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Richier Q, Jachiet V, Bonnemains V, Plaçais L, Abisror N, Garnier M, Pacanowski J, Dhote R, Hinchschberger O, Michel M, Bienvenu B, Comarmond C, Lacombe K, Mekinian A. Tocilizumab and COVID-19: timing of administration assessment. Infect Dis Now 2021; 52:31-34. [PMID: 34198000 PMCID: PMC8239201 DOI: 10.1016/j.idnow.2021.06.304] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2021] [Revised: 06/05/2021] [Accepted: 06/21/2021] [Indexed: 11/30/2022]
Abstract
Recent evidence showed greater efficacy of tocilizumab (TCZ) in the subgroups of COVID-19 patients who presented with symptoms for less than 7 days and in those only receiving oxygen. We retrospectively analyzed a compassionate use cohort to determine the best timing for TCZ injection. We showed no association between the timing of injection after symptom onset and the efficacy of TCZ on mortality. We then investigated whether the oxygen level at the time of TCZ injection impacted the mortality rate. Our study finally suggested that TCZ could be less effective when oxygen requirement is > 11 L/min and we hypothesized that earlier administration could be associated with better outcome. However, randomized clinical trials are required to confirm this hypothesis.
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Affiliation(s)
- Q Richier
- Sorbonne Université, Inserm IPLESP, Service de maladies infectieuses, hôpital Saint-Antoine, AP-HP, F-75012 Paris, France.
| | - V Jachiet
- Sorbonne Université, AP-HP, Hôpital Saint-Antoine, Service de Médecine Interne and Inflammation-Immunopathology-Biotherapy Department (DMU 3iD), F-75012, Paris, France
| | - V Bonnemains
- Sorbonne Université, AP-HP, Hôpital Saint-Antoine, Service de Médecine Interne and Inflammation-Immunopathology-Biotherapy Department (DMU 3iD), F-75012, Paris, France
| | - L Plaçais
- Service de médecine interne et immunologie clinique, hôpital Bicêtre, AP-HP, Paris, France
| | - N Abisror
- Sorbonne Université, AP-HP, Hôpital Saint-Antoine, Service de Médecine Interne and Inflammation-Immunopathology-Biotherapy Department (DMU 3iD), F-75012, Paris, France
| | - M Garnier
- Service d'Anesthésie-réanimation et médecine péri-opératoire, hôpital Saint Antoine, AP-HP, Sorbonne Université, GRC 29, Paris, France
| | - J Pacanowski
- Sorbonne Université, Inserm IPLESP, Service de maladies infectieuses, hôpital Saint-Antoine, AP-HP, F-75012 Paris, France
| | - R Dhote
- Service de médecine interne, hôpital Avicenne, AP-HP, Paris, France
| | - O Hinchschberger
- Service de médecine interne, hôpital Emile Muller, Mulhouse, France
| | - M Michel
- Service de médecine interne, hôpital Henri Mondor, AP-HP, Paris, France
| | - B Bienvenu
- Service de Médecine Interne, hôpital Saint-Joseph, Marseille, France
| | - C Comarmond
- Service de médecine interne et immunologie clinique, hôpital Pitié-Salpêtrière, AP-HP, Paris, France
| | - K Lacombe
- Sorbonne Université, Inserm IPLESP, Service de maladies infectieuses, hôpital Saint-Antoine, AP-HP, F-75012 Paris, France
| | - A Mekinian
- Sorbonne Université, AP-HP, Hôpital Saint-Antoine, Service de Médecine Interne and Inflammation-Immunopathology-Biotherapy Department (DMU 3iD), F-75012, Paris, France
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Abad S, Bonnet N, Bouvry D, Cohen Y, Dhote R. [Rhabdomyolysis in patients treated by corticosteroids for acute asthma in intensive care unit]. Rev Med Interne 2019; 40:255-257. [PMID: 30616928 DOI: 10.1016/j.revmed.2018.12.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2018] [Revised: 11/28/2018] [Accepted: 12/16/2018] [Indexed: 11/25/2022]
Abstract
INTRODUCTION Acute muscle involvement is an infrequent complication of corticosteroids, characterized by muscle weakness and a rhabdomyolysis, rapidly regressive after withdrawal of corticosteroids. CASE REPORT We report the case of a woman admitted in intensive care unit for acute severe asthma, treated with high doses of methylprednisolone. Serum CPK level raised with a peak at 28,160 UI/L (n<250 UI/L) at day 15, suggesting acute rhabdomyolysis with renal failure. CPK rapidly normalized when corticosteroids were discontinued. Other causes of rhabdomyolysis were ruled out. CONCLUSION This necrosing myopathy under high doses of corticosteroids has been described in patients with severe acute asthma. The mechanism of the muscle damage results from a combination of corticosteroids toxicity, respiratory acidosis and mechanic ventilation.
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Affiliation(s)
- S Abad
- Service de médecine interne, faculté de médecine SMBH, UMR1125, LI2P, université Paris 13, hôpital universitaire Seine-Saint-Denis, AP-HP Sorbonne Paris Cité, 93000 Bobigny, France
| | - N Bonnet
- Service de réanimation médico-chirurgicale, université Paris 13, hôpital Avicenne, 93000 Bobigny, France
| | - D Bouvry
- Service de pneumologie, université Paris 13, hôpital Avicenne, 93000 Bobigny, France
| | - Y Cohen
- Service de réanimation médico-chirurgicale, université Paris 13, hôpital Avicenne, 93000 Bobigny, France
| | - R Dhote
- Service de médecine interne, faculté de médecine SMBH, UMR1125, LI2P, université Paris 13, hôpital universitaire Seine-Saint-Denis, AP-HP Sorbonne Paris Cité, 93000 Bobigny, France.
