Développement, Université de Bourgogne, Dijon, France.,Centre de Génétique et Centre de Référence Anomalies du Développement et Syndromes Malformatifs de l'Inter-région Est, Centre Hospitalier Universitaire Dijon, Dijon, France
| | - J Thevenon
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD), Centre Hospitalier Universitaire Dijon, Dijon, France.,Génétique des Anomalies du Développement, Université de Bourgogne, Dijon, France.,Centre de Génétique et Centre de Référence Anomalies du Développement et Syndromes Malformatifs de l'Inter-région Est, Centre Hospitalier Universitaire Dijon, Dijon, France
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Morel Y, Roucher F, Plotton I, Goursaud C, Tardy V, Mallet D. Evolution of steroids during pregnancy: Maternal, placental and fetal synthesis. Ann Endocrinol (Paris) 2016; 77:82-9. [PMID: 27155772 DOI: 10.1016/j.ando.2016.04.023] [Citation(s) in RCA: 64] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/10/2016] [Accepted: 04/11/2016] [Indexed: 11/26/2022]
Abstract
Progesterone, estrogens, androgens and glucocorticoids are involved in pregnancy from implantation to parturition. Their biosynthesis and their metabolism result from complex pathways involving the fetus, the placenta and the mother. The absence of expression of some steroïdogenic enzymes as CYP17 in placenta and in adrenal fetal zone and the better determination of the onset and variation of others especially HSD3B2 during the pregnancy explain the production of the steroid hormones. Moreover the consequences of some disorders of steroidogenesis (especially aromatase, POR, CYP11A1 and 21-hydroxylase deficiencies) in fetus and mother during the pregnancy have permit to elucidate these complex pathways. This better knowledge of steroid hormones production associated with their dosages in maternal plasma/urine or amniotic fluid using new specific assays as LC-MS MS could facilitate the follow-up of normal and pathological pregnancies. Moreover, these advances should be a basis to evaluate the impact of multiple pathologies of the pregnancy and pharmacologic and xenobiotic consequences on their metabolism.
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Affiliation(s)
- Yves Morel
- Service d'hormonologie, endocrinologie moléculaire et maladies rares, CPBE, groupement hospitalier Lyon-Est, 69677 Lyon-Bron, France.
| | - Florence Roucher
- Service d'hormonologie, endocrinologie moléculaire et maladies rares, CPBE, groupement hospitalier Lyon-Est, 69677 Lyon-Bron, France
| | - Ingrid Plotton
- Service d'hormonologie, endocrinologie moléculaire et maladies rares, CPBE, groupement hospitalier Lyon-Est, 69677 Lyon-Bron, France
| | - Claire Goursaud
- Service d'hormonologie, endocrinologie moléculaire et maladies rares, CPBE, groupement hospitalier Lyon-Est, 69677 Lyon-Bron, France
| | - Véronique Tardy
- Service d'hormonologie, endocrinologie moléculaire et maladies rares, CPBE, groupement hospitalier Lyon-Est, 69677 Lyon-Bron, France
| | - Delphine Mallet
- Service d'hormonologie, endocrinologie moléculaire et maladies rares, CPBE, groupement hospitalier Lyon-Est, 69677 Lyon-Bron, France
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Parlant-Pinet L, Harthé C, Roucher F, Morel Y, Borson-Chazot F, Raverot G, Raverot V. Macroprolactinaemia: a biological diagnostic strategy from the study of 222 patients. Eur J Endocrinol 2015; 172:687-95. [PMID: 25755230 DOI: 10.1530/eje-14-1073] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [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: 12/06/2014] [Accepted: 03/09/2015] [Indexed: 11/08/2022]
Abstract
OBJECTIVES Gel filtration chromatography (GFC), the gold standard for macroprolactinaemia (MPRL) diagnosis, is a slow, costly and labour-intensive method. To limit the number of GFC required, we evaluated two screening tests for MPRL: prolactin (PRL) recovery after polyethylene glycol (PEG) precipitation and PRL concentration ratio, derived from two assays, each having different big-big-PRL cross-reactivities.In some patients, MPRL is characterised by clinical symptoms which can be associated with an excess of monomeric PRL. We compared the monomeric PRL concentration obtained from GFC with the PRL concentration i) on a cobas e 601 analyser and ii) in the supernatant after PEG precipitation. DESIGN AND METHODS We studied hyperprolactinaemic sera subjected to physician-ordered GFC, between February 2013 and July 2014. We performed PEG precipitation (to evaluate the PRL concentration and rate of recovery in the supernatant) and two PRL assays: RIA and electrochemiluminescent assay (ECLIA), on a Roche cobas e 601 analyser, and calculated the RIA/ECLIA ratio. RESULTS Among the 222 sera, we were able to diagnose or exclude MPRL in 72.1% of cases, based solely on the ratio and/or recovery. In the remaining cases, GFC was necessary for making a diagnosis. Elevated monomeric PRL was present in 10.9% of macroprolactinaemic sera. In the case of MPRL, both PRL measurements on the cobas analyser and in the supernatant weakly correlated with monomeric PRL values obtained from GFC. CONCLUSIONS The combination of PEG and RIA/ECLIA ratio analysis reduced the number of necessary GFC. However, GFC is essential in MPRL cases to evaluate the monomeric PRL concentration.
