Diagnostic procedure after an immediate hypersensitivity reaction in the operating room.
Abstract The diagnosis of a perioperative allergic reaction is based on clinical features associated with a suggestive timeline, the exclusion of other diagnoses, elevated concentrations of degranulation markers (histamine, tryptase), and positive allergy assessments (skin tests, specific IgE). After initiating appropriate treatment, the anesthesiologist should take blood samples to measure histamine and tryptase concentrations just after the reaction and repeat them 1-2hours later to validate the diagnosis of immediate hypersensitivity. A delayed measurement of basal tryptase is useful to rule out mastocytosis an...
Source: Presse Medicale - June 30, 2016 Category: Journals (General) Authors: Tacquard C, Laroche D, Stenger R, Mariotte D, Uring-Lambert B, De Blay F, Malinovsky JM, Mertes PM Tags: Presse Med Source Type: research

What does acute onset means in the context of Staphylococcus aureus infective endocarditis? Description of a hyperacute infective endocarditis.
What does acute onset means in the context of Staphylococcus aureus infective endocarditis? Description of a hyperacute infective endocarditis. Presse Med. 2016 Jun 30; Authors: Repessé X, Charron C, Guérin L, Au SM, Vieillard-Baron A PMID: 27374264 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - June 30, 2016 Category: Journals (General) Authors: Repessé X, Charron C, Guérin L, Au SM, Vieillard-Baron A Tags: Presse Med Source Type: research

[2015 ESC guidelines: 1-hour rule-out and rule-in of acute myocardial infarction with high-sensitive troponin T].
Abstract High sensitivity cardiac troponins must be used in first intention. H0/H3 algorithm is recommended in the diagnostic strategy. In total, 75% of emergency patients can be early discharged with the H0/H1 algorithm. Interpretation of troponin values requires taking into account the clinical context and electrocardiogram. The algorithm H0/H1 cannot be used for early presenters in ED after onset of chest pain. Further validation studies are needed before widespread application of H0/H1 algorithm. PMID: 27374265 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - June 30, 2016 Category: Journals (General) Authors: Charpentier S, Chenevier-Gobeaux C Tags: Presse Med Source Type: research

[Management of hyperglycemic/diabetic patient during and in the immediate follow-up of an acute coronary syndrome].
e;s B Abstract Two thirds of the patients hospitalized for an acute coronary syndrome (ACS) show disorders of glucose metabolism (diabetes, impaired fasting glucose, impaired glucose intolerance). Every patient hospitalized for an ACS whose HbA1c is equal or above 6.5% must be considered as diabetic. Each patient hospitalized for an ACS whose HbA1c is less than 6.5% should have measurement of plasma glucose fasting and after an oral glucose load between the 7th and the 28th day following the ACS in order to detect a disorder of glucose metabolism. During the hospitalization in cardiac intensive care unit, a treatm...
Source: Presse Medicale - June 30, 2016 Category: Journals (General) Authors: Vergès B Tags: Presse Med Source Type: research

HyperCKemia induced by levetiracetam.
né J PMID: 27374267 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - June 30, 2016 Category: Journals (General) Authors: Ramon M, Tourteau E, Lemaire N, Gautier S, Béné J Tags: Presse Med Source Type: research

Erratum à l'article « Controverse des estroprogestatifs de 3(e) et 4(e) génération : quelle influence sur le comportement des femmes ? » [Presse Med. 45/4 (2016) e68-78].
Erratum à l'article « Controverse des estroprogestatifs de 3(e) et 4(e) génération : quelle influence sur le comportement des femmes ? » [Presse Med. 45/4 (2016) e68-78]. Presse Med. 2016 Jun 28; Authors: Torres L, Frapard C, Daumas A, Guibert N, Lagouanelle-Simeoni MC, Rakoto JC, Villani P, Sambuc R PMID: 27371356 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - June 28, 2016 Category: Journals (General) Authors: Torres L, Frapard C, Daumas A, Guibert N, Lagouanelle-Simeoni MC, Rakoto JC, Villani P, Sambuc R Tags: Presse Med Source Type: research

[Hematidrosis and hemolacrea associated with conversion disorder. About a pediatric case].
PMID: 27371357 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - June 28, 2016 Category: Journals (General) Authors: Rharrabti S, Khattala K, Belahsen M, Aalouane R Tags: Presse Med Source Type: research

