[Lipsch ütz acute genital ulcer].
[Lipschütz acute genital ulcer]. Presse Med. 2019 Sep 19;: Authors: Elkhachine Y, Sakkah A, Jakar A, Elhaouri M, Elbenaye J PMID: 31543389 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - September 19, 2019 Category: General Medicine Authors: Elkhachine Y, Sakkah A, Jakar A, Elhaouri M, Elbenaye J Tags: Presse Med Source Type: research

Guillain-Barr é syndrome in AIDS patient secondary to an acute and confirmed hepatitis C virus.
Guillain-Barré syndrome in AIDS patient secondary to an acute and confirmed hepatitis C virus. Presse Med. 2019 Sep 19;: Authors: Belbézier A, Bosseray A, Colombe B, Leroy V, Leclercq P, Bouillet L PMID: 31543390 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - September 19, 2019 Category: General Medicine Authors: Belbézier A, Bosseray A, Colombe B, Leroy V, Leclercq P, Bouillet L Tags: Presse Med Source Type: research

Nutmeg poisoning: Ten years (2008-2018) of experience from the Marseille Poison Control Center.
PMID: 31543391 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - September 19, 2019 Category: General Medicine Authors: Reynoard J, Torrents R, Domange B, Glaizal M, de Haro L, Simon N Tags: Presse Med Source Type: research

Gastric ulcerated stromal tumor revealed by anemia.
PMID: 31543392 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - September 19, 2019 Category: General Medicine Authors: Sabbah M, Trad D, Jouini R, Ouakaa A, Gargouri D Tags: Presse Med Source Type: research

Penile intraepithelial neoplasia developed on HPV-6 urethral condyloma.
PMID: 31543393 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - September 19, 2019 Category: General Medicine Authors: Chabchoub I, Rabhi F, Youssef S, Jaber K, Dhaoui MA Tags: Presse Med Source Type: research

[Physiopathology of giant cell arteritis: From inflammation to vascular remodeling].
hon L Abstract Giant cell arteritis (GCA) is a large-vessel vasculitis involving the aorta and its main branches, especially supra aortic branches. Although much progress has been made, the pathophysiology remains incompletely understood. An initial trigger, suspected of infectious origin, lead to the maturation and recruitment of dendritic cells (DC). The lack of migration of these DC allows the local recruitment of T-lymphocytes (LT). These LT- CD4+ polarize in Type 1 helper (Th1), Th17 but also Th9. A qualitative and quantitative deficit in regulatory T cells (Treg) is observed under the influence of IL-21 over...
Source: Presse Medicale - September 19, 2019 Category: General Medicine Authors: Régent A, Ly KH, Mouthon L Tags: Presse Med Source Type: research

[Taeniasis and enterocystoplasty].
PMID: 31543395 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - September 19, 2019 Category: General Medicine Authors: Louardi N, Elbahri A, Alami M, Ameur A Tags: Presse Med Source Type: research

Attitudes towards homosexuality in a sample of health professionals from the region of Sfax, Tunisia.
PMID: 31542195 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - September 18, 2019 Category: General Medicine Authors: Ben Thabet J, Smaoui N, Hajbi K, Maalej Bouali M, Charfi N, Maalej M Tags: Presse Med Source Type: research

[Gayet-Wernicke's encephalopathy after bariatric surgery].
PMID: 31473023 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - August 28, 2019 Category: General Medicine Authors: Benichou A, Buscot M, Boyer S, Hyvernat H, Doyen D, Dellamonica J Tags: Presse Med Source Type: research

[Sleep disorders and their treatment in post-traumatic stress disorder].
Abstract Subjects suffering from post-traumatic stress disorder present sleeping disorders like a chronic insomnia, traumatic nightmares, but also less expected, sleep breathing disorders. Sleep problems are a factor of development and maintenance of PTSD, but also a factor of resistance to treatment. After a therapy focused on PTSD, they represent frequent residual symptoms. It is necessary to couple, with the usual management of PTSD, targeted approaches for sleep problems. These targeted approaches allow an improvement of the nocturnal properties but also diurnal specific symptoms of PTSD. Stakes around primary...
Source: Presse Medicale - August 28, 2019 Category: General Medicine Authors: Mascarel P, Poirot I, Lardinois M, Debien C, Vaiva G Tags: Presse Med Source Type: research

