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Guillaud P, Vest P, Billhot M, Doutrelon C, Hejl C. [A e-Hypercalcemia]. Rev Med Interne 2024; 45:142-146. [PMID: 38228453 DOI: 10.1016/j.revmed.2024.01.002] [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: 06/30/2023] [Revised: 12/14/2023] [Accepted: 01/01/2024] [Indexed: 01/18/2024]
Abstract
INTRODUCTION Hypercalcemia is a common biological abnormality. The etiologies are mainly represented by hyperparathyroidism and neoplastic causes. The other causes, including poisoning, are rare, but should not be neglected. OBSERVATION An 82-year-old female patient presented to the emergency room for repeated falls at home, confusion, drowsiness and digestive symptoms. The initial assessment showed hypercalcemia above 3mmol/L. The etiological exploration revealed a very high concentration of 25OH-vitamin D. After repeated interrogations, it appeared that the cause of this intoxication was the intake of a food supplement purchased on the internet, following a prescription from her dentist. CONCLUSION Intoxication due to a food supplement containing vitamin D is possible and potentially serious. Raising the awareness of patients and healthcare professionals is necessary in order to prevent this type of poisoning and/or to diagnose it as soon as possible.
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Affiliation(s)
- P Guillaud
- Laboratoire de biologie-HIA Percy, 101, avenue Henri-Barbusse, 92140 Clamart, France
| | - P Vest
- Laboratoire de biologie-HIA Percy, 101, avenue Henri-Barbusse, 92140 Clamart, France
| | - M Billhot
- Service de médecine interne-HIA Percy, 101, avenue Henri-Barbusse, 92140 Clamart, France
| | - C Doutrelon
- Service de médecine interne-HIA Percy, 101, avenue Henri-Barbusse, 92140 Clamart, France
| | - C Hejl
- Laboratoire de biologie-HIA Percy, 101, avenue Henri-Barbusse, 92140 Clamart, France.
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Touzeau P, Doutrelon C, Vanquaethem H, Mestiri R, Chaara T, Le Burel S, Gilardin L, Nielly H. La prise en charge des thromboses veineuses profondes en ambulatoire : entre recommandations et réalité pratique. Rev Med Interne 2020. [DOI: 10.1016/j.revmed.2020.10.160] [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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Doutrelon C, Duhamel P, Mlynski A, Borrini L, Madec S, Cournac JM, Billhot M, Jacquier C, Aletti M, Lecoules S. [Atypical localization of a glomus tumor]. J Med Vasc 2019; 44:285-290. [PMID: 31213301 DOI: 10.1016/j.jdmv.2019.04.001] [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] [Subscribe] [Scholar Register] [Received: 10/30/2018] [Accepted: 04/14/2019] [Indexed: 11/19/2022]
Abstract
Glomous tumors are rare and benign, generally affecting the fingers. Other localizations have nevertheless been described. We report the case of a patient who presented a supra-patellar glomous tumor provoking a pain-induced limp. Magnetic resonance imaging confirmed the diagnosis. The patient underwent complete surgical resection of the tumor followed by total resolution of the pain. Glomous tumors in an atypical localization may go unnoticed, with the risk of late or erroneous diagnosis. Symptoms are easily resolved with simple resection.
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Affiliation(s)
- C Doutrelon
- Service de médecine interne et rhumatologie, HIA Percy, avenue Henri-Barbusse, 92140 Clamart, France.
