Acta Clinica Belgica最新文献

{"title":"Coombs-positive refractory acquired thrombotic thrombocytopenic purpura in a patient with chronic myelomonocytic leukemia successfully treated with rituximab.","authors":"Ivan Krecak,&nbsp;Marijana Grgic Medic,&nbsp;Velka Gveric-Krecak,&nbsp;Pavle Roncevic,&nbsp;Sandra Bašić Kinda,&nbsp;Jaksa Babel,&nbsp;Radovan Radonic","doi":"10.1080/17843286.2019.1608395","DOIUrl":"https://doi.org/10.1080/17843286.2019.1608395","url":null,"abstract":"<p><strong>Objectives: </strong>Acquired thrombotic thrombocytopenic purpura (aTTP) is a rare autoimmune disorder characterized by auto-antibodies to Willebrand factor (vWF) cleaving enzyme (ADAMTS13), resulting in unusually large vWF multimers that lead to platelet aggregation, microthrombi formation and microangiopathic hemolytic anemia. Hemolysis in aTTP is mechanical; thus, direct antiglobulin test (Coombs test) is usually negative. Multiple autoimmune conditions and various auto-antibodies have been described in the context of chronic myelomonocytic leukemia (CMML). In this paper, we describe the first case of CMML with auto-antibodies to ADAMTS13, presenting initially as plasmapheresis-refractory Coombs-positive aTTP. <b>Results:</b> Although our patient was not treated for CMML, a complete remission of aTTP was eventually achieved with rituximab. Conclusion; We propose that aTTP should be in the differential diagnosis of CMML patients with thrombocytopenia and anemia (Coombs positive or not) who develop signs of thrombotic microangiopathy. Further studies are much needed to decipher the immune-mediated processes in CMML.</p>","PeriodicalId":48865,"journal":{"name":"Acta Clinica Belgica","volume":"75 5","pages":"357-361"},"PeriodicalIF":1.6,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17843286.2019.1608395","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37173030","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}

{"title":"The 2019 Flemish consensus on screening for overt diabetes in early pregnancy and screening for gestational diabetes mellitus.","authors":"Katrien Benhalima,&nbsp;Caro Minschart,&nbsp;Paul Van Crombrugge,&nbsp;Peggy Calewaert,&nbsp;Johan Verhaeghe,&nbsp;Siska Vandamme,&nbsp;Katrien Theetaert,&nbsp;Roland Devlieger,&nbsp;Leen Pierssens,&nbsp;Hannah Ryckeghem,&nbsp;Els Dufraimont,&nbsp;Chris Vercammen,&nbsp;Ann Debie,&nbsp;Christophe De Block,&nbsp;Griet Vandenberghe,&nbsp;Sylva Van Imschoot,&nbsp;Sabine Verstraete,&nbsp;Luk Buyse,&nbsp;Johan Wens,&nbsp;Joke Muyldermans,&nbsp;Anissa Meskal,&nbsp;Sandy De Spiegeleer,&nbsp;Chantal Mathieu","doi":"10.1080/17843286.2019.1637389","DOIUrl":"https://doi.org/10.1080/17843286.2019.1637389","url":null,"abstract":"<p><p>Screening for gestational diabetes mellitus (GDM) is important to improve pregnancy outcomes and to prevent type 2 diabetes after pregnancy. The 'International Association of Diabetes and Pregnancy Study Groups' (IADPSG) recommends a universal one-step approach with the 75 g oral glucose tolerance test (OGTT) for screening of GDM. The IADPSG recommendation remains controversial due to the important increase in GDM prevalence and increased workload. After review of the latest evidence and based on data from the 'Belgian Diabetes in Pregnancy' study, members of the Diabetes Liga, the Flemish associations of general physicians (Domus Medica), obstetricians (VVOG), midwives (VVOB), diabetes nurse educators (BVVDV) and clinical chemists (RBSLM) have reached a new consensus on screening for GDM in Flanders. This new consensus recommends universal screening for overt diabetes when planning pregnancy or at the latest at first prenatal contact, preferably by measuring the fasting plasma glucose by using the same diagnostic criteria as in the non-pregnant state. In women with impaired fasting glycaemia, but also in normoglycemic obese women and women with a previous history of GDM, lifestyle counselling is advised with screening for GDM with a 75 g OGTT at 24 weeks. In all other women, we recommend a two-step screening strategy with a 50 g glucose challenge test (GCT) at 24 weeks followed by a 75 g OGTT when the glucose level 1 hour after the GCT ≥130 mg/dl. Diagnosis of GDM is made using the IADPSG criteria for GDM. Postpartum screening for subsequent glucose abnormalities should be advocated and organized for every woman with GDM.</p>","PeriodicalId":48865,"journal":{"name":"Acta Clinica Belgica","volume":"75 5","pages":"340-347"},"PeriodicalIF":1.6,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17843286.2019.1637389","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37382410","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}