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Mourad J, Le Jeune S, Bergmann J, Halimi J, Hercberg S, Dhote R. Choix des étudiants ayant obtenu une note inférieure à la moyenne à l’Éxamen Classant National. Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.10.295] [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: 11/30/2022]
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Mekinian A, Durtette C, Hachulla E, Lavigne C, Papo T, Zenone T, Lioger B, Deligny C, Landron C, Pouchot J, Kahn J, Fain O, Resche-Rigon M, Lambert M, De Wazieres B, Dhote R, Gondran G, Pertuiset E, Quemeneur T, Hamidou M, Sève P, Le Gallou T, Grasland A, Hatron PY. Syndrome de Cogan : étude rétrospective nationale française. Rev Med Interne 2017. [DOI: 10.1016/j.revmed.2017.10.300] [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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Herbaut A, Qu-Knafo L, Abad S, Dhote R, Giocanti-Aurégan A. [Bilateral acute arteritic anterior ischemic optic neuropathy during chronic steroid therapy]. J Fr Ophtalmol 2017; 40:e249-e251. [PMID: 28801036 DOI: 10.1016/j.jfo.2016.04.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2016] [Revised: 04/15/2016] [Accepted: 04/18/2016] [Indexed: 11/24/2022]
Affiliation(s)
- A Herbaut
- Service d'ophtalmologie, DHU vision et handicaps, hôpital Avicenne, 125, rue de Stalingrad, 93000 Bobigny, France
| | - L Qu-Knafo
- Service d'ophtalmologie, DHU vision et handicaps, hôpital Avicenne, 125, rue de Stalingrad, 93000 Bobigny, France.
| | - S Abad
- Service de médecine interne, hôpital Avicenne, 125, rue de Stalingrad, 93000 Bobigny, France
| | - R Dhote
- Service de médecine interne, hôpital Avicenne, 125, rue de Stalingrad, 93000 Bobigny, France
| | - A Giocanti-Aurégan
- Service d'ophtalmologie, DHU vision et handicaps, hôpital Avicenne, 125, rue de Stalingrad, 93000 Bobigny, France
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Le Jeune S, Pointeau O, Hube C, Lopez-Sublet M, Giroux-Leprieur B, Dhote R, Mourad JJ. [Usefulness of different techniques of blood pressure measurements in 2016]. Rev Med Interne 2016; 38:243-249. [PMID: 27838050 DOI: 10.1016/j.revmed.2016.09.018] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2016] [Accepted: 09/29/2016] [Indexed: 11/18/2022]
Abstract
The management of hypertensive patients is greatly influenced by blood pressure levels and accurate measurement of blood pressure is crucial in this context. Mercury sphygmomanometer has been progressively replaced by more precise oscillometric devices that can be widely used in the clinic and ambulatory setting. The purpose of this review was to detail the different methods for evaluating blood pressure, and to refine their indications and clinical benefit. Office blood pressure measurement has a great variability and should follow a strict protocol to give consistent results. National and international guidelines focus on blood pressure measurement in the ambulatory setting. When used by trained patients, home blood pressure monitoring is reproducible and can provide substantial prognostic information, even if ambulatory blood pressure monitoring remains the gold standard. The role of central blood pressure and pulse wave velocity monitoring in the therapeutic strategy of hypertension needs further assessment.
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Affiliation(s)
- S Le Jeune
- EA 3412, service de médecine interne et centre d'excellence ESH en hypertension artérielle, CHU Avicenne, AP-HP, Paris XIII, 125, route de Stalingrad, 93000 Bobigny, France.
| | - O Pointeau
- EA 3412, service de médecine interne et centre d'excellence ESH en hypertension artérielle, CHU Avicenne, AP-HP, Paris XIII, 125, route de Stalingrad, 93000 Bobigny, France
| | - C Hube
- EA 3412, service de médecine interne et centre d'excellence ESH en hypertension artérielle, CHU Avicenne, AP-HP, Paris XIII, 125, route de Stalingrad, 93000 Bobigny, France
| | - M Lopez-Sublet
- EA 3412, service de médecine interne et centre d'excellence ESH en hypertension artérielle, CHU Avicenne, AP-HP, Paris XIII, 125, route de Stalingrad, 93000 Bobigny, France
| | - B Giroux-Leprieur
- EA 3412, service de médecine interne et centre d'excellence ESH en hypertension artérielle, CHU Avicenne, AP-HP, Paris XIII, 125, route de Stalingrad, 93000 Bobigny, France
| | - R Dhote
- EA 3412, service de médecine interne et centre d'excellence ESH en hypertension artérielle, CHU Avicenne, AP-HP, Paris XIII, 125, route de Stalingrad, 93000 Bobigny, France
| | - J-J Mourad
- EA 3412, service de médecine interne et centre d'excellence ESH en hypertension artérielle, CHU Avicenne, AP-HP, Paris XIII, 125, route de Stalingrad, 93000 Bobigny, France
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Volle G, Fraison JB, Thuillier A, Dhote R, Gobert D, Goulenok T, Lhote F, Rivière S, Mahr A. FRI0363 Triggers of Behçet's Disease-Related Oral Ulcer Recurrences. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.3786] [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: 11/03/2022]
