References of "Revue Médicale de Liège"
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See detailL’oncologie, à un tournant de son histoire
SCHEEN, André ULiege; BEGUIN, Yves ULiege; JERUSALEM, Guy ULiege

in Revue Médicale de Liège (in press)

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See detailComment j’explore. Une macrocéphalie.
Vanden Brande, Laura ULiege; ALKAN, Serpil ULiege; BARREA, Christophe ULiege et al

in Revue medicale de Liege (2022), 77(1), 56-62

Macrocephaly is a frequent reason for seeking advice in a pediatric neurology consultation. It is a non-specific neurological sign that can be isolated, be the sign of a serious acquired pathology or be ... [more ▼]

Macrocephaly is a frequent reason for seeking advice in a pediatric neurology consultation. It is a non-specific neurological sign that can be isolated, be the sign of a serious acquired pathology or be part of a syndromic picture. Clinical history, physical examination and imaging are key elements of the diagnostic strategy. Signs of intracranial hypertension require an emergency work-up. Genetics, exome in particular, has enabled the characterization of various syndromes associating macrocephaly and neurodevelopmental delay. In this article, we propose an update of practices based on clinical signs. [less ▲]

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See detailActivité physique et maladies chroniques. Principes motivationnels pour contribuer à un comportement physiquement actif
Bodson, François ULiege; Mouton, Alexandre ULiege

in Revue Médicale de Liège (2022), 77(1), 45-51

Although physical activity is perceived as an effective therapeutic agent in the management of chronic diseases, the literature reports a low participation rate in adapted physical activity programmes and ... [more ▼]

Although physical activity is perceived as an effective therapeutic agent in the management of chronic diseases, the literature reports a low participation rate in adapted physical activity programmes and a high drop-out rate during participation. There is room for improvement in supporting the engagement of chronically ill patients in an active lifestyle, especially in optimising the process from medical management to integration into a local adapted sports structure. Based on the motivational principles of the self-determination theory, we propose courses of action to optimise the support of the chronically ill patient in the process of behavioural change. This article emphasises the importance of placing the individual at the centre of his or her physical care and the importance of taking into account individual characteristics in order to act on intrinsic motivation. [less ▲]

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See detailUn cas fatal de syndrome sérotoninergique induit par la consommation d’Ecstasy
Stilmant, Anne-Christine; ZHU, Lingna ULiege; GORUR, Yilmaz ULiege et al

in Revue Médicale de Liège (2021), 17(3), 7

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See detailÉtude prospective des effets de l’inquiétude sur l’ajustement psychologique des parents d’un enfant atteint d’un diabète de type 1
Vander Haegen, Marie ULiege; Etienne, Anne-Marie ULiege; LEBRETHON, Marie-Christine ULiege

in Revue Médicale de Liège (2021)

The continuous and multidisciplinary care of children with type 1 diabetes contributes to improving their quality of life. Nevertheless, psychological follow-up issues among parents of a diabetic child ... [more ▼]

The continuous and multidisciplinary care of children with type 1 diabetes contributes to improving their quality of life. Nevertheless, psychological follow-up issues among parents of a diabetic child are less developed in studies. At present, there is a need to develop research on psychological parental adjustment in order to identify risk and protective factors for understanding the parental experience and improving the initiatives to prevent the parental distress. Our results argue for a crucial role of intolerance of uncertainty in parental concerns. This study supports the continuous psychological follow-up of parents in close collaboration with medical teams. [less ▲]

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See detailPlace de la radiothérapie dans le traitement de la fasciite plantaire
Alépée, Bastien ULiege; Kaux, Jean-François ULiege; Colin, Gilles ULiege et al

in Revue Médicale de Liège (2021), 76(12), 855-861

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See detailFace à la COVID 19: N'avons-nous pas atteint les limites du paradigme pasteurien?
Colin, Gilles ULiege; Paul, Elisabeth

in Revue Médicale de Liège (2021), 76(12), 845-849

In this article, the authors argue that the res- ponse to the COVID-19 pandemic is primarily focused exclusively on the virus, and would benefit from a broade- ning of perspective to a more systemic ... [more ▼]

