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Tanné C, Pracros JP, Dijoud F, Mure PY, Bordet F, Duncan A, Bacchetta J. Severe neonatal hypercalcemia revealing congenital mesoblastic nephroma: A case report and management of neonatal hypercalcemia: Severe neonatal hypercalcemia revealing congenital mesoblastic nephroma. Arch Pediatr 2022; 29:153-156. [PMID: 35039190 DOI: 10.1016/j.arcped.2021.11.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Revised: 11/03/2021] [Accepted: 11/30/2021] [Indexed: 11/15/2022]
Abstract
Congenital mesoblastic nephroma is a rare pediatric renal tumor and has been reported in patients presenting with palpable abdominal mass, arterial hypertension, hematuria, polyuria, or hypercalcemia. Here we present the case of a 1-month-old neonate with suspected parathyroid hormone (PTH)-related peptide (PTH-rp)-mediated severe hypercalcemia revealing congenital mesoblastic nephroma. Preoperatively, hypercalcemia was corrected with hydration, furosemide, pamidronate, and low-calcium infant formula. Unilateral nephrectomy led to the resolution of hypercalcemia, transient hyperparathyroidism, and transient vitamin D and mineral supplementation. We conclude that congenital mesoblastic nephroma can secrete PTH-rp that can cause severe hypercalcemia.
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Affiliation(s)
- C Tanné
- Pediatric and Neonatology Unit, Hôpitaux du Pays du Mont Blanc, Sallanches, France; Reference Center for Rare Diseases of Calcium and Phosphate, Reference Center for Rare Renal Diseases, ORKID, OSCAR and ERK-Net Networks for Rare Diseases, Pediatric Nephrology, Rheumatology and Dermatology Unit, Hôpital Femme Mère Enfant, Hospices Civils de Lyon, Bron, France.
| | - J-P Pracros
- Department of Pediatric Radiology, Hôpital Femme Mère Enfant, Hospices Civils de Lyon, Bron, France
| | - F Dijoud
- Institut de Pathologie Multisite, Groupement Hospitalier Est, Hospices Civils de Lyon, France, Université Claude Bernard Lyon 1, France
| | - P-Y Mure
- Service de Chirurgie Viscérale Pédiatrique, Groupement Hospitalier Est, Hospices Civils de Lyon, France; Faculté de Médecine Lyon Est, Université Lyon 1, 69008, Lyon, France
| | - F Bordet
- Pediatric Intensive Care, Hôpital Femme Mère Enfant, Hospices Civils de Lyon, Lyon, Bron, France
| | - A Duncan
- Reference Center for Rare Diseases of Calcium and Phosphate, Reference Center for Rare Renal Diseases, ORKID, OSCAR and ERK-Net Networks for Rare Diseases, Pediatric Nephrology, Rheumatology and Dermatology Unit, Hôpital Femme Mère Enfant, Hospices Civils de Lyon, Bron, France
| | - J Bacchetta
- Reference Center for Rare Diseases of Calcium and Phosphate, Reference Center for Rare Renal Diseases, ORKID, OSCAR and ERK-Net Networks for Rare Diseases, Pediatric Nephrology, Rheumatology and Dermatology Unit, Hôpital Femme Mère Enfant, Hospices Civils de Lyon, Bron, France; Faculté de Médecine Lyon Est, Université Lyon 1, 69008, Lyon, France
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Bouttefroy S, Faure Conter C, Tristan A, Valour F, Perpoint T, Reix P, Thiesse P, Dijoud F, Catho G. [Disseminated actinomycosis treated with clindamycin]. Arch Pediatr 2017; 24:460-463. [PMID: 28343883 DOI: 10.1016/j.arcped.2017.02.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2016] [Revised: 12/08/2016] [Accepted: 02/18/2017] [Indexed: 10/19/2022]
Abstract
Actinomycosis is a rare bacterial disease caused by Actinomyces spp., an anaerobic bacteria from the oropharynx, digestive, and female genital tracts. Initial clinical presentation often mimics malignancy, which can lead to a delay in diagnosis. Cervico-facial, genitourinary, digestive, and respiratory features are the most frequent. Few cases are reported in children and risk factors are not well known in this population. We report on the case of an 8-year-old boy with disseminated actinomycosis with cervico-facial, pulmonary, and bone involvement caused by Actinomyces israelii. The infiltrative appearance initially suggested malignancy and the patient was started on chemotherapy for presumed histiocytosis. Evaluation of subsequent tissue samples demonstrated the presence of filamentous structures consistent with fungal or filamentous bacterial infection. Prolonged culture yielded the correct diagnosis. The patient had a severe allergic reaction to piperacillin/tazobactam and was therefore transitioned to clindamycin to complete a 9-month course. This treatment, which has not been reported in children, led to a favorable clinical, biological, and radiological response, with a good clinical tolerance.
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Affiliation(s)
- S Bouttefroy
- Service de pneumologie pédiatrique, hôpital Femme-Mère-Enfant, 59, boulevard Pinel, 69677 Bron cedex, France; Institut d'hématologie et d'oncologie pédiatrique, 1, place Joseph-Renault, 69008 Lyon, France.
