{"title":"[Efficacy comparison of conservative and surgical treatment in proximal humerus fractures : a monocentric retrospective study].","authors":"Quentin Duerinckx, Xavier Mahieu, Thierry Thirion","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Proximal humerus fractures (PHF) are common, they represent 4 to 6 % of all fractures. They usually affect the elderly (above 60 years) and most the time, women (M/F ratio = 3/7). In general, they are not or slightly displaced and their treatment is thus commonly conservative (75 to 90 % of cases). A displaced PHF can be challenging for the orthopaedic surgeons because of the actual lack of consensus concerning the gold standard treatment for these fractures. This monocentric retrospective study compares the outcomes of both conservative and surgical treatment in PHF at minimum one year follow-up.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 9","pages":"510-515"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10650386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Rhombencephalosynapsis : a rare cerebellar malformation not to miss].","authors":"Justine Maquet, Christine Vanlinthout, Brigitte Desprechins, Gautier Vandenbossche","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Rhombencephalosynapsis (RS) is a rare cerebellar malformation characterized by the association of partial or total vermis agenesis and fusion of the cerebellar hemispheres. This malformation is often associated with supratentorial cerebral abnormalities and more rarely with extra-cranial abnormalities. The severity of the clinical manifestations and the prognosis of RS depend on the findings of the posterior fossa and the associated anomalies. This clinical case presents an isolated complete RS, documented by antenatal ultrasound, fetal and postnatal/mortem magnetic resonance imaging (MRI) and pathological examination. A RS should be suspected on antenatal morphological ultrasound in case of reduction in size of the posterior fossa and in the absence of vermis. Fetal MRI is the imaging modality of choice to confirm the diagnosis. In the event of medical termination of pregnancy, the autopsy is rarely accepted by the parents, limiting postnatal investigations. This is why postnatal/postmortem MRI can prove to be an alternative to confirm and better document this rare pathology. Finally, multidisciplinary collaboration is essential to make the diagnosis and to ensure the best care.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 7-8","pages":"407-410"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9973827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Withdrawal syndrome following chronic use of gamma-hydroxybutyric acid (GHB)].","authors":"Anthony Moitroux, Catherine Kestens","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Chronic use of gamma-hydroxybutyric acid (GHB) and its precursors can rapidly lead to physical dependence with the emergence of a withdrawal syndrome. This complication is similar to the one linked to alcohol or benzodiazepines. The onset of symptoms and specially neuro-psychiatric symptoms is, however, more rapid in the case of the GHB and precursors. There is currently no consensus on the therapeutic management of GHB withdrawal syndrome. High-dose benzodiazepines are the most commonly used treatment. The use of GHB by titration and tapering could show fewer side effects and withdrawal symptoms. It appears necessary to reflect on and pursue research on the use of GHB and its precursors, which remains poorly understood, on the management of withdrawal syndrome due to the lack of protocol and on its probably underestimated impact on public health.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 7-8","pages":"451-455"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10345264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jean-Baptiste Bouillon-Minois, François Saget, Nicolas Peschanski
{"title":"[Coronary anaphylaxis or Kounis syndrome].","authors":"Jean-Baptiste Bouillon-Minois, François Saget, Nicolas Peschanski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although not well known, Kounis syndrome represents 3.4 % of anaphylactic reactions and has a high level of mortality (7 %). Its main clinical presentation looks like an acute coronary syndrome. We report the case of a 61-year old patient who was admitted in the emergency department because of a malaise with loss of consciousness due to a Kounis syndrome that occurred after the ingestion of amoxycilline.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 7-8","pages":"399-402"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10345266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Thomas Verjans, Gilles Absil, Jean-Marc Triffaux, Pascale Quatresooz, David Waltregny, Arjen Nikkels
{"title":"[Ulcerative Zoon's balanitis].","authors":"Thomas Verjans, Gilles Absil, Jean-Marc Triffaux, Pascale Quatresooz, David Waltregny, Arjen Nikkels","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Zoon's balanitis is a rare genital dermatosis of unknown etiology, usually presenting as a red-orange macule or plaque with a «cayenne pepper» appearance on the glans and/or foreskin. Unfortunately, atypical presentations are not uncommon, including vegetating or ulcerative lesions. Usually, it affects middle-age to older uncircumcised men. Although it is a benign pathology, Zoon's balanitis may be superimposed on another inflammatory or neoplastic dermatosis. As topical treatments are generally non satisfactory and relapses are usual on treatment with-drawal, circumcision remains an interesting option with usually a rapid and complete remission of the symptoms.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 7-8","pages":"448-450"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10326941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Virginie Van Boeckel, Véronique Thibaut, Vincent Tchana-Sato