| | - P Duhamel
- Service de chirurgie plastique et maxillo-faciale, HIA Percy, avenue Henri-Barbusse, 92140 Clamart, France
| | - A Mlynski
- Service de chirurgie vasculaire, HIA Percy, avenue Henri-Barbusse, 92140 Clamart, France
| | - L Borrini
- Service de médecine physique et réadaptation, HIA Percy, avenue Henri-Barbusse, 92140 Clamart, France
| | - S Madec
- Service de radiologie, HIA Percy, avenue Henri-Barbusse, 92140 Clamart, France; 2(e) Centre Médical des Armées, Quartier général des loges, 78102 Saint-Germain-en-Laye, France
| | - J M Cournac
- Service de médecine interne et rhumatologie, HIA Percy, avenue Henri-Barbusse, 92140 Clamart, France
| | - M Billhot
- Service de médecine interne et rhumatologie, HIA Percy, avenue Henri-Barbusse, 92140 Clamart, France
| | - C Jacquier
- Service de médecine interne et rhumatologie, HIA Percy, avenue Henri-Barbusse, 92140 Clamart, France
| | - M Aletti
- Service de médecine interne et rhumatologie, HIA Percy, avenue Henri-Barbusse, 92140 Clamart, France
| | - S Lecoules
- Service de médecine interne et rhumatologie, HIA Percy, avenue Henri-Barbusse, 92140 Clamart, France
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Boulon C, Doutrelon C, Constans J. Une douleur de cuisse fébrile. Rev Med Interne 2018; 39:377-378. [DOI: 10.1016/j.revmed.2016.09.007] [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] [Received: 06/20/2016] [Revised: 08/16/2016] [Accepted: 09/21/2016] [Indexed: 11/26/2022]
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Valayer S, Mestiri R, Cournac J, Doutrelon C, Lecoules S, Aletti M. Échec et MAT à la gemcitabine. Rev Med Interne 2017. [DOI: 10.1016/j.revmed.2017.03.304] [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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Boutrois A, Cournac J, Doutrelon C, Lecoules S, Aletti M. Un abcès mal placé. Rev Med Interne 2017. [DOI: 10.1016/j.revmed.2017.03.327] [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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Stainmesse M, Aletti M, Vanderperre G, Cournac JM, Doutrelon C, Aupee O, Lecoules S. Doxycycline : un nouveau cas d’hypertension intracrânienne. Rev Med Interne 2016. [DOI: 10.1016/j.revmed.2016.10.310] [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: 11/30/2022]
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Doutrelon C, Skopinski S, Boulon C, Constans J. Atteinte macrovasculaire de la sclérodermie systémique : étude descriptive prospective de 20 patients en échodoppler. ACTA ACUST UNITED AC 2016; 41:253-9. [DOI: 10.1016/j.jmv.2016.04.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2015] [Accepted: 04/02/2016] [Indexed: 11/16/2022]
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Delplanque M, Cournac J, Doutrelon C, Lecoules S, Aletti M. Un clin d’œil à l’interniste. Rev Med Interne 2016. [DOI: 10.1016/j.revmed.2016.04.168] [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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Hervé P, Doutrelon C, Cournac J, Lecoules S, Aletti M. La néphrite du shunt, une complication rare des dérivations ventriculaires. Rev Med Interne 2016. [DOI: 10.1016/j.revmed.2016.04.172] [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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Doutrelon C, Skopinski S, Boulon C, Constans J, Viallard JF, Peffault de Latour R. [Paroxysmal nocturnal hemoglobinuria: An unknown cause of thrombosis?]. ACTA ACUST UNITED AC 2015. [PMID: 26205796 DOI: 10.1016/j.jmv.2015.06.006] [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] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
Paroxysmal nocturnal hemoglobinuria (PNH) is a rare acquired disorder of hematopoietic stem cells. Somatic mutation in the phosphatidylinositol glycan class A (PIG-A), X-linked gene, is responsible for a deficiency in glycosphosphatidylinositol-anchored proteins (GPI-AP). The lack of one of the GPI-AP complement regulatory proteins (CD55, CD59) leads to hemolysis. The disease is diagnosed with hemolytic anemia, marrow failure and thrombosis. Thromboembolic complication occurs in 30% of patient after 10 years of follow-up and is the first event in one out of 10 patients. The two most common sites are hepatic and cerebral veins. These locations are correlated with high risk of death. Currently, these data are balanced with the use of a monoclonal antibody (Eculizumab), which has significantly improved the prognosis with a survival similar to general population after 36 months of follow-up. Anticoagulant treatment is recommended after a thromboembolic event but has no place in primary prophylaxis.
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Affiliation(s)
- C Doutrelon
- Service de médecine vasculaire, hôpital Saint-André, 1, rue Jean-Burguet, 33075 Bordeaux, France.