{"title":"The OptiLUTS trial: improving care for therapy-resistant symptoms of the pelvis in Belgium.","authors":"Lynn Ghijselings,&nbsp;Dirk Van De Putte,&nbsp;François Hervé,&nbsp;An-Sofie Goessaert,&nbsp;Dimitri Beeckman,&nbsp;Piet Pattyn,&nbsp;Karel Everaert","doi":"10.1080/17843286.2019.1630109","DOIUrl":"https://doi.org/10.1080/17843286.2019.1630109","url":null,"abstract":"<p><strong>Introduction/background: </strong>The management of therapy-resistant lower urinary tract symptoms (LUTS) and symptoms resulting from pelvic organ dysfunctions are subject to a high variability in the Belgian health-care centres. Practical guidelines and standardized patient clinical care pathways are often lacking and unadapted to the Belgian healthcare system.</p><p><strong>Objectives: </strong>The OptiLUTS trial aims to improve the multidisciplinary care of therapy-resistant symptoms of the pelvis in the Belgian healthcare setting. Project A aims for the improvement of knowledge of 2nd line treatments for LUTS among general practitioners. In project B a treatment algorithm for the overactive bladder syndrome and non-obstructive urinary retention will be developed specifically for Belgium. In Project C a patient customized sacral neuromodulation (SNM) care pathway will be set up.</p><p><strong>Methods: </strong>Part A: Explorative study among general practitioners by distribution of a  questionnaire. Part B: Review of existing guidelines and use of the Delphi method to obtain expert consensus. Part C: A single center comparative study to compare outcomes before and after implementation of the SNM care pathway. Patients scheduled for the first stage of Interstim therapy™ will be included (N=100). Primary endpoints are the sensitivity and specificity of a new pelvic symptom assessment tool, the conversion to implant and explantation rates.</p><p><strong>Conclusion: </strong>There is a margin for improvement in the care process of patients with therapy-resistant symptoms of the pelvis in the Belgium healthcare system. In the OptiLUTs trial adapted guidelines and a clinical care pathway will be developed to standardize and increase the efficiency of care.</p><p><strong>Trial registration: </strong>Approval for the trial by the Ethics Committee of the Ghent University hospital: EC/2018/0244.</p>","PeriodicalId":48865,"journal":{"name":"Acta Clinica Belgica","volume":"75 5","pages":"334-339"},"PeriodicalIF":1.6,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17843286.2019.1630109","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37338049","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}

{"title":"Uveitis as a window to diagnosis of sarcoidosis - case report and review of the literature.","authors":"Sebastiaan Dhont,&nbsp;Mathias Leys,&nbsp;Edward De Sutter,&nbsp;Herwig Alaerts,&nbsp;Wouter Van Moerkercke","doi":"10.1080/17843286.2019.1613309","DOIUrl":"https://doi.org/10.1080/17843286.2019.1613309","url":null,"abstract":"<p><p>Sarcoidosis is a multisystem disease of unclear etiology with a variable clinical profile characterized by the presence of non-caseating granuloma in involved organs. The diagnosis is often challenging and based on clinical, radiological and anatomopathological data. Sarcoidosis can be benign and self-limiting, but some cases may follow a chronic, progressive course and result in severe morbidity. The disease has a predilection for the lungs and thoracic lymph nodes but can involve nearly any part of the body, possible more commonly in areas with contact to the external environment, such as the eyes and the skin. This paper is based on a case in which a recurrent uveitis led to the diagnosis of an underlying sarcoidosis.</p>","PeriodicalId":48865,"journal":{"name":"Acta Clinica Belgica","volume":"75 4","pages":"245-249"},"PeriodicalIF":1.6,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17843286.2019.1613309","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37211774","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}

{"title":"Hyperferritinemia, vasculitis and <i>Mycoplasma pneumoniae</i>.","authors":"Dimitri Poddighe","doi":"10.1080/17843286.2019.1599549","DOIUrl":"https://doi.org/10.1080/17843286.2019.1599549","url":null,"abstract":"Dear Sir, I read with great interest the case report by Matthys I et al., describing a young adult patient with acute, sudden and severe clinical manifestations that the authors were able to correl...","PeriodicalId":48865,"journal":{"name":"Acta Clinica Belgica","volume":"75 4","pages":"311"},"PeriodicalIF":1.6,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17843286.2019.1599549","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37100531","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}