In this article, the authors argue that the res- ponse to the COVID-19 pandemic is primarily focused exclusively on the virus, and would benefit from a broade- ning of perspective to a more systemic approach. After presenting, in a deliberately caricatural way, the opposition between the Pasteurian and holistic paradigms, they pre- sent some limitations of the Pasteurian approach, which is still dominant in the medical community. They put forward two explanations for the perpetuation of this dominance, relating to research methods and medical training. They then apply their analysis to the COVID-19 response stra- tegy, arguing that the “neglect” of social determinants and of the role of co-morbidities - which play an essential role in the severity of the disease - constitutes a clear failure of public health. It is thus deprived of a whole range of pre- vention and health promotion tools, and even of early holis- tic care. They conclude by suggesting that the COVID-19 crisis reveals the limits of the Pasteurian model and calls for a paradigm shift, allowing for a more complex, systemic and coherent approach to COVID-19 - and all other health problems. [less ▲]

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See detailL’image du mois. Pseudo-hernie abdominale post-zostérienne.
Absil, Gilles ULiege; BOUQUIAUX, Olivier ULiege; WANG, François-Charles ULiege et al

in Revue medicale de Liege (2021), 76(11), 773-775

Postherpetic neuralgia is the most feared complication of herpes zoster (HZ). The incidence increases with age. Nevertheless, around 5 % of HZ patients will experience a motor deficiency known as ... [more ▼]

Postherpetic neuralgia is the most feared complication of herpes zoster (HZ). The incidence increases with age. Nevertheless, around 5 % of HZ patients will experience a motor deficiency known as segmental zoster paresis (SZP) according to the affected dermatome. Abdominal pseudohernia is an exceptional clinical presentation of SZP, involving the T6-L1 dermatomas. The recognition of this rare complication of HZ prevents unnecessary explorations and interventions. There is no specific treatment but in general the evolution is favorable and spontaneous healing is observed within several months. [less ▲]

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See detailComment je traite. Les brûlures oculaires par Holoclar®, une greffe autologue de cellules souches pour rendre la vue
TILKIN, Claire ULiege; DUCHESNE, Bernard ULiege; CAMBY, Séverine ULiege et al

in Revue Médicale de Liège (2021), 76(11), 776-782

Ocular chemical or physical burns currently represent 12 % of domestic accidents in Europe. They can lead to numerous ophthalmologic sequelae ranging from simple superficial keratitis to conjunctival ... [more ▼]

Ocular chemical or physical burns currently represent 12 % of domestic accidents in Europe. They can lead to numerous ophthalmologic sequelae ranging from simple superficial keratitis to conjunctival ischemia and the destruction of limbal corneal stem cells. This results in damages to the cornea which can progress to neovascularization and corneal invasion by conjunctival tissue. Long term consequences affect ocular function (sometimes blindness, stromal degradation, infections, or even ocular perforation). Until now, few treatments were available to restore corneal transparency after a trauma. Patients affected by post-traumatic limbal stem cell deficiency unfortunately had little prospect. Regenerative cell therapy, of which Holoclar® is a part, could revolutionize the future of these patients. [less ▲]

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See detailComment j’explore. Une anomalie du bilan d’hémostase en pédiatrie.
LONGTON, Julie ULiege; Minon, JM; PETERS, Pierre ULiege et al

in Revue medicale de Liege (2021), 76(11), 829-836

Hemostasis work-up is frequently requested in pediatric cares and can often seem complicated to interpret when certain results return to be abnormal. In addition, these biological tests are very sensitive ... [more ▼]

Hemostasis work-up is frequently requested in pediatric cares and can often seem complicated to interpret when certain results return to be abnormal. In addition, these biological tests are very sensitive and several pre-analytical conditions can influence them and skew the results, leading to erroneous analyzes and diagnoses. Indeed, systemic inflammation, anemia or even only the delay between blood sampling and analysis can make the results more difficult to be interpreted. However, when the tests have been carried out under good conditions, having in mind a few basic knowledge of hemostasis can easily help to first distinguish a pathology of primary hemostasis from a coagulopathy. Secondly, depending on the abnormal biological tests, complementary oriented assays may then be requested, ideally in a laboratory specialized in hemostasis, in order to confirm or rule out a true hemorrhagic pathology. [less ▲]

