[Acute arterial thrombosis in a context of hyperhomocysteinemia: Case report and literature review].
CONCLUSION: Major hyperhomocysteinemia seems to be associated with an increased risk of acute arterial thrombosis. This marker might be considered in nutritional deficiency situations with appropriate support on the vascular, metabolic and nutrition level. PMID: 27842952 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - November 17, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Usefulness of different techniques of blood pressure measurements in 2016].
Authors: Le Jeune S, Pointeau O, Hube C, Lopez-Sublet M, Giroux-Leprieur B, Dhote R, Mourad JJ Abstract The management of hypertensive patients is greatly influenced by blood pressure levels and accurate measurement of blood pressure is crucial in this context. Mercury sphygmomanometer has been progressively replaced by more precise oscillometric devices that can be widely used in the clinic and ambulatory setting. The purpose of this review was to detail the different methods for evaluating blood pressure, and to refine their indications and clinical benefit. Office blood pressure measurement has a great variabili...
Source: Revue de Medecine Interne - November 15, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Infectious events during the course of autoimmune diseases treated with rituximab: A retrospective study of 93  cases].
[Infectious events during the course of autoimmune diseases treated with rituximab: A retrospective study of 93 cases]. Rev Med Interne. 2016 Nov 8;: Authors: Catroux M, Lauda-Maillen M, Pathe M, De Boisgrollier de Ruolz AC, Cazenave-Roblot F, Roblot P, Souchaud-Debouverie O Abstract OBJECTIVE: Describe the occurring infections in patients treated with rituximab for an autoimmune disease. METHODS: Retrospective and monocentric study of 93 adult patients treated with rituximab for autoimmune indications over a nine years period. RESULTS: Thirty-eight patients suffered from a total of 9...
Source: Revue de Medecine Interne - November 14, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Diffuse calcifications].
Authors: Esseghaier S, Moueddeb S, Toinsi MV, Daoued F, Boussema F, Daghfous MH PMID: 27816217 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - November 8, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[A rare origin of low back pain].
Authors: Esseghaier S, Kechaou S, Zairi I, Mzoughi K, Daghfous MH PMID: 27817972 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - November 8, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[What's in a name? New and older labels for chronic fatigue].
Authors: Cathébras P PMID: 27810196 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - November 5, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Abnormal nails].
Authors: Nassarmadji K, Marie I PMID: 27789028 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - October 30, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Haemoptysis of unusual cause].
Authors: Hammami R, Charfeddine S, Mallek S, Fourati H, Abid L, Kammoun S PMID: 27789029 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - October 30, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Thrombosis during thrombopoietin receptor agonist treatment for immune thrombocytopenia. A French multicentric observational study].
CONCLUSIONS: The thrombotic risk may be carefully assessed before starting TPO-RA in ITP patients. The impact of antiphospholipid antibodies and of congenital thrombophilia remains to be defined. Thrombosis evolution seems independent of TPO-RA management. Bleeding manifestations seem rare. Poor prognosis was mainly due to ischemic sequelae. PMID: 27793553 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - October 30, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Painful thigh and fever].
Authors: Boulon C, Doutrelon C, Constans J PMID: 27793554 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - October 30, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Unusual cause of thoracic pain].
Authors: Goulenok T, Cuccioli F, Dokmak S, Castier PY, Papo T PMID: 27771150 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - October 26, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Unexplained recurrent early miscarriages: Role of immunomodulation?]
Authors: Mekinian A, Cohen J, Kayem G, Carbillon L, Nicaise-Roland P, Gaugler B, Darai E, Bornes M, Fain O Abstract About 1-3% of women experience early recurrent miscarriages, defined by ≥3 fetal loss before 14 weeks of gestation. About half of these recurrent early miscarriages could be related to a genetic cause. Pre-implantation genetic diagnosis is used in several European countries, but it is still prohibited in France except for couples at risk for transmission of severe genetic diseases. The immune dysregulation, and in particular allo-immune excessive response, could be responsible for fetal l...