| | - C Faure Conter
- Institut d'hématologie et d'oncologie pédiatrique, 1, place Joseph-Renault, 69008 Lyon, France
| | - A Tristan
- Centre de pathologie Est, hôpital Femme-Mère-Enfant, 59, boulevard Pinel, 69677 Bron cedex, France
| | - F Valour
- Service de maladies infectieuses et tropicales, hôpital de la Croix-Rousse, 103, grande rue de la Croix-Rousse, 69004 Lyon, France; Inserm U1111, centre international de recherche en infectiologie (CIRI), 46, allée d'Italie, 69364 Lyon cedex, France
| | - T Perpoint
- Service de maladies infectieuses et tropicales, hôpital de la Croix-Rousse, 103, grande rue de la Croix-Rousse, 69004 Lyon, France
| | - P Reix
- Service de pneumologie pédiatrique, hôpital Femme-Mère-Enfant, 59, boulevard Pinel, 69677 Bron cedex, France
| | - P Thiesse
- Centre Léon-Bérard Lyon, 28, rue Laënnec, 69008 Lyon, France
| | - F Dijoud
- Centre de pathologie Est, hôpital Femme-Mère-Enfant, 59, boulevard Pinel, 69677 Bron cedex, France
| | - G Catho
- Service de pneumologie pédiatrique, hôpital Femme-Mère-Enfant, 59, boulevard Pinel, 69677 Bron cedex, France
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Mezaache S, Nouvier M, Dijoud F, Dumontet C, Traverse-Glehen A, Fouque D, Laville M. Glomérulonéphrite extra-membraneuse et infiltrat tumoral rénal associés à un syndrome myélodysplasique. Nephrol Ther 2016. [DOI: 10.1016/j.nephro.2016.07.216] [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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Mercier J, Theillac C, Asli B, Briant P, Morel-Journel N, Belloi A, Dijoud F, Chassagne-Clément C, Berthoux E. Une maladie de « vergener ». Rev Med Interne 2016. [DOI: 10.1016/j.revmed.2016.04.069] [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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5
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Lebreton C, Fremeaux-Bacchi V, Dijoud F, Ranchin B, Bertholet-Thomas A, Cochat P, Bessenay L, Mestrallet G, Bacchetta J, Sellier-Leclerc A. Glomérulonéphrite membrano-proliférative à dépôts de C3 et éculizumab. Arch Pediatr 2016. [DOI: 10.1016/j.arcped.2016.03.040] [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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Nouvier M, Trolliet P, Pelletier S, Delaforcade L, Dijoud F, Bernard C, Salles G, Fouque D, Laville M. Glomérulonéphrite à dépôts isolés de C3 secondaire à une gammapathie monoclonale. Nephrol Ther 2015. [DOI: 10.1016/j.nephro.2015.07.264] [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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Trolliet P, Laville M, Dumontet C, Vasiljevic A, Dijoud F, Kolopp S. Glomérulonéphrite rapidement progressive lors d’un syndrome hyperIgD. Nephrol Ther 2015. [DOI: 10.1016/j.nephro.2015.07.378] [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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de Laforcade L, Nouvier M, Trolliet P, Vasiljevic A, Dijoud F, Fouque D, Laville M. Glomérulonéphrite membrano-proliférative avec dépôt d’IgA secondaire à une cryoglobulinémie à composant IgA. Nephrol Ther 2015. [DOI: 10.1016/j.nephro.2015.07.262] [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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Teuma C, Perier-Muzet M, Pelletier S, Nouvier M, Dijoud F, Thomas L, Dalle S, Laville M. Toxicité rénale du vémurafénib dans la prise en charge du mélanome métastatique. Nephrol Ther 2015. [DOI: 10.1016/j.nephro.2015.07.034] [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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Higel L, Froehlich C, Pages MP, Dupont D, Collardeau-Frachon S, Dijoud F, Cochat P, Belot A. Syndrome d’activation macrophagique et auto-immunité cortico-sensible révélateurs d’une leishmaniose viscérale. Arch Pediatr 2015; 22:397-400. [DOI: 10.1016/j.arcped.2014.11.025] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2014] [Accepted: 11/03/2014] [Indexed: 11/26/2022]
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11
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Nouvier M, Trolliet P, Teuma C, Dijoud F, Vasiljevic A, Fabien N, Pelletier S, Rouveure A, Deeb A, Fouque D, Laville M. Une immunoglobuline monoclonale peut en cacher une autre : premier cas de myélome multiple associé à un syndrome de Goodpasture. Nephrol Ther 2014. [DOI: 10.1016/j.nephro.2014.07.195] [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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12
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Gerfaud-Valentin M, Trolliet P, Dijoud F, Sève P, Pouteil-Noble C. Sclérodermie et amylose AA : une association atypique ? Rev Med Interne 2013. [DOI: 10.1016/j.revmed.2013.03.094] [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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13
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Roland-Gosselin B, Ranchin B, Leclerc AL, Dijoud F, Belot A, Demède D, Raux S, Cochat P, Bacchetta J. État de mal convulsif révélateur d’une ostéodystrophie rénale. Arch Pediatr 2013; 20:372-4. [DOI: 10.1016/j.arcped.2013.01.013] [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: 05/21/2012] [Revised: 10/23/2012] [Accepted: 01/19/2013] [Indexed: 11/27/2022]
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Philipponnet C, Guérin C, Canet E, Robert R, Mariat C, Dijoud F, Azoulay E, Souweine B, Heng AE. Kidney biopsy in the critically ill patient, results of a multicentre retrospective case series. Minerva Anestesiol 2013; 79:53-61. [PMID: 23044736] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
BACKGROUND The impact of a contributive result of kidney biopsy on the management of patients in the intensive care unit (ICU) has not been extensively investigated yet. METHODS This was a retrospective study conducted between 2000 and 2011 in five French ICUs. The study included 56 patients. They had at least one non-renal organ failure, as defined by a Sequential Organ Failure Assessment (SOFA) score ≥3 on ICU admission, and kidney biopsy was performed during ICU stay. Kidney samples were obtained by percutaneous (N.=55) or transjugular biopsy (N.=1). RESULTS The mean Simplified Acute Physiology Score II and total SOFA scores on ICU admission were 52±19 years and 10.3±3.6, respectively. ICU mortality was 23%. The median (interquartile range) time between ICU admission and kidney biopsy was 9 days (5-21). Pathologic findings in the 54 analyzable kidney biopsies were acute tubular necrosis (N.=26), glomerulonephritis (N.=14), acute vascular nephritis (N.=11), acute interstitial nephritis (N.=6), and deposit disease (N.=3). Kidney biopsy was contributive to the management of 40 patients. In 23 of these, new treatments were started, in 13 ongoing treatments were stopped, including four life-sustaining therapies, and in 13 it was decided to start chronic renal replacement. Severe bleeding was observed in 7 patients, with fatal outcome in one case. CONCLUSION Kidney biopsy may have a significant impact on the management of critically ill patients. Further studies should be done to identify the groups of ICU patients likely to benefit from the procedure with minimum risk.
