[Eosinopenia in 2018].
Authors: Gil H, Bouldoires B, Bailly B, Meaux Ruault N, Humbert S, Magy-Bertrand N Abstract Since 1893, eosinopenia is a biological test to help a diagnosis of bacterial infection. Several publications have confirmed this hypothesis, particularly in the intensive care, pneumology and pediatric units. The value of this marker has been identified in vascular cerebral diseases and coronary bypass. Its contribution seems as relevant as procalcitonin, without extra cost. The diagnostic performance of this test was reinforced by a composite score (CIBLE score) that may improve its value in daily routine. Finally, monitor...
Source: Revue de Medecine Interne - December 8, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[A voluminous epigastric mass].
Authors: Elkaoui H, Bouchentouf SM, Ait Ali A, Bounaim A PMID: 30514586 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - December 7, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Hemorrhagic syndrome due to a heparin-like anticoagulant in a patient with systemic lupus erythematosus].
CONCLUSION: This rare anomaly of hemostasis balance has been described in blood cancers and solid cancers. This is the first description of a case associated with an autoimmune connective tissue disorder such as lupus. After one year of follow-up, no diagnosis of blood or solid cancer was made. PMID: 30471875 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - November 27, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[The American opioid overdose crisis: A threat for France?]
Authors: Vodovar D, Langrand J, Tournier N, Mégarbane B Abstract Since the 2000s, a concerning increase in opioid-analgesic-related overdoses and deaths has been reported in the United States. In contrast with opioid overdoses reported in the 80-90s mostly involving heroin, currently it is the misuse of opioid analgesics that is mainly responsible for opioid overdoses. This crisis is related to factors (not limited to the US) which occurred during the 90s and which have led to a broad prescription of opioids in non-cancer pain. In Europe and France, there is (but to a much lesser extent) an increase in ...
Source: Revue de Medecine Interne - November 17, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Biosimilars in France, to understand the stakes in order to use them well].
Authors: Scherlinger M, Pellegrin JL, Germain V, Lazaro E, Duffau P, Schaeverbeke T, FHU ACRONIM PMID: 30396704 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - November 8, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Acute appendicitis of unusual cause].
Authors: Kauffmann P, Bilger L, Baicry F, Bilbault P, Le Borgne P PMID: 30389205 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - November 7, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Uncertainty management and medical skills: A clinical and educational reflexion].
Authors: Belhomme N, Jego P, Pottier P Abstract Uncertainty arises when information is not sufficient to predict the prognosis or the outcome following an intervention. It is omnipresent in medical daily practice, and will follow each practitioner all along his career. The communication or merely even the feeling of uncertainty is frequently perceived as a negative experience. Nevertheless, rather than a sign of weakness, feeling uncertain reflects a dynamic state of self-reassessment which should be experienced by each doctor involved in providing his patients with the best care. Furthermore, uncertainty may lead ...
Source: Revue de Medecine Interne - November 7, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Glucocorticoid sensitive bilateral leg swelling in an 85-year-old woman presenting with polymyalgia rheumatica: A case report].
CONCLUSION: This case, the first to report leg swelling of inflammatory origin in the context of PMR, could indicate an increased vascular permeability caused by inflammation in the elderly. PMID: 30391043 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - November 7, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[A wrist destructive osteoarthropathy].
Authors: Akasbi N, Driouach S, Harzy T PMID: 30385067 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - November 4, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[A muscular calcium pyrophosphate deposition pseudo-abscess: An atypical localization of chondrocalcinosis].
CONCLUSION: Hip chondrocalcinosis is unusual, and the association with intramuscular deposition of calcium pyrophosphate crystals seems extremely rare as we found only four other published cases. A microcrystalline arthritis could have spread from the coxofemoral joint through the iliopsoas bursa and into the muscle. However, the imaging aspect with an abscess and a predominant muscular injury might suggest a mechanism of crystal formation originating directly within the muscle. The outcome was always favourable even if some patients required surgery. PMID: 30348464 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - October 25, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[What place for shared decision making in internal medicine practice?]