Source: Revue de Medecine Interne - October 20, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Red eyes].
Authors: Le Guern A, Eftekhari-Hassanlouie S, Oehler E PMID: 27751563 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - October 20, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Blood concentration of hydroxychloroquine in systemic lupus erythematosus care: Usefulness and limits].
Authors: Costedoat-Chalumeau N, Tamirou F, Le Guern V, Blanchet B, Deligny C, Piette JC PMID: 27745934 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - October 19, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Insulin edema in hepatic glycogenosis].
CONCLUSION: Excess of insulin can lead to excessive hepatic glycogen storage by activation of glycogenosis enzymes. Biological manifestations consist on elevated liver enzymes and hyperlactatemia. There is a link between administration of high dose of insulin and edema. Hepatic glycogenosis should be suspected when diabetes is uncontrolled and be considered as a differential diagnosis of steatosis. It may be associated and revealed by insulin edema directly related to excessive insulin intakes. PMID: 27745935 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - October 19, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Hydroxychloroquine-induced hearing loss: First case of positive rechallenge and analysis of the French pharmacovigilance database].
CONCLUSION: Despite an excellent tolerance and high efficacy-side effect ratio, this case report adds some evidence for an otoxicity of hydroxychloroquine. PMID: 27745936 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - October 19, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Syphilis].
Authors: Dupin N Abstract Syphilis is back since the beginning of this century. The epidemic affects mainly men having sex with men with a high proportion of HIV-infected patients. The classification of syphilis distinguishes early syphilis where patients are contagious (primary, secondary and early latent of less than one year) and late syphilis where patients are not (or less) contagious (late latent of more than one year and tertiary). The clinical presentation of syphilis has not changed. However, we must insist on the early forms of neurosyphilis, notably ophthalmic syphilis often under-diagnosed, as it affect...
Source: Revue de Medecine Interne - October 19, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Vomiting and abdominal pain in a 29-year-old man].
Authors: Raffray L, Renou F, Bourdier-de-Beauregard M, Lartigau-Roussin C, Mohamed S PMID: 27745938 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - October 19, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Abdominal pain, vomiting, diarrhea in a 36-year-old man].
Authors: Mestrallet S, Lebrun D, Zucchini L, Tales P, Benmerabet Y, Morel L, Dutel J, Galempoix JM, Penalba C, Boutboul D PMID: 27745939 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - October 19, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Macro-AST and myeloma: An incidental association?]
CONCLUSION: This is the first report demonstrating a clear link between macro-AST and a monoclonal gammopathy. PMID: 27745940 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - October 19, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Ebola virus disease: Clinical presentation, prognosis and treatment].
Authors: Aletti M, Savini H, Ficko C, Bordes J, Cambon A, Billhot M, Velut G, Granier H, De Greslan T, Carmoi T, le centre de traitement des soignants atteints par la maladie à virus Ebola, Conakry, Guinée Conakry Abstract The clinical spectrum of Ebola virus disease (EVD) ranges from very serious forms with organ failure and death within days to paucisymptomatic forms and perhaps even asymptomatic. The authors propose a focus on the clinical manifestations of EVD, on prognosis and on therapeutic aspects (excluding resuscitation). This work extracts from the literature the main data gathered during th...
Source: Revue de Medecine Interne - October 11, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Membranous nephropathy: Diagnosis, new insights in pathophysiology, and therapeutic approach].
Authors: Dahan K Abstract Membranous nephropathy (MN) accounts for about 20% of cases of nephrotic syndrome in the adult. Thickening of glomerular capillary walls results from subepithelial formation of immune deposits containing IgG and the membrane attack complex of complement, which is the major mediator of proteinuria, and antigens. Idiopathic forms of MN (IMN) represent 70 to 80% of all cases. A major breakthrough was the identification of the podocyte antigen PLA2R as the target of circulating antibodies in about 70% of IMN, which confirmed that the disease was auto-immune in nature. The optimal treatment of ...
Source: Revue de Medecine Interne - October 5, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Well's cellulitis: A case report].