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Affiliation(s)
- C Philipponnet
- Service de Réanimation Médicale, Hôpital Gabriel Montpied, CHU de Clermont-Ferrand, F-63003, Clermont Université d'Auvergne, Clermont-Ferrand, France
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15
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Chotel F, Franck F, Solla F, Dijoud F, Kohler R, Berard J, Abelin Genevois K. Osteoid osteoma transformation into osteoblastoma: fact or fiction? Orthop Traumatol Surg Res 2012; 98:S98-104. [PMID: 22981644 DOI: 10.1016/j.otsr.2012.03.017] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.8] [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] [Received: 01/26/2012] [Revised: 02/07/2012] [Accepted: 03/26/2012] [Indexed: 02/02/2023]
Abstract
BACKGROUND Osteoid osteoma and osteoblastoma are rare, benign, bone-forming tumours. The clinical presentation, imaging study findings, and course indicate clearly that these two tumours are distinct entities. CLINICAL REPORTS We report two cases suggesting transformation of osteoid osteoma into osteoblastoma and therefore inviting a discussion of the links between these two tumours. An 11-year-old girl with a small metaphyseal lesion of the proximal tibia was given a diagnosis of osteoid osteoma. Over the next few weeks, worsening pain and marked tumour growth prompted a biopsy, which was consistent with an aggressive osteoblastoma. A review of the case suggested primary osteoblastoma at the earliest stage of development. In a 14-year-old boy, en-bloc excision was performed to remove a 1cm defect located within the femoral shaft cortex and typical for osteoid osteoma. An asymptomatic recurrence measuring 20mm along the long axis was removed 18 months later. Reassessment of the histological slides indicated recurrence of an incompletely excised osteoid osteoma. DISCUSSION The histological similarities between osteoid osteoma and osteoblastoma, together with the lesion size criterion, may result in confusion. Collaboration between the clinician and pathologist is crucial and should take the tempo of evolution into account. CONCLUSION The histopathological differences between these two tumour types deserve to be emphasized. The data reported here challenge the concept that osteoid osteoma can transform into osteoblastoma. These two tumours are distinct entities that should no longer be differentiated based on size, as was long done in the past.
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Affiliation(s)
- F Chotel
- Paediatric Orthopaedic Department, Lyon Mother and Child Teaching Hospital, Eastern Hospital Group/Lyon Civilian Hospitals, Claude Bernard Lyon I University, 59, boulevard Pinel, 69677 Bron, France.
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Hanf W, Serre JE, Salmon JH, Fabien N, Ginon I, Dijoud F, Trolliet P. Glomérulonéphrite rapidement progressive à ANCA révélant une endocardite infectieuse subaiguë. Rev Med Interne 2011; 32:e116-8. [PMID: 21277658 DOI: 10.1016/j.revmed.2010.12.017] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2010] [Revised: 12/20/2010] [Accepted: 12/22/2010] [Indexed: 11/19/2022]
Affiliation(s)
- W Hanf
- Service de néphrologie-dialyse et transplantation, centre hospitalier Lyon-Sud, chemin du Grand-Revoyet, Pierre-Bénite cedex, France.
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Benko S, Gordon CT, Mallet D, Sreenivasan R, Thauvin-Robinet C, Brendehaug A, Thomas S, Bruland O, David M, Nicolino M, Labalme A, Sanlaville D, Callier P, Malan V, Huet F, Molven A, Dijoud F, Munnich A, Faivre L, Amiel J, Harley V, Houge G, Morel Y, Lyonnet S. Disruption of a long distance regulatory region upstream of SOX9 in isolated disorders of sex development. J Med Genet 2011; 48:825-30. [DOI: 10.1136/jmedgenet-2011-100255] [Citation(s) in RCA: 135] [Impact Index Per Article: 10.4] [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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Franco P, Raoux A, Kugener B, Dijoud F, Scaillet S, Groswasser J, Kato I, Montemitro E, Lin JS, Kahn A. Sudden death in infants during sleep. Handb Clin Neurol 2011; 98:501-17. [PMID: 21056208 DOI: 10.1016/b978-0-444-52006-7.00033-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
Affiliation(s)
- P Franco
- Pediatric Sleep Unit, Hôpital Femme-Mère-Enfant, SIDS Reference Center of Lyon & INSERM-628, Université Lyon 1, Lyon, France.
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Matrat A, Veysseyre-Balter C, Trolliet P, Villar E, Dijoud F, Bienvenu J, Fabien N. Simultaneous detection of anti-C1q and anti-double stranded DNA autoantibodies in lupus nephritis: predictive value for renal flares. Lupus 2010; 20:28-34. [PMID: 20943718 DOI: 10.1177/0961203310379871] [Citation(s) in RCA: 65] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Clinical difficulties in predicting systemic lupus erythematosus (SLE) renal flares are still encountered. Biological markers such as autoantibodies (aAbs) may be of major interest for clinicians in the follow-up of SLE patients. The aim of our study was to investigate the clinical utility of one of these biological markers, anti-C1q aAbs, in predicting renal flares of SLE nephritis in comparison with the 'gold standard' anti-double stranded DNA (anti-dsDNA) aAbs. Anti-C1q aAbs and anti-dsDNA aAbs were analysed through a longitudinal retrospective study of 23 SLE patients presenting with one or more renal flares. Anti-C1q and/or anti-dsDNA aAbs were found in 20 (87%) of 23 patients, of whom 16 (69%) displayed both. Thirty-three renal flares occurred during the course of the study, and anti-C1q aAbs and anti-dsDNA aAbs were positive in 25 (76%) and 24 (73%) of these flares respectively. The sensitivity of anti-C1q and/or anti-dsDNA aAbs in predicting renal flares reached 85%. The specificity of anti-C1q aAbs was 84%, of anti-dsDNA aAbs 77% and of both aAbs 97%. Positive and negative predictive values were as follows: 56% and 70% for anti-C1q aAbs, 53% and 72% for anti-dsDNA aAbs. The combination of both aAbs had the highest positive predictive value (69%), whereas absence of both aAbs was associated with the highest negative predictive value (74%). In conclusion, our results confirm that anti-C1q aAbs are present in a significant percentage of SLE patients with active renal involvement, suggesting that these aAbs could be a useful additional marker. The presence of anti-C1q and anti-dsDNA aAbs was associated with a high risk of renal flare, whereas the absence of both aAbs excluded such an event. These data confirm that systematic detection of anti-C1q and anti-dsDNA aAbs is of interest for the follow-up in SLE patients with renal involvement.
