Acta Clinica Belgica最新文献

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Factors to take into account when interpreting 25-hydroxy-vitamin D serum levels. 解读 25- 羟维生素 D 血清水平时应考虑的因素。
IF 1.6 4区 医学
Acta Clinica Belgica Pub Date : 2024-04-01 Epub Date: 2024-03-07 DOI: 10.1080/17843286.2024.2327218
Joris R Delanghe, Marijn M Speeckaert, Thomas Maenhout
{"title":"Factors to take into account when interpreting 25-hydroxy-vitamin D serum levels.","authors":"Joris R Delanghe, Marijn M Speeckaert, Thomas Maenhout","doi":"10.1080/17843286.2024.2327218","DOIUrl":"10.1080/17843286.2024.2327218","url":null,"abstract":"<p><strong>Background: </strong>Assessing vitamin D status, typically evaluated using serum or plasma 25-hydroxy vitamin D [25(OH)D] concentration, is complex because of various influencing factors.</p><p><strong>Methods: </strong>Seasonality significantly affects intra-individual variability in 25(OH)D levels. This variation can be addressed by employing cosinor functions that are tailored to the geographical location of the patient to correct for seasonal effects. In addition to seasonality, genetic factors, such as DBP polymorphism and body composition, particularly adiposity, play crucial roles. Dialysis patients with DBP 2-2 phenotype exhibit higher vitamin D requirements. Genotyping/phenotyping of DBP allows for better tailored vitamin D supplementation. The lipid-soluble nature of vitamin D also interacts with plasma components such as serum triglycerides, which can influence vitamin D measurements. Adiposity, which is negatively correlated with vitamin D concentration, necessitates body mass-based mathematical adjustments for accurate vitamin D assessment in subjects with extreme BMI values.</p><p><strong>Conclusions: </strong>Accordingly, vitamin D replacement therapy must be personalized, taking into account factors such as body size and seasonal variations, to effectively reach the target serum 25(OH)D concentrations.</p>","PeriodicalId":48865,"journal":{"name":"Acta Clinica Belgica","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140060946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Absence of cross-toxicity between MET inhibitors in a non-small-cell lung cancer with a MET exon 14 skipping mutation. MET 抑制剂之间在患有 MET 14 号外显子跳越突变的非小细胞肺癌患者身上没有交叉毒性。
IF 1.1 4区 医学
Acta Clinica Belgica Pub Date : 2024-04-01 Epub Date: 2024-03-18 DOI: 10.1080/17843286.2024.2330137
Ariane Vanderick, Benoît Colinet
{"title":"Absence of cross-toxicity between MET inhibitors in a non-small-cell lung cancer with a MET exon 14 skipping mutation.","authors":"Ariane Vanderick, Benoît Colinet","doi":"10.1080/17843286.2024.2330137","DOIUrl":"10.1080/17843286.2024.2330137","url":null,"abstract":"<p><strong>Introduction: </strong>Selective tyrosine kinase inhibitors are proven effective in patients with non-small lung cancer (NSCLC) with a MET exon 14 skipping mutation.</p><p><strong>Case presentation: </strong>The patient developed a metastatic lung adenocarcinoma with a MET exon 14 skipping mutation. She was treated with a first 1b MET inhibitor, Capmatinib, but had to stop the drug because of major hepatotoxicity. A few months later, she started Tepotinib, another 1b MET inhibitor with this time, no sign of hepatotoxicity.</p><p><strong>Discussion: </strong>Adverse events are frequent with 1b MET inhibitors. However, there is a wide interpatient variability. Absence of cross-toxicity between Capmatinib and Tepotinib is misunderstood but can be explained by slight differences in phamarcodynamics and pharmacokinetics. Practitionners have to be warned about severe adverse events to stop or change the drug if necessary.</p><p><strong>Conclusion: </strong>This is the first case showing the absence of cross-toxicity between 1b MET inhibitors.</p>","PeriodicalId":48865,"journal":{"name":"Acta Clinica Belgica","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Retrospective evaluation of an intervention bundle on OPAT implementation in a large non-university hospital. 对一家大型非大学医院实施OPAT的一揽子干预措施的回顾性评估。
IF 1.6 4区 医学
Acta Clinica Belgica Pub Date : 2024-02-01 Epub Date: 2024-01-02 DOI: 10.1080/17843286.2023.2278237
Laetitia Missiaen, Dirk Vogelaers, Pieter-Jan De Roo, Frederik Van Hoecke, Bert Vanmierlo, Tine Ravelingien, Jodie Langbeen
