Revue De Medecine Interne最新文献_第4页

IF 1 4区医学

Revue De Medecine Interne Pub Date : 2026-08-01 Epub Date: 2026-07-03 DOI: 10.1016/j.revmed.2026.06.006

Ouafaa Chahboune, Ola Messaoud, Zaynab Iraqi Houssaini, Laila Jroundi, Omar El Aoufir

引用次数: 0

Cybersécurité dans les hôpitaux : enjeux, vulnérabilités et bonnes pratiques pour les médecins internistes [医院网络安全：挑战、漏洞和内科医生的最佳实践]。

IF 1 4区医学

Revue De Medecine Interne Pub Date : 2026-08-01 Epub Date: 2026-04-02 DOI: 10.1016/j.revmed.2026.03.437

Jean-Edouard Monnerville, Emilie Forestier, Joris Galland

引用次数: 0

De verres ou de monocle, il faudra s’équiper pour percer le mystère ! [49岁女性腹痛、发热、关节痛]。

IF 1 4区医学

Revue De Medecine Interne Pub Date : 2026-08-01 Epub Date: 2026-06-25 DOI: 10.1016/j.revmed.2026.06.001

Ambroise Le Pogam, Alexandre Cots, Étienne Ghrenassia, Cécile-Audrey Durel

引用次数: 0

French protocol for diagnosis and management (guidelines) of IgG4-related disease igg4相关疾病的法国诊断和管理方案（指南）。

IF 1 4区医学

Revue De Medecine Interne Pub Date : 2026-07-01 Epub Date: 2026-06-11 DOI: 10.1016/j.revmed.2026.05.013

Nicolas Schleinitz, Sylvain Audia, Fleur Cohen, Lionel Galicier, Matthieu Groh, Eric Hachulla, Antoine Neel, Vinciane Rebours, Pascal Seve, Jean-François Viallard, Mohamad Zaidan, Mikael Ebbo

{"title":"French protocol for diagnosis and management (guidelines) of IgG4-related disease","authors":"Nicolas Schleinitz, Sylvain Audia, Fleur Cohen, Lionel Galicier, Matthieu Groh, Eric Hachulla, Antoine Neel, Vinciane Rebours, Pascal Seve, Jean-François Viallard, Mohamad Zaidan, Mikael Ebbo","doi":"10.1016/j.revmed.2026.05.013","DOIUrl":"10.1016/j.revmed.2026.05.013","url":null,"abstract":"<div><div>IgG4-related disease (IgG4-RD) is a recently described entity comprising pseudo-tumoral and inflammatory conditions that were previously considered separately. It is characterised by specific histological abnormalities, including polyclonal lymphoplasmacytic infiltration, fibrosis and contingent of IgG4+ plasma cells, often associated with elevated serum IgG4 levels and a good response to glucocorticoids. The clinical presentation is highly heterogeneous and requires a multidisciplinary assessment. The diagnosis is based on the identification of suggestive clinical or radiological signs, such as pancreatic, salivary or lacrimal gland involvement, retroperitoneal fibrosis, cholangitis, aortitis, lymphadenopathy or interstitial nephritis. It is also based on the search for laboratory evidence of abnormalities such as polyclonal gammopathy, elevated serum IgG4 levels and complement consumption, and is most often confirmed by organ biopsy. The disease progresses slowly, with gradual symptoms and a risk of sequelae related to fibrosis, particularly pancreatic or renal failure. Management is based on providing the patient with comprehensive information about symptoms, warning signs, adverse events of treatments, vaccination, diet and physical activity. Initial treatment consists of oral glucocorticoids at a dose of 0.4 to 0.6mg/kg/day for two to four weeks, followed by a gradual tapering until discontinuation at three months if possible. This treatment induces remission in more than 90% of cases, but relapses are common, sometimes requiring treatment with immunosuppressants. Follow-up includes regular consultations, imaging tests and laboratory workups, in particular serum IgG4 measurement, in order to monitor disease activity, predict relapses and prevent complications.</div></div>","PeriodicalId":54458,"journal":{"name":"Revue De Medecine Interne","volume":"47 7","pages":"Pages 362-383"},"PeriodicalIF":1.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148229868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Polyglobulie associée à une hémolyse chronique [红细胞增多症相关的慢性溶血]。

IF 1 4区医学

Revue De Medecine Interne Pub Date : 2026-07-01 Epub Date: 2026-07-03 DOI: 10.1016/j.revmed.2026.06.007

Nada Maaziz, Mathieu Wémeau, Bernard Aral, Patrick Callier, Betty Gardie, François Girodon