Authors: Durieu I, Reynaud Q, Moumjid N PMID: 30348465 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - October 25, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Capillary leak syndrome secondary to decompression sickness: A case report].
DISCUSSION: In DCS, bubbles formation alters the wall of blood vessels and activates complex biochemical mechanisms inducing extravascular protein leakage. The clinical expression of this syndrome is variable, ranging from simple hemoconcentration to hypovolemic shock. Close clinical-biological monitoring of patients with elevated hematocrit with or without hypoalbuminemia is advisable. Early vascular filling with albumin infusion may prevent the occurrence of hypovolemic shock and improve the prognosis. PMID: 30342791 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - October 24, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Diffuse cutaneous lesions].
Authors: Wanvoegbe FA, Turcu A, Lévêque L, Devilliers H, Bach B, Muller G, Bielefeld P, Besancenot JF PMID: 30327162 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - October 19, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Kaposi sarcoma in a patient with ANCA vasculitis requiring hemodialysis].
CONCLUSION: Our case showed that the immunosuppressed state related to multiple factors such as underlying disease, immunosuppressive therapy and hemodialysis may all have contributed to the development of this neoplastic disorder in our patient. PMID: 30316478 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - October 15, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Diffuse lesions].
Authors: Hamitouche F, Lacoste M, Korenbaum C, Galland J PMID: 30309691 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - October 14, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Cervical pain of unusual cause].
Authors: Grasland A, Hiraux E, Mortier E PMID: 30309692 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - October 14, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[A sternal mass].
Authors: Vignes S, Simon L, Fourgeaud C, Benoughidane B PMID: 30301586 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - October 12, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Occupational and non occupational exposure to viral risk].
Authors: de Laroche M, Pelissier G, Noël S, Rouveix E Abstract The transmission of an infectious disease can occur through exposure to blood or other potentially infectious body fluids, particularly in the event of skin-puncture injuries for healthcare workers, and during sexual intercourse. These situations are known as accidental blood exposures and sexual exposures respectively. Combined actions carried out have allowed to significantly reduce risks, either to healthcare professionals (by standard precautions, provision of safety devices, Hepatitis B vaccination made compulsory in the 1990s, antiretroviral ...
Source: Revue de Medecine Interne - October 11, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Acquisition of clinical observation skills by medical students improves with discipline-based teaching. The example of neurological examination].
Authors: Turc G, Terrier B, Bats AS, Ngo C, Ranque B, Calvet D Abstract INTRODUCTION: Since 2014-2015, practical teaching of clinical observation skills for 2nd year medical students at our faculty has been discipline-based; previously, each clinical lecturer had to cover all medical fields. We assessed the impact of this teaching reform on the neurological examination skills of medical students in a before-and-after study. METHODS: Pre-reform 3rd and post-reform 2nd and 3rd year medical students (n=62, n=71 and 52, respectively) had to perform 7 neurological examination items, for which performance criteria ha...
Source: Revue de Medecine Interne - October 8, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Von Willebrand disease].
Authors: Calmette L, Clauser S Abstract Von Willebrand factor is involved in primary hemostasis (adhesion of platelets to subendothelium and platelet aggregation) and acts as the carrier of coagulation factor VIII. Von Willebrand disease, resulting from a quantitative or qualitative defect of this factor, is the most frequent inherited bleeding disorder. It is mainly responsible for symptoms such as mucocutaneous bleeding and excessive bleeding after trauma or invasive procedures, but can also cause gastro-intestinal bleeding or hemarthrosis in the most severe forms of the disease. There are numerous causes of phys...
Source: Revue de Medecine Interne - October 5, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Diffuse pain in a 63-year-old man].
Authors: Bélénotti P, Moureau JP, Vacheret H, Piro J, Vivarrat-Perrin L, Benyamine A, Guilpain P PMID: 30253906 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - September 28, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[The serotonin syndrome: An updated literature review].
