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Revue medicale de Liege最新文献

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[Functional symptoms in dermatology]. [皮肤病学中的功能性症状]。
Revue medicale de Liege Pub Date : 2023-05-01
Gilles Absil, Arjen Nikkels
{"title":"[Functional symptoms in dermatology].","authors":"Gilles Absil,&nbsp;Arjen Nikkels","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Functional disorders are symptoms that arise in the absence of an underlying organic cause. They represent a challenge for the clinician and a source of anxiety and discomfort for the patient that can significantly alter the quality of life. The goal of treatment is first to exclude potential organic causes. Then, a combination of pharmacological and non-pharmacological measures is usually proposed with variable therapeutic results.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 5-6","pages":"388-391"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10059522","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}
引用次数: 0
[Hypochondriasis : the morbid fear of diseases…]. 疑病症:对疾病的病态恐惧…
Revue medicale de Liege Pub Date : 2023-05-01
Nicolas Deprez, Jean-Marc Triffaux
{"title":"[Hypochondriasis : the morbid fear of diseases…].","authors":"Nicolas Deprez,&nbsp;Jean-Marc Triffaux","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hypochondriasis is characterized by the fear or belief of suffering from a serious illness, based on the subject's misinterpretation of physical symptoms or manifestations of bodily functions. This concept has always been a topic of debate and controversy regarding its definition, nature and nosography, which is still ongoing today. Its complex management, including psychotherapeutic and pharmacological interventions, challenges the therapeutic relationship. We will discuss the definition of hypochondriasis and the new diagnosis covering this notion in the DSM-5 and in the scientific literature, the characteristics of this disorder, its differential diagnosis, its management, and considerations on its expression in the present time by evoking cybercondria and the Covid-19 pandemic.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 5-6","pages":"335-341"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9676554","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}
引用次数: 0
[From preconceived ideas on hysteria to functional neurological disorder]. [从对歇斯底里症的先入为主的看法到功能性神经障碍]。
Revue medicale de Liege Pub Date : 2023-05-01
Julian Baumans, Gabrielle Scantamburlo
{"title":"[From preconceived ideas on hysteria to functional neurological disorder].","authors":"Julian Baumans,&nbsp;Gabrielle Scantamburlo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Functional neurological disorders (FND), formerly called «conversion hysteria», are still poorly understood diseases that suffer from an outdated, sometimes erroneous and stigmatizing conception on the part of health care teams. Enlightened by historical concepts, we propose a modern reading of FND with the aim of deconstructing preconceived ideas and proposing a global, benevolent and individualized approach.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 5-6","pages":"261-266"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9682890","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}
引用次数: 0
[Cardiac erethism]. [心脏异位症]。
Revue medicale de Liege Pub Date : 2023-05-01
Caroline Piette, Pierre Mélon, Patrizio Lancellotti
{"title":"[Cardiac erethism].","authors":"Caroline Piette,&nbsp;Pierre Mélon,&nbsp;Patrizio Lancellotti","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cardiac erethism is a state of hyperexcitability of the heart. It results in hyperpulsatility, which is characterized by an ample pulse, an accentuation of heart sounds on auscultation, and an exaggeration of heart movements on echocardiography. While it can be very troublesome, cardiac erethism has no pathological significance. However, care must be taken to exclude any underlying cardiac or extracardiac pathology before confirming the diagnosis. No treatment is usually considered except to reassure the patient and avoid contributing factors. Beta-blockers are effective and should be prescribed on a case-by-case basis.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 5-6","pages":"342-344"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9684300","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}
引用次数: 0
[Functional colopathy : still relevant ? Let's move to irritable bowel syndrome]. 功能性结肠炎:还相关吗?让我们转到肠易激综合症。
Revue medicale de Liege Pub Date : 2023-05-01
Pascale Latour, Edouard Louis
{"title":"[Functional colopathy : still relevant ? Let's move to irritable bowel syndrome].","authors":"Pascale Latour,&nbsp;Edouard Louis","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Irritable bowel syndrome is a functional disorder that is frequently encountered in general practice as well as in specialized consultations. Diagnostic criteria have been well established but there is currently no specific diagnostic test. The various gastroenterology societies have recently published recommendations for diagnostic and therapeutic management adapted to the pathophysiology and the availability of treatments in different countries. This article summarizes the main lines of these recommendations and in particular those of the Belgian consensus.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 5-6","pages":"356-362"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9684302","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}
引用次数: 0
[Functional neurological disorders: gait and movement disorders]. [功能性神经障碍:步态和运动障碍]。
Revue medicale de Liege Pub Date : 2023-05-01
Frédérique Depierreux, Gustave Moonen
{"title":"[Functional neurological disorders: gait and movement disorders].","authors":"Frédérique Depierreux,&nbsp;Gustave Moonen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Functional neurological disorders consist of a group of neurological symptoms and syndromes for which a known \"organic\" cause cannot be identified. They still represent one of the most difficult diagnostic challenge for the neurologist, who can only rely on clinical criteria. Functional gait and movement disorders represent an important subgroup of these conditions and a frequent reason for consultation. The neurobiological basis of these manifestations remains poorly understood despite the progress of functional neuroimaging. Beyond the diagnosis process, its communication to the patient and its meaning represent another challenge, which requires tactful explanations as a prerequisite to a successful management.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 5-6","pages":"267-272"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9676556","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}
引用次数: 0
[Fibromyalgia, where are we in 2023 ?] [纤维肌痛，2023年我们在哪里?]
