Annales de medecine interne最新文献_第2页

Kartagener's syndrome and renal failure. 卡塔格纳综合征和肾衰竭。

Annales de medecine interne Pub Date : 2003-12-01

Asmaâ Laboudi, Larbi Harami, Yasmine Bentata, Fary Ka Elhadji, Inass Laouad, Yamana Amar, Hakima Rhou, Loubna Benamar, Fatima Ezaitouni, Naïma Ouzeddoun, Rabea Bayahia, Leïla Balafrej

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[Slipped capital femoral epiphysis associated with hyperparathyroidism. A case report]. [股骨头骨骺滑移伴甲状旁腺功能亢进。[病例报告]。

Annales de medecine interne Pub Date : 2003-12-01

Karima Khiari, Lotfi Cherif, Nejib Ben Abdallah, Imen Maazoun, Insaf Hadj Ali, Chokri Bentaarit, Sami Turki, Hedi Ben Maïz

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[Acute "pseudo-angiocholitis" due to colonic adenocarcinoma in a man with primary sclerosis cholangitis and ulcerative colitis]. 【原发性硬化性胆管炎和溃疡性结肠炎患者的急性“假性血管性胆管炎”由结肠腺癌引起】。

Annales de medecine interne Pub Date : 2003-12-01

Olivier Coatmeur, Emmanuel Rassiat, Pierre Bonniaud, Jean-Louis Jouve, Anne Minello, Laurent Bedenne, Jean Faivre, Patrick Hillon

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[Hairy-cell leukemia: 30 cases and a review of the literature]. [毛细胞白血病:30例及文献回顾]。

Annales de medecine interne Pub Date : 2003-11-01

Jean-Valère Malfuson, Olivier Gisserot, Serge Cremades, Kamal Doghmi, Thierry Fagot, Bertrand Souleau, Thierry de Revel, Jean-Pierre de Jaureguiberry, Gérard Nedellec

引用次数: 0

[Subacute motor neuropathy induced by T3 hyperthyroidism]. [T3甲亢所致亚急性运动神经病]。

Annales de medecine interne Pub Date : 2003-11-01

Dominique Caparros-Lefebvre, Sonia Benabdallah, Xavier Bertagna, Nadia Ekindi

{"title":"[Subacute motor neuropathy induced by T3 hyperthyroidism].","authors":"Dominique Caparros-Lefebvre, Sonia Benabdallah, Xavier Bertagna, Nadia Ekindi","doi":"","DOIUrl":"","url":null,"abstract":"Subacute motor neuropathy involving bulbar nerves is an unusual complication of hyperthyroidism. Clinical and neurophysiologic follow-up of such patients has been rarely reported. We describe a 41-year-old Colombian patient who developed respiratory failure associated with motor neuropathy and severe weight loss. The major clinical features included diffuse amyotrophy, bilateral facial paresis, and fasciculations, suggesting motor neuropathy. Electromyography confirmed the presence of axonal neuropathy, with predominant motor involvement. Goiter with hypervascularization was noticed, associated with pure T3 hyperthyroidism (T3l=26 pg/ml; N<3.8). The patient was given carbimazole which induced a severe skin vasculitis 10 days later. Carbimazole was stopped and replaced by propylthiouracile, which also induced vasculitis with secondary cardiac failure. Total thyroidectomy was then performed. General status improved rapidly as well as motor deficit, amyotrophy and pyramidal syndrome. Electromyographic abnormalities improved significantly within 3 months. This observation demonstrates that hyperthyroidism can produce motor axonal neuropathy, curable with radical surgery.","PeriodicalId":75505,"journal":{"name":"Annales de medecine interne","volume":"154 7","pages":"475-8"},"PeriodicalIF":0.0,"publicationDate":"2003-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24171940","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

[Antisynthetase syndrome. Three cases and a review of the literature]. [Antisynthetase综合症。三个案例和文献综述]。

Annales de medecine interne Pub Date : 2003-11-01

Agathe Imbert-Masseau, Mohamed Hamidou, Christian Agard, Alain Halloun, Marie-Hélène Delangle, Marie Audrain, Jean-Yves Grolleau, Jean-Marie Mussini

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[Stumbling blocks of sports]. [体育运动的绊脚石]。

Annales de medecine interne Pub Date : 2003-11-01

William Lowenstein

引用次数: 0

[Doping: health risks and relation to addictive behaviors]. [兴奋剂:健康风险及其与成瘾行为的关系]。

