Revue De Medecine Interne最新文献

{"title":"SIBO, quand un mythe devient réalité","authors":"Thomas Escoda ,&nbsp;Frédérique Retornaz ,&nbsp;Anne Plauzolles ,&nbsp;Philippe Halfon","doi":"10.1016/j.revmed.2024.08.002","DOIUrl":"10.1016/j.revmed.2024.08.002","url":null,"abstract":"<div><div>Digestive functional disorders are among the most frequent reasons for medical consultation and a significant source of medical wandering. Therapeutic management of these patients is difficult, particularly due to the absence of specific treatment linked to an incomplete understanding of the pathophysiological mechanisms. In a certain number of these patients, the symptoms are accompanied by a small intestinal bacterial overgrowth (SIBO). This entity, historically identified in specific post-surgical situations, seems finally very common and associated with very diverse pathologies. The diagnosis of SIBO is currently being made more accessible through the development of breathing tests. Therapeutic management, based mainly on antibiotic therapy and diet, remains to date largely empirical because it is based on few studies but the growing interest in SIBO should make it possible to identify effective treatments during robust clinical trials.</div></div>","PeriodicalId":54458,"journal":{"name":"Revue De Medecine Interne","volume":"46 1","pages":"Pages 40-48"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142142244","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":"Chez les sujets avec insuffisance cardiaque à fraction d’éjection préservée ou légèrement réduite, la finérénone est-elle efficace pour diminuer un composite d’exacerbation d’insuffisance cardiaque et de décès d’origine cardiovasculaire tout en étant sécuritaire, comparativement au placebo ?","authors":"Luc Lanthier ,&nbsp;Alexandre Mutchmore ,&nbsp;Marc-Émile Plourde ,&nbsp;Michel Cauchon","doi":"10.1016/j.revmed.2024.11.007","DOIUrl":"10.1016/j.revmed.2024.11.007","url":null,"abstract":"","PeriodicalId":54458,"journal":{"name":"Revue De Medecine Interne","volume":"46 1","pages":"Pages 57-58"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142684006","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":"Une cause inhabituelle de dorsalgie","authors":"Fatima Zohra Benbrahim,&nbsp;Omar El Aoufir,&nbsp;Fatima Zahra Laamrani,&nbsp;Laila Jroundi","doi":"10.1016/j.revmed.2024.09.002","DOIUrl":"10.1016/j.revmed.2024.09.002","url":null,"abstract":"","PeriodicalId":54458,"journal":{"name":"Revue De Medecine Interne","volume":"46 1","pages":"Pages 55-56"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335326","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":"French protocol for the diagnosis and management of giant cell arteritis","authors":"Hubert de Boysson ,&nbsp;Valérie Devauchelle-Pensec ,&nbsp;Christian Agard ,&nbsp;Marc André ,&nbsp;Boris Bienvenu ,&nbsp;Bernard Bonnotte ,&nbsp;Guillermo Carvajal Alegria ,&nbsp;Olivier Espitia ,&nbsp;Eric Hachulla ,&nbsp;Emmanuel Heron ,&nbsp;Marc Lambert ,&nbsp;Jean-Christophe Lega ,&nbsp;Kim Heang Ly ,&nbsp;Arsène Mekinian ,&nbsp;Jacques Morel ,&nbsp;Alexis Regent ,&nbsp;Christophe Richez ,&nbsp;Laurent Sailler ,&nbsp;Raphaèle Seror ,&nbsp;Anne Tournadre ,&nbsp;Catherine Vignal","doi":"10.1016/j.revmed.2024.10.011","DOIUrl":"10.1016/j.revmed.2024.10.011","url":null,"abstract":"<div><div>Giant cell arteritis (GCA) is a large-vessel vasculitis that mainly affects women over fifty. GCA usually involves branches from the external carotid arteries, causing symptoms such as headaches, scalp tenderness, and jaw claudication. The most severe complication is ophthalmologic involvement, including acute anterior ischemic optic neuropathy and, less frequently, central retinal artery occlusion with a risk of permanent blindness. Approximately 40% of patients may have involvement of the aorta or its branches, which has a poor prognosis, although this is often asymptomatic at diagnosis. Diagnosis is largely based on imaging techniques such as FDG-PET combined with CT, CT angiography, or MRI angiography of the aorta and its branches. Polymyalgia rheumatica is associated with GCA in 30–50% of cases but may also occur independently. Treatment must be initiated urgently in the presence of ophthalmologic signs or when GCA is strongly suspected to prevent vision loss. The gold standard to confirm the diagnosis is temporal artery biopsy. However, Doppler ultrasound and vascular imaging are also reliable diagnostic techniques. Initially, high doses of corticosteroids like prednisone (40–80<!