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Affiliation(s)
- A Matrat
- Department of Immunology, Hospices Civils de Lyon, Centre Hospitalier Lyon-Sud, Pierre-Benite, France
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20
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Samarji B, Walter T, Dijoud F, Collardeau-Frachon S, Hameury F, Dubois R, Bergeron C, Lachaux A. [Pediatric gastrointestinal stromal tumors: report of three cases]. Gastroenterol Clin Biol 2010; 34:407-409. [PMID: 20510562 DOI: 10.1016/j.gcb.2010.01.022] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/26/2009] [Accepted: 01/30/2010] [Indexed: 05/29/2023]
Affiliation(s)
- B Samarji
- Service de gastro-entérologie, hépatologie et nutrition pédiatrique, hôpital Femme-Mère-Enfant, Bron, France
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21
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Rénard C, Girard S, Pracros JP, Dijoud F, André JM, Mialou V, Bertrand Y. [Granulocytic sarcoma, a diagnostic challenge: 3 pediatric cases]. Arch Pediatr 2009; 17:149-53. [PMID: 19945260 DOI: 10.1016/j.arcped.2009.10.018] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2009] [Revised: 07/13/2009] [Accepted: 10/25/2009] [Indexed: 12/15/2022]
Abstract
Granulocytic sarcoma (GS) is a rare extramedullary tumor frequently associated with acute myeloblastic leukemia (AML). We report 3 cases of pediatric granulocytic sarcomas with various locations: skin, orbit, and bowel. Cases 1 and 2 were associated with AML; case 3 was isolated. In all 3 cases, the diagnosis was delayed or initially missed. Pathology and immunohistochemistry data identified the disease. GS is treated with chemotherapy, like AML. The prognosis of GS seems better than that of isolated AML.
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Affiliation(s)
- C Rénard
- Institut d'hématologie et d'oncologie pédiatrique, 1, place Joseph-Renaut, 69008 Lyon, France.
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22
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Massardier J, Roth P, Michel-Calemard L, Rudigoz RC, Bouvier R, Dijoud F, Arnould P, Combourieu D, Gaucherand P. Campomelic dysplasia: echographic suspicion in the first trimester of pregnancy and final diagnosis of two cases. Fetal Diagn Ther 2008; 24:452-7. [PMID: 19033726 DOI: 10.1159/000176299] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2007] [Accepted: 12/18/2007] [Indexed: 11/19/2022]
Abstract
OBJECTIVE Campomelic dysplasia (CD) is a rare skeletal dysplasia characterized by marked femoral and tibial angulations, hypoplasic scapulae, normal upper limbs and sex reversal in 3/4 of 46,XY fetuses. Most cases are lethal in the neonatal period. Heterozygous mutations in the SOX9 gene are responsible for CD. The diagnosis is not usually made until the mid-second trimester or later. METHODS We describe 2 cases of CD suspected by ultrasonography in the first trimester. RESULTS The 2 cases presented with hygroma colli along with anomalies in the lower but not the upper limbs. Terminations of pregnancy were obtained at 14+3 and 20+6 gestational weeks. Fetopathological examinations confirmed sonographic findings. CONCLUSION When first trimester hygroma colli is accompanied by specific findings of the lower limbs, the diagnosis of CD can be investigated through SOX9 mutation analysis.
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Affiliation(s)
- J Massardier
- Université de Lyon, Lyon, Hospices Civils de Lyon, Unités de Diagnostic Anténatal, Lyon, France.
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Hameury F, Dussart S, Dijoud F, Thiesse P, Leclair M, Gauthier F, Mouriquand P, Bergeron C. SFCE-08 – Cancérologie, hématologie, immunologie – Extension vasculaire du néphroblastome : expérience du SIOP 93-2001, France. Arch Pediatr 2008. [DOI: 10.1016/s0929-693x(08)72135-3] [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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Domenech C, Mialou V, Galambrun C, Lachaux A, Mure PY, Dijoud F, Bertrand Y. Successful treatment of Evans syndrome post liver transplant with splenectomy and switch from tacrolimus to cyclosporine. Transpl Int 2008; 21:397-9. [DOI: 10.1111/j.1432-2277.2007.00619.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [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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Bacchetta J, Dijoud F, Bouvier R, Putet G, Gubler MC, Cochat P. [Renal tubular dysgenesis and mutation in the renin gene]. Arch Pediatr 2007; 14:1084-7. [PMID: 17555949 DOI: 10.1016/j.arcped.2007.04.012] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2006] [Accepted: 04/17/2007] [Indexed: 11/26/2022]
Abstract
Renal tubular dysgenesis is a severe and rare disorder of the renal development characterized by fetal anuria, oligohydramnios and early death from pulmonary hypoplasia and refractory arterial hypotension. We report on a female patient who presented with anuria in the neonatal period, requiring peritoneal dialysis until 5 months of age with unexpected diuresis recovery at 2 months of age. Clinical, histological and pathophysiological issues are discussed for this disease related to a mutation in the renin gene.
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Affiliation(s)
- J Bacchetta
- Centre de référence des maladies rénales héréditaires, département de pédiatrie, hôpital Edouard-Herriot et université Claude-Bernard-Lyon-I, 69437 Lyon cedex 03, France
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26
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Zenaty D, Dijoud F, Morel Y, Cabrol S, Mouriquand P, Nicolino M, Bouvatier C, Pinto G, Lecointre C, Pienkowski C, Soskin S, Bost M, Bertrand AM, El-Ghoneimi A, Nihoul-Fekete C, Léger J. Bilateral anorchia in infancy: occurence of micropenis and the effect of testosterone treatment. J Pediatr 2006; 149:687-91. [PMID: 17095345 DOI: 10.1016/j.jpeds.2006.07.044] [Citation(s) in RCA: 43] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/03/2006] [Revised: 05/05/2006] [Accepted: 07/25/2006] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To analyze the clinical and histological findings in boys with bilateral anorchia and the response to testosterone treatment on penis length. STUDY DESIGN Patients were divided into two groups according to the absence (group A, n = 29) or the presence (group B, n = 26) of palpable intrascrotal or inguinal mass at first clinical examination. RESULTS A micropenis was found in 46% of patients (n = 24) with a similar proportion in both groups. Testosterone treatment induced a mean penis length gain of 1.9 +/- 1.3 SDS (standard deviation score). However, micropenis persisted in six patients. Histological examination (n = 18) confirmed the absence of any testicular structure with deferent ducts being present unilaterally or bilaterally in all but three patients. In these three patients, a hemorrhagic testis, probably as a result of a mechanical torsion, was found. CONCLUSIONS The presence of isolated micropenis in almost half of patients with bilateral anorchia strongly suggests that the testicular damage frequently occurs during the second half of gestation after male sexual differentiation. In most cases, testosterone treatment stimulates the penile growth. Although the pathogenesis of bilateral anorchia may be heterogeneous, our study suggests that gonads may have been functionally abnormal before they disappeared, and suggests that some patients have an intrinsic endocrine disorder.
