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134 results on '"I. Delèvaux"'

52. [Mixed corticomedullary tumor]

Author

I, Delèvaux, J, Cabane, O, Picard, C, Bénit, J, Lebas, B, Nordlinger, P, de Saint-Maur, and J C, Imbert

Subjects
Male, Adrenal Glands, Hyperaldosteronism, Hypertension, Adrenal Gland Neoplasms, Humans, Pheochromocytoma, Middle Aged, Tomography, X-Ray Computed
Abstract

Pheochromocytoma and primary hyperaldosteronism rarely occur simultaneously. Few cases have been reported in the literature.A patient explored for hypertension was found to have hypokalemia related to primary hyperaldosteronism. Pathology examination of the ablated adrenal showed a co-existing pheochromocytoma suspected at history taking although urine catecholamines were normal.Different pathogenic hypothesis have been proposed. Such dual tumors could be a simple coincidence, occur in a particular genetic setting, be related to direct contact between cortical and medullary tissue leading to reactional cortical hyperplasia, pheochromocytoma produced factors stimulating aldosterone synthesis, or factor X, a substance produced by cortical adenomas and favoring growth of the pheochromocytoma.

Published
1998

55. Épithéliopathie en plaques révélant une artérite à cellules géantes

Author

M. Hermet, O. Aumaître, N. Bonnin, I. Delèvaux, M. André, A.-S. Resseguier, F. Chiambaretta, Gaëlle Guettrot-Imbert, and A. Bardy

Subjects
Gastroenterology, Internal Medicine
Abstract

– l’angioscanner cerebral note la presence d’un anevrisme sacciforme de 5,1mm sur 5,8mm, d’aspect non complique, au niveau du T carotidien ; – la biopsie d’artere temporale confirme le diagnostic de vascularite, a type de maladie de Horton. La prise en charge therapeutique a consiste en une corticotherapie systemique par prednisolone a une dose de 0,7mg/kg par jour. L’evolution a ete rapidement favorable sur quelques jours, avec une amelioration de l’etat general, une recuperation totale des troubles de l’oculomotricite et une normalisation des parametres biologiques. Compte tenude l’âge avancede la patiente et de ses troubles cognitifs, il a ete decide de surseoir a tout traitement endovasculaire de l’anevrisme. Par ailleurs, le benefice de la realisation d’un tel geste dans un contexte de vascularite n’est pas bien documente dans la litterature. Resultats.– La maladie de Horton est une cause connue d’atteinte oculomotrice a type de paralysie du III extrinseque. Cependant les anevrismes intracrâniens lies a la maladie de Horton ont ete exceptionnellement decrits dans la litterature. L’amelioration clinicobiologique rapide apres prise en charge therapeutique par corticotherapie de la maladie de Horton semble plaider pour l’origine inflammatoire de l’anevrismepresenteepar cette patiente. La question en suspens est de savoir si cet anevrisme est directement imputable a la maladie de Horton ou s’il pre-existait mais a ete aggrave par la vascularite. Conclusion.– La maladie de Horton peut se presenter par des tableaux cliniques tres heterogenes, rendant son diagnostic difficile. Ce cas clinique presente un tableau de deficit unilateral partiel du III sur anevrismeduTcarotidien revelantunemaladiedeHorton. Pour en savoir plus Fisher CM. Ocular palsy in temporal arteritis. Minn Med 1959;42:1258–68. Hayreh SS. Ocular manifestations of giant cell arteritis. Am J Ophthalmol 1998;125(4):509–20.