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Nocturne G, Virone A, Ng WF, Le Guern V, Hachulla E, Cornec D, Daien C, Vittecoq O, Bienvenu B, Marcelli C, Wendling D, Amoura Z, Dhote R, Lavigne C, Fior R, Gottenberg JE, Seror R, Mariette X. Rheumatoid Factor and Disease Activity Are Independent Predictors of Lymphoma in Primary Sjögren's Syndrome. Arthritis Rheumatol 2016; 68:977-85. [DOI: 10.1002/art.39518] [Citation(s) in RCA: 116] [Impact Index Per Article: 14.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2015] [Accepted: 11/17/2015] [Indexed: 12/11/2022]
Affiliation(s)
- G. Nocturne
- Université Paris-Sud, INSERM U1184; Le Kremlin-Bicêtre France
| | - A. Virone
- AP-HP, Hôpitaux Universitaires Paris-Sud; Le Kremlin-Bicêtre France
| | - Wan-Fai Ng
- Newcastle University; Newcastle-upon-Tyne UK
| | - V. Le Guern
- Université Paris Descartes and AP-HP, Hôpital Cochin; Paris France
| | | | - D. Cornec
- Centre Hospitalier Régional Universitaire (CHRU) de Brest, Hôpital de la Cavale Blanche and EA 2216, INSERM ESPRI, ERI29, Université de Brest; Brest France
| | - C. Daien
- Centre Hospitalier Universitaire (CHU) de Montpellier and URM5535 CNRS; Montpellier France
| | - O. Vittecoq
- CHU de Rouen, INSERM U905, and Université de Rouen; Rouen France
| | - B. Bienvenu
- CHU de Caen, Hôpital de la Côte de Nacre; Caen France
| | - C. Marcelli
- CHU de Caen, Hôpital de la Côte de Nacre; Caen France
| | - D. Wendling
- CHRU Besançon, and EA 4266, Université de Franche-Comté; Besançon France
| | - Z. Amoura
- Université Pierre et Marie Curie and AP-HP, Hôpital Pitié-Salpêtrière; Paris France
| | | | | | - R. Fior
- AP-HP, Hôpital Béclère; Clamart France
| | - J. E. Gottenberg
- INSERM UMR-S 1109, CHRU Strasbourg, and Université de Strasbourg; Strasbourg France
| | - R. Seror
- Université Paris-Sud, INSERM U1184, and AP-HP, Hôpitaux Universitaires Paris-Sud; Le Kremlin-Bicêtre France
| | - X. Mariette
- Université Paris-Sud, INSERM U1184, and AP-HP, Hôpitaux Universitaires Paris-Sud; Le Kremlin-Bicêtre France
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Uzunhan Y, Ferrah L, Crockett F, Valeyre D, Dhote R, Nunes H. Pneumopathies interstitielles diffuses (PID) associées aux connectivites : place du rituximab (RTX). Rev Mal Respir 2016. [DOI: 10.1016/j.rmr.2015.10.716] [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: 10/22/2022]
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10
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Nocturne G, Virone A, Le Guern V, Hachulla E, Daien C, Cornec D, Vittecoq O, Boris B, Marcelli C, Lavigne C, Wendling D, Amoura Z, Dhote R, Gottenberg J, Seror R, Mariette X. SAT0399 Chronic Antigenic Stimulation and Activity of the Disease Are Predictive of Lymphoma Development in Primary SjÖgren Syndrome: A Case Control Study of 64 Cases. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.6116] [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: 11/03/2022]
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11
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Mekinian A, Lazzaroni M, Kuzenko A, Alijotas-Reig J, Ruffatti A, Levy P, Canti V, Bremme K, Bezanahary H, Bertero T, Dhote R, Maurier F, Andreoli L, Benbara A, Tigaizin A, Carbillon L, Nicaise Roland P, Tincani A, Fain O. THU0396 The Efficacy of Hydroxychloroquine for Obstetrical Outcome in Anti-Phospholipid Syndrome: Data from a European Multicenter Retrospective Study. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.1716] [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: 11/03/2022]
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12
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Lopez-Sublet M, Le Jeune S, Giroux-Leprieur B, Agnoletti D, Dhote R, Mourad JJ. [Correlation between urinary catecholamines dosage and apnea-hypopnea index in a hypertension population: pilot study]. Ann Cardiol Angeiol (Paris) 2014; 63:140-144. [PMID: 24952674 DOI: 10.1016/j.ancard.2014.05.004] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2014] [Accepted: 05/14/2014] [Indexed: 06/03/2023]
Abstract
AIMS Sleep disorders like obstructive sleep apnea in adults are associated with increased sympathetic activity, which induced high blood pressure and could be associated with resistant hypertension. Some studies have demonstrated that high urinary catecholamine levels in obstructive sleep apnea patients may be decreased with continuous positive airway pressure therapy. However, very few studies have demonstrated a correlation between apnea-hypopnea index and urinary catecholamine levels in hypertension patients. METHODS In this pilot study, 20 hypertensive patients referred for hypertension work-up including night-time polygraphy and 24h urinary catecholamine dosage were included. RESULTS Mean age was 51±11 years (30-76), 68% were males. Diagnosis of obstructive sleep apnea was confirmed in 13 patients at the end of the work-up. Mean apnea-hypopnea index was 14±9 (2-32). The only urinary catecholamine parameter significantly increased in patients with obstructive sleep apnea was 24h urinary normetanephrine (1931±1285 vs 869±293nmol/24h; P<0.05). However, this difference was not significant when this parameter was adjusted to 24h urinary creatinine. We observed a significant positive correlation between AHI and 24h urinary normetanephine (r=0.486; P=0.035). CONCLUSION This pilot study confirms an isolated elevation of 24h urinary normetanephrine in hypertensive patients with obstructive sleep apnea and shows a significant correlation between sleep disorders expressed by apnea-hypopnea index and urinary catecholamines excretion.