{"title":"Retrospective evaluation of an intervention bundle on OPAT implementation in a large non-university hospital.","authors":"Laetitia Missiaen, Dirk Vogelaers, Pieter-Jan De Roo, Frederik Van Hoecke, Bert Vanmierlo, Tine Ravelingien, Jodie Langbeen","doi":"10.1080/17843286.2023.2278237","DOIUrl":"10.1080/17843286.2023.2278237","url":null,"abstract":"<p><strong>Objectives: </strong>Optimization of outpatient parenteral antimicrobial therapy (OPAT) requires interdisciplinarity and an operational algorithm. This report retrospectively assesses the impact of a multimodal quality-enhancement intervention bundle on the implementation rate, efficacy, and safety of a home OPAT program in a Belgian large community-based hospital.</p><p><strong>Methods: </strong>OPAT recipients between 1 March 2019 and 30 June 2022 were included. The OPAT trajectories were divided into pre-intervention (from 1 March 2019 to 31 October 2020) and post-intervention (from 1 November 2020 to 30 June 2022) groups. The quality-enhancement intervention bundle consisted of the involvement of an infectious disease specialist, revision and implementation of a state-of-the-art prosthetic joint infection diagnosis and treatment protocol, weekly multidisciplinary discussion of all prosthetic joint infections, revision of the OPAT algorithm, and the introduction of teicoplanin as an OPAT-convenient antimicrobial.</p><p><strong>Results: </strong>Eighty-five patients were included in a total of 96 OPAT trajectories (<i>n</i> = 33 pre-intervention; <i>n</i> = 63 post-intervention). After the intervention, the number of OPAT trajectories nearly doubled. The number of patients with a recurrent infection within 6 months after OPAT completion decreased 15%. The overall 6-month mortality and readmission rates during OPAT treatment decreased 8% and 10%, respectively. Mortality during OPAT treatment did not change. These differences between pre- and post-intervention did not achieve statistical significance, despite the higher risk for complications in the post-intervention group because of increased infection complexity and required treatment duration.</p><p><strong>Conclusion: </strong>Within a Belgian, single, large community-based hospital, a multimodal intervention bundle resulted in increases in OPAT implementation, infection complexity, and required treatment durations without statistically significant differences in outcomes.</p>","PeriodicalId":48865,"journal":{"name":"Acta Clinica Belgica","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Work stress and burnout among emergency physicians: a systematic review of last 10 years of research. 急诊医生的工作压力和倦怠:对过去10年研究的系统回顾。
IF 1.6 4区 医学
Acta Clinica Belgica Pub Date : 2024-02-01 Epub Date: 2024-01-02 DOI: 10.1080/17843286.2023.2273611
F Somville, P Van Bogaert, B Wellens, H De Cauwer, E Franck
{"title":"Work stress and burnout among emergency physicians: a systematic review of last 10 years of research.","authors":"F Somville, P Van Bogaert, B Wellens, H De Cauwer, E Franck","doi":"10.1080/17843286.2023.2273611","DOIUrl":"10.1080/17843286.2023.2273611","url":null,"abstract":"<p><strong>Aim of the study: </strong>First, to provide a synthesis and analysis of available scientific literature regarding the level of work stress and burnout among emergency physicians. Second, to identify the effect of the specific work situation-related factors.</p><p><strong>Methods: </strong>A systematic search was performed in NCBI PubMed and Embase. Comparative primary studies, both systematic review and cross-sectional, quantifying burnout in emergency physicians were included. Only studies published between 2011 and 2022 were retained. Synonym sets were compiled for the search key for 'burnout & stress', 'emergency', 'physician' and 'burnout & posttraumatic stress disorder'.</p><p><strong>Results: </strong>Thirty-five papers were retained for further research. Emergency physicians scored significantly higher for all dimensions of burnout compared to other healthcare professions. Significant correlations for burnout were found with work characteristic and organizational factors. Critical incidents and aggression were identified as the most important acute work characteristics and organizational factors impacting emergency physician's mental wellbeing including the development of posttraumatic stress disorder. Moreover, personal factors such as age, personality, and coping strategies also play an important role in the development of burnout as well as work-related trauma.