CONCLUSION: The diagnosis of Well's cellulitis is difficult because of the lack of specific sign; it is based on suggestive clinical, biological and histological features. Topical corticosteroids are efficient and well-tolerated, and should be used as first treatment. PMID: 27671912 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - September 29, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Subcutaneous nodules].
Authors: Cornillier H, Ventéjou S, Bens G, El Ouali M, Kerdraon R PMID: 27671913 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - September 29, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Type I interferonopathies. Literature review].
Authors: Picard C, Belot A Abstract Thanks to the tremendous progress of genetics, a new field of inherited inflammatory disorders related to an overproduction of interferon has recently emerged. The so-called type I interferonopathies represent an heterogeneous group of Mendelian diseases presenting with various features starting in childhood, although the diagnosis can also be made later in life. Several clinical and biological characteristics are shared across these patients such as a positive interferon (IFN) signature and neurological and cutaneous involvement, some of which display organ specificity. Treatmen...
Source: Revue de Medecine Interne - September 25, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Mevalonate kinase deficiency in 2016].
Authors: Galeotti C, Georgin-Lavialle S, Sarrabay G, Touitou I, Koné-Paut I Abstract Mevalonate kinase deficiency is a rare, autosomal recessive, auto-inflammatory disease. This results from mutations in the gene MVK coding for the enzyme mevalonate kinase. This enzyme is involved in cholesterol and isoprenoids synthesis. Depending partially of the residual activity of the mevalonate kinase, the clinical spectrum realizes a continuum which extends from the mild phenotype of the hyperimmunoglobulinemia D and periodic fever syndrome (HIDS) to a lethal form of mevalonic aciduria. The HIDS is characterized by re...
Source: Revue de Medecine Interne - September 25, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Tumor-induced osteomalacia caused by a late-revealing phosphaturic mesenchymal tumor].
CONCLUSION: Tumor-induced osteomalacia is a diagnostic challenge because the localization of the tumor may be a long process. Patients should be monitored clinically and imaging studies repeated until a diagnosis is made and the causal tumor removed. PMID: 27659744 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - September 25, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Nocardiosis: A retrospective case series of 19  patients].
CONCLUSION: Our study shows that nocardiosis is a disease difficult to treat. A better understanding of this type of infection is necessary. PMID: 27659745 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - September 25, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Analysis of the 2015  British guidelines on the prevention and management of tumor lysis syndrome].
[Analysis of the 2015 British guidelines on the prevention and management of tumor lysis syndrome]. Rev Med Interne. 2016 Sep 19; Authors: Dupré A, Mousseaux C, Bouguerba A, Ayed S, Barchazs J, Boukari M, Goldgran-Toledano D, Bornstain C, Vincent F, pour le Groupe de recherche en réanimation respiratoire en Onco-Hématologie (GrrrOH) Abstract Whether it appears spontaneously or is induced by therapy, the tumor lysis syndrome is responsible for a massive release of ions and puric bases degradation of products in the circulation exceeding the renal excretion capacity. Some, such ...
Source: Revue de Medecine Interne - September 25, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Unilateral vascular acrosyndrome].
Authors: Devos M, Barral PA, Vial R, Magnan PE, Swiader L, Bartoli JM, Harlé JR PMID: 27641954 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - September 21, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

High oxygen affinity hemoglobins.
Authors: Mangin O Abstract High oxygen affinity hemoglobins are responsible for rare and heterogeneous autosomic dominant genetic diseases. They cause pure erythrocytosis, sometimes accountable for hyperviscosity and thrombosis, or hemolysis. Differential diagnoses must be first ruled out. The diagnosis is based on the identification of a decreased P50, and their possible characterization by cation exchange-high performance liquid chromatography and capillary electrophoresis. Finally, genetic studies of the responsible globin chain gene will confirm the mutation. The prognosis mainly relies on the P50 decrease rate...
Source: Revue de Medecine Interne - September 19, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Rituximab-induced acute thrombocytopenia in a patient with chronic lymphocytic leukemia].