[Perianal pemphigus vegetans].
PMID: 27371358 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - June 28, 2016 Category: Journals (General) Authors: Kluger N, Mandelin J, Lappalainen K Tags: Presse Med Source Type: research

[Management of gastrinoma].
Abstract Gastrinoma is a very rare tumor leading to gastrin hypersecretion and characterised by Zollinger-Ellisson syndrome (ZES) i.e. severe gastric and duodenal ulceration and profuse diarrhea. This disease can be sporadic or familial within a multiple endocrine neoplasia type 1 (MEN-1) syndrome. Diagnosis is based on hypergastrinemia/hypercholrhydria. Tumors are usually located in the duodeno-pancreas. Preoperative tumor location by CT, echoendoscopy and fibroscopy is not always possible because of the small size of the lesion that are frequently multiple. The aim of gastrinoma treatment is 1/to control th...
Source: Presse Medicale - June 1, 2016 Category: Journals (General) Authors: Hain E, Coriat R, Dousset B, Gaujoux S Tags: Presse Med Source Type: research

Therapeutic innovations in endocrine diseases - Part 2: Modified-release glucocorticoid compounds: What good do they provide to the adrenal insufficient patient?
Therapeutic innovations in endocrine diseases - Part 2: Modified-release glucocorticoid compounds: What good do they provide to the adrenal insufficient patient? Presse Med. 2016 May 31; Authors: Reznik Y Abstract Intensive researches on modified-release hydrocortisone compounds developed in the last decade have paved the way for obtaining near-physiological glucocorticoid replacement in the adrenal insufficient patient. The dual-release Duocort (Plenadren) allows a unique morning intake and closely mimics the circadian rhythm of cortisol secretion, except for the progressive nocturnal increase a...
Source: Presse Medicale - May 31, 2016 Category: Journals (General) Authors: Reznik Y Tags: Presse Med Source Type: research

New therapeutic approaches for ANCA-associated vasculitides.
Abstract For many years, despite severe side effects, vasculitides have been managed with high doses of corticosteroids and long-lasting intensive immunosuppression. Recent, innovative approaches have improved our knowledge of the disease pathophysiologies leading to novel treatments that are transforming the standard of care, at least for antineutrophil cytoplasm antibody (ANCA)-associated vasculitides (AAVs) and again providing new elements to further understanding of the disease mechanisms. Although this could seem to be a virtuous circle of enhanced comprehension and innovation, many questions regarding patien...
Source: Presse Medicale - May 30, 2016 Category: Journals (General) Authors: Chaigne B, Guillevin L Tags: Presse Med Source Type: research

[Comparison of the concept of "responsibility" in neuroscience and in French criminal law: A cross-literature review for the psychiatric forensic practice].
[Comparison of the concept of "responsibility" in neuroscience and in French criminal law: A cross-literature review for the psychiatric forensic practice]. Presse Med. 2016 May 30; Authors: Galland D, Jonas C, Jardri R, Wilquin M, Cottencin O, Thomas P, Rolland B Abstract In forensic psychiatry, experts have to determine the level of responsibility of a subject with regard to their acts. Neuroscience and cognitive sciences have been increasingly studying the brain functions that are supposed to underlie individual responsibility. In neuroscience, impairment of responsibility is underlain by...
Source: Presse Medicale - May 30, 2016 Category: Journals (General) Authors: Galland D, Jonas C, Jardri R, Wilquin M, Cottencin O, Thomas P, Rolland B Tags: Presse Med Source Type: research

Innovations in autoimmune diseases.
PMID: 27256974 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - May 30, 2016 Category: Journals (General) Authors: Guillevin L Tags: Presse Med Source Type: research

Stem cell transplantation and mesenchymal cells to treat autoimmune diseases.
Abstract Since the start of the international stem cell transplantation project in 1997, over 2000 patients have received a haematopoietic stem cell transplant (HSCT), mostly autologous, as treatment for a severe autoimmune disease, the majority being multiple sclerosis (MS), systemic sclerosis (SSc) and Crohn's disease. There was an overall 85% 5-year survival and 43% progression-free survival. Around 30% of patients in all disease subgroups had a complete response, often durable despite full immune reconstitution. In many cases, e.g. systemic sclerosis, morphological improvement such as reduction of skin co...
Source: Presse Medicale - May 30, 2016 Category: Journals (General) Authors: Tyndall A, van Laar JM Tags: Presse Med Source Type: research