[HTA and non-hormonal menopause treatment].
Abstract Serotonin reuptake inhibitors, clonidine, gabapentin and pregabalin have shown moderate efficacy in menopausal disorders. The effect of phytoestrogens is reported to be modest, but the side effects are not well known. PMID: 31473025 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - August 28, 2019 Category: General Medicine Authors: Boivin JM Tags: Presse Med Source Type: research

[Myalgia and statins: Separating the true from the false].
ad JJ Abstract In therapeutic trials, the incidence of adverse muscle effects under statin is low, exceptional for some authors,
Source: Presse Medicale - August 28, 2019 Category: General Medicine Authors: Blacher J, Bruckert E, Farnier M, Ferrières J, Henry P, Krempf M, Mourad JJ Tags: Presse Med Source Type: research

[Spironolactone in resistant essential hypertension].
Abstract Resistant hypertension is defined as uncontrolled blood pressure (BP) despite three antihypertensive agents including a diuretic (thiazide diuretic if renal function is normal or loop diuretic in case of chronic kidney disease with eGFR
Source: Presse Medicale - August 28, 2019 Category: General Medicine Authors: Lorthioir A, Belmihoub I, Fouassier D, Azizi M, Amar L Tags: Presse Med Source Type: research

[The Childhood Asthma Control Test improves the therapeutic adaptations recommended for asthmatics aged 6 to 11 years in primary practice. A Randomized comparative prospective study].
CONCLUSION: The use in primary care of C-ACT should allow a better assessment of asthma control and adaptation of treatment in children. PMID: 31473028 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - August 28, 2019 Category: General Medicine Authors: Perron G, Garcia M, Carbonnel F, Trebuchon F, Daures JP, Amouyal M, Demoly P, Costa D Tags: Presse Med Source Type: research

[Ineffective esophageal motility].
Abstract Ineffective esophageal motility is the most frequent esophageal motility disorder. It is currently defined by 50% or more ineffective esophageal contractions and a normal lower esophageal sphincter relaxation on high-resolution esophageal manometry. Although reported in patients without symptoms, it is typically associated with gastro-esophageal reflux disease, and might be a consequence of the reflux. Ineffective esophageal motility can account for a certain degree of dysphagia, and is associated with a more severe gastroesophageal reflux. Todate, no specific endoscopic or pharmacologic treatment is avai...
Source: Presse Medicale - August 27, 2019 Category: General Medicine Authors: Leandri C, Guillaumot MA, Dohan A, Leconte M, Coriat R, Chaussade S, Barret M Tags: Presse Med Source Type: research

[ECG in sportsmen: Distinguishing the normal from the pathological].
Abstract An ECG is recommended by the French Society of Cardiology in the screening of a competitive athlete. An intense and prolonged physical activity (>4 hours of intense sport/week) can lead to a physiological electric remodeling. In addition to physical activity (type, intensity, duration), the ECG should be interpreted according to the athlete's ethnicity and age. It is necessary to know the physiological modifications related to sport practice to avoid either false reassurances or the realization of unjustified additional examinations because of a wrong interpretation. The latest athlete ECG classificati...
Source: Presse Medicale - August 27, 2019 Category: General Medicine Authors: Schnell F Tags: Presse Med Source Type: research

[Malignant hypertension: A bright future].
Abstract Malignant hypertension has not disappeared, it has been forgotten. Its incidence is increasing again. It considerably worsens the prognosis of young patients (35 to 55 years old on average). There might be susceptibility factors, several hypotheses are under study. New diagnostic criteria and therapeutic options have been proposed and will have to be validated. Faced with these important challenges for patients, the first prospective multicentric register on this pathology will be set up in France in September 2019. PMID: 31471092 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - August 27, 2019 Category: General Medicine Authors: Boulestreau R, Cremer A, Lorthioir A, Rubin S, Tharaux PL, Persu A, Halimi JM, Gosse P Tags: Presse Med Source Type: research