Authors: Jurek L, Nourredine M, Megarbane B, d'Amato T, Dorey JM, Rolland B Abstract The serotonin syndrome is a potentially deadly complication resulting from drug adverse effect, drug-drug interaction or overdose involving one or more serotonergic molecules, e.g., antidepressants, psychostimulants and sometimes an "ignored" serotonergic compound. The serotonin syndrome typically consists of a clinical triad including cognitive/behavioral, neurovegetative and neuromuscular features. However, this syndrome is characterized by major clinical heterogeneity, making the diagnosis difficult in practice. Moreov...
Source: Revue de Medecine Interne - September 25, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Lysozyme amyloidosis].
Authors: Scafi M, Valleix S, Benyamine A, Jean E, Harlé JR, Rossi P, Daniel L, Schleinitz N, Granel B Abstract Lysozyme amyloidosis is a non-neuropathic hereditary amyloidosis identified in 1993. About fifty cases of this rare, probably under-diagnosed disease are reported. Lysozyme amyloidosis has a very broad spectrum of clinical manifestations. Sicca syndrome is often the first symptom, preceding the diagnosis by several years. Every part of the digestive tract can be involved with different grades of severity. The hallmark of this amyloidosis is the usually life-threatening spontaneous hepatic rupture. R...
Source: Revue de Medecine Interne - September 25, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Brucellosis with hepatic lesions: A diagnosis to keep in mind].
CONCLUSION: Hepatic abscesses are rare in brucellosis. This infection has to be evoked in patients coming from endemic areas even with atypical manifestations. PMID: 30220441 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - September 19, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Bone epithelioid hemangioendotheliom].
CONCLUSION: No therapeutic behavior is standardized in this uncommon type of cancer. PMID: 30224098 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - September 19, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Ulcerations of the extremities: An unusual manifestation of Beh çet's disease].
CONCLUSION: Linking extremity ulcers with Behçet's disease, though sometimes difficult, is essential for proper management. PMID: 30193781 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - September 9, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Psychosomatic research in 2018: Lost illusions, renewed hopes].
Authors: Consoli SM Abstract A critical analysis of the basic hypotheses of psychosomatic research and the sometimes hasty assertions drawn from the previous works makes it possible to better discern the data confirmed by the most recent works or the most rigorous meta-analyses and to highlight the emerging tracks. If the hypothesis of behavioral patterns specifically related to the risk of certain pathologies seems abandoned, the predictive value of depression in the cardiovascular field, more than in that of oncology, becomes clearer. Negative affect and impaired emotional awareness emerge as two complementary fa...
Source: Revue de Medecine Interne - September 9, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Olmesartan therapy and enteropathy: About two cases and review of the literature].
CONCLUSION: Our case reports underscore that accurate questioning is crucial in diagnostic approach, allowing to make the diagnosis of sprue-like enteropathy related to olmesartan in our patients. Interestingly, particular attention has recently been drawn to the fact that sprue-like disease may be a class effect of angiotensin II receptor blockers; further investigations are warranted to confirm these latter data. PMID: 30174111 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - September 5, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Diabetic papillopathy after intensification of insulin therapy: A case report].
CONCLUSION: There is a risk of diabetic papillopathy associated with the rapid control of blood glucose levels after intensification of insulin therapy, even in diabetic patients without known retinopathy. PMID: 30174112 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - September 5, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Liver diseases and pulmonary vascular disorders].
Authors: Riou M, Jutant EM, Mignard X, Canuet M, Humbert M, Sitbon O, Savale L, Montani D Abstract About 70% patients waiting for liver transplantation have a dyspnea. Two pulmonary vascular disorders can be associated with portal hypertension or chronic liver diseases: portopulmonary hypertension (PoPH) related to pulmonary small arteries remodeling and obstruction and hepatopulmonary syndrome (HPS) characterized by pulmonary capillaries dilatations and proliferations. PoPH is defined by the combination of pulmonary arterial hypertension (PAH) (mean pulmonary artery pressure [PAP]≥25mmHg, with normal pulmonary ...