Published
2013
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56. Une tuméfaction cervicale

Author

I. Marroun, C Guichard, I. Delèvaux, S. Trouillier, T. Mom, O. Aumaître, and M. André

Subjects
Duct cyst, medicine.medical_specialty, medicine.diagnostic_test, business.industry, Gastroenterology, Internal Medicine, medicine, Magnetic resonance imaging, Cyst, Radiology, medicine.disease, business
Published
2004
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70. Concomitant diagnosis of primary Sjogren's syndrome and systemic AL amyloidosis

Author

Z. Amoura, I. Delèvaux, J.C. Piette, O. Aumaître, M. André, and Jean-Louis Kémény

Subjects
Immunofixation, Amyloid, Systemic disease, medicine.medical_specialty, Pathology, Heart Diseases, Concise Report, Plasma Cells, Immunology, Stomach Diseases, Physical examination, Salivary Glands, General Biochemistry, Genetics and Molecular Biology, Electrocardiography, stomatognathic system, Rheumatology, Immunopathology, medicine, Macroglossia, AL amyloidosis, Humans, Immunology and Allergy, Bone Marrow Diseases, biology, medicine.diagnostic_test, business.industry, Amyloidosis, Hematopoietic Stem Cell Transplantation, Middle Aged, medicine.disease, Dermatology, stomatognathic diseases, Sjogren's Syndrome, Cardiac amyloidosis, Echocardiography, Immunoglobulin G, biology.protein, Female, medicine.symptom, business
Abstract

A 48 year old woman was referred to hospital for buccal discomfort. Physical examination showed a macroglossia and features of xerostomia. She was diagnosed as having primary Sjögren's syndrome according to the criteria proposed by the European Community study group in 1993. Furthermore, a lower lip salivary gland biopsy showed amyloid deposits that were also seen in the stomach and in the bone marrow. Echocardiography was consistent with cardiac amyloidosis. Serum immunofixation identified a monoclonal IgGlambda. As far as is known, this is the first report of systemic primary amyloidosis associated with Sjögren's syndrome. The relation between these two disorders is discussed.

Published
2001
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75. Pseudo-érysipèle à Yersinia enterocolitica

Author

A. Kelly, M. André, F. Jouaville, I. Delèvaux, O. Aumaître, Gaëlle Guettrot-Imbert, and A.G. Jegu

Subjects
biology, Chemistry, Gastroenterology, Internal Medicine, Yersinia enterocolitica, biology.organism_classification, Microbiology
Published
2010
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85. DIG-WS-16 Panniculite mesenterique idiopathique : 7 observations

Author

Anne Ravel, Lucie Cassagnes, M. André, Louis Boyer, A. Alfidja, I. Delèvaux, Pascal Chabrot, O. Aumaître, Gaëlle Guettrot-Imbert, and E. Lipiecka

Subjects
Gynecology, medicine.medical_specialty, Radiological and Ultrasound Technology, business.industry, medicine, Radiology, Nuclear Medicine and imaging, business
Abstract

Objectifs Rapporter retrospectivement notre expenence de l’inflammation aspecifique du tissu graisseux mesenterique sans pathologie associee. Materiels et methodes Parmi 3 hommes et 4 femmes (âge moyen 45 ans), 5 etaient algiques, 2 diarrheiques, 1 febrile et 1 amaigri. Une masse abdominale existait chez 2, dont un asymptomatique ; 4 presentaient un syndrome inflammatoire. Resultats Le diagnostic etait evoque par TDM (masse unique : 4, epaississement mesenterique diffus : 3, pseudo capsule : 4, zones pseudo kystiques : 2 fois) et confirme par histologie. Cinq patients etaient traites par corticoides, 2 surveilles. Au cours du suivi (moyenne : 56 mois, 6 mois-16 ans), la panniculite etait stable en TDM dans 3 cas, regressait dans 2, disparaissait completement 1 fois, et se majorait chez un asymptomatique non traite. Aucune pathologie associee n’est apparue. Conclusion Diverses pathologies (souvent malignes) pouvant mimer ou etre associees, une verification histologique est imperative pour affirmer la panniculite mesenterique idiopathique, entite benigne de pathogenie inconnue. La corticotherapie concerne les patients symptomatiques.

Published
2008
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