Breast pyoderma gangrenosum.
PMID: 31471093 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - August 27, 2019 Category: General Medicine Authors: Zaouak A, Chamli A, Boufarguine S, Hammami H, Fenniche S Tags: Presse Med Source Type: research

[Thyroid tumors in the adult revealed by unilateral laryngeal paralysis].
Abstract GOAL: To analyze the characteristic of thyroid tumor associated with ipsilateral unilateral laryngeal paralysis (ULP) in the adult patient. MATERIALS AND METHODS: Retrospective analysis of a cohort of 30 patients with ULP related to an ipsilateral thyroid tumor (group A) and comparison with a cohort of 99 patients in whom ULP revealed a non-thyroid tumor (group B). RESULTS: Group A consisted of 66.6% of women with a mean age of 69 years. Comparison between both groups noted that female gender was more frequent in group A (66.6% vs. 17.1%, P
Source: Presse Medicale - August 27, 2019 Category: General Medicine Authors: Alciato L, Rubin F, Villeneuve A, La Croix C, Bonfils P, Laccourreye O Tags: Presse Med Source Type: research

Patch granuloma annulare of the legs.
PMID: 31471095 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - August 27, 2019 Category: General Medicine Authors: Zaouak A, Chamli A, Jouini R, Hammami H, Fenniche S Tags: Presse Med Source Type: research

[The additional value of imaging (excluding Doppler) for the diagnosis and follow-up of giant cell arteritis].
Abstract Since 2000, imaging is frequently used for the diagnosis and follow-up of giant cell arteritis (GCA). At diagnosis, the demonstration on imaging of an involvement of the temporal arteries is useful to guide the temporal artery biopsy, or, sometimes, to replace it. Large-vessel imaging is nowadays currently performed as some studies indicate that 30 to 80% of patients might demonstrate involvement of the aorta and its branches, often silently. Aorta CT angiography, positron emission tomography or magnetic resonance angiography show a high sensibility to detect large-vessel inflammation, and have become in ...
Source: Presse Medicale - August 27, 2019 Category: General Medicine Authors: de Boysson H, Aouba A Tags: Presse Med Source Type: research

Generalized pustular psoriasis induced by terbinafine.
PMID: 31466877 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - August 26, 2019 Category: General Medicine Authors: Zaouak A, Chamli A, Koubaa W, Hammami H, Fenniche S Tags: Presse Med Source Type: research

[Hairy cell leukemia].
Abstract Hairy cell leukemia (HCL) is a well-defined entity. Proliferation with hair cells, morphological aspects of hairy cells are easy to identify. Hairy cells express markers CD11c, CD25, CD103 and CD123. In 80% of cases, a BRAFV600E mutation is highlighted. In the absence of a BRAFV600E mutation, the differential diagnosis with other hair cell proliferations can be difficult, especially with the variant form of hairy leukemia, diffuse lymphoma of the red pulp of the spleen or splenic lymphoma of the marginal zone. Purine analogues (PNA) with or without anti-CD20 antibodies remain the first-line reference trea...
Source: Presse Medicale - August 22, 2019 Category: General Medicine Authors: Maitre E, Wiber M, Cornet E, Troussard X Tags: Presse Med Source Type: research

Actualit és dans les lymphomes à petites cellules non folliculaires.
Actualités dans les lymphomes à petites cellules non folliculaires. Presse Med. 2019 Aug 22;: Authors: Sarkozy C, Salles G Abstract Non-follicular small cell lymphomas include several entities whose clinical and pathological descriptions have been refined in the last 20 years. MALT lymphoma, developed at the expense of lymphoid tissue associated with the mucosa, is usually localized to a given organ, but can also disseminate. Some patients with MALT lymphoma can be treated by eradicating the associated infectious agent, whereas local treatment should be preferred for other cases ; d...
Source: Presse Medicale - August 22, 2019 Category: General Medicine Authors: Sarkozy C, Salles G Tags: Presse Med Source Type: research

