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Mehidi DA, Panzo R, Champreux J, Burgel PR, Kanaan R, Dupont C. P354 Home IV antibiotic course in a large cystic fibrosis adult centre in France: prevalence of self-care. J Cyst Fibros 2020. [DOI: 10.1016/s1569-1993(20)30682-2] [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: 10/24/2022]
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Regard L, Martin C, Paugam A, Kanaan R, Honoré I, Hubert D, Carlier N, Burgel PR. P164 Pulmonary aspergillosis in adults with cystic fibrosis: clinico-biological presentation in a single centre cohort. J Cyst Fibros 2019. [DOI: 10.1016/s1569-1993(19)30458-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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David V, Perrin A, Pougneon-Bertrand D, Kanaan R, Kerbrat M, Le Rhun A. WS18.4 Evaluation of transplantation information delivered to patients and their relatives by the professionals from cystic fibrosis centres and transplant centres and from transplanted peer-patients in France. J Cyst Fibros 2018. [DOI: 10.1016/s1569-1993(18)30223-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [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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Burnet E, Burgel PR, Champreux J, Honoré I, Kanaan R, Panzo R, Dupont C, Hubert D. ePS02.8 Unscheduled contacts initiated by patients in an adult CF centre: a twelve-month prospective study. J Cyst Fibros 2016. [DOI: 10.1016/s1569-1993(16)30204-1] [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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Champreux J, Azaiz W, Joachim H, Derelle J, Murris-Espins M, Kanaan R, Honoré I, Burgel PR, Gérardin M, Munck A, Hubert D. ePS06.9 Real world introduction of Colobreathe™ in children and adults with cystic fibrosis. J Cyst Fibros 2016. [DOI: 10.1016/s1569-1993(16)30239-9] [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: 10/21/2022]
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Dupont C, Panzo R, Huber D, Burnet E, Honoré I, Kanaan R, Champreux J, Burgel PR, Colomb-Jung V, Dusser D, Duflos AS. 206 Is the provision and management of peripheral and central venous catheters similar throughout France's CF centers? Access, choice and renewal frequency. J Cyst Fibros 2016. [DOI: 10.1016/s1569-1993(16)30445-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Auzou LG, Kanaan R, Honoré I, Hubert D, Burgel PR. WS20.3 Use of omalizumab in cystic fibrosis adults with allergic bronchopulmonary aspergillosis: a single center study. J Cyst Fibros 2016. [DOI: 10.1016/s1569-1993(16)30171-0] [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: 11/30/2022]
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Dupont C, Panzo R, Honoré I, Hubert D, Kanaan R, Burnet E, Colomb-Jung V, Champreux J, Burgel PR, Dusser D, Duflos AS. 207 Is the provision of care for I.V. antibiotic courses similar throughout French CF centers? J Cyst Fibros 2016. [DOI: 10.1016/s1569-1993(16)30446-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Auzou L, Martin C, Hubert D, Kanaan R, Honoré I, Chapron J, Dusser D, Burgel PR. Utilisation de l’omalizumab dans le traitement de l’ABPA chez l’adulte mucoviscidosique. L’expérience du CRCM adulte de l’hôpital Cochin. Rev Mal Respir 2016. [DOI: 10.1016/j.rmr.2015.10.556] [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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Digonnet M, Laborde-Castérot H, Boussaud V, Grenet D, Burgel PR, Kanaan R, Choudat D, Hubert D. WS03.5 Employment and work disability in adults with cystic fibrosis: A cohort study. J Cyst Fibros 2015. [DOI: 10.1016/s1569-1993(15)30019-9] [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: 11/27/2022]
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Chapron J, Patalas V, Surget S, Jaouani BL, Cases F, Jaumain C, Courtiol C, Panzo R, Hubert D, Burnet E, Honoré I, Kanaan R, Burgel PR, Dusser D, Dupont C. 267 Peripherally-inserted central catheters use and care in cystic fibrosis: A survey on the practice of free-lance home care nurses in France. J Cyst Fibros 2015. [DOI: 10.1016/s1569-1993(15)30441-0] [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: 11/28/2022]
