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Revue medicale de Liege最新文献

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[New concept : The milk ladder, the climb to tolerance in non-IgE-mediated cow's milk protein allergy]. [新概念:牛奶阶梯，攀登到耐受非ige介导的牛奶蛋白过敏]。
Revue medicale de Liege Pub Date : 2023-04-01
Kamal El Abd, Valérie Pékus, Marie Fagnard, Caroline Hoeters, Charles Monfort, Julie Sterck, Isabelle Pirotte
{"title":"[New concept : The milk ladder, the climb to tolerance in non-IgE-mediated cow's milk protein allergy].","authors":"Kamal El Abd,&nbsp;Valérie Pékus,&nbsp;Marie Fagnard,&nbsp;Caroline Hoeters,&nbsp;Charles Monfort,&nbsp;Julie Sterck,&nbsp;Isabelle Pirotte","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cow's milk protein allergy (CMPA) is the leading cause of food allergy in young children. Despite the spontaneous acquisition of tolerance in the majority of cases at school age, the impact of CMPA on the quality of life of the child and his/her family is clearly more deleterious than in other food allergies. The milk scale, a form of oral immunotherapy, accelerates the acquisition of tolerance such as to curb this negative impact, through a process of gradually reintroducing milk into the diet of the allergic patient. We propose here a French-speaking Belgian version of the milk scale for children with mild to moderate non-IgE-mediated CMPA.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 4","pages":"227-232"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9379517","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
[A breakthrough in the management of postmenopausal osteoporosis with very high fracture risk : romosozumab (Evenity®), a humanized monoclonal anti-sclerostin antibody]. 【绝经后高骨折风险骨质疏松症治疗的突破:romosozumab (Evenity®)，人源化单克隆抗硬化蛋白抗体】。
Revue medicale de Liege Pub Date : 2023-04-01
Meilyn Bolland, Olivier Malaise, Clio Ribbens
{"title":"[A breakthrough in the management of postmenopausal osteoporosis with very high fracture risk : romosozumab (Evenity®), a humanized monoclonal anti-sclerostin antibody].","authors":"Meilyn Bolland,&nbsp;Olivier Malaise,&nbsp;Clio Ribbens","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Romosozumab (Evenity®) is a humanized monoclonal anti-sclerostin antibody. It represents a major breakthrough in the treatment of osteoporosis: while most treatments inhibit bone resorption, romosozumab has a dual effect, by increasing bone formation and reducing bone resorption. It is reimbursed in postmenopausal osteoporosis in patients with very high fracture risk (i.e. after a recent major fracture, occurring within two years). Its ideal use, in the therapeutic sequence for post-menopausal women, is as first line treatment in case of a recent major fracture. It is contraindicated in case of hypocalcemia and personal history of stroke or myocardial infarction.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 4","pages":"239-244"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9379514","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
[Obesity, type 2 diabetes, metabolic syndrome and depression : a two-way relationship]. [肥胖、2型糖尿病、代谢综合征和抑郁症:双向关系]。
Revue medicale de Liege Pub Date : 2023-04-01
André Scheen
{"title":"[Obesity, type 2 diabetes, metabolic syndrome and depression : a two-way relationship].","authors":"André Scheen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Metabolic disorders, especially obesity, type 2 diabetes and metabolic syndrome, are frequently associated with depressive symptomatology, including severe depression. In fact, there is a two-way relationship : metabolic disorders could promote depression and depression could favour metabolic disorders, which may lead to a vicious circle. The reasons for this astonishing relationship are diverse : a genetic predisposition, shared biochemical abnormalities including low-grade inflammation, bad habits that combine unhealthy food and excessive sedentary life-style, poor therapeutic compliance. Medications that target metabolic disorders may positively impact depression, with recent promising, yet preliminary, data with glucagon-like peptide-1 receptor agonists. Moreover, antidepressants may also influence metabolic disorders, depending on the type of medications : their respective metabolic effects will be analyzed in a next article.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 4","pages":"199-203"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9379513","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
[Horner's syndrome in the delivery room : a rare complication of labour epidural analgesia]. [产房的霍纳综合征:硬膜外镇痛的一种罕见并发症]。
Revue medicale de Liege Pub Date : 2023-04-01
Marie-Alice Bovy, Pierre-Yves Dewandre
{"title":"[Horner's syndrome in the delivery room : a rare complication of labour epidural analgesia].","authors":"Marie-Alice Bovy,&nbsp;Pierre-Yves Dewandre","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Horner's syndrome is a rare and benign complication of neuraxial analgesia during labour. We report the case of a Gravida 1 patient complaining of ptosis, enophthalmia and meiosis during labour, a few hours after a lumbar epidural analgesia was initiated.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 4","pages":"193-195"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9678970","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
[Blood pressure variability : useful, trivial or potentially dangerous ?] [血压变化:有用、微不足道还是有潜在危险?]