{"title":"Polyglobulie associée à une hémolyse chronique","authors":"Nada Maaziz, Mathieu Wémeau, Bernard Aral, Patrick Callier, Betty Gardie, François Girodon","doi":"10.1016/j.revmed.2026.06.007","DOIUrl":"10.1016/j.revmed.2026.06.007","url":null,"abstract":"<div><h3>Introduction</h3><div>The association of erythrocytosis, splenomegaly, and iron overload represents a complex diagnostic situation that may reveal hereditary stomatocytosis related to a <em>PIEZO1</em> mutation.</div></div><div><h3>Case report</h3><div>We report the case of a 76-year-old patient presenting with erythrocytosis, iron overload, and splenomegaly. The initial etiological workup was unremarkable. The identification of chronic hemolysis, associated with a decreased oxygen partial pressure at which 50% of haemoglobin is saturated with oxygen (venous P50) and abnormalities in erythrocyte deformability, guided further molecular investigations. Next-generation sequencing (NGS) identified a heterozygous pathogenic <em>PIEZO1</em> mutation, confirming the diagnosis of stomatocytosis.</div></div><div><h3>Conclusion</h3><div>This case highlights a misleading presentation of chronic hemolysis masked by polycythemia. Venous P50 appears to be a key discriminating marker. An integrated approach combining biological and molecular analyses is essential to avoid diagnostic delay.</div></div>","PeriodicalId":54458,"journal":{"name":"Revue De Medecine Interne","volume":"47 7","pages":"Pages 393-395"},"PeriodicalIF":1.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148383470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Satisfaction des soignants en hôpital de jour pluriprofessionnel dédié aux patients avec une maladie auto-immune rare [全身性自身免疫性罕见疾病患者多学科日间住院医疗保健专业人员的满意度]。

IF 1 4区医学

Revue De Medecine Interne Pub Date : 2026-07-01 Epub Date: 2026-06-15 DOI: 10.1016/j.revmed.2026.05.010

Perrine Smets, Lucie Fourniguet, Lise Bernard, Marc André, Céline Mongaret

{"title":"Satisfaction des soignants en hôpital de jour pluriprofessionnel dédié aux patients avec une maladie auto-immune rare","authors":"Perrine Smets, Lucie Fourniguet, Lise Bernard, Marc André, Céline Mongaret","doi":"10.1016/j.revmed.2026.05.010","DOIUrl":"10.1016/j.revmed.2026.05.010","url":null,"abstract":"<div><h3>Background</h3><div>Patients with systemic autoimmune diseases benefit of an individual education patient during their pluridisciplinary day-hospitalization on regional reference center. After 2 years of activity and a lack of data on satisfaction professionals, the purpose of this study is to explore the satisfaction of healthcare professionals within a pluridisciplinary day-hospitalization.</div></div><div><h3>Methods</h3><div>An analysis of this practice during 2 years was carried out and then we performed a qualitative study by conducting individual professional interviews using a specific interview guide and analysis of verbatims.</div></div><div><h3>Results</h3><div>Between January 2022 and January 2024, 230 HDJPPs were identified, with an average of 8 patients per day. Among the 16 professionals interviewed, overall satisfaction was measured at 3.7/5, mainly linked to their personal experience and the relationship with the patients. The organization and the multi-professional dimension were identified as factors positively influencing this satisfaction, while some limits have been identified (organizational problems, lack of resources) for which the interviewees proposed suggestions for improvement.</div></div><div><h3>Conclusion</h3><div>This study demonstrates that the interaction between professionals and the organization are the main parameters impacting the satisfaction of healthcare professionals within the HDJPP. It also highlights the evolution of this HDJPP from a simple multi-professionalism to an inter-professionalism, favored by joint work and shared decision-making, including the active participation of patients in their health care.</div></div>","PeriodicalId":54458,"journal":{"name":"Revue De Medecine Interne","volume":"47 7","pages":"Pages 347-354"},"PeriodicalIF":1.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148261058","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

Ce bas idiot mit 7 heures à faire le diagnostic d’un cache à l’œil [一名55岁男性的持续性头痛]。

IF 1 4区医学

Revue De Medecine Interne Pub Date : 2026-07-01 Epub Date: 2026-07-03 DOI: 10.1016/j.revmed.2026.06.002

Nicolas Giachetti, Sorayah Ouattara, Charles Maurille, Paul Legendre, Mathieu Puyade

引用次数: 0

Portrait de la Pr Sophie Georgin-Lavialle, responsable d’un Centre de référence national des maladies auto-inflammatoires 国家自发性疾病参考中心主任Sophie Georgin-Lavialle教授肖像

IF 1 4区医学

Revue De Medecine Interne Pub Date : 2026-07-01 Epub Date: 2026-06-18 DOI: 10.1016/j.revmed.2026.06.003

Jonathan Sormani, Aïcha Kante, Pierre-Louis Cariou, Anaïs Roeser

引用次数: 0

Retours du Congrès de l’American College of Rheumatology, session d’octobre 2025 à Chicago, présentation pour l’Amicale des Jeunes Internistes et la Société nationale française de médecine interne 美国风湿病学会（American College of Rheumatology）大会，2025年10月在芝加哥召开，向法国内科医师协会（Amicale des Jeunes Internistes）和法国内科学会（Societe nationale francaise de medecine interne）作介绍

IF 1 4区医学

Revue De Medecine Interne Pub Date : 2026-07-01 Epub Date: 2026-06-12 DOI: 10.1016/j.revmed.2026.05.016

Oriane Cellier, Ruben Monteiro Cadete

引用次数: 0

Chez les personnes avec maladie cardiovasculaire, est-ce que viser un LDL < 1,4 mmol/L est plus efficace que de viser un LDL < 1,8 mmol/L pour prévenir la survenue d’événements cardiovasculaires majeurs ? 在心血管疾病患者中，将LDL控制在1.4mmol/L以下是否比将LDL控制在1.8mmol/L以下更有效地预防主要心血管事件？］

IF 1 4区医学

Revue De Medecine Interne Pub Date : 2026-07-01 Epub Date: 2026-06-08 DOI: 10.1016/j.revmed.2026.05.017

Luc Lanthier, Pierre-Nicolas Perron, Alexandre Mutchmore, Marc-Émile Plourde, Michel Cauchon

引用次数: 0