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See detailQuelle place en hospitalisation pédiatrique pour la maltraitance infantile ? Critères et orientations.
PANNIZZOTTO, Sandra ULiege

in Revue medicale de Liege (2021), 76(10), 756-760

Child abuse situations are increasingly common clinical situations in pediatrics and, in extenso, in hospital wards. While it remains obvious that the hospital is a place of care and not of life for a ... [more ▼]

Child abuse situations are increasingly common clinical situations in pediatrics and, in extenso, in hospital wards. While it remains obvious that the hospital is a place of care and not of life for a child, the fact remains that in a number of cases, it is necessary to offer the child a multidisciplinary assessment in a neutral and secure environment in order to assess the abuse, its impact on the child, the systemic family disorders that underlie it and the orientation towards the most adequate life environment for the child. The hospital and specialized pediatric services then fulfill this mission, which meets strict admission criteria so that the hospital stay guarantees effective therapeutic action. The purpose of this article is to describe the management of situations of child abuse by using multidisciplinary hospital assessments as they are carried out in the Maltraitance Unit of the Pediatric Department of CHU Liège. We will briefly review the admission criteria, the modalities of care and the clinical interest of such hospitalisations. [less ▲]

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See detailFace à la COVID-19. La transplantation d’organes en période de pandémie SARS-CoV-2 : l’expérience 2020-2021 du Centre liégeois de Transplantation.
Paolucci, Maité ULiege; DELBOUILLE, Marie-Hélène ULiege; WEEKERS, Laurent ULiege et al

in Revue medicale de Liege (2021), 76(10), 719-723

The «Severe Acute Respiratory Syndrome coronavirus 2» (SARS-CoV-2) pandemic has disrupted medical care and intra-hospital organization during 2020, both in Belgium and throughout the world. Solid organ ... [more ▼]

The «Severe Acute Respiratory Syndrome coronavirus 2» (SARS-CoV-2) pandemic has disrupted medical care and intra-hospital organization during 2020, both in Belgium and throughout the world. Solid organ transplantation was not spared and in Belgium, the number of organ donors and transplants overall decreased by 20 % for livers and by 33 % for hearts between 2019 and 2020. The aim of this article is to summarize the experience acquired in 2020 and 2021 on the organizational and medical implications of the coronavirus disease 2019 (COVID-19) pandemic with regard to the care of patients transplanted or awaiting for organ transplants, and to draw conclusions both for the aftermath of COVID-19 but also for future pandemics. Vaccination against SARS-CoV-2 is highly recommended and particularly important in organ transplant recipients, even if the response rate is lower than in the non-transplanted population. A third injection is now advised in immunosuppressed patients. [less ▲]

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See detailComment j’explore… un blépharospasme
Marx, Barbara; DEPIERREUX, Frédérique ULiege

in Revue Médicale de Liège (2021), 76(9)

Blepharospasm is a particularly distressing form of focal dystonia, specifically affecting the eyelids and cau- sing involuntary closing of the eyes or an increased blinking. Despite its frequency, the ... [more ▼]

Blepharospasm is a particularly distressing form of focal dystonia, specifically affecting the eyelids and cau- sing involuntary closing of the eyes or an increased blinking. Despite its frequency, the diagnosis of this condition is often delayed. Diagnostic criteria are mainly clinical, but sometimes further investigations may be necessary as blepharospasm may be included in a complex clinical picture. [less ▲]

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See detailNeuroblastomes cervico-thoraciques : les avantages de l’approche transmanubriale avec épargne ostéo-musculaire.
Martus, S.; Gatineau-Sailliant, Sophie ULiege; Tebache, M. et al

in Revue medicale de Liege (2021), 76(9), 666-671

We report the case of a child suffering from a neonatal cervicomediastinal neuroblastoma encasing the left subclavian artery and the left vertebral artery. There is only a few pediatric tumors extending ... [more ▼]