New therapeutic approaches in rheumatoid arthritis.
Abstract The treatment of rheumatoid arthritis (RA) has changed dramatically over the past two decades. The combination of better insights into the pathophysiological and immunological mechanisms of RA and the possibilities offered by biotechnology led to the development and introduction into clinical practice of a new class of antirheumatic biologic therapies, which along with earlier and more aggressive treatment contributed to dramatically better outcomes for patients with RA. To date, nine biologic agents have been approved for the treatment for RA, and a first Janus kinase (JAK) inhibitor has also been approv...
Source: Presse Medicale - May 27, 2016 Category: Journals (General) Authors: van Vollenhoven RF Tags: Presse Med Source Type: research

[Hepatic hydrothorax].
Abstract Hydrothorax liver is defined by the presence of pleural effusion greater than 500mL secondary to portal hypertension in cirrhotic patients. Poor tolerance of hepatic hydrothorax makes the therapeutic management of these fragile patients and is associated with iatrogenic complications. The mechanism of hydrothorax formation cirrhosis is due to a unidirectional transfer of the abdominal ascites through the diaphragmatic gaps (that were identified macroscopically and microscopically) in the pleural cavity. The treatment of hepatic hydrothorax is determined by the possibility or not of liver transplantation. ...
Source: Presse Medicale - May 27, 2016 Category: Journals (General) Authors: Cadranel JF, Garioud A, Lison H, Medmoun M, Thevenot T Tags: Presse Med Source Type: research

Therapeutic innovations in endocrine diseases - Part 1: New medical treatments for chronic excess of endogenous cortisol (Cushing's syndrome).
Therapeutic innovations in endocrine diseases - Part 1: New medical treatments for chronic excess of endogenous cortisol (Cushing's syndrome). Presse Med. 2016 May 27; Authors: Bertagna X Abstract Diverse hormonal, antisecretory, antitumoural or immunomodulatory therapeutic innovations act for broadening the management scope of adrenal, pituitary and endocrine tumours. PMID: 27242208 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - May 27, 2016 Category: Journals (General) Authors: Bertagna X Tags: Presse Med Source Type: research

Therapeutic innovations in endocrine diseases - Part 5: Rituximab and graves' orbitopathy.
Therapeutic innovations in endocrine diseases - Part 5: Rituximab and graves' orbitopathy. Presse Med. 2016 May 27; Authors: Ladsous M Abstract The use of rituximab in Graves' orbitopathy is appealing but its exact role in the therapeutic arsenal remains to be clarified, and its safety profile also needs to be confirmed on a larger scale. PMID: 27242209 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - May 27, 2016 Category: Journals (General) Authors: Ladsous M Tags: Presse Med Source Type: research

Therapeutic innovations in endocrine diseases - Part 4 : Pasireotide: Long-acting release somatostatin analogue.
Therapeutic innovations in endocrine diseases - Part 4 : Pasireotide: Long-acting release somatostatin analogue. Presse Med. 2016 May 27; Authors: Wémeau JL Abstract Pasireotide, the latest long-acting release somatostatin analogue, is distributed more widely to the various somatostatin receptors, which theoretically increases its strength and broadens its scope. Does this reflect genuine therapeutic progress? Or rather does its reduced specificity cause too many adverse reactions to make it a significant therapeutic achievement? PMID: 27242210 [PubMed - as supplied by publisher]...
Source: Presse Medicale - May 27, 2016 Category: Journals (General) Authors: Wémeau JL Tags: Presse Med Source Type: research

Therapeutic innovations in endocrine diseases - part 3 : temozolomide and future therapeutics for aggressive pituitary tumors and carcinomas.
Therapeutic innovations in endocrine diseases - part 3 : temozolomide and future therapeutics for aggressive pituitary tumors and carcinomas. Presse Med. 2016 May 27; Authors: Lasolle H, Raverot G Abstract Pituitary tumors are the most frequent intracranial tumor and classically considered as benign. However, clinical evidence and recent advances in pathological and molecular analyses suggest that these tumors should be considered as more than a simple endocrine disorder. Descriptions of aggressive pituitary tumors and pituitary carcinomas have increased notably over the last decade followin...
Source: Presse Medicale - May 27, 2016 Category: Journals (General) Authors: Lasolle H, Raverot G Tags: Presse Med Source Type: research