Source: Revue de Medecine Interne - September 5, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Medication reconciliation in a department of internal medicine and infectious and tropical diseases: Feedback after one year practice].
The objective of this study is to assess the impact of this activity on patients' care after one year of practice. METHODS: All patients who received medication reconciliation between April-October 2015 and June-December 2016 were included in this retrospective study. Undocumented unintentional discrepancies (DNIND) which result from the comparison between the patient's usual treatments and the medication prescribed at admission were collected. Then, a multidisciplinary discussion was initiated to correct them. The gravity of each DNIND was determined a posteriori. RESULTS: A statistical comparison between the two ...
Source: Revue de Medecine Interne - September 4, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Aneurysm of the portal venous system: A rare and unknown pathology].
CONCLUSION: Portal vein aneurysms are often asymptomatic and an incidental finding. Monitoring is recommended because of their potential complications (thrombosis, rupture of aneurysm, portal hypertension, adjacent organs compression), annually if asymptomatic or more frequently with sometimes a surgical management in case of clinical manifestations. PMID: 30146175 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - August 29, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Anemia in a 35  year-old woman].
[Anemia in a 35 year-old woman]. Rev Med Interne. 2018 Aug 16;: Authors: Monseau G, Savoye B, Maigné G, de Boysson H, Baldolli A, Verdon R, Aouba A, Richier Q, Roeser A, Salaun K, Nguekap O PMID: 30122259 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - August 22, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Upper-extremity venous thrombosis: A retrospective study about 160  cases].
CONCLUSION: An endovenous device was involved in 92.5 % of cases of ULVT. The prevalence of symptomatic PE was low. Hematological malignancies, sepsis and neoplasia were the most common conditions present in patients with ULVT. PMID: 30122260 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - August 22, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

Une sarco ïdose sous tocilizumab : à propos d’un cas.
Une sarcoïdose sous tocilizumab : à propos d’un cas. Rev Med Interne. 2018 Aug 09;: Authors: N'guyen Van Thanh Dit Bayard J, Glanowski C, Clouzeau A, Bialé L, Banal F, Lechevalier D PMID: 30100100 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - August 15, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Educational assessment of the first computerized national ranking exam in France in 2016: Opportunities for improvement].
Authors: Rivière E, Quinton A, Neau D, Constans J, Vignes JR, Dehail P Abstract In June 2016, 8124 medical students in their sixth year of graduation passed the first computerized national ranking exam (CNRE) in France after which they will have to choose what medical specialty they will be practicing all their life. We conducted the first educational assessment of this CNRE according to two criteria: the relevance of the questions and the cognitive domain mainly required to answer these questions. We propose two improvements for the future CNRE: promote student reasoning in the multiple choices questio...
Source: Revue de Medecine Interne - August 12, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Use of pocket-sized ultrasound in internal medicine (hospitalist) practice: Feedback and perspectives].
CONCLUSION: Pocket-sized ultrasound device could be used in internal medicine wards. However, its limited performance compared to more sophisticated echography limits the possible explorations and their reliability, which encourages caution and makes critical the question of the initial training of doctors and medical students. PMID: 30078545 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - August 8, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Hughes-Stovin syndrome: About one case in a young man with recurrent thrombosis and pulmonary artery aneurysm and literature review].
CONCLUSION: Hughes-Stovin syndrome requires immediate therapeutic decision, with an important risk of the anticoagulation. High dose steroids and in most cases, intensive immunosuppressive therapies are required such as cyclophosphamide. PMID: 30061011 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - August 2, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Abdominal pain and weight loss in a 64 year-old woman].
Authors: Outh R, Fayard D, Aumaître O, André M, Cohen-Aubart F, Lhote R PMID: 30057211 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - July 31, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Fever associated with lips and eyelid edema in a 16 year-old woman].
Authors: Ponsoye M, Trad S, Tron A, Vanjak A, Hanslik T, Pugnet G PMID: 30054109 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - July 30, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[A perirenal mass].