{"title":"Hyperferritinemia associated with systemic manifestations of Mycoplasma pneumoniae infection.","authors":"Daniel Borsboom,&nbsp;Imke Matthys,&nbsp;Christophe Van Steenkiste","doi":"10.1080/17843286.2019.1599569","DOIUrl":"https://doi.org/10.1080/17843286.2019.1599569","url":null,"abstract":"Dear Editor, We would like to comment on additional concerns that may rise about our manuscript ‘A plethora of manifestations following a Mycoplasma pneumoniae infection: a case report’[1]: 1. Rega...","PeriodicalId":48865,"journal":{"name":"Acta Clinica Belgica","volume":"75 4","pages":"312"},"PeriodicalIF":1.6,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17843286.2019.1599569","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37099320","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}

{"title":"A rare case of hemodialysis-related portosystemic encephalopathy and review of the literature.","authors":"Barbara Geerinckx,&nbsp;Rachel Hellemans,&nbsp;Amaryllis H Van Craenenbroeck,&nbsp;Sven Francque,&nbsp;Liesbeth De Waele,&nbsp;Jeroen Kerstens,&nbsp;Pieter-Jan Van Gaal,&nbsp;Bart Bracke,&nbsp;Peter Michielsen,&nbsp;Thomas Vanwolleghem","doi":"10.1080/17843286.2019.1595836","DOIUrl":"https://doi.org/10.1080/17843286.2019.1595836","url":null,"abstract":"<p><p>Hemodialysis-related portosystemic encephalopathy (HRPSE) is a clinical phenomenon where portosystemic encephalopathy (PSE) develops without liver dysfunction, usually caused by changes in the portosystemic blood flow related to hemodialysis. We describe the case of a 22-year old patient with a transjugular intrahepatic portosystemic shunt (TIPS) who developed HRPSE several months after initiation of hemodialysis. Despite initial therapy with laxatives and neomycin symptoms recurred. It was only after relocation of the hemodialysis catheter from the superior caval vein to the femoral vein that symptoms completely resolved.</p>","PeriodicalId":48865,"journal":{"name":"Acta Clinica Belgica","volume":"75 4","pages":"296-300"},"PeriodicalIF":1.6,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17843286.2019.1595836","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37098188","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}

{"title":"Disproportion and dysmorphism in an adult Belgian population with Turner syndrome: risk factors for chronic diseases?","authors":"An-Sofie Van De Kelft,&nbsp;Charlotte Lievens,&nbsp;Katya De Groote,&nbsp;Laurent Demulier,&nbsp;Julie De Backer,&nbsp;Guy T'Sjoen,&nbsp;Margarita Craen,&nbsp;Bert Callewaert,&nbsp;Jean De Schepper","doi":"10.1080/17843286.2019.1606761","DOIUrl":"https://doi.org/10.1080/17843286.2019.1606761","url":null,"abstract":"<p><strong>Background: </strong>Turner syndrome (TS) is characterized by dysmorphism and body disproportion. TS women are also susceptible to a range of chronic disorders including arterial hypertension (AHT), osteoporosis, sensorineural hearing loss (SNHL), type 2 diabetes mellitus (DM2) and thyroid disease. The association between dysmorphism/body disproportion and chronic disease has never been studied in TS women. The effect of growth hormone treatment on body disproportion is also unclear. Objectives: to analyze dysmorphic features and body disproportion in TS women in relation to the presence of chronic disease and to document the effect of growth hormone therapy on body disproportion.</p><p><strong>Method: </strong>76 adult TS women with a regular follow up at the TS clinic UZ Ghent were invited to participate. Detailed body measurements were performed in 44 volunteering TS women. Scoring systems for overall dysmorphism, craniofacial dysmorphism, thoracic and limb abnormalities and skeletal disproportion were developed.</p><p><strong>Results: </strong>TS women with a higher dysmorphism score were more at risk for AHT (p = 0.04) as well as those with a higher sitting height/standing height ratio (p < 0.05). Prevalence of AHT, osteoporosis and DM 2 was lower in TS women treated with GH during childhood (p < 0.05).</p><p><strong>Conclusions: </strong>Adult TS women with relatively short legs or with more physical dysmorphic stigmata were more at risk for AHT. GH therapy does not seem to increase the risk of chronic disease on the long term.</p>","PeriodicalId":48865,"journal":{"name":"Acta Clinica Belgica","volume":"75 4","pages":"258-266"},"PeriodicalIF":1.6,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17843286.2019.1606761","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37188163","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}