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Affiliation(s)
- M Lopez-Sublet
- Service de médecine interne, université Paris XIII, hôpital Avicenne, Assistance publique-Hôpitaux de Paris, 125, rue de Stalingrad, 93009 Bobigny cedex, France.
| | - S Le Jeune
- Service de médecine interne, université Paris XIII, hôpital Avicenne, Assistance publique-Hôpitaux de Paris, 125, rue de Stalingrad, 93009 Bobigny cedex, France
| | - B Giroux-Leprieur
- Service de médecine interne, université Paris XIII, hôpital Avicenne, Assistance publique-Hôpitaux de Paris, 125, rue de Stalingrad, 93009 Bobigny cedex, France
| | - D Agnoletti
- Service de médecine interne, université Paris XIII, hôpital Avicenne, Assistance publique-Hôpitaux de Paris, 125, rue de Stalingrad, 93009 Bobigny cedex, France
| | - R Dhote
- Service de médecine interne, université Paris XIII, hôpital Avicenne, Assistance publique-Hôpitaux de Paris, 125, rue de Stalingrad, 93009 Bobigny cedex, France
| | - J J Mourad
- Service de médecine interne, université Paris XIII, hôpital Avicenne, Assistance publique-Hôpitaux de Paris, 125, rue de Stalingrad, 93009 Bobigny cedex, France
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Obert J, Freynet O, Nunes H, Brillet P, Dhote R, Valeyre D, Naccache J. Pronostic des pneumopathies infiltrantes diffuses au cours des myosites. Rev Mal Respir 2014. [DOI: 10.1016/j.rmr.2013.10.122] [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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Rossi-Semerano L, Fautrel B, Wendling D, Hachulla E, Galeotti C, Meyer A, Ottaviani S, Dhote R, Richer O, Fouillet-Desjonqueres M, Touitou I, Koné-Paut I. PReS-FINAL-2228: Survey of off-label ANTI-IL1 treatments in France: two years data. Pediatr Rheumatol Online J 2013. [PMCID: PMC4045685 DOI: 10.1186/1546-0096-11-s2-p218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Lopez Sublet M, Warzocha U, Le Jeune S, Abad S, Larroche C, Roulot D, Dhote R. Un morphotype marphanoïde. Rev Med Interne 2013. [DOI: 10.1016/j.revmed.2013.03.192] [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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Rossi-Semerano L, Fautrel B, Wendling D, Hachulla E, Meyer A, Ottaviani S, Dhote R, Galeotti C, Fouillet-Desjonquères M, Richer O, Touitou I, Kone-Paut I. AB0322 Survey of off-label anti-il1 treatments in france: two years results. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2013-eular.2644] [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: 11/03/2022]
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Soussan M, Abad S, Mékinian A, Dhote R, Eder V. Detection of asymptomatic aortic involvement in ANCA-associated vasculitis using FDG PET/CT. Clin Exp Rheumatol 2013; 31:S56-S58. [PMID: 23294518] [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] [Received: 04/04/2012] [Accepted: 06/13/2012] [Indexed: 06/01/2023]
Abstract
Large vessel involvement in ANCA-associated vasculitis is very rare. We report here on the case of two patients with ANCA-associated vasculitis and asymptomatic aortic arch involvement diagnosed using FDG-PET/CT. Because aortic involvement in ANCA-associated vasculitis is a potentially life-threatening condition, its early detection can be crucial. FDG-PET/CT may also provide new insights into large vessel involvement as part of the spectrum of ANCA-associated vasculitis.
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Affiliation(s)
- M Soussan
- University of Paris 13, Sorbonne Paris Cité, Bobigny, France.
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Verin A, Uzunhan Y, Brillet P, Larroche C, Warzocha U, Abad S, Valeyre D, Brauner M, Dhote R. Atteinte respiratoire au cours du syndrome de Gougerot-Sjogren : analyse systématique des données TDM. Rev Med Interne 2012. [DOI: 10.1016/j.revmed.2012.10.021] [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: 10/27/2022]
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Charpentier C, Joly V, Larrouy L, Fagard C, Visseaux B, de Verdiere NC, Raffi F, Yeni P, Descamps D, Aumaitre H, Medus M, Neuville S, Saada M, Abgrall S, Bentata M, Bouchaud O, Cailhol J, Cordel H, Dhote R, Gros H, Honore-Berlureau P, Huynh T, Krivitzky A, Mansouri R, Poupard M, Prendki V, Radia D, Rouges F, Touam F, Warde B, de Castro N, Colin de Verdiere N, Delgado J, Ferret S, Gallien S, Kandel T, Lafaurie M, Lagrange M, Lascoux-Combe C, Le D, Molina JM, Pavie J, Pintado C, Ponscarme D, Rachline A, Rozenbaum W, Sereni D, Taulera O, Estavoyer JM, Faucher JF, Foltzer A, Hoen B, Hustache-Mathieu L, Dupon M, Dutronc H, Neau D, Ragnaud JM, Raymond I, Boucly S, Lortholary O, Viard JP, Bechara C, Delfraissy JF, Ghosn J, Goujard C, Kamouh W, Mole M, Quertainmont Y, Bergmann JF, Boulanger E, Castillo H, Parrinello M, Rami A, Sellier P, Lepeu G, Pichancourt G, Bernard L, Berthe H, Clarissou J, Gory M, Melchior JC, Perronne C, Stegman S, de Truchis P, Derradji O, Malet M, Teicher E, Vittecoq D, Chakvetadze C, Fontaine C, Lukiana T, Pialloux G, Slama L, Bonnet D, Boucherit S, El Alami Talbi N, Fournier I, Gervais A, Joly V, Iordache L, Laurichesse JJ, Leport C, Pahlavan G, Phung BC, Yeni P, Bennamar N, Brunet A, Guillevin L, Salmon-Ceron D, Tahi T, Chesnel C, Dominguez S, Jouve P, Lelievre JD, Levy Y, Melica G, Sobel A, Ben Abdallah S, Bonmarchand M, Bricaire F, Herson S, Iguertsira M, Katlama C, Kouadio H, Schneider L, Simon A, Valantin MA, Abel S, Beaujolais V, Cabie A, Liauthaud B, Pierre Francois S, Abgueguen P, Chennebault JM, Loison J, Pichard E, Rabier V, Delaune J, Louis I, Morlat P, Pertusa MC, Brunel-Delmas F, Chiarello P, Jeanblanc F, Jourdain JJ, Livrozet JM, Makhloufi D, Touraine JL, Augustin-Normand C, Bailly F, Benmakhlouf N, Brochier C, Cotte L, Gueripel