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Burgel PR, Martin C, Kanaan R, Bousseau V, Grenet D, Abely M, Hubert D, Munck A, Lemonnier L, Hamard C. WS09.8 End-of-life care in CF patients: France, 2007–2010. J Cyst Fibros 2015. [DOI: 10.1016/s1569-1993(15)30059-x] [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: 10/23/2022]
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Martin C, Hamard C, Kanaan R, Boussaud V, Grenet D, Abely M, Hubert D, Munck A, Lemonnier L, Burgel PR. Étude des causes de décès des patients mucoviscidosiques en France : 2007–2010. Rev Mal Respir 2015. [DOI: 10.1016/j.rmr.2014.11.023] [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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Grunewald D, Lahoreau D, Burgel PR, Chapron J, Honoré I, Kanaan R, Dusser D, Hubert D. 213 Dietary management of pregnant women with cystic fibrosis. J Cyst Fibros 2014. [DOI: 10.1016/s1569-1993(14)60348-9] [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] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Morand P, Chapron J, Loubinoux J, Honoré I, Poupet H, Kanaan R, Burgel PR, Poyart C, Dusser D, Hubert D. 60 Evaluation of twice-a-year antibiotic susceptibility testing for Pseudomonas aeruginosa in adult patients with cystic fibrosis. J Cyst Fibros 2014. [DOI: 10.1016/s1569-1993(14)60197-1] [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: 10/25/2022]
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Burgel PR, Chapron J, Hubert D, Kanaan R, Honoré I, Paillasseur JL, Aubourg F, Dinh-Xuan AT, Dusser D, Fajac I, Martin C. WS12.3 Prognostic value of the 6 minute walk test in adults with cystic fibrosis. J Cyst Fibros 2013. [DOI: 10.1016/s1569-1993(13)60072-7] [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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Burgel PR, Chapron J, Hubert D, Kanaan R, Honoré I, Paillasseur JL, Aubourg F, Dinh-Xuan AT, Dusser D, Fajac I, Martin C. WS12.4 Determinants of 6 minute walking distance and desaturation during the 6 minute walk test in adults with cystic fibrosis. J Cyst Fibros 2013. [DOI: 10.1016/s1569-1993(13)60073-9] [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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Nicholson T, Aybek S, Kempton M, David A, Kanaan R. P15 A structural MRI study of motor conversion disorder: evidence of bilateral reduction in thalamic volume. J Neurol Neurosurg Psychiatry 2012. [DOI: 10.1136/jnnp-2012-303538.32] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Dupont C, Panzo R, Silvera S, Vignaux O, Szwarc D, Agrario L, Kanaan R, Honore I, Chapron J, Dusser D, Hubert D, Burgel PR. 292 Peripherally-inserted central catheter for intravenous antibiotics in adult patients with cystic fibrosis or bronchiectasis. J Cyst Fibros 2012. [DOI: 10.1016/s1569-1993(12)60460-3] [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] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Bally C, Martin C, Kraoua S, Kanaan R, Lacronique J, Dusser D, Burgel PR. [Eosinophilic pleural effusion related to taking valproic acid]. Rev Pneumol Clin 2011; 67:363-366. [PMID: 22137281 DOI: 10.1016/j.pneumo.2010.11.008] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/25/2010] [Revised: 10/11/2010] [Accepted: 11/28/2010] [Indexed: 05/31/2023]
Abstract
Eosinophilic pleural effusions have multiple aetiologies. We report on the case of a 40-year-old man who experienced an eosinophilic pleural effusion with blood hypereosinophilia that occurred nine weeks after a treatment with valproic acid was introduced. Usual aetiologies of eosinophilic pleural effusion were excluded. Once valproic acid was discontinued, both pleural effusion and blood eosinophilia decreased rapidly. The persistence of a residual pleural effusion required the introduction of oral corticosteroids, which resulted in the effusion disappearing completely and rapidly. Valproic acid is a rare cause of eosinophilic pleural effusion. The effusion usually regresses when treatment is discontinued but short-term oral corticotherapy may be necessary in order to heal the patient.
