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[Spontaneous non-traumatic splenic rupture as a presentation form of light chain amyloidosis. Report of one case]. Rev Med Chil 2022; 150:688-690. [PMID: 37906771 DOI: 10.4067/s0034-98872022000500688] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2021] [Accepted: 08/02/2022] [Indexed: 11/16/2022]
Abstract
We report a 35-year-old sportive man who was admitted to the emergency department for worsening of acute spontaneous abdominal pain appearing at rest. He only referred having lifted a tree trunk the day before, but he was used to perform such physical efforts. The clinical course at the emergency department was marked by the development of severe anemia secondary to a progressive splenic hematoma and acute pulmonary distress. The patient benefited from total splenectomy. Laboratory data showed hypogammaglobulinemia, proteinuria and the anatomopathological examinations of both spleen and kidneys were consistent with light chain amyloidosis.
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2
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An unusual cause of cardiac failure in a neonate. Arch Pediatr 2019; 26:176-178. [PMID: 30827772 DOI: 10.1016/j.arcped.2019.02.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2018] [Revised: 11/26/2018] [Accepted: 02/03/2019] [Indexed: 11/29/2022]
Abstract
We report the case of a newborn admitted with signs of congestive cardiac failure with prominent and pulsatile cervical veins. Echocardiography showed a structurally normal heart, right-to-left ductal flow, and reversed diastolic flow in the proximal descending aorta. A computed-tomography scan of the head showed a vein of Galen arteriovenous malformation. This highlights the importance of considering an intracranial cause in the differential diagnosis of neonatal congestive heart failure.
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3
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[Adams-Oliver syndrome and cutis marmorata telangiectatica congenita]. Ann Dermatol Venereol 2019; 146:223-225. [PMID: 30638685 DOI: 10.1016/j.annder.2018.11.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2018] [Revised: 06/24/2018] [Accepted: 11/21/2018] [Indexed: 12/01/2022]
Abstract
Adams-Oliver syndrome (AOS) is a congenital condition characterized by congenital aplasia cutis and transverse limb defects. Herein we report a case of an infant with severe intra-uterine growth restriction presenting AOS associated with cutis marmorata telangiectatica but with no other organ complications. The outcome was complicated by hemorrhagic and septic shock, which resulted in the death of the infant in a setting of multiorgan failure.
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4
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Caractérisation épidémiologique de la communication interventriculaire (CIV) dans la population marocaine. Rev Epidemiol Sante Publique 2015. [DOI: 10.1016/j.respe.2015.03.060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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5
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L’exploration moléculaire du gène NKX2.5 dans deux populations atteintes de communication inter-auriculaire (CIA) et de tétralogie de Fallot (TOF). Rev Epidemiol Sante Publique 2015. [DOI: 10.1016/j.respe.2015.03.103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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6
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[Hypercalcemia complicating BCG lymphadenitis: case report]. Arch Pediatr 2015; 22:276-8. [PMID: 25636213 DOI: 10.1016/j.arcped.2014.12.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2014] [Revised: 07/19/2014] [Accepted: 12/03/2014] [Indexed: 11/28/2022]
Abstract
One of the side effects of the BCG vaccine is a local infection that may spread to the regional lymph nodes causing lymphadenitis, which can resolve spontaneously without treatment. We report the case of an immunocompetent infant who developed lymphadenitis after administration of the BCG vaccine, complicated with persistent symptomatic hypercalcemia in spite of the usual treatment including corticotherapy. Antituberculous treatment was necessary to reduce this hypercalcemia.