Authors: Souissi B, Kammoun O, Kardoun N, Kammoun B, Khabir A PMID: 30055819 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - July 30, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Epidemiology of systemic lupus erythematosus in Reunion Island, Indian Ocean: A case-series in adult patients from a University Hospital].
CONCLUSION: Lupus in the multi-ethnic population of Reunion Island is characterized by high incidence and high rates of articular and renal manifestations, as well as anti-ENA antibodies. PMID: 30041816 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - July 27, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Aging of the immune system: From fundamental to clinical data].
The objective of this review is to provide an overview of the literature (from fundamental to clinical observations) to draw a global picture of immunosenescence. Understanding this process could enable us to target fundamental age-related pathways and thus open new avenues in improving both lifespan and health span. PMID: 30041817 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - July 27, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Thiamine-responsive megaloblastic anemia or Rogers syndrome: A literature review].
Authors: Lu H, Lu H, Vaucher J, Tran C, Vollenweider P, Castioni J Abstract Thiamine-responsive megaloblastic anemia (TRMA), also known as Rogers syndrome, is a rare autosomal recessive disease characterized by three main components: megaloblastic anemia, diabetes mellitus and sensorineural deafness. Those features occur in infancy but may arise during adolescence. Diagnosis relies on uncovering genetic variations (alleles) in the SLC19A2 gene, encoding for a high affinity thiamine transporter. This transporter is essentially present in hematopoietic stem cells, pancreatic beta cells and inner ear cells, explaining...
Source: Revue de Medecine Interne - July 24, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Neurologic disorders and Hepatitis E: Review of literature].
CONCLUSION: Hepatitis E seems to be associated with acute, wide neurological disorders. These data should be confirmed with a long term prospective study. PMID: 30033188 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - July 24, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Retinal vein occlusion in a young patient: Where does intraocular hypertension come from?]
CONCLUSION: Cardiovascular assessment is recommended in the investigation of CRVO. Furthermore, especially in young patients, a situation causing an increase of intraocular pressure as the practice of yoga with taking reverse "head down" body positions or even repeated vomiting efforts may be the cause of slower circulation of blood flow in the retinal veins. PMID: 29983207 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - July 10, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Diffuse calcifications].
Authors: Ben Salah R, Frikha F, Bouattour Y, Feki W, Mnif Z, Bahloul Z PMID: 29983208 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - July 10, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Chronic intestinal pseudo-obstruction in adults].
Authors: Egal A, Jouët P, Lamarque D Abstract Chronic intestinal pseudo-obstruction is a rare disease stemming from numerous causes characterized by disturbances in gastrointestinal motility. Symptomatology is often misleading and topography is variable, thus putting the clinician in serious difficulty. Diagnosis is based on a body of arguments, ranging from the clinical examination to surgical biopsies in expert centers. Treatment is non-consensual and mostly symptomatic. It is based on the use of prokinetics and optimal nutritional support. In the most serious cases, surgery can be required. The etiological ...
Source: Revue de Medecine Interne - June 27, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[How to minimize the risk of infection in systemic lupus erythematosus?]
Authors: Costedoat-Chalumeau N, Groh M, Piette JC, Launay O PMID: 29937299 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - June 27, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Retinal vasculitis and systemic diseases].
Authors: Gascon P, Jarrot PA, Matonti F, Kaplanski G Abstract Retinal vasculitis (RV) is an inflammation of retinal blood vessels that can be associated with uveitis or be isolated, and can induce vascular occlusion and retinal ischemia. Visual acuity can be severely affected in case of macular involvement or neovessel formation. The diagnosis relies on fundoscopy and fluorescein angiography. Systemic diseases may be associated with RV, the most frequently encountered are Behçet's disease, sarcoidosis or multiple sclerosis, all predominantly associated with venous involvement, whereas systemic lupus erythema...
Source: Revue de Medecine Interne - June 24, 2018 Category: Internal Medicine Tags: Rev Med Interne Source Type: research