Boni Guy-Martial Kouame, Bi Foua Jonas Vanie, Amena Guy Germaine Niamke, Kouzahon Colombe Jeannine Lohore, Aké Chibrou Bénédicte Yapo-Kee, Youzan Ferdinand Djohan
{"title":"[Diagnosis of significant hepatic fibrosis in patients with chronic hepatitis B: another simple, effective and inexpensive method].","authors":"Boni Guy-Martial Kouame, Bi Foua Jonas Vanie, Amena Guy Germaine Niamke, Kouzahon Colombe Jeannine Lohore, Aké Chibrou Bénédicte Yapo-Kee, Youzan Ferdinand Djohan","doi":"10.1684/abc.2025.1964","DOIUrl":"10.1684/abc.2025.1964","url":null,"abstract":"<p><p>Early diagnosis of liver fibrosis remains a challenge. The aim of this study was to compare the performance of the GPR, APRI and FIB-4 scores in the diagnosis of significant fibrosis in chronic hepatitis B. This was a 6-month cross-sectional study. Patients were aged 18 and over, had a FibroScan® and had venous blood samples taken. 133 patients were included. The mean FibroScan® value was 5.33 ± 0.47 kPa, with 26.32% showing significant fibrosis (>7.2 kPa). The GPR score had a sensitivity of 80% compared with 48.57% and 51.42% respectively for the APRI and FIB-4 scores. However, its specificity was lower (51.02%) compared with the APRI (77.55%) and FIB-4 (81.63%) scores. The area the ROC curve of the GPR score (0.760) was higher than that of the APRI (0.712) and FIB-4 (0.724) scores in predicting significant fibrosis (p < 0.05). The GPR score is more accurate for assessing liver fibrosis in chronic hepatitis B in sub-Saharan Africa.</p>","PeriodicalId":93870,"journal":{"name":"Annales de biologie clinique","volume":"83 2","pages":"176-84"},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143805191","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}
{"title":"[Overview of practices among French clinical pathologists specialized in haemostasis].","authors":"Andréas Perrier-Cornet, Nicolas Gendron, Céline Desconclois, Virginie Planche, Caroline Vayne, Fabienne Nedelec Gac, Cécile Lavenu-Bombled, Dominique Lasne, Claire Flaujac, Myriam Hormi","doi":"10.1684/abc.2025.1959","DOIUrl":"10.1684/abc.2025.1959","url":null,"abstract":"<p><p>Medical biology is a medical specialty shared by medical doctor (MD) and pharmacists (PharmD), and Hemostasis is one of its disciplines. Since 2007, physicians have lost interest in medical biology. In haemostasis, the regulatory heterogeneity of status between medical biologists/MDs and medical biologists/PharmDs in a strained health system raises two major issues: (i) with demographic change, optimal patient care may no longer be guaranteed, (ii) medical biologists/PharmDs are sometimes forced to go beyond the scope of their regulatory field of practice. We conducted a survey in 2022 to examine hemostasis advice and consultation practices: 152 professionals responded, including 99 pharmacist-biologists (65.1%), 42 physician-biologists (27.6%) and 11 clinicians (7.2%). Of the practitioners questioned, 91.9% gave diagnostic advice and 75.0% therapeutic advice. 41% of respondents carried out haemostasis consultations, including 24.2% of pharmacists. Our survey reveals a little-known role for medical biologists specialized in haemostasis, particularly pharmacists, and calls for a global reflection on a possible regulated and supervised evolution of their field of practice, to enable them to pursue their mission in complete safety.</p>","PeriodicalId":93870,"journal":{"name":"Annales de biologie clinique","volume":"83 2","pages":"147-60"},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722977","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}
Na Zhang, Yue Xu, Hao Liang, Qingsong Wang, Yu An, Haichao Gao, Jiangman Zhao, Hong Wang
{"title":"Diagnostic value of small dense low-density lipoprotein and trace elements in coronary artery disease.","authors":"Na Zhang, Yue Xu, Hao Liang, Qingsong Wang, Yu An, Haichao Gao, Jiangman Zhao, Hong Wang","doi":"10.1684/abc.2025.1960","DOIUrl":"10.1684/abc.2025.1960","url":null,"abstract":"<p><p>Coronary artery disease (CAD) is a worldwide leading cause of death. Considering that 20%-40% of patients with CAD have a long asymptomatic period of atherosclerosis, it has become urgent to explore the feasibility of diagnosing CAD at an early stage. This is an observational, case-control study, a total of 489 consecutive CAD patients and 75 non-CAD controls were recruited. The levels of low-density lipoprotein subfractions (LDLC1-7) in serum were measured by the Quantimetrix Lipoprint LDL system. The levels of 18 trace elements (vanadium, chromium, manganese, cobalt, nickel, copper, zinc, gallium, arsenic, selenium, strontium, cadmium, tin, antimony, barium, mercury, thallium, and lead) were tested using inductively coupled plasma mass spectrometry. Six machine learning algorithms (Logistic Regression, K Neighbors, GaussianNB, Random Forest, Decision Tree and