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Indications and results of renal biopsy in children: A single-center experience from Morocco. SAUDI JOURNAL OF KIDNEY DISEASES AND TRANSPLANTATION 2015; 26:810-5. [DOI: 10.4103/1319-2442.160225] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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8
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SFP P-125 – Les paralysies flasques aigues. A propos de 86 cas. Arch Pediatr 2014. [DOI: 10.1016/s0929-693x(14)72095-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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9
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SFP P-124 – Le syndrome de Guillan Barre chez l’enfant. A propos de 62 cas. Arch Pediatr 2014. [DOI: 10.1016/s0929-693x(14)72094-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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10
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SFCP P-025 - Les masses abdomino-pelviennes de l’enfant: profils épidémio-cliniques, topographiques et étiologiques. Arch Pediatr 2014. [DOI: 10.1016/s0929-693x(14)71741-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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11
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SFP PC-46 - Myosite orbitaire bilatérale idiopathique chez un nourrisson. Arch Pediatr 2014. [DOI: 10.1016/s0929-693x(14)72196-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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12
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SFCE P-17 - Dépistage de la malnutrition chez les enfants atteints de cancer. Arch Pediatr 2014. [DOI: 10.1016/s0929-693x(14)71633-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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13
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SFCE P-18 - Les neutropénies fébriles chimio-induites chez l’enfant. Arch Pediatr 2014. [DOI: 10.1016/s0929-693x(14)71634-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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14
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[Seizures revealing phosphocalcic metabolism abnormalities]. Rev Neurol (Paris) 2014; 170:440-4. [PMID: 24726042 DOI: 10.1016/j.neurol.2014.02.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2013] [Revised: 01/28/2014] [Accepted: 02/18/2014] [Indexed: 10/25/2022]
Abstract
Hypocalcemia due to hypoparathyroidism produces a broad spectrum of clinical manifestations, but overt symptoms may be sparse. One unusual presentation is onset or aggravation of epilepsy in adolescence revealing hypoparathyroidism. This situation can lead to delayed diagnosis, with inefficacity of the antiepileptic drugs. We report five cases of adolescence-onset epilepsy with unsuccessful antiepileptic therapy, even with gradually increasing dose. Physical examination revealed signs of hypocalcemia, confirmed biologically. Full testing disclosed the origin of the seizures: hypoparathyroidism in three patients and pseudohypoparathyroidism in the other two. In four of five patients, computed tomography showed calcification of the basal ganglia, defining Fahr's syndrome. The patients were treated with oral calcium and active vitamin D (1-alphahydroxy vitamin D3). Seizure frequency progressively decreased and serum calcium levels returned to normal. These cases illustrate the importance of the physical examination and of routine serum calcium assay in patients with new-onset epileptic seizures in order to detect hypocalcemia secondary to hypoparathyroidism.
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Abstract
The finding of a double-chambered right ventricle (DCRV) is exceptionally rare as an isolated anomaly. It is a congenital cardiac anomaly in which the right ventricle is separated into two chambers, a proximal high-pressure chamber and a distal low-pressure chamber, by anomalous muscles or fibrous tissues in the right ventricular cavity. We report the case of a 6-year-old infant who was admitted for growth retardation. The patient was diagnosed with an isolated DCRV without any other associated congenital anomalies. The patient underwent a successful cardiac surgical procedure of enlargement repair; he was discharged in good clinical condition with a normal cardiac function.
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17
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Apnées de sommeil et nanisme chez un jeune enfant. Arch Pediatr 2013; 20:296-8, 307-10. [DOI: 10.1016/j.arcped.2012.12.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2012] [Revised: 10/07/2012] [Accepted: 12/15/2012] [Indexed: 11/29/2022]
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18
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Les hémangiomes infantiles et le propranolol : expérience marocaine. Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.10.186] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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19
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Pseudo-microangiopathie thrombotique liée à un déficit en vitamine B12. Arch Pediatr 2012; 19:616-9. [DOI: 10.1016/j.arcped.2012.03.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2011] [Revised: 11/18/2011] [Accepted: 03/23/2012] [Indexed: 11/29/2022]
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20
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[Association of celiac disease and Budd-Chiari syndrome: a case report]. Arch Pediatr 2010; 18:102. [PMID: 21130629 DOI: 10.1016/j.arcped.2010.10.019] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2010] [Revised: 10/13/2010] [Accepted: 10/21/2010] [Indexed: 01/25/2023]
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21
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P397 - Le syndrome de Holt-Oram à propos d’un cas. Arch Pediatr 2010. [DOI: 10.1016/s0929-693x(10)70791-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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22
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P496 - Manifestations gastro-intestinales et envenimation scorpionique chez l’enfant. Arch Pediatr 2010. [DOI: 10.1016/s0929-693x(10)70889-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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23
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P464 - Les méningites de l’enfant (à propos de 88 cas). Arch Pediatr 2010. [DOI: 10.1016/s0929-693x(10)70857-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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24