[Cross-border evaluation of needs for training in therapeutic education of the patient for the management in type 2 diabetes and obesity: Survey by method of nominal group with healthcare professionals].
CONCLUSION: The needs expressed by PS in the context of this study are focused on the relation HP/patient that is the heart of the TPE. It would however be necessary to raise awareness among HP in the acquisition of the other skills which concern in particular the animation of group, the interprofessional coordination, the consideration of the environment or more generally the procedures. PMID: 27242212 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - May 27, 2016 Category: Journals (General) Authors: Pétré B, Ketterer F, Vanmeerbeek M, Scheen A, Lair ML, Ziegler O, Böhme P, Guillaume M Tags: Presse Med Source Type: research

Future treatments for Sjögren's syndrome.
Future treatments for Sjögren's syndrome. Presse Med. 2016 May 27; Authors: Pers JO, Saraux A Abstract Primary Sjögren's syndrome (pSS) is a systemic multiorgan autoimmune disease that runs a chronic progressive course. The recently developed treat-to-target paradigm involves identifying and targeting the molecular mechanisms that underlie disease manifestations in individual patients. This review discusses the immunopathology of pSS and the treatment approaches currently under investigation. To date, only symptomatic treatments are available for pSS, and only a few of the potential new trea...
Source: Presse Medicale - May 27, 2016 Category: Journals (General) Authors: Pers JO, Saraux A Tags: Presse Med Source Type: research

[Biomarkers in asthma].
cia G Abstract Identifying new biomarkers in asthma is attractive but requires assessing their relevance and their reliability to clinical practice. Beyond fashion, the improvement in identification of new candidate biomarkers benefited of scientific and biologic progresses, biobanks and platforms robustly backed on longitudinal cohorts and registries. Paradoxically, the main issue is now to stress up the good question, in other words to correctly characterize the unmet needs in asthma that might benefit of a biomarker. Chronicity, variability, weakness of diagnostic tools and the heterogeneity of the disease are ...
Source: Presse Medicale - May 25, 2016 Category: Journals (General) Authors: Taillé C, Bourdin A, Garcia G Tags: Presse Med Source Type: research

[French shift workers seen at health centres have an increased risk of lipid disorders].
CONCLUSION: Our results are in agreement with previous studies showing a deleterious effect of shift work on lipid metabolism. In our population, triglycerides and HDL-C levels were the main parameters negatively influenced by shift work. Consequently, a regular biological monitoring together with the promotion of healthy behaviours should be provided to shift workers before negative consequences of working shift become noticeable. PMID: 27234900 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - May 24, 2016 Category: Journals (General) Authors: Copin N, Gusto G, Vol S, Rollier S, Lantieri O, Lasfargues G, Tichet J Tags: Presse Med Source Type: research

[Severe genotype 4 acute autochthonous hepatitis E].
PMID: 27234901 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - May 24, 2016 Category: Journals (General) Authors: Le Dault E, Luciano L, Surcouf C, Roque-Afonso AM, Coton T Tags: Presse Med Source Type: research

[Erdheim-Chester disease (ECD), an inflammatory myeloid neoplasia].
Abstract In a compatible clinico-radiological setting, the diagnosis of Erdheim-Chester disease (ECD) involves the analysis of histiocytes in tissue biopsies: they are typically foamy and CD68+ CD1a, whereas in Langerhans cell histiocytosis (LCH) they are CD68+ CD1a+. Overlap forms of histiocytoses are frequent. Technetium bone scintigraphy showing nearly constant tracer uptake by the long bones is highly suggestive of ECD and a 'hairy kidney' appearance on abdominal CT scan is observed in more than half ECD cases. CNS involvement is a strong prognostic factor and an independent predictor of death in cases of ECD....
Source: Presse Medicale - May 24, 2016 Category: Journals (General) Authors: Haroche J, Papo M, Cohen-Aubart F, Charlotte F, Maksud P, Grenier PA, Cluzel P, Mathian A, Emile JF, Amoura Z Tags: Presse Med Source Type: research

[Persistent median nerve artery and carpal tunnel syndrome. Usefulness of duplex echography].
PMID: 27234903 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - May 24, 2016 Category: Journals (General) Authors: Boulon C, Maillet A, Skopinski S, Constans J Tags: Presse Med Source Type: research