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Affiliation(s)
- Lucile Parlant-Pinet
- Faculté de Médecine Lyon-EstUniversité Claude Bernard Lyon 1, Lyon, FranceHospices Civils de LyonLaboratoire d'Hormonologie, Centre de Biologie et de Pathologie EstHospices Civils de LyonFédération d'endocrinologie, Groupement Hospitalier Est, 59 bd Pinel, F-69677 Bron Cedex, France
| | - Catherine Harthé
- Faculté de Médecine Lyon-EstUniversité Claude Bernard Lyon 1, Lyon, FranceHospices Civils de LyonLaboratoire d'Hormonologie, Centre de Biologie et de Pathologie EstHospices Civils de LyonFédération d'endocrinologie, Groupement Hospitalier Est, 59 bd Pinel, F-69677 Bron Cedex, France
| | - Florence Roucher
- Faculté de Médecine Lyon-EstUniversité Claude Bernard Lyon 1, Lyon, FranceHospices Civils de LyonLaboratoire d'Hormonologie, Centre de Biologie et de Pathologie EstHospices Civils de LyonFédération d'endocrinologie, Groupement Hospitalier Est, 59 bd Pinel, F-69677 Bron Cedex, France Faculté de Médecine Lyon-EstUniversité Claude Bernard Lyon 1, Lyon, FranceHospices Civils de LyonLaboratoire d'Hormonologie, Centre de Biologie et de Pathologie EstHospices Civils de LyonFédération d'endocrinologie, Groupement Hospitalier Est, 59 bd Pinel, F-69677 Bron Cedex, France
| | - Yves Morel
- Faculté de Médecine Lyon-EstUniversité Claude Bernard Lyon 1, Lyon, FranceHospices Civils de LyonLaboratoire d'Hormonologie, Centre de Biologie et de Pathologie EstHospices Civils de LyonFédération d'endocrinologie, Groupement Hospitalier Est, 59 bd Pinel, F-69677 Bron Cedex, France Faculté de Médecine Lyon-EstUniversité Claude Bernard Lyon 1, Lyon, FranceHospices Civils de LyonLaboratoire d'Hormonologie, Centre de Biologie et de Pathologie EstHospices Civils de LyonFédération d'endocrinologie, Groupement Hospitalier Est, 59 bd Pinel, F-69677 Bron Cedex, France
| | - Françoise Borson-Chazot
- Faculté de Médecine Lyon-EstUniversité Claude Bernard Lyon 1, Lyon, FranceHospices Civils de LyonLaboratoire d'Hormonologie, Centre de Biologie et de Pathologie EstHospices Civils de LyonFédération d'endocrinologie, Groupement Hospitalier Est, 59 bd Pinel, F-69677 Bron Cedex, France Faculté de Médecine Lyon-EstUniversité Claude Bernard Lyon 1, Lyon, FranceHospices Civils de LyonLaboratoire d'Hormonologie, Centre de Biologie et de Pathologie EstHospices Civils de LyonFédération d'endocrinologie, Groupement Hospitalier Est, 59 bd Pinel, F-69677 Bron Cedex, France
| | - Gérald Raverot
- Faculté de Médecine Lyon-EstUniversité Claude Bernard Lyon 1, Lyon, FranceHospices Civils de LyonLaboratoire d'Hormonologie, Centre de Biologie et de Pathologie EstHospices Civils de LyonFédération d'endocrinologie, Groupement Hospitalier Est, 59 bd Pinel, F-69677 Bron Cedex, France Faculté de Médecine Lyon-EstUniversité Claude Bernard Lyon 1, Lyon, FranceHospices Civils de LyonLaboratoire d'Hormonologie, Centre de Biologie et de Pathologie EstHospices Civils de LyonFédération d'endocrinologie, Groupement Hospitalier Est, 59 bd Pinel, F-69677 Bron Cedex, France