Annales de medecine interne Pub Date : 2003-11-01

Françoise Siri, Bernard P Roques

{"title":"[Doping: health risks and relation to addictive behaviors].","authors":"Françoise Siri, Bernard P Roques","doi":"","DOIUrl":"","url":null,"abstract":"Unlabelled: The paper presents the health hazards of the major doping substances and raises some questions about the relationship between doping and addictive behavior.Aims: Current definitions of doping and addictive behavior are examined. The paper's goal is: 1- to assess the risks of neurotoxicity and overall toxicity of doping substances: stimulants, narcotics (seldom used as doping substances), and hormones, and assess their addictive potential; 2- to present available data on drug-dependent patients with a record of early prolonged and intensive physical activity or athletic practice.Results and discussion: Some doping substances present high risks for health at large doses, but usually low addictive potential and neurotoxicity. Dependency on doping substances and drift towards dependency to addictive drugs, if any, are therefore determined by genetic and environmental factors. A significant susceptibility to drug dependence has been observed in some cases of very intensive and competitive practice. Over-representation of intensive and competitive athletic antecedents among some drug-dependent patients could be accounted for in either of two ways. On the first account, the causal factor is a sensation-seeking character trait, with a likely genetic component, which predisposes the individual to the use of drugs or doping substances, as the opportunities arise. On the second account, the sudden interruption of intensive practice, and of the associated organic stress and hypersensitization of the hedonic pathway, creates a weaning syndrome and leads to the search for relief through drugs. Further exploration of this hypothesis is called for.","PeriodicalId":75505,"journal":{"name":"Annales de medecine interne","volume":"154 Spec No 2 ","pages":"S43-57"},"PeriodicalIF":0.0,"publicationDate":"2003-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24195831","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

[Opinion of general and specialized physicians toward euthanasia. Results from the French survey on attitudes and practices against palliative care, 2002]. 普通医生和专科医生对安乐死的看法。法国关于对姑息治疗的态度和做法的调查结果[2002]。

Annales de medecine interne Pub Date : 2003-11-01

Marc K Ben Diane, Patrick Peretti-Watel, Jean-Marc Lapiana, Roger Favre, Anne Galinier, Hervé Pegliasco, Yolande Obadia

{"title":"[Opinion of general and specialized physicians toward euthanasia. Results from the French survey on attitudes and practices against palliative care, 2002].","authors":"Marc K Ben Diane, Patrick Peretti-Watel, Jean-Marc Lapiana, Roger Favre, Anne Galinier, Hervé Pegliasco, Yolande Obadia","doi":"","DOIUrl":"","url":null,"abstract":"Objectives: To evaluate opinion of physicians about the legalization of euthanasia according to their professional characteristics, their attitudes toward morphine, their attitudes toward communication with end-of-life patients, and their perception of specific types of terminal care.Method: Univariate and multivariate analyses were carried out from data collected among 1.000 general practitioners, oncologists, neurologists and HIV specialists (French cross-sectional survey on palliative care, 2002).Results: 42.5% of physicians agreed with the statement that euthanasia should be legalized as it is already the case in the Netherlands. Inadequate prescription of morphine and calling terminal sedation as active euthanasia were associated with a favorable opinion toward legalization of euthanasia.Conclusion: Specific training on pain management and terminal sedation would help physicians to have a better view of the problem of euthanasia.","PeriodicalId":75505,"journal":{"name":"Annales de medecine interne","volume":"154 7","pages":"441-7"},"PeriodicalIF":0.0,"publicationDate":"2003-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24171432","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

[Effect of maintenance treatments on social life. A study with general practitioners]. 保养治疗对社会生活的影响。一项对全科医生的研究]。

Annales de medecine interne Pub Date : 2003-11-01

Sibel Bilal, Juan Menares, Patrick De La Selle, Abdalla Toufik, Yohann Perdrieux

{"title":"[Effect of maintenance treatments on social life. A study with general practitioners].","authors":"Sibel Bilal, Juan Menares, Patrick De La Selle, Abdalla Toufik, Yohann Perdrieux","doi":"","DOIUrl":"","url":null,"abstract":"The objective of this retrospective study was to describe drug maintenance treatments (DMT) in ambulatory care, and to evaluate their impact on social life. A convenience sample of 665 patients on DMT was recruited by 94 general practitioners in three geographic areas (Ile-de-France, Alsace, Aquitaine), and interviewed face to face by independent staff with a standardized questionnaire on three periods (one month before DMT, 6 months after beginning of DMT and 1 month before inclusion within the survey). Among the 665 patients, 76% were on buprenorphine, 20% on methadone, and 4% on morphine sulfate. Consumption of heroin and other psychoactive drugs was lower 6 months after DMT initiation. Patients were more likely to have relationships with people who did not have any problem with alcohol and drugs after DMT initiation than before treatment. They were also more likely to spend their free time alone after having begun DMT than before. All markers of social vulnerability evaluated through standardized questionnaires (employment, housing, social insurance, days of in-patient treatment related to drug consumption and number of condemnations) were improved after a six-month period with DMT. This research contributes to demonstrating the positive impact of DMT both on drug consumption and social life. Health professionals should include social support in their clinical practice.","PeriodicalId":75505,"journal":{"name":"Annales de medecine interne","volume":"154 Spec No 2 ","pages":"S6-14"},"PeriodicalIF":0.0,"publicationDate":"2003-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24197825","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