--> <!-->mg per day) are the mainstay of treatment. Tocilizumab can be discussed in combination with prednisone for corticosteroid sparing. Long-term management is essential, including monitoring for disease recurrence and corticosteroid-related side effects. General practitioners play a crucial role in early diagnosis, directing patients to specialized centres, and in managing ongoing treatment in collaboration with specialists. This collaboration is essential to address potential long-term complications such as cardiovascular events. They can occur five to ten years after the diagnosis of GCA even when the disease is no longer active, meaning that vigilant follow-up is required due to the patients’ age and status.</div></div>","PeriodicalId":54458,"journal":{"name":"Revue De Medecine Interne","volume":"46 1","pages":"Pages 12-31"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142564445","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}

{"title":"Premier et second cycles des études médicales : le mirage de l’enseignement par simulation haute-fidélité","authors":"Thomas Hanslik","doi":"10.1016/j.revmed.2025.01.001","DOIUrl":"10.1016/j.revmed.2025.01.001","url":null,"abstract":"","PeriodicalId":54458,"journal":{"name":"Revue De Medecine Interne","volume":"46 1","pages":"Pages 1-3"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142974087","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":"Les publications qui changent… le réveillon de l’interniste","authors":"Valentin Lacombe","doi":"10.1016/j.revmed.2024.11.008","DOIUrl":"10.1016/j.revmed.2024.11.008","url":null,"abstract":"","PeriodicalId":54458,"journal":{"name":"Revue De Medecine Interne","volume":"45 12","pages":"Pages 790-792"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142684008","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":"Issue Contents","authors":"","doi":"10.1016/S0248-8663(24)01324-9","DOIUrl":"10.1016/S0248-8663(24)01324-9","url":null,"abstract":"","PeriodicalId":54458,"journal":{"name":"Revue De Medecine Interne","volume":"45 12","pages":"Pages e23-e24"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143135823","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":"Mise au point sur le diagnostic et la prise en charge des troubles neurologiques fonctionnels de Jean-Martin Charcot à 2024","authors":"Mickael Aubignat,&nbsp;Pierre-Andréa Cervellera","doi":"10.1016/j.revmed.2024.11.006","DOIUrl":"10.1016/j.revmed.2024.11.006","url":null,"abstract":"<div><div>Functional neurological disorders (FND) represent a major clinical challenge, characterized by neurological symptoms without identifiable organic lesions. Since the initial descriptions by Jean-Martin Charcot in the 19th century, the understanding and management of FND have evolved considerably. This review aims to provide an up-to-date overview of current knowledge on the diagnosis and management of FND, integrating recent advances and multidisciplinary therapeutic approaches. The diagnosis of FND is based on specific positive clinical signs, rather than on the exclusion of other pathologies. Diagnostic criteria have been refined, promoting earlier recognition and better acceptance by patients. Psychiatric comorbidities, stress factors, and traumatic histories are frequently associated with FND, highlighting the importance of a holistic evaluation. The management of FND includes a multimodal approach, combining psychotherapy, physical rehabilitation, and targeted pharmacological interventions. The involvement of emerging technologies such as non-invasive brain stimulation and the use of artificial intelligence tools, opens up new perspectives in patient care. Finally, this review addresses the ongoing challenges related to stigma and the training of healthcare professionals, while proposing avenues for improving the quality of care provided to patients with FND.