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Affiliation(s)
- C Bally
- Service de pneumologie, hôpital Cochin, Paris, France
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Amsellem M, Burgel PR, Baixench MT, Hubert D, Kanaan R, Chapron J, Dusses D, Paugam A. 114* Aspergillus fumigatus susceptibility to itraconazole in adult patients with cystic fibrosis. J Cyst Fibros 2011. [DOI: 10.1016/s1569-1993(11)60131-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Chapron J, Zuber B, Kanaan R, Hubert D, Desmazes-Dufeu N, Mira JP, Dusser D, Burgel PR. Prise en charge des complications aiguës sévères chez l’adulte mucoviscidosique. Rev Mal Respir 2011; 28:503-16. [DOI: 10.1016/j.rmr.2010.11.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2010] [Accepted: 11/08/2010] [Indexed: 12/01/2022]
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Aybek S, Nicholson T, Craig T, David A, Kanaan R. 019 Life events in the year preceding the onset of conversion disorder: the role of the type and timing of events. Journal of Neurology, Neurosurgery & Psychiatry 2010. [DOI: 10.1136/jnnp.2010.217554.19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Kanaan R, Wessely S. 021 Factitious presentations in neurology. Journal of Neurology, Neurosurgery & Psychiatry 2010. [DOI: 10.1136/jnnp.2010.217554.21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Hubert D, Bizec A, Lahoreau D, Naudet C, Desmazes-Dufeu N, Kanaan R, Burgel P, Dusser D. Improvement of nutritional status in a cohort of adults with CF. J Cyst Fibros 2010. [DOI: 10.1016/s1569-1993(10)60335-9] [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: 10/19/2022]
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Burgel PR, Kanaan R. Traitement de l’infection chronique à Pseudomonas aeruginosa multirésistants dans la mucoviscidose : comment progresser ? Rev Mal Respir 2010; 27:411-3. [DOI: 10.1016/j.rmr.2010.04.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2010] [Accepted: 04/12/2010] [Indexed: 11/27/2022]
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Kanaan R. [Lung transplantation: instructions]. Rev Pneumol Clin 2010; 67:1-2. [PMID: 21353966 DOI: 10.1016/j.pneumo.2010.12.001] [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] [Subscribe] [Scholar Register] [Received: 12/27/2010] [Accepted: 12/27/2010] [Indexed: 05/30/2023]
Affiliation(s)
- R Kanaan
- Service de pneumologie, hôpital Cochin, AP-HP, 27, rue du Faubourg-Saint-Jacques, 75014 Paris, France.
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Abstract
Lung transplant (LT) is a valid treatment for patients with end-stage lung disease such as cystic fibrosis, emphysema, pulmonary fibrosis and pulmonary arterial hypertension (85% of indications) and for selected candidates. The "good recipient" was introduced early to a specialised center, has had complete pre-LT assessment and complete information. At the end of this assessment, the absolute contraindications were eliminated (cardiovascular pathologies, recent neoplasia, active viral diseases, severe psychiatric disorders), advanced age risks were discussed, co-morbidities to treat were listed and an individualised therapeutic pre-LT program has been decided (based on exercise and muscle rehabilitation, nutritional support, anti-infectious treatments, active management of co-morbidities such as diabetes, hypertension, gastro-esophageal reflux…) with a psychological follow-up if necessary. Timely inscription on waiting list must be decided, early enough to avoid extreme handicap or risk pre-LT death, but not too early to have a survival benefit linked to LT. Death without LT prognosis criteria are still studied, and even if they do not fully define the risk of death of an individualised patient, they are taken into account by the recommendations of the societies; since 2006, LT indications are based on severity criteria of the selected patient, defined for each recipient diagnosis. LT aims to improve survival and quality of life of the patient, and this is especially true when the patient is referred, prepared and monitored early enough by the transplant team; the aim is to limit the risk of death before LT (before listing and on waiting list) and early post-LT morbimortality.
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Affiliation(s)
- R Kanaan
- Service de pneumologie, hôpital Cochin, AP-HP, 27, rue du Faubourg-Saint-Jacques, 75014 Paris, France.
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Kanaan R, Carletti F, Picchioni M, Kane F, Ettinger U, McGuire P. S34-03 - Iffusion tensor imaging analyses of twins with and without schizophrenia. Eur Psychiatry 2010. [DOI: 10.1016/s0924-9338(10)70097-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Craig MC, Catani M, Deeley Q, Latham R, Daly E, Kanaan R, Picchioni M, McGuire PK, Fahy T, Murphy DGM. Altered connections on the road to psychopathy. Mol Psychiatry 2009; 14:946-53, 907. [PMID: 19506560 DOI: 10.1038/mp.2009.40] [Citation(s) in RCA: 211] [Impact Index Per Article: 14.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Psychopathy is strongly associated with serious criminal behaviour (for example, rape and murder) and recidivism. However, the biological basis of psychopathy remains poorly understood. Earlier studies suggested that dysfunction of the amygdala and/or orbitofrontal cortex (OFC) may underpin psychopathy. Nobody, however, has ever studied the white matter connections (such as the uncinate fasciculus (UF)) linking these structures in psychopaths. Therefore, we used in vivo diffusion tensor magnetic resonance imaging (DT-MRI) tractography to analyse the microstructural integrity of the UF in psychopaths (defined by a Psychopathy Checklist Revised (PCL-R) score of > or = 25) with convictions that included attempted murder, manslaughter, multiple rape with strangulation and false imprisonment. We report significantly reduced fractional anisotropy (FA) (P<0.003), an indirect measure of microstructural integrity, in the UF of psychopaths compared with age- and IQ-matched controls. We also found, within psychopaths, a correlation between measures of antisocial behaviour and anatomical differences in the UF. To confirm that these findings were specific to the limbic amygdala-OFC network, we also studied two 'non-limbic' control tracts connecting the posterior visual and auditory areas to the amygdala and the OFC, and found no significant between-group differences. Lastly, to determine that our findings in UF could not be totally explained by non-specific confounds, we carried out a post hoc comparison with a psychiatric control group with a past history of drug abuse and institutionalization. Our findings remained significant. Taken together, these results suggest that abnormalities in a specific amygdala-OFC limbic network underpin the neurobiological basis of psychopathy.