| | - Véronique Raverot
- Faculté de Médecine Lyon-EstUniversité Claude Bernard Lyon 1, Lyon, FranceHospices Civils de LyonLaboratoire d'Hormonologie, Centre de Biologie et de Pathologie EstHospices Civils de LyonFédération d'endocrinologie, Groupement Hospitalier Est, 59 bd Pinel, F-69677 Bron Cedex, France
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Delmas O, Marrec C, Caietta E, Simonin G, Morel Y, Girard N, Roucher F, Sarles J, Chabrol B, Reynaud R. [Uncommon neonatal case of hypoglycemia: ACTH resistance syndrome]. Arch Pediatr 2014; 21:1353-8. [PMID: 25445127 DOI: 10.1016/j.arcped.2014.09.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2013] [Revised: 06/23/2014] [Accepted: 09/24/2014] [Indexed: 12/29/2022]
Abstract
Monitoring of blood glucose is usually reported to reduce the risk of hypoglycemia in term newborns with high risk factors and for prematurity in neonatal intensive care unit patients. Differential diagnosis has rarely been discussed. In the eutrophic term newborn, hypoglycemia remains rare and an etiological diagnosis must be made. Intensive management of neonatal hypoglycemia is required to prevent neurodevelopmental defects. Without evident cause or if hypoglycemia persists, a systematic review of possible causes should be made. We report isolated glucocorticoid deficiency diagnosed in an infant at 10 months of age. This boy had neonatal hypoglycemia and mild jaundice that had not been investigated. During his first 9 months of life, he presented frequent infections. At 10 months of age, febrile seizures occurred associated with shock, hypoglycemia, hyponatremia, mild hyperpigmentation, and coma. He was diagnosed with hypocortisolemia and elevated ACTH levels. Brain injury was revealed by MRI after resuscitation, with hypoxic-ischemic and hypoglycemic encephalopathy. The molecular studies demonstrated the presence of p.Asp107Asn and previously unreported frameshift p.Pro281GlnfsX9 MC2R gene mutations. A substitutive hormone therapy was provided and during a follow-up of 12 months no adrenal crisis was noted. We report an unusual case of familial glucocorticoid deficiency with severe neurological injury. This case demonstrates the importance of an appropriate etiological diagnosis in neonatal hypoglycemia.
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Affiliation(s)
- O Delmas
- Service de pédiatrie multidisciplinaire, pôle médical et chirurgical de pédiatrie, Aix-Marseille université, hôpital de la Timone-Enfants, Assistance publique des hôpitaux de Marseille, 13005 Marseille, France.