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P505 - Le tropisme cardiovasculaire des envenimations scorpioniques chez l’enfant. Arch Pediatr 2010. [DOI: 10.1016/s0929-693x(10)70898-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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25
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P491 - Particularités cliniques et évolutives des pyélonéphrites aiguës sévères (19 cas). Arch Pediatr 2010. [DOI: 10.1016/s0929-693x(10)70884-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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26
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P398 - Tamponnade cardiaque révélant une leucémie aiguë à propos d’un cas. Arch Pediatr 2010. [DOI: 10.1016/s0929-693x(10)70792-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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27
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P444 - Une manifestation osseuse rare révélant une leucémie aiguë chez l’enfant : le tassement vertébral. Arch Pediatr 2010. [DOI: 10.1016/s0929-693x(10)70837-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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28
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P008 - Des calcifications cérébrales révélant une pseudohypoparathyroïdie familiale. Arch Pediatr 2010. [DOI: 10.1016/s0929-693x(10)70409-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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29
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P465 - Les méningites à pneumocoque de l’enfant (à propos de 7 cas). Arch Pediatr 2010. [DOI: 10.1016/s0929-693x(10)70858-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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30
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P085 - Incompatibilité fœto-maternelle dans le système Rhésus. Arch Pediatr 2010. [DOI: 10.1016/s0929-693x(10)70486-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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31
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P452 - Syndrome de Wiscott-Aldrich : un diagnostic aisé souvent méconnu. Arch Pediatr 2010. [DOI: 10.1016/s0929-693x(10)70845-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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32
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P317 - Thrombose veineuse cérébrale chez l’enfant. Arch Pediatr 2010. [DOI: 10.1016/s0929-693x(10)70714-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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33
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P035 - Hépatite A révélant une hémochromatose juvénile. Arch Pediatr 2010. [DOI: 10.1016/s0929-693x(10)70436-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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34
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P016 - L’acidocétose diabétique chez l’enfant en milieu hospitalier. Arch Pediatr 2010. [DOI: 10.1016/s0929-693x(10)70417-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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35
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P448 - Aplasie médullaire compliquant une hépatite virale A : une observation. Arch Pediatr 2010. [DOI: 10.1016/s0929-693x(10)70841-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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36
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Epidemiological and clinical characteristics of scorpion stings in children in fez, Morocco. J Venom Anim Toxins Incl Trop Dis 2009. [DOI: 10.1590/s1678-91992009000200008] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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37
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Zona chez un nourrisson. Arch Pediatr 2007; 14:1092-3. [PMID: 17662580 DOI: 10.1016/j.arcped.2007.06.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2006] [Accepted: 06/03/2007] [Indexed: 11/18/2022]
Abstract
Herpes zoster occurs seldom in infants, especially in the absence of exposure to maternal varicella either intrauterine or postnatal. We report on a case in a 3-month-old infant admitted for herpes zoster in the sciatic nerve territory. No cutaneous eruption was found in the mother or in people who were in contact with the patient. This rare clinical situation is here reviewed, showing that the absence of antenatal or postnatal exposure to herpes viruses does not preclude the occurrence of herpes zoster infection in early infancy.
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Relevance of the criteria commonly used to diagnose myeloproliferative disorder in patients with splanchnic vein thrombosis. Br J Haematol 2005; 129:553-60. [PMID: 15877740 DOI: 10.1111/j.1365-2141.2005.05490.x] [Citation(s) in RCA: 123] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Myeloproliferative disorders (MPD) are reported in 25-65% of patients with splanchnic vein thrombosis (SVT). Diagnostic criteria for MPD have not been fully established in this context. Using clusters of abnormal megakaryocytes in bone marrow (BM) biopsy as a reference standard for Philadelphia negative MPD, we assessed the relevance of other criteria currently recommended for the diagnosis of MPD in SVT (128 consecutive SVT patients). First, usual criteria were compared with BM results: endogenous erythroid colony formation (EEC) was strongly correlated with BM results; splenomegaly, blood cell count, total red cell volume, erythropoietin level and cytogenetic were much less accurate. Then, patients were assigned to three groups according to the combination of BM and EEC findings (group I: both present; group II: both absent; group III: other patients); clinical presentation and outcome were compared in each group. At a mean follow-up of 6.09 +/- 6.6 years, progression to a severe form of MPD occurred in 7 of 31 group I patients (23%), in 1 of 34 group III patients (3%) and 0 of 63 group II patients. The combination of marked splenomegaly and platelet count >200 x 10(9)/l was restricted to groups I and III. In conclusion, in patients with SVT, BM findings and EEC allowed the diagnosis of MPD at risk of aggravation. Marked splenomegaly in association with platelet counts >200 x 10(9)/l constitute a simple index with high specificity but low sensitivity.
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