</p><p><strong>Conclusion: </strong>Available studies show that emergency physicians report higher scores of emotional exhaustion and depersonalization when compared to other healthcare professionals. Work characteristics contribute to this, but work-related traumatic incidents and aggression are important determinants. Personal characteristics such as age, personality type D, previous experiences and coping strategies seem to be determining factors likewise. Emergency physicians showed a high risk for developing burnout and work stress-related problems.</p>","PeriodicalId":48865,"journal":{"name":"Acta Clinica Belgica","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54231802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Time to treat the climate and nature crisis as one indivisible global health emergency. 是时候将气候和自然危机作为一个不可分割的全球健康紧急事件来对待了。
IF 1.6 4区 医学
Acta Clinica Belgica Pub Date : 2024-02-01 Epub Date: 2024-01-02 DOI: 10.1080/17843286.2023.2276496
Kamran Abbasi, Parveen Ali, Virginia Barbour, Thomas Benfield, Kirsten Bibbins-Domingo, Gregory E Erhabor, Stephen Hancocks, Richard Horton, Laurie Laybourn-Langton, Robert Mash, Peush Sahni, Wadeia Mohammad Sharief, Paul Yonga, Chris Zielinski
{"title":"Time to treat the climate and nature crisis as one indivisible global health emergency.","authors":"Kamran Abbasi, Parveen Ali, Virginia Barbour, Thomas Benfield, Kirsten Bibbins-Domingo, Gregory E Erhabor, Stephen Hancocks, Richard Horton, Laurie Laybourn-Langton, Robert Mash, Peush Sahni, Wadeia Mohammad Sharief, Paul Yonga, Chris Zielinski","doi":"10.1080/17843286.2023.2276496","DOIUrl":"10.1080/17843286.2023.2276496","url":null,"abstract":"","PeriodicalId":48865,"journal":{"name":"Acta Clinica Belgica","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139089134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Heart failure with severely reduced ejection fraction after liver transplantation: a case report and review of the literature. 肝移植后射血分数严重降低的心力衰竭:一例报告和文献复习。
IF 1.6 4区 医学
Acta Clinica Belgica Pub Date : 2024-02-01 Epub Date: 2024-01-02 DOI: 10.1080/17843286.2023.2278240
Dorien Pint, Andreas B Gevaert, Thomas Vanwolleghem, Thiery Chapelle, Karolien Dams
{"title":"Heart failure with severely reduced ejection fraction after liver transplantation: a case report and review of the literature.","authors":"Dorien Pint, Andreas B Gevaert, Thomas Vanwolleghem, Thiery Chapelle, Karolien Dams","doi":"10.1080/17843286.2023.2278240","DOIUrl":"10.1080/17843286.2023.2278240","url":null,"abstract":"<p><strong>Background: </strong>Liver transplantation (LT) is a strenuous event for the cardiovascular system. Cardiovascular events (CVE), including heart failure (HF), arrhythmias and myocardial ischemia, are important causes of peri- and post-liver transplantation morbidity and mortality.</p><p><strong>Case presentation: </strong>We describe the case of a 45-year-old male patient who developed heart failure with severely reduced ejection fraction (HFrEF) after receiving liver transplantation (LT) for end-stage post-alcoholic liver cirrhosis. Preoperative transthoracic echocardiography (TTE) demonstrated borderline left ventricular ejection fraction (LVEF) of 50% and diastolic dysfunction grade 2. On coronary angiography, the patient had no coronary stenoses. Persistent vasopressor need, increasing creatinine levels and progressive pleural effusion characterized the early postoperative period. TTE on postoperative day 6 revealed a new finding of a markedly reduced LVEF of 15%, accompanied by a discrete increase in hs-TnI and CK-MB without electrocardiographic (ECG) ST-T abnormalities. LVEF did not recover completely (EF 45%) during follow-up. The patient had a sudden death 4.5 months post-liver transplantation.</p><p><strong>Conclusion: </strong>Our case demonstrates that the risk of post-LT systolic dysfunction is not excluded by preoperative resting examinations within normal range and highlights the need for preoperative cardiac stress assessment (e.g. dobutamine echocardiography or stress cardiac magnetic resonance imaging) before LT. In addition, patients on a liver-transplant waiting list with cardiac dysfunction should be followed by a multidisciplinary team including a dedicated cardiology team experienced in managing liver-related cardiac pathology.</p>","PeriodicalId":48865,"journal":{"name":"Acta Clinica Belgica","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Human urea production, an ignored factor in the nitrogen debate. 人体尿素产量,在氮争论中一个被忽视的因素。