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Affiliation(s)
- D Zenaty
- Assistance Publique-Hôpitaux de Paris, Robert Debré Hospital, Paediatric Endocrinology Unit and Inserm U457, Paris, France
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27
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Mure PY, Gelas T, Benchaib M, Dijoud F, Feyaerts A, Roger T, Mouriquand P. [Long-term outcomes of urinary flow impairement on renal hemodynamics: from animal experiments to clinical research]. Arch Pediatr 2006; 13:725-7. [PMID: 16690296 DOI: 10.1016/j.arcped.2006.03.029] [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: 11/24/2022]
Affiliation(s)
- P-Y Mure
- Service de chirurgie pédiatrique, hôpital Debrousse, UMR-MA 103, université Claude-Bernard Lyon-I, 29, rue Soeur-Bouvier, 69322 Lyon cedex 05, France
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28
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Claude L, Rousmans S, Carrie C, Breteau N, Dijoud F, Gentet JC, Giammarile F, Jouve JL, Kind M, Marec-Bérard P, Mascard E, Bataillard A, Philip T. Recommandations pour la pratique clinique : Standards, Options et Recommandations pour la prise en charge par radiothérapie des patients atteints d'ostéosarcome. Cancer Radiother 2005; 9:104-21. [PMID: 15880886 DOI: 10.1016/j.canrad.2005.01.007] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
CONTEXT The "Standards, Options and Recommendations" (SOR) project, started in 1993, is a collaboration between the Federation of French Cancer Centres (FNCLCC), the 20 French regional cancer centres, and specialists from French public universities, general hospitals and private clinics. The main objective is the development of clinical practice guidelines to improve the quality of health care and the outcome of cancer patients. The methodology is based on a literature review and critical appraisal by a multidisciplinary group of experts, with feedback from specialists in cancer care delivery. OBJECTIVE To update the SOR recommendations for the use of radiation therapy in the management of patients with osteosarcoma. This work was performed in collaboration with the French society against cancers in children and adolescent (SFCE). METHODS Data have been identified by literature search using Medline (from January 1992 to October 2003). In addition several Internet sites were searched in October 2003. RESULTS The 3 mains standards are: 1) local and exclusive curative irradiation is not indicated as primary treatment for osteosarcoma or for local and operable recurrence, except for lesion in inaccessible sites or if the patient refuses surgery; 2) local and prophylactic adjuvant irradiation is not indicated for the treatment of osteosarcoma after chemotherapy (neoadjuvant and/or adjuvant) and complete macro or microscopic surgery, except for non-operable R1 or R2 surgical resection; 3) whole-lung prophylactic irradiation is not indicated in non-metastatic osteosarcoma. Systemic metabolic radiotherapy for pain treatment, using samarium-153 ethylenediaminetetramethylene phosphonic acid (Sm-153-EDTMP) can be offered to patients with painful metastatic osteosarcoma or in case of recurrent bone sites inaccessible to local therapies (surgery, external irradiation).
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Affiliation(s)
- L Claude
- Centre Léon-Bérard, Lyon, France
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29
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Abstract
BACKGROUND Rectal tumors are rare in childhood and among them malignant tumors are even less common. Only eight cases of primary rectal lymphomas were reported in children, with various presenting signs and histology. Burkitt's lymphomas are among these cases. CASE REPORT A five-year-old child presented with hematochezia and unusual constipation. The rectal examination showed a voluminous intra rectal mass. Radiographic and pathologic examinations led to the diagnostic of Burkitt's lymphoma with medullary involvement. Complete remission was obtained after initial chemotherapy but a local relapse occurred and the child died eight months later. CONCLUSION Hematochezia associated with unusual constipation impose a rectal examination. Early diagnosis of a rectal tumor may allow patients survival.
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Affiliation(s)
- S Blanc
- Service de radiologie pédiatrique hôpital Debrousse, 29, rue Soeur-Bouvier 69322 Lyon, France.
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30
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Affiliation(s)
- H Maiza
- Nephrology-Transplantation Unit, Lyon-Sud Hospital, Pierre Bénite, France
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31
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Pouteil-Noble C, Maiza H, Dijoud F, MacGregor B. Glomerular disease associated with hepatitis C virus infection in native kidneys. Nephrol Dial Transplant 2001; 15 Suppl 8:28-33. [PMID: 11261700 DOI: 10.1093/ndt/15.suppl_8.28] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- C Pouteil-Noble
- Transplantation and Nephrology Unit, Centre Hospitalier Lyon-Sud, Pierre-Bénite, France
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32
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Bergeron C, Iliescu C, Thiesse P, Bouvier R, Dijoud F, Ranchere-Vince D, Basset T, Chappuis JP, Buclon M, Frappaz D, Brunat-Mentigny M, Philip T. Does nephroblastomatosis influence the natural history and relapse rate in Wilms' tumour? A single centre experience over 11 years. Eur J Cancer 2001; 37:385-91. [PMID: 11239761 DOI: 10.1016/s0959-8049(00)00409-3] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.3] [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: 10/18/2022]
Abstract
The presence of multifocal or diffuse nephrogenic rests (NRs) in one or both kidneys is termed nephroblastomatosis (Nbm). Nbm may be a predisposing factor for Wilms' tumour (WT). The aim of this retrospective study was to evaluate the impact of Nbm on the outcome of WT in children. We assessed the outcome of 81 children with Wilms tumours and practical implications of Nbm in the treatment and follow-up. All the pathology slides have been reviewed in 1997. 63 had WT without Nbm (group A) and 18 had WT associated with Nbm (group B). There was no statistical difference between the two groups according to the age at diagnosis and histology. Clinical abnormalities were more frequent in group B (33 versus 8%). There was no statistical difference between the percentage of stage IV in both groups, but bilaterality (stage V) was present only in the group B. Relapse was observed in 20/81 patients (25%): 11 (17%) in group A and 9 (50%) in group B. Mean delay of relapse was longer (25 months) in group B than in group A (10 months). For the whole population, with a median follow-up of 9 years, the event-free survival (EFS) and the overall survival (OS) probabilities were respectively 74%+/-10 and 83%+/-9 at 120 months. The difference in EFS between groups A (82+/-9%) and B (38%+/-29) was significant (P=0.004). The discovery of Nbm in the non-tumoral part of the kidney with WT can be an adverse factor and in particular favours the subsequent development of a new Wilms tumour. It justifies separate follow-up guidelines.