V, Koffi K, Lack P, Lebouche B, Maynard M, Miailhes P, Radenne S, Schlienger I, Thoirain V, Trepo C, Drogoul MP, Fabre G, Faucher O, Frixon-Marin V, Gastaut JA, Peyrouse E, Poizot-Martin I, Jacquet JM, Le Facher G, Merle de Boever C, Reynes J, Tramoni C, Allavena C, Billaud E, Biron C, Bonnet B, Bouchez S, Boutoille D, Brunet-Francois C, Hue H, Mounoury O, Raffi F, Reliquet V, Aubry O, Esnault JL, Leautez-Nainville S, Perre P, Suaud I, Breaud S, Ceppi C, Dellamonica P, De Salvador F, Durant J, Ferrando S, Fuzibet JG, Leplatois A, Mondain V, Perbost I, Pugliese P, Rahelinirina V, Rosenthal E, Sanderson F, Vassalo M, Arvieux C, Chapplain JM, Michelet C, Ratajczak M, Revest M, Souala F, Tattevin P, Cheneau C, Fischer P, Lang JM, Partisani M, Rey D, Bastides F, Besnier JM, Le Bret P, Choutet P, Dailloux JF, Guadagnin P, Nau P, Rivalain J, Soufflet A, Aissi E, Melliez H, Pavel S, Mouton Y, Yazdanpanah Y, Boyer L, Burty C, Letranchant L, May T, Wassoumbou S, Blum L, Danne O, Arthus MA, Dion P, Certain A, Tabuteau S, Beuscart A, Agher N, Frosch A, Couffin-Cadiergues S, Diallo A. Role and evolution of viral tropism in patients with advanced HIV disease receiving intensified initial regimen in the ANRS 130 APOLLO trial. J Antimicrob Chemother 2012; 68:690-6. [DOI: 10.1093/jac/dks455] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Lopez-Sublet M, Bihan H, Reach G, Dupont S, Didelot A, Mourad JJ, Krivitzky A, Dhote R. Limbic encephalitis and type 1 diabetes with glutamic acid decarboxylase 65 (GAD65) autoimmunity: Improvement with high-dose intravenous immunoglobulin therapy. Diabetes & Metabolism 2012; 38:273-5. [DOI: 10.1016/j.diabet.2012.02.005] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/30/2011] [Revised: 02/28/2012] [Accepted: 02/28/2012] [Indexed: 10/28/2022]
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Luong Nguyen LB, Warzocha U, Brillet PY, Abad S, Larroche C, Amar L, Frachet B, Dhote R. [Vascular involvement in Cogan's syndrome. A case report]. ACTA ACUST UNITED AC 2011; 37:19-21. [PMID: 22197586 DOI: 10.1016/j.jmv.2011.11.003] [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: 09/28/2011] [Accepted: 11/02/2011] [Indexed: 11/25/2022]
Abstract
Vascular manifestations of Cogan's syndrome are rarely reported. We report the case of a young woman followed for typical Cogan's disease. Serious vascular involvement was found only during work-up for arterial hypertension. This case highlights potentially asymptomatic nature of extensive vasculitis affecting large and medium-sized vessels in Cogan's disease. Careful screening is required to prevent life-threatening complications.
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Affiliation(s)
- L-B Luong Nguyen
- Service de Médecine Interne, Hôpital Avicenne, Assistance Publique-Hôpitaux de Paris, Université Paris-13, 125, rue de Stalingrad, 93000 Bobigny, France
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Maldini C, Seror R, Fain O, Dhote R, Leroux JL, Guillevin L, Mariette X, Mahr A. Épidémiologie du syndrome de Gougerot-Sjögren (SGS) primitif dans le département de la Seine-Saint-Denis en 2007. Rev Med Interne 2011. [DOI: 10.1016/j.revmed.2011.10.282] [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: 10/15/2022]
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Lopez-Sublet M, Le Jeune S, Simonetta M, Giroux-Leprieur B, Dhote R, Mourad JJ. Syndrome de sécrétion inappropriée d’hormone antidiurétique induit par l’amiodarone : à propos d’un cas. Rev Med Interne 2011. [DOI: 10.1016/j.revmed.2011.03.224] [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: 11/30/2022]
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Lopez-Sublet M, Vinant V, Si Moussi T, Giroux-Leprieur B, Le Jeune S, Dhote R, Mourad JJ. Mesure de la pression artérielle, de la glycémie capillaire et du score de précarité Épices dans un centre de distribution alimentaire des restos du cœur. Rev Med Interne 2011. [DOI: 10.1016/j.revmed.2011.03.109] [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: 10/28/2022]
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Poncet-Wallet C, Ormezzano Y, Ernst E, Toffin C, Dhote R, Harboun-Cohen E, Frachet B. [Study of a case of cochlear implant with recurrent cutaneous extrusion]. Ann Otolaryngol Chir Cervicofac 2009; 126:264-8. [PMID: 19729148 DOI: 10.1016/j.aorl.2009.07.001] [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] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/15/2008] [Accepted: 07/22/2009] [Indexed: 11/30/2022]
Abstract
OBJECTIVE An observation of a difficult-to-diagnose complication of the cochlear implant: recurring cutaneous extrusion of a cochlear implant is reported. PATIENTS AND METHODS The history of an adult patient with total deafness is reported. She received an implant in her right ear in 1988, which was then explanted because of absence of hearing results. She received a second implant in her left ear in 2002, which was then explanted in 2007 because of cutaneous extrusion. In 2008, a second implant of a different brand was placed in her left ear, with the central part placed away from the first site, but extrusion recurred. A new attempt to encapsulate the central part with a hydroxyapatite box also ended in extrusion and was explanted in 2008. RESULTS Various diagnoses to explain these cutaneous problems were suggested during this clinical progression: infection, allergy, and a reaction to a foreign body. No hypothesis could be clearly ruled out. CONCLUSION Cutaneous complications after cochlear implant are exceptional. As soon as cutaneous disorders appear, a rigorous diagnostic process must be followed so that the patient can be recommended a long-lasting solution to restore quality hearing.