[Chronic lymphocytic leukemia].
Abstract Chronic lymphocytic leukemia is the most frequent adult leukemia. Eighty per cent of the patients are asymptomatic at diagnosis and 30% of the patients will be never treated. The diagnosis is based on the blood smear examination and immunophenotyping by flow cytometry of blood lymphocytes. The first line option is immunochemotherapy in 90% of the patients without genetic abnormalities associated with chemo resistance. The use of new compounds targeting different pathways is more frequent especially in relapsing patients and could be an alternative to the chemotherapy in the future. Asymptomatic patients w...
Source: Presse Medicale - August 22, 2019 Category: General Medicine Authors: Jacque N, Leblond V Tags: Presse Med Source Type: research

Percutaneous image-guided ablation: From techniques to treatments.
Abstract Image-guided ablation is performed by percutaneously introducing ablation probes to deliver energy into a tumor to destroy it in a controlled and localized fashion. Ablation modalities can be broadly classified as thermal or non-thermal based on the mechanism of tumor destruction and are performed using different types of image guidance for planning, delivering and follow-up of the treatment. Ablation is performed in a minimally invasive fashion, providing greater residual organ preservation with minimal morbidity to the patient. Image-guided ablation is being used in the clinic for the treatment of prima...
Source: Presse Medicale - August 22, 2019 Category: General Medicine Authors: Ridouani F, Srimathveeravalli G Tags: Presse Med Source Type: research

[Follicular lymphoma: An update].
Abstract Follicular lymphoma, the second most common lymphoma, is characterized by its slow growth and is often considered incurable in advanced stages. Progresses in biology have contributed to better understand the complex and successive mechanisms of development of this pathology, whose diagnosis is based on a lymph node biopsy. However, the prognosis of the patients is heterogeneous and several indexes have been proposed to identify groups of patients with a similar life expectancy, in order to guide the therapeutic choices. The treatment has been modified in the last 20 years by the emergence of anti-CD20 mon...
Source: Presse Medicale - August 22, 2019 Category: General Medicine Authors: Sujobert P, Salles G Tags: Presse Med Source Type: research

[Histopathological classification of chronic B-lymphoproliferative disorders].
Abstract Chronic lymphoproliferative disorders should be classified according to the revised 2016 WHO classification. Biopsies are not mandatory for all chronic lymphoproliferative disorders as blood or bone marrow cytologroachical approach can be sufficient for some lymphoma entities. Diagnostic is based on a multidiscplinary approach taking into account clinical presentation, histopathological, cytological, immunophenotypical features (immunohistochemistry and Flow cytometry) and molecular pattern (translocation by FISH, Mutations landscape by NGS, and genomic abnormalities by CGH array). An important heter...
Source: Presse Medicale - August 22, 2019 Category: General Medicine Authors: Bontoux C, Bruneau J, Molina TJ Tags: Presse Med Source Type: research

Interventional Oncology: A new pillar for a comprehensive cancer care.
PMID: 31447336 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - August 22, 2019 Category: General Medicine Authors: Cornelis FH, Lotz JP Tags: Presse Med Source Type: research

[Multiple myeloma: New criteria for diagnosis and treatment, strong therapeutic hopes].
Abstract Diagnosis criteria have been revised in 2014 and allow the treatment of some asymptomatic patients. Since 2015, a new prognostic score includes tumor plasma cells chromosomal abnormalities. It helps in the distinction between "standard risk" and "high risk" myelomas. Scanner, MRI and Pet Scan are the radiological reference exams to evaluate bone involvement. Alkylating agents, immunomodulators, proteasome inhibitors, and monoclonal antibodies became the most important antitumoral treatments. Risk notion will become more and more important for therapeutic choices. These choices will dep...
Source: Presse Medicale - August 22, 2019 Category: General Medicine Authors: Manier S, de Charette de la Contrie M, Hieulle J, Daniel A, Facon T Tags: Presse Med Source Type: research