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Affiliation(s)
- C Bergeron
- Centre Léon Bérard, Département de pédiatrie, 28 rue Laënnec 69373, Lyon, cedex 08, France.
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33
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Pondarré C, Kebaili K, Dijoud F, Basset T, Philippe N, Bertrand Y. Epstein-Barr virus-related lymphoproliferative disease complicating childhood acute lymphoblastic leukemia: no recurrence after unrelated donor bone marrow transplantation. Bone Marrow Transplant 2001; 27:93-5. [PMID: 11244444 DOI: 10.1038/sj.bmt.1702727] [Citation(s) in RCA: 7] [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: 11/09/2022]
Abstract
A 16-year-old boy in complete remission of ALL, undergoing oral maintenance therapy, developed intestinal perforation related to EBV-associated lymphoproliferative disease (LPD). He was successfully managed with surgical resection, acyclovir, immunoglobulins and discontinuation of maintenance therapy. Leukemic marrow relapse occurred 3 months later, treated by polychemotherapy followed by unmanipulated BMT from a matched unrelated EBV seropositive donor. Donor lymphocytes were infused twice after transplant because of delayed immunologic recovery and severe CMV colitis. This was followed by acute GVHD requiring prolonged immunosuppressive treatment. Despite intensive and prolonged immunosuppression, recurrence of LPD was not observed. Following EBV-related LPD, allogeneic BMT can be performed if indicated. Selection of an EBV seropositive donor is of major importance for the prevention of LPD recurrence as the recipient may be protected by passive transfer of EBV-specific cytotoxic T cells.
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Affiliation(s)
- C Pondarré
- Department of Pediatric Hematology, Hôpital Debrousse, Lyon, France
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34
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Lorriaux C, Pouteil Noble C, Dijoud F, Cahen R, Touraine JL, MacGregor B. Clinical correlation of acute rejection according to Banff classification in renal transplantation. Transplant Proc 2000; 32:443-4. [PMID: 10715473 DOI: 10.1016/s0041-1345(00)00826-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- C Lorriaux
- Transplantation Unit, Nephrology Department, Lyon Sud Hospital, Pierre-Benite, France
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35
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Bayle C, Charpentier A, Duchayne E, Manel AM, Pages MP, Robert A, Lamant L, Dastugue N, Bertrand Y, Dijoud F, Emile JF, Machover D, Brugiéres L, Delsol G. Leukaemic presentation of small cell variant anaplastic large cell lymphoma: report of four cases. Br J Haematol 1999; 104:680-8. [PMID: 10192426 DOI: 10.1046/j.1365-2141.1999.01238.x] [Citation(s) in RCA: 48] [Impact Index Per Article: 1.9] [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: 11/20/2022]
Abstract
We report four cases of a rare subtype of CD30-positive anaplastic large cell lymphoma (ALCL) with a predominant small cell component (small cell variant of ALCL) presenting with a leukaemic feature. Lymph node biopsy showed malignant cells of varying size with a predominant population of small to medium-sized malignant cells associated with large anaplastic cells strongly positive for CD30 and epithelial membrane antigen (EMA). Both large and small cells were reactive with antibody ALK1, which recognizes the chimaeric NPM-ALK protein associated with the t(2;5)(p23;q35). All patients presented with hyperleucocytosis with atypical small lymphocytes. Bone marrow involvement was detected on both aspirate and bone marrow trephine where scattered malignant cells were only demonstrated by immunostaining for CD30 and ALK protein. Atypical cells in peripheral blood, lymph node and skin biopsies showed a T or null cell phenotype. Cytogenetic analysis of blood, bone marrow and/or lymph node revealed the t(2:5)(p23;q35) characteristic of ALCL. The patients responded to chemotherapy but showed early relapse without abnormal cells in peripheral blood. This report shows that the small cell variant of ALCL may have a leukaemic presentation with peripheral blood involvement by atypical lymphocytes and provides evidence that, in the small cell variant of ALCL, the small cell component is a part of the malignant clone.
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MESH Headings
- Adolescent
- Cell Size
- Child
- Chromosomes, Human, Pair 2/genetics
- Chromosomes, Human, Pair 5/genetics
- Fatal Outcome
- Female
- Flow Cytometry
- Humans
- Immunohistochemistry
- Infant
- Leukocytosis/pathology
- Lymphocytes/pathology
- Lymphoma, Large-Cell, Anaplastic/genetics
- Lymphoma, Large-Cell, Anaplastic/pathology
- Male
- Protein-Tyrosine Kinases/metabolism
- RNA, Messenger/metabolism
- Reverse Transcriptase Polymerase Chain Reaction/methods
- Translocation, Genetic
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Affiliation(s)
- C Bayle
- Service d'Hématologie Biologique, Institut Gustave Roussy, Villejuif, France
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36
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Beaune G, Mallaval FO, Gimbert S, Dijoud F, Vialle A, Parchoux B. [A case of congenital nephrotic syndrome]. Ann Biol Clin (Paris) 1998; 56:575-7. [PMID: 9769493] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
Affiliation(s)
- G Beaune
- Laboratoire de biochimie, Hôpital Debrousse, Lyon
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37
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Lorriaux C, Mac Gregor B, Dijoud F, Cahen R, Touraine JL, Pouteil-Nobel C. Should patients with "borderline" lesions of Banff criteria be treated by renal transplantation? Transplant Proc 1998; 30:2823-4. [PMID: 9745582 DOI: 10.1016/s0041-1345(98)00826-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- C Lorriaux
- Nephrology Department, Lyon Sud Hospital, Pierre-Benite, France
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38
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Jordan D, Kermadi I, Rambaud C, Bouvier R, Dijoud F, Martin D, Kopp N. Autoradiographic distribution of brainstem substance P binding sites in humans: ontogenic study and relation to sudden infant death syndrome (SIDS). J Neural Transm (Vienna) 1998; 104:1101-5. [PMID: 9503261 DOI: 10.1007/bf01273322] [Citation(s) in RCA: 10] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
The precise distribution of substance P (SP) binding sites in the human brainstem was investigated in normal cases (3 fetuses and 24 new-borns) and in 9 cases of Sudden Infant Death Syndrome (SIDS) by in vitro quantitative autoradiography. We discussed the widely but uneven distribution of SP binding sites as regards to the role of SP in brainstem cardio-respiratory ontogenic control and its possible involvement in SIDS.