XGBoost) were used to construct CAD diagnostic models. The levels of LDLC-3, LDLC-4, LDLC-5, and lead were significantly higher in CAD patients, while the levels of LDLC-1, chromium, manganese, cobalt, and strontium were lower (p < 0.05 for all). Univariate logistic regression analysis indicates that LDLC-3, LDLC-4, and lead were the risk factors for CAD development (odds ratio >1 and p < 0.05 for all), while LDLC-1, chromium, manganese, cobalt, and strontium were the protective factors for CAD (odds ratio < 1 and p < 0.05 for all). XGBoost had the best overall diagnostic performance among the six algorithms. There are significant differences in the levels of several LDL subfractions and trace elements between non-CAD controls and CAD patients. These biomarkers may help the diagnostic of CAD while applying machine learning algorithms.</p>","PeriodicalId":93870,"journal":{"name":"Annales de biologie clinique","volume":"83 2","pages":"161-75"},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733109","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}
Emeline Gernez, Yasmine Nezzar, Mouhamed Ouni, Charles R Lefèvre, Jessica Sanda, Laura Plasse, Farouk Bouraima, Jules Al Samara, Guillaume Feugray, Aleksei Tikhonov, Anne Giraudeau, Ibrahima Ba, Vincent Guillet
{"title":"[Clinical biology in France through the eyes of young medical biologists].","authors":"Emeline Gernez, Yasmine Nezzar, Mouhamed Ouni, Charles R Lefèvre, Jessica Sanda, Laura Plasse, Farouk Bouraima, Jules Al Samara, Guillaume Feugray, Aleksei Tikhonov, Anne Giraudeau, Ibrahima Ba, Vincent Guillet","doi":"10.1684/abc.2025.1958","DOIUrl":"10.1684/abc.2025.1958","url":null,"abstract":"<p><p>Clinical biology plays a crucial role in healthcare. However, this specialty is facing a loss in attractiveness in medical studies. What is driving this decline in interest? Based on insights from the \"Livre Blanc de la Formation en Biologie Médicale\", written and validated by two unions representing laboratory medicine residents in France, and the insight of young clinical biologists, this article delves into young biologists' perspectives on their profession, through the eyes of the \"New Generation in Clinical Biology\" task force of the French Clinical Biology Society (SFBC). We explore key challenges our field will have to overcome for the new generation. At the same time, we shed light on their aspirations: modernizing missions, promoting research, and expanding career opportunities. Finally, we propose concrete solutions to revitalize the field and ensure a stronger integration of young professionals into the healthcare system.</p>","PeriodicalId":93870,"journal":{"name":"Annales de biologie clinique","volume":"83 2","pages":"195-201"},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143805181","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}
Andreea Ion, Julie Brossaud, Jean-Benoît Corcuff, Cindy Lauro, Agnès Georges
{"title":"Comparison of automated methods for the determination of antimüllerian hormone in women.","authors":"Andreea Ion, Julie Brossaud, Jean-Benoît Corcuff, Cindy Lauro, Agnès Georges","doi":"10.1684/abc.2025.1967","DOIUrl":"10.1684/abc.2025.1967","url":null,"abstract":"<p><p>Antimüllerian hormone (AMH), a protein secreted by granulosa cells, is a quantitative marker of the ovarian reserve. Due to its clinical value, the anti-müllerian hormone is a test highly prescribed by doctors, especially in the medically assisted procreation (MAP) department. The antral follicle count (AFC) and the result of the AMH test, are systematically evaluated during a fertility preservation consultation and also as part of the monitoring of ovarian function. Different methods for the measurement of AMH level exist, but none of them is currently available in our hormonology laboratory at Bordeaux University Hospital. The introduction of one of these technical assays in our laboratory could shorten the delay of reaching the result. According to our objectives, our study made it possible to observe the performance and analytical limits of the Biomerieux and Fujirebio technology, by comparing it with Roche technology, known as the reference, by analysing 50 AMH samples, on each of them and evaluating the results. In our study, despite a good agreement between the three assay methods, the importance of an international standard from a diagnostic point of view was once again noted. National medical commissions do strongly insist on the need of setting up an international standard in order to facilitate the development of reference values, decrease inter-laboratory variability and the cost due to repeated assays, as well as to improve patient safety by avoiding poor estimation of values.</p>","PeriodicalId":93870,"journal":{"name":"Annales de biologie clinique","volume":"83 2","pages":"227-30"},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063500","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}