[Medical approaches for managing preeclampsia].
Abstract Preecalmpsia is an hypertensive disease of pregnancy complicating 1-5% of all pregnancies. Although symptomatic management has improved, there is currently no curative treatment, and only childbirth and delivery of the placenta, usually prematurely, alleviate the mother's symptoms. When preeclampsia occurs before 37 weeks of gestation expectant management is often possible in order to reduce post-natal complications related to prematurity. The management depends on the severity of the disease and gestational age. The modalities of this management are reviewed in this article. PMID: 27234904 [Pub...
Source: Presse Medicale - May 24, 2016 Category: Journals (General) Authors: Lecarpentier E, Haddad B, Goffinet F, Tsatsaris V Tags: Presse Med Source Type: research

[Allergy to neuromuscular blocking agents].
Abstract Allergy to neuromuscular blocking agents (NMBAs) has been the first cause of perioperative anaphylaxis for decades, in most countries. The most frequently involved agents are suxamethonium and rocuronium. The allergy work-up is compulsory to demonstrate or rule out allergy to NMBAs, if there is a compatible clinical history. Doing otherwise exposes the patient to death if the same or related NMBA is re-injected. In cases of true allergy, assessing cross-reactivity to other NMBAs is mandatory. The cross-sensitization hypothesis is presently being investigated and if confirmed, it could allow primary preven...
Source: Presse Medicale - May 24, 2016 Category: Journals (General) Authors: Chiriac AM, Demoly P Tags: Presse Med Source Type: research

[Risk stratification of sudden death in hypertrophic cardiomyopathy in 2016].
Abstract Patients with hypertrophic cardiomyopathy (HCM) are at an increased risk of death from many causes and sudden cardiac death is one of them. The study of the sudden cardiac death of patients with HCM has allowed the identification of risk factors and among them major risk factor are: family history of sudden cardiac death, the occurrence of syncope/dizziness, the existence of non-sustained ventricular tachycardia an abnormal blood pressure response during stress test, presence of severe left ventricular hypertrophy≥30mm. Risk stratification for sudden cardiac death is essential, for symptomatic or asymp...
Source: Presse Medicale - May 24, 2016 Category: Journals (General) Authors: Dubourg O, Charron P, Sirol M, Siam-Tsieu V, Mansencal N Tags: Presse Med Source Type: research

[Hypertension and pregnancy: Post-partum period].
Abstract Post-partum period is associated with specific characteristics in women with gestational disorders or preeclampsia. For breastfeeding women, the choice of antihypertensive treatment should take into account the impact on child health. The impact of breastfeeding on health mother must be also discussed. Moreover, for lactation inhibition, bromocriptine should not be used, especially in the context of gestational disorders. In post-partum period, the best contraceptive strategy is only-progestin contraception or non-hormonal contraceptives use. However, this choice will depend on the stabilization or normal...
Source: Presse Medicale - May 23, 2016 Category: Journals (General) Authors: Hugon-Rodin J, Plu-Bureau G Tags: Presse Med Source Type: research

[Letter on the article: "Cannabis use: What to do in general practice?"]
[Letter on the article: "Cannabis use: What to do in general practice?"] Presse Med. 2016 May 23; Authors: Braillon A, Taiebi F, Dervaux A PMID: 27229452 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - May 23, 2016 Category: Journals (General) Authors: Braillon A, Taiebi F, Dervaux A Tags: Presse Med Source Type: research

[Positive and negative perceptions at work: Qualitative study with physicians in a teaching hospital].
CONCLUSION: The fact of working in a hospital is meaningful for physicians surveyed. But it could also be source of ill-being and anxiety. PMID: 27221565 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - May 21, 2016 Category: Journals (General) Authors: Pougnet R, Pougnet L, Loddé B, Dewitte JD Tags: Presse Med Source Type: research

[Continuous sedation until death. A French way for the end-of-life care?]
Abstract Continuous sedation until death (CSUD) is a practice which has developed recently in several countries, appearing more acceptable than euthanasia and medically assisted suicide, since more close to a "natural death". The French parliament has just adopted a law which stipulates CSUD on request of the patient in a definite number of circumstances, especially in incurable diseases near to the terminal stage with suffering refractory to treatments. Thus France has adopted a unique international position for the end-of-life care. However several ethical problems raised by CSUD, which corresponds to ...
Source: Presse Medicale - May 20, 2016 Category: Journals (General) Authors: Zittoun R Tags: Presse Med Source Type: research