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Affiliation(s)
- C Poncet-Wallet
- Service ORL, hôpital Avicenne, 125, route de Stalingrad, 93009 Bobigny, France.
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Abad S, Monnet D, Caillat-Zucman S, Mrejen S, Blanche P, Chalumeau M, Mouthon L, Dhote R, Brézin AP. Characteristics of Vogt-Koyanagi-Harada Disease in a French Cohort: Ethnicity, Systemic Manifestations, and HLA Genotype Data. Ocul Immunol Inflamm 2009; 16:3-8. [DOI: 10.1080/09273940801923895] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Abad S, Sève P, Dhote R, Brézin AP. Uvéites et médecine interne : stratégies diagnostique et thérapeutique. Rev Med Interne 2009; 30:492-500. [DOI: 10.1016/j.revmed.2008.08.011] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/29/2008] [Revised: 06/02/2008] [Accepted: 08/04/2008] [Indexed: 01/14/2023]
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Duchet-Niedziolka P, Launay O, Coutsinos Z, Ajana F, Arlet P, Barrou B, Beytout J, Bouchaud O, Brouqui P, Buzyn A, Chidiac C, Couderc LJ, Debord T, Dellamonica P, Dhote R, Duboust A, Durrbach A, Fain O, Fior R, Godeau B, Goujard C, Hachulla E, Marchou B, Mariette X, May T, Meyer O, Milpied N, Morlat P, Pouchot J, Tattevin P, Viard JP, Lortholary O, Hanslik T. Vaccination in adults with auto-immune disease and/or drug related immune deficiency: results of the GEVACCIM Delphi survey. Vaccine 2009; 27:1523-9. [PMID: 19168104 DOI: 10.1016/j.vaccine.2009.01.003] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2008] [Revised: 12/09/2008] [Accepted: 01/07/2009] [Indexed: 11/17/2022]
Abstract
INTRODUCTION There are insufficient data regarding the efficacy and safety of vaccination in patients with auto-immune disease (AID) and/or drug-related immune deficiency (DRID). The objective of this study was to obtain professional agreement on vaccine practices in these patients. METHODS A Delphi survey was carried out with physicians recognised for their expertise in vaccinology and/or the caring for adult patients with AID and/or DRID. For each proposed vaccination practice, the experts' opinion and level of agreement were evaluated. RESULTS The proposals relating to patients with AID specified: the absence of risk of AID relapse following vaccination; the possibility of administering live virus vaccines (LVV) to patients not receiving immunosuppressants; the pertinence of determining protective antibody titre before vaccination; the absence of need for specific monitoring following the vaccination. The proposals relating to patients with DRID specified that a 3-6 month delay is needed between the end of these treatments and the vaccination with LVV. There is no contraindication to administering LVV in patients receiving systemic corticosteroids prescribed for less than two weeks, regardless of their dose, or at a daily dose not exceeding 10mg of prednisone, if this involves prolonged treatment. Out of 14 proposals, the level of agreement between the experts was "very good" for eleven, and "good" for the remaining three. CONCLUSION Proposals for vaccine practices in patients with AID and/or DRID should aid with decision-making in daily medical practice and provide better vaccine coverage for these patients.
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Affiliation(s)
- P Duchet-Niedziolka
- Université Paris Descartes, Faculté de Médecine; AP-HP, Groupe Hospitalier Cochin Saint-Vincent de Paul, Pôle de Médecine, CIC de Vaccinologie Cochin-Pasteur; INSERM, CIC BT505, Paris, France
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Vignon M, Cazenave B, Gambier N, Abad S, Larroche C, Falgarone G, Dhote R. Toxicité musculaire de la cochicine : caractères évolutifs. Rev Med Interne 2008. [DOI: 10.1016/j.revmed.2008.10.310] [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: 11/15/2022]
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Gilson M, Abad S, Larroche C, Dhote R. Treatment of Schnitzler's syndrome with anakinra. Clin Exp Rheumatol 2007; 25:931. [PMID: 18173934] [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: 05/25/2023]
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Abad S, Badelon I, Warzocha U, Larroche C, Morax S, Dhote R. Xanthogranulomatose de l'orbite et des annexes chez l'adulte: À propos de deux patients et revue de la littérature. Rev Med Interne 2006. [DOI: 10.1016/j.revmed.2006.10.316] [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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Fontaine A, Mahé I, Bergmann JF, Fiessinger JN, Dhote R, Cohen P, Vinceneux P. Effectiveness of written guidelines on the appropriateness of thromboprophylaxis prescriptions for medical patients: a prospective randomized study. J Intern Med 2006; 260:369-76. [PMID: 16961674 DOI: 10.1111/j.1365-2796.2006.01699.x] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.2] [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] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To assess the effectiveness of providing doctors with written thromboprophylaxis prescription aids based on current recommendations. DESIGN A prospective trial of specific anticoagulant prescription forms: a 1-day survey before and after the intervention in each centre. SETTING 30 Internal Medicine departments of Assistance Publique-Hôpitaux de Paris. SUBJECTS All inpatients were included, except those who were either admitted or discharged on the day of the survey, and those receiving curative anticoagulant treatment. INTERVENTIONS The study included three parts: (i) a 1-day baseline survey; (ii) over the following 3-month period, departments were randomized into two groups: all practitioners in wards allocated to the intervention group were required to systematically use specific anticoagulant prescription forms, whilst doctors in the control group continued prescribing according to their usual practices and (iii) a 1-day postintervention survey. MAIN OUTCOME MEASURE The proportion of prescriptions in accordance with the recommendations. RESULTS 1,469 patients were included. The intervention produced a significant reduction in the frequency of over-prescriptions, from 25% to 14% of the patients who did not meet the guideline criteria (adjusted OR: 0.3; 95% CI: 0.1-0.8). Using specific forms did not improve under-prescription of anticoagulants. A little over 60% of the patients who met guideline criteria for thromboprophylaxis were prescribed anticoagulants in both intervention and control wards, either at baseline or after intervention. CONCLUSIONS Multitargeted interventions using a variety of means and strategies should still be considered to improve prescriptions that may have a significant impact on health expenses and, most importantly, on patients outcomes.