| | - C Marrec
- Service de pédiatrie multidisciplinaire, pôle médical et chirurgical de pédiatrie, Aix-Marseille université, hôpital de la Timone-Enfants, Assistance publique des hôpitaux de Marseille, 13005 Marseille, France
| | - E Caietta
- Service de neurologie pédiatrique, pôle médical et chirurgical de pédiatrie, Aix-Marseille université, hôpital de la Timone-Enfants, Assistance publique-Hôpitaux de Marseille, 13005 Marseille, France
| | - G Simonin
- Service de pédiatrie multidisciplinaire, pôle médical et chirurgical de pédiatrie, Aix-Marseille université, hôpital de la Timone-Enfants, Assistance publique des hôpitaux de Marseille, 13005 Marseille, France
| | - Y Morel
- Laboratoire d'endocrinologie moléculaire et maladies rares, centre de biologie et pathologie Est, université Lyon-Sud, CHU de Lyon, 69677 Bron, France
| | - N Girard
- Service de neuroradiologie diagnostique et interventionelle, pôle de radiologie, Aix-Marseille université, hôpital de la Timone, Assistance publique-Hôpitaux de Marseille, 13005 Marseille, France
| | - F Roucher
- Laboratoire d'endocrinologie moléculaire et maladies rares, centre de biologie et pathologie Est, université Lyon-Sud, CHU de Lyon, 69677 Bron, France
| | - J Sarles
- Service de pédiatrie multidisciplinaire, pôle médical et chirurgical de pédiatrie, Aix-Marseille université, hôpital de la Timone-Enfants, Assistance publique des hôpitaux de Marseille, 13005 Marseille, France
| | - B Chabrol
- Service de neurologie pédiatrique, pôle médical et chirurgical de pédiatrie, Aix-Marseille université, hôpital de la Timone-Enfants, Assistance publique-Hôpitaux de Marseille, 13005 Marseille, France
| | - R Reynaud
- Service de pédiatrie multidisciplinaire, pôle médical et chirurgical de pédiatrie, Aix-Marseille université, hôpital de la Timone-Enfants, Assistance publique des hôpitaux de Marseille, 13005 Marseille, France
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7
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Roucher F. [What is the practical value of intravenous locoregional anesthesia in surgery of the hand?]. Presse Med (1893) 1971; 79:2330-2. [PMID: 5129478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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8
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Roucher F. [Can burn patients be treated in a general surgery unit?]. Cah Med 1970; 12:1137-40. [PMID: 5523287] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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9
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Pataa C, Joyon L, Roucher F. [Ultrastructure of keratoconus]. Arch Ophtalmol Rev Gen Ophtalmol 1970; 30:403-17. [PMID: 4193629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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10
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Roucher F. [Hemostasis in donor areas of skin grafts and autoplastic flaps]. Presse Med (1893) 1969; 77:1953-4. [PMID: 4904145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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11
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Bèzes H, Roucher F. Results obtained with Gibson's operation (ablation of pathological tissue followed by dermo-epidermal grafts) in the treatment of elephantiasis of the lower extremities. Panminerva Med 1969; 11:186-91. [PMID: 4893193] [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] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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12
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Roucher F. [2 simple procedures for lengthening the thumb. Apropos of 3 cases]. Lyon Chir 1968; 64:972-5. [PMID: 5713514] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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13
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Roucher F. [Pre-, per- and postoperative care in surgery of the hand]. Cah Coll Med Hop Paris 1968; 9:261-6. [PMID: 5744317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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14
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Roucher F. [Is antibiotic therapy really necessary for protection against postoperative septic complications? Apropos of a series of 400 operated patients]. Presse Med (1893) 1968; 76:377-9. [PMID: 5645005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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15
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Roucher F. [Primary thinning of a tubular flap, taken from a distance, for covering of a stripped finger]. Ann Chir Plast 1967; 12:311-5. [PMID: 4914897] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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16
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Barrié J, Latreille B, Roucher F. [Clinical and therapeutic considerations on pulmonary aspergilloma. Apropos of 4 cases]. Ann Chir Thorac Cardiovasc 1965; 4:494-500. [PMID: 5848587] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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17
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Latreille R, Vadot L, Grundwald D, Miguet J, Contamin C, Roucher F. [Maintained survival of an isolated heart between the left auricle and the thoracic aorta of a receiver (preliminary experimental research)]. Ann Chir Thorac Cardiovasc 1965; 4:328-32. [PMID: 5319356] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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18
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Roucher F. [Posner-Schlossman syndrome]. Bull Soc Ophtalmol Fr 1955:534-39; discussion, 539-40. [PMID: 13276795] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/06/2023]
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