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Affiliation(s)
- D Jordan
- Anatomo-Pathologic Laboratory, Laënnec University, Lyon, France
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39
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Bouffet E, Basset T, Chetail N, Dijoud F, Mollard P, Brunat-Mentigny M, David M. Juvenile granulosa cell tumor of the ovary in infants: a clinicopathologic study of three cases and review of the literature. J Pediatr Surg 1997; 32:762-5. [PMID: 9165474 DOI: 10.1016/s0022-3468(97)90029-4] [Citation(s) in RCA: 23] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
The clinical and pathological features of three cases of juvenile granulosa cell tumors occurring in infants were studied. Precocious pseudopuberty developed in two patients and acute abdominal symptoms related to the rupture of the tumor developed in one. Surgery was the only treatment in each case and no adjuvant therapy was delivered. No patient experienced relapse. Histological examination showed a predominantly diffuse pattern with prominent luteinization. Call-Exner bodies were absent. Two tumors had multilocular thin walled cysts containing large amounts of estradiol, the third one contained rudimentary microfollicles. The prognosis of juvenile granulosa cell tumors in infancy appears more favorable than those occurring in older patients. No case of tumor recurrence has been reported in infancy so far. Surgery appears to be the state-of-the-art treatment of these tumors and additional therapy (chemotherapy or radiotherapy) must be discussed with caution, even in advanced stages.
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Affiliation(s)
- E Bouffet
- Department of Pediatric Oncology, Centre Léon Bérard, Lyon, France
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40
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Emile JF, Patey N, Altare F, Lamhamedi S, Jouanguy E, Boman F, Quillard J, Lecomte-Houcke M, Verola O, Mousnier JF, Dijoud F, Blanche S, Fischer A, Brousse N, Casanova JL. Correlation of granuloma structure with clinical outcome defines two types of idiopathic disseminated BCG infection. J Pathol 1997; 181:25-30. [PMID: 9071999 DOI: 10.1002/(sici)1096-9896(199701)181:1<25::aid-path747>3.0.co;2-z] [Citation(s) in RCA: 96] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
Bacillus Calmette Guérin (BCG) is an attenuated strain of Mycobacterium bovis that is currently used as a live vaccine for human tuberculosis. Disseminated BCG infection may rarely occur following vaccination of children. In half of the cases, regarded as idiopathic, no well-defined immunodeficiency condition can account for the infection. However, the high rates of parental consanguinity and familial forms and the associated opportunistic infections with Salmonella suggest that these idiopathic BCG infections result from one or several new type(s) of inherited immune disorder(s). As an approach to the description and understanding of this newly described condition, the associated lesions were examined. Samples from 14 patients collected from a French national retrospective study were analysed. Pathological data from 22 cases reported in the world literature were also reviewed. Two types of granuloma were found. The first type (type I, tuberculoid) consisted of well-circumscribed and well-differentiated granulomas, with epithelioid and multinucleated giant cells containing very few acid-fast rods, surrounded by lymphocytes and fibrosis and occasionally with central caseous necrosis. The second type (type II, lepromatous-like) consisted of ill-defined and poorly differentiated granulomas, with few if any giant cells and lymphocytes but widespread macrophages loaded with acid-fast bacilli. Most children displayed a single type of granuloma. One half displayed type 1 lesions and the other half displayed type II lesions. There was a strong correlation between the type of granuloma and the clinical outcome. Tuberculoid lesions were associated with survival, whilst lepromatous-like lesions correlated with death. Correlation of granuloma structure with clinical outcome defines two types of idiopathic disseminated BCG infection. The phenotypic heterogeneity of the course of BCG infection reflects distinct pathogenic mechanisms and probably results from a genotypic heterogeneity of the underlying inherited immune disorder.
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Affiliation(s)
- J F Emile
- Service d'Anatomie et de Cytologie Pathologiques, Hôpital Necker, Paris, France
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41
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Labeeuw M, Caillette A, Dijoud F. [Renal biopsy in the elderly]. Presse Med 1996; 25:611-4. [PMID: 8668688] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023] Open
Abstract
Fifty years after the first percutaneous needle biopsies of the kidney, enough results have been obtained to evaluate indications in elderly patients, a population group we define as over 75 years of age. In approximately 50% of the patients in this group, the indication for renal biposy is a nephrotic syndrome. The lesions usually observed involve extramembranous glomerulonephritis or minimal change glomerulopathy. The biopsy may also reveal amylosis. Chronic renal failure is the predominant reason for nephrology consultation in the elderly. Although all of these patients do not undergo biopsy, in our experience, results show chronic glomerulopathies, mainly IgA, in about half of the case as well as chronic interstitial nephritis and nephroangiosclerosis. The aging process also leads to acute renal failure in many patients. Biopsy would not be indicated in case of shock, drug toxicity or obstruction but in approximately 10% of the cases histology can reveal a specific parenchymal lesion. The technique for renal biopsy is the same in elderly patients as in younger adults. Renal biopsy can be considered as a safe diagnostic tool of considerable importance when ordered by a nephrologist, performed by an experienced operator and read by a well-trained pathologist. In many cases it is essential to in order to provide patients over 75 with the same quality care as younger adults.