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Affiliation(s)
- A Fontaine
- APHP, Unité d' Evaluation, Hôpital Louis Mourier, Colombes, France
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Streho M, Delair E, Abad S, Sablé-Fourtassou R, Blanche P, Monnet D, Brion MC, Brezin AP, Dhote R. Uvéite et thyroïdite associée à HTLV-1. Rev Med Interne 2005; 26:894-6. [PMID: 16146665 DOI: 10.1016/j.revmed.2005.07.007] [Citation(s) in RCA: 3] [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] [Received: 04/06/2005] [Accepted: 07/11/2005] [Indexed: 11/25/2022]
Abstract
INTRODUCTION The oncovirus HTLV-1 is aetiologically associated with uveitis and autoimmune thyroiditis in endemic areas. The association of uveitis with autoimmune thyroiditis in HTLV-1 carriers is less common moreover in non-endemic area. EXEGESE We report two original cases of simultaneous uveitis and autoimmune thyroiditis in HTLV-1 carriers, without other disease due to HTLV-1. The visual outcome was favorable in both cases. CONCLUSION A significant correlation exists between hyperthyroidism, uveitis and HTLV-1, but still needs to be confirmed. The autoimmune or immune mediated mecanism of HTLV-1 may be involved in the uveitis and the thyroidits.
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Affiliation(s)
- M Streho
- Service de médecine interne, hôpital Avicenne, 125, rue de Stalingrad, 93000 Bobigny, France
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Abad S, Vidal R, Valadier P, Abgral S, Sablé R, Larroche C, Dhote R. Une toux bien invalidante !…. Rev Med Interne 2005; 26 Suppl 2:S287-9. [PMID: 16129177 DOI: 10.1016/s0248-8663(05)81287-1] [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: 11/27/2022]
Affiliation(s)
- S Abad
- Service de médecine interne, hôpital Avicenne, Bobigny, France
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Abad S, Meyssonier V, Allali J, Gouya H, Giraudet AL, Monnet D, Parc C, Tenenbaum F, Alberini JL, Grabar S, Pesce F, Rollot F, Sicard D, Dhote R, Blanche P, Brézin AP. Association of peripheral multifocal choroiditis with sarcoidosis: a study of thirty-seven patients. ACTA ACUST UNITED AC 2005; 51:974-82. [PMID: 15593175 DOI: 10.1002/art.20839] [Citation(s) in RCA: 57] [Impact Index Per Article: 3.0] [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: 11/07/2022]
Abstract
OBJECTIVE To assess the clinical spectrum of peripheral multifocal choroiditis (PMC) and its association with sarcoidosis. METHODS Thirty-seven patients examined between November 1997 and November 2001 who met all diagnostic criteria for PMC were included in this retrospective study. Patients were assessed for the following signs of sarcoidosis: typical changes on chest radiography or computed tomography; predominantly CD4 lymphocytosis in bronchoalveolar lavage fluid; elevated serum angiotensin-converting enzyme levels; elevated gallium uptake; and noncaseating granuloma on biopsy. RESULTS Most of the patients were female (30 of 37; 81%) and white (30 of 37; 81%). Mean +/- SD age at onset was 57.5 +/- 18.7 years. Seven (19%) of the 37 patients had biopsy-proven sarcoidosis and 18 patients (49%) with presumed sarcoidosis met at least 2 of the above-mentioned criteria for sarcoidosis but had normal biopsy results. Twelve patients (32%) had an indeterminate diagnosis. Patients with presumed sarcoidosis did not differ from those with proven sarcoidosis as regards the above-mentioned criteria, except for noncaseating granuloma, implying that more than two-thirds of patients (predominantly whites) had underlying sarcoidosis. Most patients with positive gallium scintigraphy had increased mediastinal uptake, as described in sarcoidosis. Patients with underlying sarcoidosis had more severe visual impairment due to cystoid macular edema (CME). Weekly methotrexate (0.3 mg/kg) seemed to control CME. CONCLUSION White patients with PMC should be considered to have sarcoidosis. The identification of sarcoidosis in patients with severe ocular disease can help with therapeutic choices.
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Affiliation(s)
- S Abad
- Hôpital Cochin-St. Vincent de Paul, Paris, France.