Interventional oncologic procedures for pain palliation.
Abstract Cancer patients quite commonly will report different types of pain associated with the disease substrate. Systemic analgesia and radiotherapy provide only partial pain relief in the majority of these patients. Interventional Oncology techniques for pain management and mobility improvement in cancer patients include percutaneous techniques such as neurolysis, ablation and augmentation (both in the spine and peripheral skeleton) as well as trans-arterial embolization. Percutaneous neurolysis acts indirectly providing regional anesthesia whilst the rest of the aforementioned techniques act directly upon the ...
Source: Presse Medicale - August 22, 2019 Category: General Medicine Authors: Filippiadis DK, Cornelis FH, Kelekis A Tags: Presse Med Source Type: research

Percutaneous image-guided therapies of primary liver tumors: Techniques and outcomes.
Abstract Embolization and percutaneous ablations became well-established therapeutic options for hepatocellular carcinomas (HCC). All are performed under minimally invasive conditions using imaging guidance. Selection of a technique over another follows guidelines but also patient's status and availability of the techniques. The aim of this review is to present these techniques performed in routine to treat HCC and to report the outcomes. PMID: 31445698 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - August 21, 2019 Category: General Medicine Authors: Ben Ammar M, Nouri-Neuville M, Cornelis FH Tags: Presse Med Source Type: research

Percutaneous image-guided renal ablations: Current evidences for long-term oncologic efficacy.
Abstract The rise in incidentally discovered small renal neoplasms has focused attention on nephron-sparing treatment strategies including partial nephrectomy and percutaneous ablation as well as active surveillance. As all treatment modality, renal ablation has matured technically. Radiofrequency ablation, microwave ablation or cryoablation are now performed in many institutions under imaging guidance. The long-term results allow them to be now recommended as a therapeutic option whatever the patients' condition if complete ablation can reliably be achieved. PMID: 31445699 [PubMed - as supplied by publisher]...
Source: Presse Medicale - August 21, 2019 Category: General Medicine Authors: Nouri-Neuville M, Ben Ammar M, Cornelis FH Tags: Presse Med Source Type: research

[Waldenstr öm macroglobulinaemia].
[Waldenström macroglobulinaemia]. Presse Med. 2019 Aug 20;: Authors: Tomowiak C, Poulain S, Debiais C, Guidez S, Leleu X Abstract Lymphoplasmocytic lymphona with monoclonal lgM, rare. Median age at diagnosis 70 years old, frail population. Heterogenous clinic presentation. Molecular diagnosis with MYD88. Treatment required for symptomatic WM patients only. 1st line therapy: DRC. Input of targeted therapies (ibrutinib) for frail patients, maintenance effect. PMID: 31444019 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - August 20, 2019 Category: General Medicine Authors: Tomowiak C, Poulain S, Debiais C, Guidez S, Leleu X Tags: Presse Med Source Type: research

[Biological diagnosis of mature B cell malignancies].
Abstract Diagnosis of mature B cell malignancies is highly multidisciplinary. Biological tools provide diagnostic, prognostic and theranostic information. Biological hematology allows considering mature B cell diseases from two perspectives : cellular and molecular approaches. Cytomorphology and flow cytometry are tools from cell hematology. Conventional cytogenetics, FISH and molecular biology are tools from molecular hematology. NGS is a new technique that could dramatically change diagnostic and therapeutic management of B cell malignancies in the near future. Integration of clinical, pathological and biol...
Source: Presse Medicale - August 19, 2019 Category: General Medicine Authors: Kaltenbach S, Lhermitte L Tags: Presse Med Source Type: research

[Chronic B-lympho-proliferative disorders].
PMID: 31439444 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - August 19, 2019 Category: General Medicine Authors: Varet B Tags: Presse Med Source Type: research

Difficulties in providing palliative care in identified palliative care beds: An exploratory survey.
Abstract AIM: Identified Palliative Care Beds (Lits Identifiés Soins Palliatifs - LISPs) is a French specificity. Primarily created to integrate palliative care culture into conventional hospital units, the relevance of this measure became a controversial issue. Nowadays, hospital teams continue to frequently encounter complex situations regarding medical care for palliative patients. To the best of our knowledge, there is only one study, a quantitative one, bridging the gap about that subject. It showed failure in practicing palliative care work around LISP. Our study is based on a qualitative method that ...
Source: Presse Medicale - August 14, 2019 Category: General Medicine Authors: Calvel L, Blondet LV, Chedotal I, Grosshans D, Lefebvre F, Mounier G, Mangin E, Kopferschmitt MC Tags: Presse Med Source Type: research