{"title":"When a metastatic breast cancer is mimicking a pancreatic cancer: case report and review of the literature.","authors":"Françoise Derouane,&nbsp;Jean-Cyr Yombi,&nbsp;Jean-François Baurain,&nbsp;Etienne Danse,&nbsp;Mina Komuta,&nbsp;Halil Yildiz","doi":"10.1080/17843286.2019.1607990","DOIUrl":"https://doi.org/10.1080/17843286.2019.1607990","url":null,"abstract":"<p><p>We report the case of a 51 year-old female who complained of jaundice and weight loss. At the time of presentation, she had been in remission from a stage 2a ductal breast carcinoma for 58 months. The clinical presentation was suggestive of a primary pancreas cancer with liver metastases and retroperitoneal lymph nodes. We performed liver and pancreas biopsies that demonstrate a relapse of her old breast carcinoma with positive hormone receptors and HER2 positive. Conservative treatment by chemotherapy was given with Paclitaxel - Trastuzumab and Pertuzumab. Pancreatic metastases are uncommon. Furthermore, pancreatic metastases from breast cancer are very rare. We performed a review of the literature and found 48 cases of pancreatic metastases from breast cancer. We would like to highlight by this case that when a pancreatic lesion appears, in patients with a past history of cancer, physicians must not forget the possibility of metastases from primary tumor even if the initial stage, of the tumor, is low. However the diagnosis is not always easy. If liver and pancreatic lesions occur simultaneously, the clinical presentation can mimic metastatic primary pancreatic cancer. Therefore performing biopsy is highly recommended for making the correct diagnosis and also for the staging of the disease and the choice of the best treatment according to immunohistochemical analysis.</p>","PeriodicalId":48865,"journal":{"name":"Acta Clinica Belgica","volume":"75 4","pages":"301-307"},"PeriodicalIF":1.6,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17843286.2019.1607990","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37193638","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}

{"title":"Impact of a code stroke protocol on the door-to-needle time for IV thrombolysis: a feasibility study.","authors":"Joke Vanhoucke,&nbsp;Dimitri Hemelsoet,&nbsp;Eric Achten,&nbsp;Veerle De Herdt,&nbsp;Marjan Acou,&nbsp;Elke Vereecke,&nbsp;Saïd Hachimi-Idrissi","doi":"10.1080/17843286.2019.1607991","DOIUrl":"https://doi.org/10.1080/17843286.2019.1607991","url":null,"abstract":"<p><strong>Introduction: </strong>Stroke is a development of an acute focal neurological deficit with an ischemic or hemorrhagic origin. Thrombolysis within 4.5 h of ischemic stroke onset improves outcome. Guidelines recommend administration of intravenous recombinant tissue plasminogen activator within 60 min upon arrival at the hospital, meaning the door-to-needle time (DNT) should be less than 60 min. In this study, a stroke protocol was introduced at the emergency department of the Ghent University Hospital with a primary goal to shorten the DNT.</p><p><strong>Methodology: </strong>This study was an uncontrolled before-after cohort study. A 'Code Stroke' protocol (CSP) was implemented and the results from the pre-code stroke protocol period (Pre-CSP period, from 15 August 2016 until 5 March 2017) were compared with the results from the post-code stroke protocol period (Post-CSP period, from 6 March 2017 until 16 July 2017).</p><p><strong>Results: </strong>The median DNT decreased significantly from 57 min in the Pre-CSP period to 33 min in the Post-CSP period (p < 0.001). The door-to-triage time (DTT), triage-to-emergency physician time (TET), emergency physician-to-CT time (ECT) and CT-to needle time (CNT) decreased significantly Post-CSP compared to Pre-CSP. When adjusting the results for other variables that might have an influence on these time intervals, the TET, ECT and CNT also decreased significantly. There was a statistically significant effect of the implementation of the CSP on the number of patients treated with a DNT within 20, 30, 45 and 60 min (p = 0.008).</p><p><strong>Conclusion: </strong>A significant decrease in DNT can be achieved with the implementation of this stroke protocol.</p>","PeriodicalId":48865,"journal":{"name":"Acta Clinica Belgica","volume":"75 4","pages":"267-274"},"PeriodicalIF":1.6,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17843286.2019.1607991","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37232375","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}