Revue medicale de Liege Pub Date : 2023-05-01
Laura Gos, Cécile Staquet, Dominique Libbrecht, Vincent Bonhomme
{"title":"[Fibromyalgia, where are we in 2023 ?]","authors":"Laura Gos,&nbsp;Cécile Staquet,&nbsp;Dominique Libbrecht,&nbsp;Vincent Bonhomme","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Fibromyalgia remains a nebulous clinical entity for many practitioners. Actually, this pathology associates diffuse chronic pain with a host of somatic complaints, which may be variable from one patient to another. The difficulty resides also in establishing the diagnosis, which remains essentially clinical, in the absence of anatomical lesions, as well as biological or anatomopathological anomalies. Patients are usually confronted to a therapeutic wandering phase, of variable duration, before being recognized in their pathology. Management of fibromyalgia has to be multimodal, including physiotherapy, a cognitive-behavioural approach, and an individually tailored medical support.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 5-6","pages":"305-314"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9682888","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}
引用次数: 0
[An emerging cause of chronic fatigue and pain : post-COVID-19 condition or long COVID]. [慢性疲劳和疼痛的新原因:COVID-19后状态或长COVID]。
Revue medicale de Liege Pub Date : 2023-05-01
Majdouline El Moussaoui, Julien Guiot, Frédéric Frippiat, Gilles Darcis
{"title":"[An emerging cause of chronic fatigue and pain : post-COVID-19 condition or long COVID].","authors":"Majdouline El Moussaoui,&nbsp;Julien Guiot,&nbsp;Frédéric Frippiat,&nbsp;Gilles Darcis","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Some individuals who have been infected with SARS-CoV-2 can experience long-term effects from their infection, known as post-COVID conditions, post-acute sequelae of COVID-19 or long COVID. Different underlying mechanisms can lead to long COVID, none of which are mutually exclusive. Lingering symptoms can persist years after SARS-CoV-2 infection, including fatigue, muscle weakness, tachycardia, dyspnea and various neurological symptoms. The symptomatology is partly similar to that reported by people with chronic fatigue syndrome and other unwell studied long-lasting diseases that may occur after other infections. People who have experienced more severe COVID-19 illness are at higher risk of developing long COVID, although anyone who was infected can experience post-COVID conditions. Importantly, unvaccinated individuals are more likely to develop long COVID. Here we review the current knowledge and discuss key findings regarding the epidemiology and physiopathology of long COVID. We briefly review current diagnostic and treatment options that remain so far largely insufficient.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 5-6","pages":"299-304"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9684301","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}
引用次数: 0
[The placebo effect in functional disorders]. [功能性障碍中的安慰剂效应]。
Revue medicale de Liege Pub Date : 2023-05-01
Régis Radermecker
{"title":"[The placebo effect in functional disorders].","authors":"Régis Radermecker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Functional disorders are clinical entities corresponding to complaints mimicking diseases without a clearly identified organic substrate despite a rigorous history and clinical examination. Sometimes, complementary examinations are necessary to rule out an organic lesion that could explain the symptomatology. The notion of a diagnosis of exclusion is therefore very present. The physician must constantly re-evaluate the diagnosis of functional disorder in order not to «miss» a diagnosis with an organic cause.The treatment of these functional disorders is sometimes based on psychological treatment when a psychogenic dimension seems to be involved. This is not always the case. In such cases it is necessary to be able to consider a placebo approach with the hope that the placebo effect may improve the patient's condition. This article discusses the placebo effect in functional disorders without omitting to address ethical and philosophical considerations.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 5-6","pages":"250-254"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9691625","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}
引用次数: 0
[Functional disorder and arterial hypotension]. [功能障碍和动脉低血压]。
Revue medicale de Liege Pub Date : 2023-05-01
Jean-Marie Krzesinski
{"title":"[Functional disorder and arterial hypotension].","authors":"Jean-Marie Krzesinski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Arterial hypotension discovery (blood pressure < 110/60 mmHg for man and < 100/60 mmHg for woman) on the occasion of medical appointments for faintness is often considered as the cause of the medical problem. That causal relationship is yet far from being always established. If a disease is identified generating arterial hypotension, the symptoms reported such as loss of energy, fatigue and/or depressive mood can of course be the consequence. However, asymptomatic chronic hypotension exists. Symptoms appearance in a hypotensive patient such as fatigue, loss of vital energy, alteration of quality of life must lead to look for another explanation than (chronic) low blood pressure. This article will discuss that point.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 5-6","pages":"345-350"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9684306","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}
引用次数: 0
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