[Torticollis in children: Do not ignore an atlantoaxial rotatory fixation].
PMID: 31399241 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - August 6, 2019 Category: General Medicine Authors: Gouron R, Tallineau A, Haraux E, Klein C Tags: Presse Med Source Type: research

A tale of an acute erosive balanitis.
PMID: 31383382 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - August 2, 2019 Category: General Medicine Authors: Zaouak A, Chamli A, Hammami H, Fenniche S Tags: Presse Med Source Type: research

[Simulation-based interprofessional education for critical care teams: Concept, implementation and assessment].
rts T Abstract Interprofessional simulation-based education is effective for learning non-technical critical care skills and strengthening interprofessional team collaboration to optimize quality of care and patient outcome. Implementation of interprofessional simulation sessions in initial and continuing education is facilitated by a team of "champions" from each discipline/profession to ensure educational quality and logistics. Interprofessional simulation training must be integrated into a broader interprofessional curriculum supported by managers, administrators and clinical colleagues from different...
Source: Presse Medicale - August 2, 2019 Category: General Medicine Authors: Houzé-Cerfon CH, Boet S, Marhar F, Saint-Jean M, Geeraerts T Tags: Presse Med Source Type: research

[A summer flu …].
[A summer flu…]. Presse Med. 2019 Aug 02;: Authors: Chianea H, Carbonnel N PMID: 31383384 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - August 2, 2019 Category: General Medicine Authors: Chianea H, Carbonnel N Tags: Presse Med Source Type: research

[Aortitis in giant cell arteritis: Diagnosis, prognosis and treatment].
Abstract Aortitis, defined by aortic parietal thickening, is noted in about 50% of patients with giant cell arteritis (GCA). Aortic structural lesions, ectasia or aneurism, may occur with or without inflammatory aspect of the aorta, sometimes since the diagnosis of GCA, but more frequently during follow-up. Assessment of aortic involvement, which has to be searched in each patient at the diagnosis of GCA, can be assessed using aortic imaging, angio-CT, angio-MRI or PET-CT. Prognosis of aortitis and its complications remains poorly known, but mortality due to serious events like aneurism rupture or aortic dissectio...
Source: Presse Medicale - July 18, 2019 Category: General Medicine Authors: Enfrein A, Espitia O, Bonnard G, Agard C Tags: Presse Med Source Type: research

[Contribution of Doppler ultrasound for the diagnosis of giant cell arteritis].
Abstract Ultrasound is a useful imaging modality for the diagnosis of giant cell arteritis. Ultrasound of temporal arteries is recommended as the first imaging modality in patients with suspected predominantly cranial giant cell arteritis. The thickening of the arterial wall (halo sign) is the ultrasound finding most suggestive of giant cell arteritis. In patients in whom there is a high clinical suspicion of giant cell arteritis and a halo sign, the diagnosis of giant cell arteritis may be made without temporal artery biopsy. PMID: 31327543 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - July 18, 2019 Category: General Medicine Authors: Rinagel M, Chatelus E, Arnaud L, Jousse-Joulin S Tags: Presse Med Source Type: research

[Myocardial infarction in young patient: Epidemiological specificities and risk factors].
Abstract There is no precise definition of premature coronary artery disease, which is reported most often before the age of 40-50 years. The majority of these patients have at least one of the following three risk factors : male sex, active smoking, and/or premature coronary artery disease. In 2/3 cases, young patients have a ST-elevation myocardial infarction. Cases of coronary dissection are also reported (especially in women in 40aine). There is no specific management. The long-term prognosis is most often pejorative because of a progressive atheroma. PMID: 31327544 [PubMed - as supplied by publisher...
Source: Presse Medicale - July 18, 2019 Category: General Medicine Authors: Tea V, Danchin N, Puymirat E Tags: Presse Med Source Type: research