CONCLUSION: Despite the potential initial severity of rituximab-induced thrombocytopenia in CLL, chemotherapy should not be discontinued; tolerance might increase as the hematologic disorder is controlled. PMID: 27639907 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - September 19, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Erythromelalgia: Diagnosis and therapeutic approach].
Authors: Miranda S, Le Besnerais M, Langlois V, Benhamou Y, Lévesque H Abstract Erythromelalgia is a rare intermittent vascular acrosyndrome characterized by the combination of recurrent burning pain, warmth and redness of the extremities. It is considered in its primary form as an autosomal dominant neuropathy related to mutations of SCN9A, the encoding gene of a voltage-gated sodium channel subtype Nav1.7. Secondary erythromelalgia is associated with myeloproliferative disorders, drugs (bromocriptine, calcium channel blockers), or clinical conditions such as rheumatic diseases or viral infection. Primary f...
Source: Revue de Medecine Interne - September 19, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Liver abscess].
Authors: Rossi G, Lafont E, Gasperini L, Dokmak S, Ronot M, Rossi B, Zarrouk V, Fantin B, Lefort A Abstract Liver abscess is a rare and severe infection. Incidence increases because of aging of population, advances in liver and biliary surgery including liver transplantation, and immunodeficiency factors. Diagnosis depends mainly on imaging and needle aspiration for microbiological identification. Treatment is based on antibiotics, percutaneous or surgical drainage, and control of the primary source. PMID: 27639909 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - September 19, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Opportunistic infections and sarcoidosis].
Authors: Jamilloux Y, Bernard C, Lortholary O, Kerever S, Lelièvre L, Gerfaud-Valentin M, Broussolle C, Valeyre D, Sève P Abstract Opportunistic infections (OI) are uncommon in sarcoidosis (1 to 10%) and mostly occur in patients with previously diagnosed disease or can rarely be the presenting manifestation. The most common OIs are, in descending order: aspergillosis, cryptococcosis, and mycobacterial infections. Treatment with corticosteroids is the most frequent risk factor for OI occurrence during sarcoidosis but immunosuppressive drugs and therapy with anti-TNFα are also risk factors. Overal...
Source: Revue de Medecine Interne - September 19, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Routine screening of splenic or portal vein thrombosis after splenectomy].
CONCLUSIONS: Routine screening of PSVT after elective splenectomy is warranted because it allows to start anticoagulant therapy and avoid further life-threatening complications. The incidence of PSVT is particularly high among patients operated on for lymphoma or with splenomegaly. PMID: 27639911 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - September 19, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Ecchymosis as the presenting manifestation of Wilson disease: A case report].
CONCLUSION: Wilson disease is a rare genetic disease caused by copper toxicity. It is characterized by combined hepatic and neurologic damage to varying degrees and can develop at any age. Urgent treatment is required, but the diagnosis may be delayed by prevailing psychiatric symptoms. PMID: 27639912 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - September 19, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Interleukin-1, inflammasome and autoinflammatory diseases].
Authors: Jamilloux Y, Bourdonnay E, Gerfaud-Valentin M, Py BF, Lefeuvre L, Barba T, Broussolle C, Henry T, Sève P Abstract Interleukin-1 is a major cytokine of innate immunity and inflammation. It exerts various systemic effects during the inflammatory response, such as fever induction, thrombopoiesis and granulopoiesis, or leukocyte recruitment. Its involvement has been demonstrated in many inflammatory-mediated diseases, such as diabetes or gout. Moreover, interleukin-1 plays a pivotal role in some autoinflammatory diseases, such as cryopyrinopathies or familial Mediterranean fever. In these diseases, a co...
Source: Revue de Medecine Interne - September 19, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Unusual cause of chronic swelling of the knee].
Authors: Frikha F, Ben Salah R, Rekik F, Damak C, Hentati Y, Fourati H, Snoussi M, Mnif Z, Bahloul Z PMID: 27639914 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - September 19, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Edema and fever in a 31-year-old woman].