{"title":"[Posterior laceration of the abdominal aorta on vertebral fracture].","authors":"Virginie Van Boeckel, Véronique Thibaut, Vincent Tchana-Sato","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Abdominal aortic lacerations are very rare in closed trauma and are usually caused by high energy trauma. Aortic injuries should be assessed as a priority as they present an immediate life-threatening risk in the event of major haemorrhage. However, the clinical presentations are highly variable and often misleading. We -present a case of traumatic blunt abdominal aortic laceration following a fall down the stairs. The laceration involved the posterior part of the abdominal aorta secondary to a lumbar fracture with L1-L2 disc tear.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 7-8","pages":"427-430"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10326942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fanchon Noël, Joëlle Desreux, Irène Scagnol, Orphal Colleye, Philippe Delvenne
{"title":"[When a metastasis hides another].","authors":"Fanchon Noël, Joëlle Desreux, Irène Scagnol, Orphal Colleye, Philippe Delvenne","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Breast cancer is one of the leading causes of death in women. There are many different entities, both morphologically and immuno-histochemically or genomically. Intra-tumour heterogeneity can be defined in time (temporal heterogeneity) and in space (spatial heterogeneity) and is influenced by both internal and external factors, such as genetics, epigenetics, host response, possible treatments or the tumour microenvironment. The detailed analysis of these multiple interactions could help to develop new therapeutic targets.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 7-8","pages":"415-419"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9973826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Matthieu Thimmesch, David Tuerlinckx, Marie Habay, Patrick Lebecque
{"title":"[Recurrent atelectasis in an infant : about one case of false-negative newborn screening for cystic fibrosis].","authors":"Matthieu Thimmesch, David Tuerlinckx, Marie Habay, Patrick Lebecque","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In infants as well as in older children, persistent or recurrent atelectasis remains a classic indication for sweat testing, even if neonatal screening for cystic fibrosis has been considered normal. Atelectasis is a common complication of cystic fibrosis. Yet, it has rarely been reported in infants. In cystic fibrosis, chronic atelectasis worsens the prognosis, especially when involving a lower lobe. Therefore, early and effective intervention is required. Antibiotic therapy, intensive chest physiotherapy together with inhaled mucolytics often allow to relieve bronchial obstruction but bronchoscopy with local aspiration and Dornase alpha instillation is sometimes necessary. In a two-month-old infant, we describe here the first reported case of false-negative cystic fibrosis newborn screening in Belgium.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 7-8","pages":"436-440"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10345263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Natural course of an aortic coarctation in a child].","authors":"Tanguy Dutilleux, Nesrine Farhat, Pierre-Julien Bruyère, Marie-Christine Seghaye","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Aortic coarctation is a frequent congenital heart disease that presents in form of two entities, the infant type and the child or adult type. The infant type is the most frequent and manifests acutely by heart failure or shock. The second one shows a slow and progressive course with no or few initial symptoms. For that reason, the diagnosis is usually missed until symptomatic arterial hypertension or hypertrophic cardiomyopathy develop. We report the case of an initially asymptomatic boy in whom the development of an aortic coarctation could be precisely documented over a period of 10 years by repeated bidimensional and Doppler echocardiography. The patient underwent successful balloon angioplasty of the aortic isthmus and stent implantation. This case points out the importance of strict follow-up in any young child in whom an even mild anomaly of the aortic arch is detected. This is critical in order not to miss an aortic coarctation that influences significantly morbidity in adulthood.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 7-8","pages":"403-406"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10345268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Villar's nodule].","authors":"Léna Pirson, Gilles Absil, Gabrielle Giet, Dalal Lahrichi, Michelle Nisolle, Arjen Nikkels","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Umbilical endometriosis is a rare manifestation, most often isolated, of endometriosis, accounting for 0,5-1 % of all cases. It can be primary or secondary following surgery. It usually presents as a solid, skin-colored, red or purple-black nodule, frequently associated with pain and/or perimenstrual bleeding. Because it has a potential for malignant transformation, the gold standard of treatment is surgical removal.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 7-8","pages":"420-422"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9973824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}