| | - S Skopinski
- Service de médecine vasculaire, hôpital Saint-André, 1, rue Jean-Burguet, 33075 Bordeaux, France
| | - C Boulon
- Service de médecine vasculaire, hôpital Saint-André, 1, rue Jean-Burguet, 33075 Bordeaux, France
| | - J Constans
- Service de médecine vasculaire, hôpital Saint-André, 1, rue Jean-Burguet, 33075 Bordeaux, France
| | - J-F Viallard
- Service de médecine interne et maladies infectieuses, hôpital Haut-Lévêque, avenue Magellan, 33600 Pessac, France
| | - R Peffault de Latour
- Service d'hématologie, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France
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Doutrelon C, Estibaliz L, Patrick M, Bonnet F, Pellegrin J, Viallard JF. Description des complications infectieuses et de leurs facteurs de risque chez des patients traités pour une vascularite à ANCA : étude de cohorte de 97 patients. Rev Med Interne 2014. [DOI: 10.1016/j.revmed.2014.10.082] [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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Doutrelon C, Lazaro E, Ribeiro E, Greib C, Pellegrin JL, Viallard JF. [Hydrocycarbamide induced fever: four cases and literature review]. Rev Med Interne 2014; 36:73-7. [PMID: 24406312 DOI: 10.1016/j.revmed.2013.12.008] [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] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2013] [Revised: 10/17/2013] [Accepted: 12/03/2013] [Indexed: 10/25/2022]
Abstract
PURPOSE Hydroxyurea (HU) or hydroxycarbamide is an antimetabolite chemotherapy frequently used in the treatment of chronic myeloproliferative disorders. This treatment is usually well tolerated but a few cases of fever induced by the molecule have been reported in the literature. The aim of the study was to describe the clinical and biological characteristics of HU induced fever. METHODS We performed a cross sectional study of patients treated with HU and followed-up in an internal medicine department between 2006 and 2012. We added our cases of HU induced fever with those reported in the literature (Pubmed and Cochrane databases) since 1981. RESULTS We identified 38 cases of HU induced fever, including our 4 cases. The mean age was 65±10.9 years and the sex-ratio 1/2. The fever appeared after a median duration of treatment of 21 days and was usually high (40°C) but clinically well tolerated. A biological inflammatory syndrome (CRP: 131±92 mg/L) was constant and one third of the patients also presented with hepatitis or lung disease. A probabilistic antibiotic treatment was introduced for 34% of the patients. For the half of the patients, HU-reintroduction test was performed, and was positive for all the patients but one. As soon as HU was withdrawn, the fever disappeared in a median of 24 hours. CONCLUSION HU induced fever is unusual. Clinical presentation is very stereotyped. When this adverse effect is suspected, an infectious disease must first be ruled out. If infection is excluded, HU has to be stopped.
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Affiliation(s)
- C Doutrelon
- Service de médecine interne et maladie infectieuse, CHU de Bordeaux, hôpital Haut-Lévêque, avenue du Haut-Lévêque, 33600 Pessac, France.
| | - E Lazaro
- Service de médecine interne et maladie infectieuse, CHU de Bordeaux, hôpital Haut-Lévêque, avenue du Haut-Lévêque, 33600 Pessac, France
| | - E Ribeiro
- Service de médecine interne et maladie infectieuse, CHU de Bordeaux, hôpital Haut-Lévêque, avenue du Haut-Lévêque, 33600 Pessac, France
| | - C Greib
- Service de médecine interne et maladie infectieuse, CHU de Bordeaux, hôpital Haut-Lévêque, avenue du Haut-Lévêque, 33600 Pessac, France
| | - J-L Pellegrin
- Service de médecine interne et maladie infectieuse, CHU de Bordeaux, hôpital Haut-Lévêque, avenue du Haut-Lévêque, 33600 Pessac, France
| | - J-F Viallard
- Service de médecine interne et maladie infectieuse, CHU de Bordeaux, hôpital Haut-Lévêque, avenue du Haut-Lévêque, 33600 Pessac, France
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Doutrelon C, Desclaux A, Ribeiro E, Greib C, Lazaro E, Pellegrin JL, Viallard JF. Localisation prostatique et pulmonaire du syndrome d’hyperIgG4 : à propos d’un cas. Rev Med Interne 2013. [DOI: 10.1016/j.revmed.2013.10.290] [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: 10/26/2022]
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Doutrelon C, Diéval C, Duffau P, Receveur MC, Pistone T, Ribeiro E, Malvy D, Longy-Boursier M, Mercié P. Syndrome de Parsonage Turner traité par immunoglobulines polyvalentes : à propos de 2 cas. Rev Med Interne 2011. [DOI: 10.1016/j.revmed.2011.10.164] [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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Doutrelon C, Diéval C, Gabriel F, Duffau P, Receveur MC, Pistone T, Malvy D, Longy-Boursier M, Mercié P. La leishmaniose viscérale en France : à propos d’un cas. Rev Med Interne 2011. [DOI: 10.1016/j.revmed.2011.10.055] [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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Doutrelon C, Vadic S, Roux X, Chemoul A, Michaud M, Dabadie P, Koeck J, Morand C. Hémophilie acquise secondaire à une septicémie à pneumocoque. Rev Med Interne 2010. [DOI: 10.1016/j.revmed.2010.10.298] [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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Doutrelon C, Roux X, Skopinski Vadic S, Hé S, Soullié B, Vanquaethem H, Koeck JL, Morand C. Une méningite atypique. Rev Med Interne 2010. [DOI: 10.1016/j.revmed.2010.03.204] [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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