Authors: Pais A, de Luna G, Arlet JB, Chennebault H, Michon A, Nochy D, Pouchot J, Paule R, Ponsoye M PMID: 27639915 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - September 19, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Treatment-related cardiotoxicity in childhood cancer survivors: Risk factors and follow-up].
The objective is to personalize treatment strategy according to individual genetic background. PMID: 27639916 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - September 19, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Sweet heart. Hypertrophic cardiomyopathy in a 49-year-old man].
Authors: Benyamine A, Riccardi F, Coze S, Jacquier A, Chaussenot A, Paquis V, Sallée M, Aissi K, Thuny F, Frances Y, Granel B, Bauvois A, Malezieux-Picard A, Mourguet M, Murarasu A, Saada N PMID: 27623328 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - September 15, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Ovarian carcinoid tumor responsible of permanent facial erythrosis and flushings during sexual intercourse].
CONCLUSION: A carcinoid syndrome is naturally evoked in the presence of flushes but it must also be part of the differential diagnosis in a patient with facial erythrosis or telangiectasias, especially if they are associated with diarrhea or right heart failure. The prognosis of carcinoid heart disease is considerably better in case of ovarian location than when it is a primitive carcinoid tumor of lung or from gastrointestinal tract. PMID: 27623329 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - September 15, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Faintness in emergency departments is frequent, benign but expensive: An epidemiologic study of hospitalization's risk factors to reduce overcrowdings of emergency departments].
CONCLUSION: Age≥60 and complete consciousness loss seemed to be associated with hospitalization. PMID: 27623330 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - September 15, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Internal medicine and general hospital medicine].
Authors: Morlat P, les membres du conseil d’administration de la Société nationale française de médecine interne (SNFMI) PMID: 27623331 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - September 15, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Usefulness of rehabilitation in inflammatory myopathies].
Authors: Moyon Q, Benveniste O Abstract Rehabilitation, for a long time not recommended, seems today to hold a prominent place within the therapeutic arsenal of inflammatory myopathies. The difficulty of its evaluation, apart from the low prevalence of these diseases, lies in a triple heterogeneity: first that distinguishing the different forms of inflammatory myopathies and the phase where they are active; second, that concerning the endpoint considered to assess the efficiency of the intervention; lastly, the diversity of the rehabilitation programs that can be undertaken. Between 1993 and 2016, about 30&nbs...
Source: Revue de Medecine Interne - September 13, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Lymphedema: From diagnosis to treatment].
Authors: Vignes S Abstract Lymphedema results from impaired lymphatic transport with increased limb volume. Lymphedema are divided in primary and secondary forms. Upper-limb lymphedema secondary to breast cancer treatment is the most frequent in France. Primary lymphedema is sporadic, rarely familial or associated with complex malformative or genetic disorders. Diagnosis of lymphedema is mainly clinical and lymphoscintigraphy is useful in primary form to assess precisely the lymphatic function of the two limbs. Erysipelas (cellulitis) is the main complication, but psychological or functional discomfort may occur th...
Source: Revue de Medecine Interne - September 8, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Validation of a questionnaire for standardized-patient assessment of clinical skills].
CONCLUSION: Global rating-based assessment should be preferred to checklists because they are faster and easier to use (shorter duration of SPs training). As SPs proved to be acceptable examiners, no third person seems to be required as external observer. PMID: 27481203 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - August 4, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Atypical skin lesions].
Authors: Mechid F, Hanni F, Ali EH, Ben Mohand C, Sibilia J, Dahou C PMID: 27448757 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - July 29, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

[Acute disseminated encephalomyelitis presenting as an acute urinary febrile retention].
CONCLUSION: Clinical findings and MRI allow clinicians to suspect acute disseminated encephalomyelitis. This hypothesis implies to actively look for recent infections or vaccinations preceding the clinical presentation. PMID: 27449359 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)
Source: Revue de Medecine Interne - July 29, 2016 Category: Internal Medicine Tags: Rev Med Interne Source Type: research