[Painless outgrowth bones: Multiple exostosis diseases].
PMID: 27217261 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - May 20, 2016 Category: Journals (General) Authors: Niasse M, Kane BS, Mbodji MM, Akpo G, Diallo S Tags: Presse Med Source Type: research

[Pathophysiology of preeclampsia].
Abstract Preeclampsia is a hypertensive disease of pregnancy due to abnormal utero-placental circulation. Hypoperfusion of the placenta and hypoxia/reoxygenation of the intervillous space are responsible of placental dysfunction. Trophoblastic factors are released in the maternal circulation and are responsible of the maternal endothelial dysfunction that characterize preeclampsia. Among those factors, the PlGF/sFlt-1 couple plays a major pathophysiologic role. PMID: 27217262 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - May 20, 2016 Category: Journals (General) Authors: Lecarpentier E, Fournier T, Guibourdenche J, Tsatsaris V Tags: Presse Med Source Type: research

[Food addiction: Definition, measurement and limits of the concept, associated factors, therapeutic and clinical implications].
Courtois R Abstract Addictions, which are characterized by the inability to control a behavior despite existence of physical or psychological consequences, have biological, psychological and social determinants. Although the possibility of developing an addiction to some psychoactive substances (e.g. alcohol, tobacco, cannabis) and to gambling (i.e., gambling disorder) is now well demonstrated, the possibility to develop a non-drug addiction (i.e., behavioral addiction) to certain behaviors which provide pleasure (e.g. eating, having sex, buying things) is still in debate. The concept of food addiction, which ref...
Source: Presse Medicale - May 19, 2016 Category: Journals (General) Authors: Cathelain S, Brunault P, Ballon N, Réveillère C, Courtois R Tags: Presse Med Source Type: research

[Hypoglycemia in nondiabetic patients: When is the 72-hour-fast test required and how can it be interpreted?]
Abstract Whereas hypoglycaemia is uncommon in nondiabetic patients, it is a frequent reason for consultation. Hypoglycaemia is confirmed when criteria of Whipple's triad are fulfilled. If a venous sample cannot be collected when hypoglycemia occurs spontaneously, a 72-hour-fast test should be performed firstly to affirm the reality of hypoglycaemia and secondly to make the etiological diagnosis. Before carrying out this long and expensive test, the obvious causes of hypoglycaemia must be ruled out: iatrogenic, severe prolonged undernutrition, liver or renal deficiency, adrenal insufficiency, IGFII or pro-IGFII sec...
Source: Presse Medicale - May 18, 2016 Category: Journals (General) Authors: Vezzosi D, Bennet A, Grunenwald S, Caron P Tags: Presse Med Source Type: research

[The baclofene saga and the paradigm shift in alcohol addiction treatment].
Abstract Baclofen represented the hope of an effective treatment of addiction to alcohol, in a context where the therapeutic featuring agreement obtained modest results. The rise of baclofen has bypassed the usual academic procedures. There is a scientific rational prescription of baclofen. Its use opens up the prospect of using other agonists of GABAB to manage the craving. PMID: 27208916 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - May 18, 2016 Category: Journals (General) Authors: Journiac K, Pascuttini F, Touzeau D Tags: Presse Med Source Type: research

[Methods of blood pressure measurement during pregnancy].
Abstract Hypertension during pregnancy is associated with high perinatal morbidity and mortality. The prevalence of white coat hypertension is high during pregnancy and is associated with a good prognosis and must be excluded. The definition of hypertension during pregnancy is office BP≥140/90mmHg and ≥135/85mmHg with home BP and diurnal ambulatory BP. How to use HBPM during pregnancy? To get an adapted and validated BP humeral device during pregnancy; to use it in good conditions with the "3 rules". When to use HBPM during pregnancy? To confirm the diagnosis of hypertension; to monitor BP during p...
Source: Presse Medicale - May 18, 2016 Category: Journals (General) Authors: Denolle T Tags: Presse Med Source Type: research