IF 1.6 4区 医学
Acta Clinica Belgica Pub Date : 2024-02-01 Epub Date: 2024-01-02 DOI: 10.1080/17843286.2023.2290412
Joris Delanghe
{"title":"Human urea production, an ignored factor in the nitrogen debate.","authors":"Joris Delanghe","doi":"10.1080/17843286.2023.2290412","DOIUrl":"10.1080/17843286.2023.2290412","url":null,"abstract":"<p><p>A public debate idealing with nitrogen (N) emissions is ongoing. Government reports use models in which the major N producers are agriculture and industry. Flemish NOx emission amounted to 26.4 kt N accompanied by an ammonia emission of 34.0 kt N. Major sources of Flemish N emission are agriculture (59% of total emission) and transport (21%); 95 percent of the ammonia emission is reported to come from agriculture. In this government's view, it looks like Flanders is unpopulated. In Flanders, 6,800,000 inhabitants show an average urea production of 20 g/day, or 3.65 kg N/year. This urea production eventually ends up in wastewaters as ammonia. Human urea production represents the grand total of 24.8 kl N/year. However, this contribution is made invisible in the statistics. Flemish reports mention a grand total of 33 kt/year, so Flemish numbers appear to be incomplete. Human production has not been taken into account. When calculating human N excretion in Flanders, 24.8 kt N/12.322 km2 is obtained, corresponding to an additional N load of ± 20 kg/ha. Implementing human N excretion into the calculation thoroughly changes the situation: adding human N production results in peak loads of 40 kg N/ha. The human nitrogen input is comparable with the heavily criticized contribution by agriculture. Policy should take into account the real size of the problem and not selectively focus on partial problems.</p>","PeriodicalId":48865,"journal":{"name":"Acta Clinica Belgica","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138478938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Flemish network on rare connective tissue diseases (CTD): patient pathways in systemic sclerosis. First steps taken. 弗拉芒罕见结缔组织疾病网络(CTD):系统性硬化症患者路径。已采取的初步措施。
IF 1.6 4区 医学
Acta Clinica Belgica Pub Date : 2024-02-01 Epub Date: 2024-01-02 DOI: 10.1080/17843286.2023.2280737
Y Piette, F Van den Bossche, J Aerts, N Aerts, S Ajeganova, V Badot, N Berghen, D Blockmans, G Brusselle, N Caeyers, M De Decker, P De Haes, C De Cock, F De Keyser, E De Langhe, M Delcroix, H De Nutte, M De Pauw, A Depicker, A De Sutter, J De Sutter, T Du Four, C Frank, J Goubau, J Guiot, J Gutermuth, L Heeman, F Houssiau, I Hennes, J Lenaerts, A Lintermans, B Loeys, H Luyten, B Maeyaert, F Malfait, A Moeyersoons, Y Mostmans, J Nijs, B Poppe, K Polfliet, D Ruttens, V Sabato, E Schoeters, H Slabbynck, A Stuer, F Tamirou, Kristof Thevissen, G Van Kersschaever, B Vanneuville, J Van Offel, M Vanthuyne, J Van Wabeke, C Verbist, I Vos, R Westhovens, W Wuyts, J Yserbyt, V Smith
{"title":"Flemish network on rare connective tissue diseases (CTD): patient pathways in systemic sclerosis. First steps taken.","authors":"Y Piette, F Van den Bossche, J Aerts, N Aerts, S Ajeganova, V Badot, N Berghen, D Blockmans, G Brusselle, N Caeyers, M De Decker, P De Haes, C De Cock, F De Keyser, E De Langhe, M Delcroix, H De Nutte, M De Pauw, A Depicker, A De Sutter, J De Sutter, T Du Four, C Frank, J Goubau, J Guiot, J Gutermuth, L Heeman, F Houssiau, I Hennes, J Lenaerts, A Lintermans, B Loeys, H Luyten, B Maeyaert, F Malfait, A Moeyersoons, Y Mostmans, J Nijs, B Poppe, K Polfliet, D Ruttens, V Sabato, E Schoeters, H Slabbynck, A Stuer, F Tamirou, Kristof Thevissen, G Van Kersschaever, B Vanneuville, J Van Offel, M Vanthuyne, J Van Wabeke, C Verbist, I Vos, R Westhovens, W Wuyts, J Yserbyt, V Smith","doi":"10.1080/17843286.2023.2280737","DOIUrl":"10.1080/17843286.2023.2280737","url":null,"abstract":"<p><p>Despite the low prevalence of each rare disease, the total burden is high. Patients with rare diseases encounter numerous barriers, including delayed diagnosis and limited access to high-quality treatments. In order to tackle these