Noémie Perez Munoz, Philippe Vest, Michael Peres, Pauline Ponsin, Carine Hejl
{"title":"[Voluntary self-poisoning with metformin and antiretroviral therapy drugs].","authors":"Noémie Perez Munoz, Philippe Vest, Michael Peres, Pauline Ponsin, Carine Hejl","doi":"10.1684/abc.2025.1966","DOIUrl":"10.1684/abc.2025.1966","url":null,"abstract":"<p><p>Metformin is the first-line oral drug prescribed in type 2 diabetes. The main severe side effect of this drug is metformin associated lactic acidosis (MALA), which generally occurs accidentally and rarely in patients with renal failure. We present here a case of voluntary self-poisoning with metformin and antiretroviral therapy drugs. On admission, the patient showed lactic acidosis with a pH of 7.19 (normal ranges: 7.38-7.42) and lactates at 9.40 mmol/L (normal ranges: 0.50-2.20 mmol/L). Metformin and antiretroviral therapy intoxication was confirmed by detecting these drugs with high performance liquid chromatography coupled with diode array detector (HPLC-PDA) and a another HPLC with mass spectrometry (HPLC-MS) then by a metformin dosage at 814 mg/L (therapeutic ranges: 1-2 mg/L). During hospitalization, liver dysfunctionned, contributing to an altered lactate elimination. Therefore, lactic acidosis increased as the patient's state worsened. Therapeutics were inefficient, leading to patient's death 30 hours after presentation. This observation illustrates a rare case of voluntary intoxication with a high dose of metformin and its unusual association with antiretroviral therapy drugs, that could increase lactic acidosis and cause liver failure.</p>","PeriodicalId":93870,"journal":{"name":"Annales de biologie clinique","volume":"83 2","pages":"211-9"},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031944","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}
Yazid El Alaoui Boufares, Grégoire Pasquier, Laurence Lachaud
{"title":"Strongyloides stercoralis hyperinfection syndrome: case report of therapeutic failure with ivermectin.","authors":"Yazid El Alaoui Boufares, Grégoire Pasquier, Laurence Lachaud","doi":"10.1684/abc.2025.1968","DOIUrl":"https://doi.org/10.1684/abc.2025.1968","url":null,"abstract":"<p><p>Strongyloidiasis (or anguillulosis) is helminthosis caused by Strongyloides stercoralis found mostly in (sub)tropical areas and sometimes in temperate settings. We report a case of strongyloidiasis hyperinfection, diagnosed on a BALF in a 46-year-old woman of senegalese origin with no recent travel history. The patient initially presented to the emergency department with worsening chronic lower back pain, asthenia and a 10-day history of general deterioration. Plasma cell leukemia was diagnosed and treated with a block of dexamethasone combined with chemotherapy. Our laboratory incidentally detected the presence of Strongyloides larvae in a BAL specimen. The patient received a prophylactic dose of Ivermectin prior to the administration of high doses of corticosteroids. Once the diagnosis of hyperinfestation syndrome had been established, curative doses of Ivermectin were administered, initially by nasogastric tube and then subcutaneously. The evolution was rapidly unfavorable, with the appearance of edema and cerebral hemorrhages which led to the patient's death 10 days later.</p>","PeriodicalId":93870,"journal":{"name":"Annales de biologie clinique","volume":"83 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044676","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}
Sarah Diabate, Céline Bouchet-Seraphin, Sandrine Vuillaumier-Barrot, Guillaume Lefevre, Katell Peoc'h
{"title":"[Increased troponin T in a patient with myositis].","authors":"Sarah Diabate, Céline Bouchet-Seraphin, Sandrine Vuillaumier-Barrot, Guillaume Lefevre, Katell Peoc'h","doi":"10.1684/abc.2025.1954","DOIUrl":"10.1684/abc.2025.1954","url":null,"abstract":"<p><p>A 41-year-old woman presented to the emergency room for long-term dysphagia, with a loss of eight kilos in two months. Myositis or inflammatory myopathies were suspected. A marked increase in troponin T concentration was observed.</p>","PeriodicalId":93870,"journal":{"name":"Annales de biologie clinique","volume":"83 1","pages":"109-112"},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143532203","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}
{"title":"Bone marrow involvement by breast carcinoma mimicking blast cells: the utility of CD326.","authors":"Radu Chiriac, Luc-Marie Gerland, Lucile Baseggio","doi":"10.1684/abc.2025.1952","DOIUrl":"10.1684/abc.2025.1952","url":null,"abstract":"","PeriodicalId":93870,"journal":{"name":"Annales de biologie clinique","volume":"83 1","pages":"105-106"},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143532205","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}