Revue medicale de Liege Pub Date : 2023-04-01
Justine Huart, Stéphanie Grosch, Jean-Marie Krzesinski
{"title":"[Blood pressure variability : useful, trivial or potentially dangerous ?]","authors":"Justine Huart,&nbsp;Stéphanie Grosch,&nbsp;Jean-Marie Krzesinski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Usually, blood pressure variability is an adaptive physiological process allowing optimal perfusion of internal organs every time and in every clinical situation. This variability may nevertheless be excessive and then be associated with a poor cardiovascular and renal but also neurological prognosis. An excess in blood pressure variability may also be responsible for unpleasant symptoms in some patients. The different types of blood pressure variability, their causes and consequences as well as the mean to improve its control will be discussed in this article.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 4","pages":"204-212"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9379515","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
[Transient thickening of the pituitary stalk followed by a supra-pituitary Langerhansian histiocytosis : consequence or mere coincidence ?] [垂体柄短暂增厚后继发垂体上朗格罕氏组织细胞增多症:结果还是巧合?]
Revue medicale de Liege Pub Date : 2023-04-01
Wafa Alaya, Fadia Boubaker, Houcem Mrabet, Najoua Lassoued, Rihab Ajili, Saida Jerbi, Alia Zehani, Haifa Bouchahda, Baha Zantour, Fatma Larbi, M-Habib Sfar
{"title":"[Transient thickening of the pituitary stalk followed by a supra-pituitary Langerhansian histiocytosis : consequence or mere coincidence ?]","authors":"Wafa Alaya,&nbsp;Fadia Boubaker,&nbsp;Houcem Mrabet,&nbsp;Najoua Lassoued,&nbsp;Rihab Ajili,&nbsp;Saida Jerbi,&nbsp;Alia Zehani,&nbsp;Haifa Bouchahda,&nbsp;Baha Zantour,&nbsp;Fatma Larbi,&nbsp;M-Habib Sfar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>One of the difficult challenges in endocrinology is the etiological diagnosis of isolated thickened pituitary stalk (PS). We report the case of a woman in whom a thickened PS was diagnosed following the onset of central diabetes insipidus revealed by polyuria-polydypsia syndrome of late pregnancy and postpartum. The pituitary exploration showed panhypopituitarism with disconnecting hyperprolactinemia. An etiological investigation for an inflammatory, granulomatous or tumour cause was carried out, but was negative. Postpartum lymphocytic hypophysitis was then retained. However, the course was puzzling with a control pituitary MRI showing disappearance of the PS thickening with paradoxical appearance of a supra-pituitary tumour, the biopsy of which concluded of being a Langerhansian histiocytosis. This paradoxical sequence is unusual and has not been reported before. It called into question the autoimmune lymphocytic origin of the thickened PS, initially considered, and raised the likelihood of a causal relationship between this PS thickening and Langerhansian histiocytosis.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 4","pages":"189-192"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9678967","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
[How I treat … vitamin D intoxication in a child with cystic fibrosis]. [我如何治疗患有囊性纤维化的儿童维生素D中毒]。
Revue medicale de Liege Pub Date : 2023-04-01
Ines Rebia, Matthieu Thimmesch, André Mulder, Olivia Bauraind, Patrick Lebecque
{"title":"[How I treat … vitamin D intoxication in a child with cystic fibrosis].","authors":"Ines Rebia,&nbsp;Matthieu Thimmesch,&nbsp;André Mulder,&nbsp;Olivia Bauraind,&nbsp;Patrick Lebecque","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>At least 80 % of persons with cystic fibrosis are pancreatic insufficient and benefit from daily supplementation with fat-soluble vitamins (ADEK). Magistral formulations offer ideal flexibility for prescriptions tailored to vitamin A, D and E blood levels. However, they expose to human errors, mainly leading to vitamin D intoxication whose clinical features are related to hypercalcaemia. Symptoms are mostly digestive (vomiting, constipation, abdominal pain …) and, less frequently, renal (nycturia …) complaints. When symptoms and/or serum calcium levels ≥ 14 mg/100 ml are present, prompt management is required. Besides interruption of supplementation, rapid intravenous hyperhydration (saline) is essential. Once hydration has been restored, and still under close biological supervision, a loop diuretic (furosemide) may be used but the drug of choice to achieve rapid normalization of blood calcium levels will often be intravenous pamidronate. Normalization of serum vitamin 25(OH)-D levels may take several months but the prognosis is very good. In Belgium, the very late reimbursement of a fixed combination of fat-soluble vitamins (Dekas®) meeting the standards of the pharmaceutical industry is expected to reduce the incidence of these intoxications, at the price, however, of less flexible prescription.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 4","pages":"183-188"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9678971","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