[Treatment of giant cell arteritis].
tte B Abstract Glucocorticoids (GC) remain the gold standard of the treatment of giant cell arteritis provided objectives of GC-tapering are accurately followed: 15 to 20mg/day at 3 months, 10mg/day at 6 months, 5mg/day at 9-12 months and withdrawal between 12 and 18 months. In case of corticodependance at ≥7.5 mg/day of prednisone or intolerance to GC, a GCsparing therapy has to be introduced, mainly methotrexate or tocilizumab. Individual characteristics of each patient, data about the efficacy of the treatment, its cost and how easy the follow-up under this treatment is are...
Source: Presse Medicale - July 16, 2019 Category: General Medicine Authors: Samson M, Greigert H, Ghesquière T, Bonnotte B Tags: Presse Med Source Type: research

[French prisons and infectious risk: The urgent need to scale-up harm reduction interventions].
PMID: 31307877 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - July 12, 2019 Category: General Medicine Authors: Michel L, Jauffret-Roustide M Tags: Presse Med Source Type: research

[HPV: Carcinogenic implications and preventive measures].
né N Abstract Human oncogenic papillomaviruses (HPV) have an increasingly prominent role in the genesis of many cancers. The oncogenic mechanisms associated with HPV are now better known and make it possible to explain the etiopathogenesis of the association. HPV status is now sought for certain cancers and conditions both prognosis and management of patients. Preventive antiviral vaccination has become a real public health issue and aims to effectively reduce the prevalence of cervical, anal and oropharynx cancer, HPV-associated. However, vaccination against HPV still lags behind. The purpose of this revie...
Source: Presse Medicale - July 12, 2019 Category: General Medicine Authors: Bernichon E, Espenel S, Méry B, Trone JC, Rehalia-Blanchard A, He YM, Rancoule C, Magné N Tags: Presse Med Source Type: research

[Lifestyle and hypertension in women, specific aspects of non-drug treatment].
Abstract Lifestyle has worsened in women during the last three decades. This is particularly true for smoking, alcohol, and exercise. An inappropriate lifestyle increases cardiovascular risk. Lifestyle changes are more difficult to achieve in women than in men for several reasons, that may be complex: cultural, family-related… These reasons should be identified to be more efficient. The need for implementing lifestyle changes should be promoted both in the general population and in healthcare professionals to improve women health. In this respect, all medical contacts should be used to promote a healthy lif...
Source: Presse Medicale - July 12, 2019 Category: General Medicine Authors: Lantelme P Tags: Presse Med Source Type: research

General practitioners training about suicide prevention and risk: A systematic review of literature.
CONCLUSION: If reaching standardized training practices seems difficult to achieve, standardizing assessment tools might be a relevant purpose. Indeed, using the same tools would allow proper training comparison. Practically speaking, this review inspired us in the implementation of in situ training and convincing us to undertake a French translation of an assessment scale. PMID: 31303371 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - July 11, 2019 Category: General Medicine Authors: Audouard-Marzin Y, Kopp-Bigault C, Scouarnec P, Walter M Tags: Presse Med Source Type: research

[Sexual dysfunction and antihypertensive treatment: Involvement of the different therapeutic classes and what to do about the treatment of hypertension].
Abstract Erectile dysfunction (ED) is not routinely discussed with patients in cardiology practices whereas it may impact the ability of patients to stay on therapy. Most of the studies about ED and antihypertensive therapies have several methodological limitations. Diuretics and beta-blockers have been shown to have a deleterious effect on ED. ISRA inhibitors, calcium antagonists, vasodilator beta-blockers and alpha-blockers have been shown to have a neutral impact on ED. Angiotensin 2 inhibitors, nebivolol and alpha-blockers use has sometimes beneficial effect on ED. In case of ED due to antihypertensive treatme...
Source: Presse Medicale - July 11, 2019 Category: General Medicine Authors: Bouhanick B, Blacher J, Huyghe E, Colson MH, Boivin JM, Mounier-Vehier C, Denolle T, Fauvel JP Tags: Presse Med Source Type: research