</div></div>","PeriodicalId":54458,"journal":{"name":"Revue De Medecine Interne","volume":"45 12","pages":"Pages 750-758"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142756069","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":"How to avoid gifts from your patients after the Christmas holidays?","authors":"Quentin Richier ,&nbsp;Dorothée Fey ,&nbsp;Mary Kate Kelly ,&nbsp;Shakeel Sumodhee ,&nbsp;Achille Raviez ,&nbsp;Benjamin Glemain","doi":"10.1016/j.revmed.2024.11.015","DOIUrl":"10.1016/j.revmed.2024.11.015","url":null,"abstract":"<div><h3>Background</h3><div>Receiving gifts from patients could generate an ethical dilemma for physicians and refusing a present may be perceived as an offence.</div></div><div><h3>Objective</h3><div>To differentiate the particular physician characteristics that are associated with receiving gifts from outpatients. To propose a strategy to avoid gifts and thus ethical dilemma.</div></div><div><h3>Design</h3><div>A prospective and multicentric study in France during the month of January 2024.</div></div><div><h3>Setting</h3><div>Public hospitals, private hospitals and family practices across 20 cities in France.</div></div><div><h3>Participants</h3><div>Physicians from 21 medical and surgical specialities. Setting Public hospitals, private hospitals and family practices across 20 cities in France.</div></div><div><h3>Interventions</h3><div>Each physician completed a questionnaire that highlighted their habitual practices during consultations and recorded the gifts they received on a standardized gift calendar.</div></div><div><h3>Main outcomes measures</h3><div>Receiving at least one gift during January 2024.</div></div><div><h3>Results</h3><div>In total, 655 physicians were contacted before December 31st, 2023, 109 (16.6%) positively responded, of them 76 (70%) declared receiving at least one gift from patients. An experience<!--> <!-->&gt;<!--> <!-->10 years in the current job (<em>P</em> <!-->=<!--> <!-->0.04), being the “Explorer” Myers Briggs Type Indicator (MBTI) personality type (<em>P</em> <!-->=<!--> <!-->0.034), and a frequent delay of over 30<!--> <!-->minutes at the end of the day of consultations (<em>P</em> <!-->=<!--> <!-->0.048) were statistically associated with a higher likelihood of receiving at least one gift from patients in multivariate analysis. The physicians who received the most gifts per 100 consultations were those with over 10 years experience and those who fell under the MBTI personality role “Explorer”: 2.72 (IQR [1.56–7.55], <em>P</em> <!-->=<!--> <!-->0.029) and 3.33 (IQR [2.16–6.43], <em>P</em> <!-->=<!--> <!-->0.028), respectively.</div></div><div><h3>Conclusion</h3><div>After analysing the factors that increase the risk of receiving a gift from a patient, we have surmised the following advice for physicians who do not wish to find themselves in the midst of an ethical dilemma. They should avoid staying in the same service for more than 5 years, try to adopt the MBTI personality type “Analyst” and be on time in their consultations.</div></div>","PeriodicalId":54458,"journal":{"name":"Revue De Medecine Interne","volume":"45 12","pages":"Pages 744-749"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752713","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":"Des membres inférieurs asymétriques","authors":"Stéphane Vignes ,&nbsp;Yasaman Jahromi ,&nbsp;Cynthia Nabitz ,&nbsp;Guillaume Canaud","doi":"10.1016/j.revmed.2024.08.001","DOIUrl":"10.1016/j.revmed.2024.08.001","url":null,"abstract":"","PeriodicalId":54458,"journal":{"name":"Revue De Medecine Interne","volume":"45 12","pages":"Pages 782-783"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141984259","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}