challenges, the European Commission launched the European Reference Networks (ERNs), cross-border networks of healthcare providers and patients representatives. In parallel, the aims and structure of these ERNs were translated at the federal and regional levels, resulting in the creation of the Flemish Network of Rare Diseases. In line with the mission of the ERNs and to ensure equal access to care, we describe as first patient pathways for systemic sclerosis (SSc), as a pilot model for other rare connective and musculoskeletal diseases. Consensus was reached on following key messages: 1. Patients with SSc should have multidisciplinary clinical and investigational evaluations in a tertiary reference expert centre at baseline, and subsequently every three to 5 years. Intermediately, a yearly clinical evaluation should be provided in the reference centre, whilst SSc technical evaluations are permissionably executed in a centre that follows SSc-specific clinical practice guidelines. In between, monitoring can take place in secondary care units, under the condition that qualitative examinations and care including interactive multidisciplinary consultations can be provided. 2. Patients with early diffuse cutaneous SSc, (progressive) interstitial lung disease and/or pulmonary arterial hypertension should undergo regular evaluations in specialised tertiary care reference institutions. 3. Monitoring of patients with progressive interstitial lung disease and/or pulmonary (arterial) hypertension will be done in agreement with experts of ERN LUNG.</p>","PeriodicalId":48865,"journal":{"name":"Acta Clinica Belgica","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138805898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acquired factor X deficiency in a multiple myeloma without amyloidosis: a case report. 无淀粉样变性的多发性骨髓瘤获得性X因子缺乏症一例报告。
IF 1.6 4区 医学
Acta Clinica Belgica Pub Date : 2023-12-01 Epub Date: 2023-10-16 DOI: 10.1080/17843286.2023.2265650
Amber Coussee, Gudrun Alliet, Anne-Sophie Hervent, Liesbeth Vynckier, Jan Emmerechts, Sam Van Hecke, Lies Persijn
{"title":"Acquired factor X deficiency in a multiple myeloma without amyloidosis: a case report.","authors":"Amber Coussee,&nbsp;Gudrun Alliet,&nbsp;Anne-Sophie Hervent,&nbsp;Liesbeth Vynckier,&nbsp;Jan Emmerechts,&nbsp;Sam Van Hecke,&nbsp;Lies Persijn","doi":"10.1080/17843286.2023.2265650","DOIUrl":"10.1080/17843286.2023.2265650","url":null,"abstract":"<p><strong>Background: </strong>Multiple myeloma is one of the most common hematologic malignancies. Acquired factor X deficiencies are often observed in primary (AL) amyloidosis and rarely in multiple myeloma.</p><p><strong>Objective: </strong>We report a case of an acquired factor X deficiency in a patient with a newly diagnosed IgA lambda multiple myeloma, without any evidence of concomitant amyloidosis.</p><p><strong>Methods: </strong>We present the patient's medical history, clinical and physical examinations, laboratory analysis, and outcome.</p><p><strong>Results: </strong>A 76-year-old male presented at the emergency department with ongoing gingival bleeding. Several analytical problems with blood sample analysis arose, which eventually led to the diagnosis of a multiple myeloma. Further exploration revealed an acquired factor X deficiency, explaining the ongoing bleeding. There was no evidence of concomitant amyloidosis. The multiple myeloma was treated, leading to complete remission of the malignancy and bleeding tendency.</p><p><strong>Conclusion: </strong>While coagulopathy is rarely observed in patients diagnosed with multiple myeloma, considering an acquired factor X deficiency becomes relevant when such patient present with bleeding diathesis.</p>","PeriodicalId":48865,"journal":{"name":"Acta Clinica Belgica","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41148842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acute stroke in patients taking an oral anticoagulant: impact of clinical pharmacist's intervention on pharmacovigilance reporting. 口服抗凝血剂患者的急性卒中:临床药剂师干预对药物警戒报告的影响。
IF 1.6 4区 医学
Acta Clinica Belgica Pub Date : 2023-12-01 Epub Date: 2023-10-16 DOI: 10.1080/17843286.2023.2261716
Eve-Marie Thillard, Chloé Rousselière, Johana Béné, François Caparros, Marie Bodenant, Pascal Odou, Sophie Gautier, Bertrand Décaudin
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