Management of anaphylactic shock in the operating room.
ois D Abstract Diagnosis of anaphylactic shock occurring during anesthesia is challenging because of altered clinical signs and confounding diagnoses (e.g. arterial hypotension). A major sign of clinical severity in the presence of arterial hypotension is a low end-tidal CO2 concentration (below 20mmHg). Acute hemoconcentration (increase of hemoglobin concentrations) is highly suggestive of vascular leak triggered by anaphylactic shock. Guidelines for management of anaphylactic shock occurring during anesthesia are based on withdrawal of the suspected allergen, airway control, increased cardiac preload by the Tren...
Source: Presse Medicale - May 18, 2016 Category: Journals (General) Authors: Gouel-Chéron A, Harpan A, Mertes PM, Longrois D Tags: Presse Med Source Type: research

[Coronary artery disease in women: True specificities to know in order to improve management and outcome].
Abstract Coronary artery disease is the leading death for women in Europe and developed countries. It kills seven times more than breast cancer. The number of deaths from coronary artery disease increase and affects also younger women (
Source: Presse Medicale - May 16, 2016 Category: Journals (General) Authors: Madika AL, Mounier-Vehier C Tags: Presse Med Source Type: research

[Gangrenous ecthyma: Unusual presentation].
PMID: 27184226 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - May 13, 2016 Category: Journals (General) Authors: Rachadi H, Lehlimi M, Benomar S, Chiheb S Tags: Presse Med Source Type: research

[Amelanotic acral melanoma].
PMID: 27184227 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - May 13, 2016 Category: Journals (General) Authors: Rachadi H, Marnissi F, Chiheb S Tags: Presse Med Source Type: research

[Unusual localisation of acquired digital fibrokératoma].
[Unusual localisation of acquired digital fibrokératoma]. Presse Med. 2016 May 12; Authors: Askour M, Kissou A, Hassam B PMID: 27181071 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - May 12, 2016 Category: Journals (General) Authors: Askour M, Kissou A, Hassam B Tags: Presse Med Source Type: research

[Papules on the feet].
PMID: 27181072 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - May 12, 2016 Category: Journals (General) Authors: Kissou A, Askour M, Benzekri L, Znati K, Hassam B Tags: Presse Med Source Type: research

[Persistent neurologic symptoms despite Viperfav(®) antidote treatment after Vipera aspis bite : 2 cases].
[Persistent neurologic symptoms despite Viperfav(®) antidote treatment after Vipera aspis bite : 2 cases]. Presse Med. 2016 May 12; Authors: Schmitt C, Baleine J, Beaupertuis O, Bragança C, Simon N, de Haro L PMID: 27181073 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - May 12, 2016 Category: Journals (General) Authors: Schmitt C, Baleine J, Beaupertuis O, Bragança C, Simon N, de Haro L Tags: Presse Med Source Type: research

Epidemiology of perioperative anaphylaxis.
Abstract Anaphylactic reactions may be either of immune (allergy, usually IgE-mediated, sometimes IgG-mediated) or non-immune origin. The incidence of anaphylactic reactions during anaesthesia varies between countries ranging from 1/1250 to 1/18,600 per procedure. In France, the estimated incidence of allergic reactions is 100.6 [76.2-125.3]/million procedure with a high female predominance (male: 55.4 [42.0-69.0], female: 154.9 [117.2-193.1]). The proportion of IgE-mediated allergic reactions seems to be relatively similar between countries, ranging from 50 to 60%. Substantial geographical variability regarding t...
Source: Presse Medicale - May 12, 2016 Category: Journals (General) Authors: Mertes PM, Volcheck GW, Garvey LH, Takazawa T, Platt PR, Guttormsen AB, Tacquard C Tags: Presse Med Source Type: research

Sjögren's syndrome in association with Crohn's disease.
Sjögren's syndrome in association with Crohn's disease. Presse Med. 2016 May 12; Authors: Kaaniche FM, Allela R, Frikha I, Charfeddine A PMID: 27181075 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - May 12, 2016 Category: Journals (General) Authors: Kaaniche FM, Allela R, Frikha I, Charfeddine A Tags: Presse Med Source Type: research

[Therapeutic education programme for patients with chronic endocrine conditions: Transition from paediatric to adult services].
CONCLUSION: However, we must improve the modalities for including patients in this "transition program". PMID: 27180274 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - May 11, 2016 Category: Journals (General) Authors: Malivoir S, Courtillot C, Bachelot A, Chakhtoura Z, Téjédor I, Touraine P Tags: Presse Med Source Type: research