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Guenoun JM, Parc C, Dhote R, Brezin AP. Le syndrome de Vogt-Koyanagi-Harada : aspects cliniques, traitement et suivi à long terme dans une population caucasienne et africaine. J Fr Ophtalmol 2004; 27:1013-6. [PMID: 15557863 DOI: 10.1016/s0181-5512(04)96257-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [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: 10/22/2022]
Abstract
PURPOSE Seventeen consecutive cases of Vogt-Koyanagi-Harada (VKH) disease were studied to determine their clinical profile. METHODS This was a retrospective study of 17 cases, in a white and African population. RESULTS The sex ratio (female/male) was 1.6. Mean age was 37.65 +/- 10.2 years. Eight patients were Caucasian (47%), and seven were from North Africa (41%), and two were black Africans (12%). Eleven patients were referred during the acute stage, and six patients secondarily. All patients had bilateral ocular involvement. Panuveitis with retinal serous detachment was the most frequent presentation (88%). Extraocular signs were found in 87% of the cases. Initial visual acuity was 0.29 +/- 0.36, and final visual acuity was 0.78 +/- 0.3. Patients seen during the acute stage were treated with general corticotherapy. Immunosuppressive agents were given in 56% of the cases. CONCLUSIONS Vogt-Koyanagi-Harada disease, in a Caucasian and African population, has a presentation close to that of the Japanese population. However, cutaneous signs are much rarer. Visual prognosis was generally favorable.
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Affiliation(s)
- J-M Guenoun
- Service d'Ophtalmologie, Hôpital Cochin, Université Paris V, Paris, France
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Larroche C, Zidi S, Maissiat E, Fenaux P, Dhote R. [A treatment that messes one's hair up and works on an unhealthy liver...]. Rev Med Interne 2004; 25 Suppl 2:S253-4. [PMID: 15460467 DOI: 10.1016/s0248-8663(04)80020-1] [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: 10/25/2022]
Affiliation(s)
- C Larroche
- Service de médecine interne, hôpital Avicenne, 125, rue de Stalingrad, 93009 Bobigny, France
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Abstract
This study confirmed several independent risk and protective factors for RCC identified in the authors' previous study. Protective factors such as oral contraceptive use and moderate alcohol consumption were identified only in women. Tobacco consumption and severe obesity were the main independent risk factors. There were other modifiable risk markers, however, such as occupational exposure, thiazidic drug intake, and urinary tract infections. The associations between risk factors and RCC were weak, even for tobacco, for which the association was weaker than that for lung cancer. The identified risks involve a large proportion of the population, however, and the risk attributable to these types of exposure is high. The authors' recommendations for the prevention of RCC are therefore similar to those for the prevention of cardiovascular disease and cancer, and should be disseminated to the general population. The high-risk groups identified are too large for a specific early-screening program for RCC, but such screening might be appropriate if restricted to selected age groups.
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Affiliation(s)
- R Dhote
- Service de Médecine Interne, Hôpital Avicenne, Université Paris XIII, AP-HP, 125 rue de Stalingrad, 93000 Bobigny, France.
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Mir O, Dhote R, Scavennec R, Ropert S, Christoforov B. Cyclooxygenase 2 selective inhibitor induced bowel stricture: a case report. Gut 2004; 53:154. [PMID: 14684594 PMCID: PMC1773943 DOI: 10.1136/gut.53.1.154] [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] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/08/2022]
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Aubart F, Diebold B, Dhote R, Weinmann P, Valeyre D. [Cardiac sarcoidosis]. Rev Mal Respir 2003; 20:S45-9. [PMID: 15143310] [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: 04/29/2023]
Affiliation(s)
- F Aubart
- Service de Pneumologie, Hôpital Avicenne, Assistance Publique - Hôpitaux de Paris, Bobigny
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Mir O, Scavennec R, Burnat P, Ropert S, Blanche P, Guillevin L, Dhote R. Adénosine désaminase : quelle valeur dans le diagnostic de la tuberculose? Rev Med Interne 2003. [DOI: 10.1016/s0248-8663(03)80517-9] [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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42
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Abad S, Meyssonier V, Allali J, Monnet D, Parce C, Dhote R, Sicard D, Blanched P, Brezin A. La choroïdite multifocale périphérique idiopathiqueune maladie de système proche de la sarcoïdose? À propos d'une série de 32 patients. Rev Med Interne 2003. [DOI: 10.1016/s0248-8663(03)80092-9] [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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43
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44
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Mir O, Dhote R, Ropert S, Moulin V, Scavennec R, Christoforov B. Hépatite virale C associée à un lymphome splénique de type villeux : Un traitement unique. Rev Med Interne 2002. [DOI: 10.1016/s0248-8663(02)80669-5] [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: 11/27/2022]
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45
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Bachet J, Dhote R, Permal S, Touzé E, Prots L, Christoforov B. Bulles. Rev Med Interne 2002. [DOI: 10.1016/s0248-8663(02)80040-6] [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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46
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Marque N, Dhote R, Permal S, Corlieu P, Christoforov B. Mucocèle intra-orbitaire et maladie de Wegener. Rev Med Interne 2002. [DOI: 10.1016/s0248-8663(02)80209-0] [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: 11/27/2022]
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47
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Girier Dufournier P, Fain O, Assous M, Dhote R, Salama J, Mas J, Pierrot-Deseilligny C, Kettaneh A, Stimemann J, Thomas M. Formes neurologiques centrales chroniques de la borréliose de Lyme : 5 observations. Rev Med Interne 2001. [DOI: 10.1016/s0248-8663(01)80276-9] [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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48
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Dhote R, Assous M, Lefebvre E, Blanche P, Sogni P, Piette J, Vinceneux P, Tulliez M, Christoforov B. Hépatite au cours de la fièvre Q. Rev Med Interne 2001. [DOI: 10.1016/s0248-8663(01)80040-0] [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: 11/25/2022]
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49
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Dhote R, Sogni P, Assous MV. [Hepatic injuries related to Lyme borreliosis: response to 2 cases presented by I. Dadamessi et al]. Gastroenterol Clin Biol 2001; 25:1125-6. [PMID: 11911003] [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: 02/24/2023]
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50
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Dhote R, Vignaux O, Blanche P, Duboc D, Sicard D, Christoforov B, Legmann P. Sarcoïdose cardiaque : apport de l'IRM. Rev Med Interne 2001. [DOI: 10.1016/s0248-8663(01)80109-0] [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: 11/15/2022]
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