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42
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Guibaud L, Pracros JP, Rode V, Dijoud F, Foray P, Chapelon C, Tran-Minh VA. Sclerosing hemangioma of the lung: radiological findings and pathological diagnosis. Pediatr Radiol 1995; 25 Suppl 1:S207-8. [PMID: 8577531] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
We present a case of sclerosing hemangioma of the lung, revealed as a solitary round mass on routine chest radiography in a 14-year-old patient. CT and MRI findings were consistent with a solid neoplasm but no specific characteristics were identified. Analysis of the surgical biopsy material led to a cytological diagnosis of adenocarcinoma. Definitive diagnosis of sclerosing hemangioma of the lung was established on pathological examination of the whole surgical specimen.
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Affiliation(s)
- L Guibaud
- Department of Pediatric Radiology, Hôpital Debrousse, Université Claude-Bernard Lyon I, UFR Lyon Sud, 29 rue Soeur Bouvier, F-69322 Lyon cedex 05, France
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43
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Cahen R, Dijoud F, Couchoud C, Devonec M, Trolliet P, Adeleine P, Fendler JP, Joubert P, Perrin P, François B. Evaluation of renal grafts by pretransplant biopsy. Transplant Proc 1995; 27:2470. [PMID: 7652888] [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: 01/26/2023]
Affiliation(s)
- R Cahen
- Division of Nephrology, Lyon South University Medical Center, France
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44
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Vujanić GM, Sandstedt B, Dijoud F, Harms D, Delemarre JF. Nephrogenic rest associated with a mesoblastic nephroma--what does it tell us? Pediatr Pathol Lab Med 1995; 15:469-75. [PMID: 8597834 DOI: 10.3109/15513819509026983] [Citation(s) in RCA: 10] [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] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
A 3-year-old girl presented with a tumor in the right kidney that was found to be a mesoblastic nephroma on histological examination. In addition, between the tumor and renal parenchyma there was a large perilobar sclerosing nephrogenic rest--a finding that has rarely been reported previously in non-Wilms renal tumors of childhood. We believe this supports the theory that both mesoblastic nephroma and Wilms tumor arise from the developing kidney but the key difference is the time point at which induction of neoplasm occurs.
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Affiliation(s)
- G M Vujanić
- Department of Pathology, University of Wales College of Medicine, Cardiff, United Kingdom
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45
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Cahen R, Trolliet P, Dijoud F, Megri K, François B. Severe recurrence of type I membranoproliferative glomerulonephritis after transplantation: remission on steroids and cyclophosphamide. Transplant Proc 1995; 27:1746-7. [PMID: 7725484] [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: 01/26/2023]
Affiliation(s)
- R Cahen
- Division of Nephrology, Lyon South University Medical Center, France
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46
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Cahen R, Trolliet P, Jean G, Megri K, Dijoud F, François B. Automated renal transplant biopsy with real-time ultrasonic guidance. Transplant Proc 1995; 27:1729-30. [PMID: 7725473] [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: 01/26/2023]
Affiliation(s)
- R Cahen
- Division of Nephrology, Lyon South University Medical Center, France
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Trolliet P, Dijoud F, Cotte L, Cahen R, François B, Trepo C, Patricot LM. Crescentic glomerulonephritis and crystals within glomerular capillaries in an AIDS patient treated with foscarnet. Am J Nephrol 1995; 15:256-9. [PMID: 7618652 DOI: 10.1159/000168842] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.5] [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: 01/26/2023]
Abstract
We report on a 28-year-old AIDS patient who developed a rapidly progressive glomerulonephritis while being treated with foscarnet for cytomegalovirus retinitis. Renal biopsy showed crescentic proliferation related to crystals within the glomerular capillaries. The role of foscarnet in this unusual renal syndrome is discussed.
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Affiliation(s)
- P Trolliet
- Service de Néphrologie, Centre Hospitalier Lyon-Sud, France
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48
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Chardonnet Y, Dijoud F, Lizard G, Chignol MC, Soler C, Schmitt D. [Detection of human papillomavirus DNA by in situ hybridization and gene amplification]. C R Acad Sci III 1994; 317:659-668. [PMID: 7882150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
In situ hybridization with non radioactive probes is attractive for human papillomaviruses (HPV) detection. Its sensitivity has been greatly improved by using different hybridization conditions, techniques for revealing the DNA-DNA hybrids and method of observation and various cell lines derived from human uterine carcinomas (CaSki, SiHa and HeLa cells) which contain 500-600 copies of HPV DNA, 1-2 copies of HPV 16 and 20-50 copies of HPV DNA 18, respectively. In situ gene amplification increased the detection of HPV DNA since hybridization spots were visible in SiHa cells on slides; a specific signal was observed in HeLa cells in suspensions examined by flow cytometry. Confocal microscopy is an alternative method to in situ gene amplification since viral DNA is detectable in SiHa cells with or without gene amplification. Thus, the techniques used in this study are potentially useful for research of single cellular genes.
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Grange C, Trolliet P, Cahen R, Dijoud F, Vital-Durand D, Francois B, Levrat R. Les atteintes rénales de la sarcoïdose : à propos de 10 observations. Rev Med Interne 1994. [DOI: 10.1016/s0248-8663(05)82548-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Dumontel C, Girod C, Dijoud F, Dumez Y, Vanier MT. Fetal Niemann-Pick disease type C: ultrastructural and lipid findings in liver and spleen. Virchows Arch A Pathol Anat Histopathol 1993; 422:253-9. [PMID: 8493781 DOI: 10.1007/bf01621810] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
We present the first ultrastructural study of liver and spleen from a 20-week fetus with Niemann-Pick disease type C in correlation with lipid studies of these tissues. The lipid storage pattern was characteristic of the disease and although the distribution of the lipid storage was similar to that of affected children, ultrastructural studies emphasized that many inclusions were qualitatively different. These are discussed. Concomitant with this complex lipid storage, ultrastructural evidence of cholestasis was observed and the early hyperplasia of pericanalicular microfilaments leads us to question the presence of a toxic metabolite which might induce cholestasis by acting upon microfilaments.
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Affiliation(s)
- C Dumontel
- Laboratoire d'Histologie Embryologie, Faculté de Médecine Alexis Carrel, Lyon, France
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