[Adrenalectomy for primary hyperaldosteronism : retrospective review of 57 patients in CHU of Liege]. [肾上腺切除术治疗原发性醛固酮增多症:列日市CHU 57例患者的回顾性分析]。
Revue medicale de Liege Pub Date : 2023-04-01
Emilie Wilmont, Etienne Hamoir
{"title":"[Adrenalectomy for primary hyperaldosteronism : retrospective review of 57 patients in CHU of Liege].","authors":"Emilie Wilmont,&nbsp;Etienne Hamoir","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Primary hyperaldosteronism is the most common cause of secondary hypertension. Diagnostic clarification is essential because surgery is the treatment of choice for patients with unilateral disease (aldosterone-producing adenoma and unilateral cortical hyperplasia). We report a series of 57 patients that had adrenalectomy for primary hyperaldosteronism between April 1994 to January 2022 by the endocrine surgery team of the University Hospital of Liege. Our aim is to evaluate the diagnostic performance of adrenal venous sampling in lateralizing aldosterone hypersecretion and to compare it with other imaging techniques. The study also reviews postoperative outcomes in terms of blood pressure values, kalemia and antihypertensive medications.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 4","pages":"233-238"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9379516","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
[Aortic valve repair surgery : state of the art and clinical experience of the university hospital center of Liege]. [主动脉瓣修复手术:列日大学医院中心的最新技术和临床经验]。
Revue medicale de Liege Pub Date : 2023-04-01
Vincent Tchana-Sato, Imane El-Hassani, Quentin Desiron, Jean-Paul Lavigne, Samuel Bruls, Alan Houben, Rodolphe Durieux, Marc Radermecker, Natzi Sakalihassan, Raluca Elena Dulgheru, Jean Olivier Defraigne
{"title":"[Aortic valve repair surgery : state of the art and clinical experience of the university hospital center of Liege].","authors":"Vincent Tchana-Sato,&nbsp;Imane El-Hassani,&nbsp;Quentin Desiron,&nbsp;Jean-Paul Lavigne,&nbsp;Samuel Bruls,&nbsp;Alan Houben,&nbsp;Rodolphe Durieux,&nbsp;Marc Radermecker,&nbsp;Natzi Sakalihassan,&nbsp;Raluca Elena Dulgheru,&nbsp;Jean Olivier Defraigne","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the past 20 years, there has been a real development of aortic valve repair techniques with an increasing number of publications describing the long-term benefits of aortic valve repair in terms of survival, freedom from major adverse valve related-events and reoperations. Aortic valve repair can now be considered as a valuable alternative to prosthetic valve replacement in patients with dystrophic ascending aorta pathology associated or not to aortic insufficiency with pliable leaflets. In this paper, the authors describe the state of the art of aortic valve repair and present their clinical experience with aortic valve repair surgery in the university hospital center of Liege from April 2021 to September 2022.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 4","pages":"218-226"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9678966","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
[Hamstring muscle injury in football players. Part 2 : preventive strategies]. 足球运动员的腿筋肌肉损伤。第2部分:预防策略]。
Revue medicale de Liege Pub Date : 2023-04-01
François Delvaux, Jean-Louis Croisier, Christopher Carling, Emmanuel Orhant, Jean-François Kaux
{"title":"[Hamstring muscle injury in football players. Part 2 : preventive strategies].","authors":"François Delvaux,&nbsp;Jean-Louis Croisier,&nbsp;Christopher Carling,&nbsp;Emmanuel Orhant,&nbsp;Jean-François Kaux","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Prevention of hamstring injuries represents an important issue for football players and clubs. Preventive strategies can be effective if they include multiple dimensions and are well-structured. Five points appear essential in order to obtain a high-quality preventive strategy: progressive muscle strengthening, optimal workload management, lumbopelvic stability exercises, development of physical condition and optimization of sprint technique. While recognizing the limitations of preventive screening and the difficulty of predicting future injury, screening tests appear relevant for the identification of an individual risk profile for each footballer and in defining each player's work priorities. Finally, secondary prevention starts with the implementation of rigorous and high-level rehabilitation, as well as a special attention to players with a history of hamstring injury.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 4","pages":"213-217"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9379512","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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