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Affiliation(s)
- M C Craig
- Section of Brain Maturation, Institute of Psychiatry, De Crespigny Park, London, UK.
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Coman T, Fajac I, Bienvenu T, Desmazes-Dufeu N, Hubert D, Kanaan R, Dusser D, Burgel PR. [The diagnosis of cystic fibrosis in adults: lessons from a family story]. Rev Mal Respir 2009; 26:67-73. [PMID: 19212293 DOI: 10.1016/s0761-8425(09)70137-8] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
INTRODUCTION Cystic fibrosis is usually diagnosed during the first years of life. Diagnosis may be achieved in adults with milder forms of the disease at any age. CASE REPORTS We report the diagnosis of cystic fibrosis in three adults within the same family. A 39 yr old man, was diagnosed with congenital absence of the vas deferens; the diagnosis of cystic fibrosis was achieved based on a positive chloride sweat test and the identification of two mutations in the CFTR gene. His mother experienced repeated bronchial infections that began when she was 12 years old. The diagnosis of cystic fibrosis was considered at the age of 74 yr after her son was diagnosed with this disease. Sweat test showed normal chloride concentrations and cystic fibrosis was suspected based on elevated basal transepithelial nasal potential difference. Genetic testing for the 33 most frequent mutations in the CFTR gene showed only one mutation. A second rare mutation was identified by complete sequencing of the CFTR gene, confirming the diagnosis of cystic fibrosis. A third case of pauci-symptomatic cystic fibrosis was diagnosed in a brother of the index case. CONCLUSION These observations illustrate the challenge of diagnosing milder forms of cystic fibrosis in adult subjects. The recognition of this diagnosis may lead to improvement in patient's care and to genetic counselling.
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Affiliation(s)
- T Coman
- Service de Pneumologie et Centre de Ressources et de Compétences pour la Mucoviscidose (CRCM) adulte, GHU Ouest, Hôpital Cochin, AP- HP, Paris, France
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Souilamas R, Scatton O, Sogni P, Calmus Y, Kanaan R, Guillemain R, Boussaud V, Chevalier P, Amrein C, Soubrane O. 203: Combined Lung Liver Transplantation in Cystic Fibrosis Population: A French Experience Update. J Heart Lung Transplant 2009. [DOI: 10.1016/j.healun.2008.11.833] [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: 10/21/2022] Open
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Sauteur E, Baixench M, Hubert D, Desmazes-Dufeu N, Kanaan R, Paugam A. Occurrence of fungi in the respiratory tract of adults with cystic fibrosis. J Cyst Fibros 2008. [DOI: 10.1016/s1569-1993(08)60186-1] [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: 11/28/2022]
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Souilamas R, Lenoir G, Sermet I, Dusser D, Hubert D, Guillemain R, Boussaud V, Kanaan R, Fabiani J, Soubrane O. 168* Combined lung and liver transplantation in cystic fibrosis. J Cyst Fibros 2007. [DOI: 10.1016/s1569-1993(07)60154-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Abstract
OBJECTIVE To determine the prevalence and clinical features of malnutrition and its relationship with the CFTR genotype in a cystic fibrosis (CF) adult population. DESIGN Cross-sectional study. SETTING Department of Pulmonology, Cochin Hospital, Paris, France. SUBJECTS 163 CF adults seen between 1997 and 1999. RESULTS Mean age was 28.8 y. Mean body mass index (BMI) was 19.1 kg/m2. Malnutrition (BMI<18.5 kg/m2) was seen in 81 patients (49.7%). Its severity was associated with diagnosis of CF before the age of 18 y (P<0.01), FEV1 values below 30% (P<0.01), the yearly decline of FEV1 (P<0.01), pancreatic insufficiency (P<0.01) and gastro-oesophageal reflux (P<0.01). Malnutrition was observed in 58.7% of patients with a severe CFTR genotype but in 28.6% of patients with a mild genotype (P<0.001). CONCLUSION Malnutrition remains frequent in adults with CF except in patients presenting with a mild CFTR genotype (leading to a mild phenotype and to later diagnosis).
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Affiliation(s)
- X Dray
- Service d'Hépato-Gastro-Entérologie, Hôpital Européen Georges Pompidou, Paris, France
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