We report the case of a child suffering from a neonatal cervicomediastinal neuroblastoma encasing the left subclavian artery and the left vertebral artery. There is only a few pediatric tumors extending from the neck to the upper part of the thorax. Because of the complex vascular and neurological anatomy of this area, the surgical excision of these cervicothoracic neuroblastomas is a real challenge. It is why, when we decided to propose a surgical management, we used the Transmanubrial Osteomuscular-Sparing Approach (TOSA), of which technique and benefits will be explained in this article. [less ▲]

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See detailLe phénomène de Köbner en Dermatologie
GIET, Gabrielle ULiege; SENTERRE, Yseult ULiege; LEBAS, Eve ULiege et al

in Revue Médicale de Liège (2021), 76(9), 651-656

Köbner's phenomenon and its related phenomena are dermatological curiosities that are still partially misunderstood. The Köbner phenomenon is by far the best known and the most studied. It is ... [more ▼]

Köbner's phenomenon and its related phenomena are dermatological curiosities that are still partially misunderstood. The Köbner phenomenon is by far the best known and the most studied. It is characterized as the appearance of an inflammatory or infectious dermatosis in an area of healthy skin after skin trauma. The dermatoses most frequently concerned are psoriasis, lichen planus and vitiligo. The inverse Köbner phenomenon and the Renbök phenomenon are two very similar phenomena. The first represents the disappearance of a skin lesion after skin trauma. The second is characterized by a skin trauma that is more specifically induced by another dermatosis. Finally, the Wolf's isotopic phenomenon corresponds to the appearance of a new dermatosis on an area of the skin that was previously the site of another healed dermatosis. [less ▲]

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See detailDiagnostic et traitement des kystes hépatiques.
Klein, L.; MEURISSE, Nicolas ULiege; Honoré, Pierre ULiege et al

in Revue medicale de Liege (2021), 76(9), 661-665

Cystic hepatic lesions are frequent and sometimes large. They are generally asymptomatic and discovered by chance. The differential diagnosis of these lesions includes congenital, post-traumatic, benign ... [more ▼]

Cystic hepatic lesions are frequent and sometimes large. They are generally asymptomatic and discovered by chance. The differential diagnosis of these lesions includes congenital, post-traumatic, benign or malignant tumors, as well as infectious pathologies. Conventional or contrast ultrasonography, abdominal computed tomography and magnetic resonance imaging can be used to characterize them. Therapeutic abstention with or without iconographic monitoring constitutes the optimal management of many benign liver cysts without clinical repercussions. Treatments for symptomatic or potentially aggressive lesions may include fenestration, puncture with sclerotherapy, or surgical resection. In this article, the authors discuss how to diagnose and treat the various hepatic cystic lesions. [less ▲]

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See detailTransplantation hépatique pour syndrome hépatopulmonaire compliquant une cirrhose.
LAPAILLE, Louis ULiege; Demoulin, AS; HEINEN, Vincent ULiege et al

in Revue medicale de Liege (2021), 76(7-8), 601-607

Le syndrome hépatopulmonaire est une complication vasculaire pulmonaire de la cirrhose relativement fréquente et sous-diagnostiquée, caractérisée par des vasodilatations capillaires et pré-capillaires ... [more ▼]

Le syndrome hépatopulmonaire est une complication vasculaire pulmonaire de la cirrhose relativement fréquente et sous-diagnostiquée, caractérisée par des vasodilatations capillaires et pré-capillaires intrapulmonaires pouvant entraîner une hypoxémie sévère. Souvent asymptomatique, ce syndrome se révèle le plus souvent par une dyspnée d’apparition progressive. Le diagnostic est réalisé par une gazométrie artérielle prouvant l’hypoxémie et une échographie cardiaque de contraste démontrant l’existence de vasodilatations intrapulmonaires. Le dépistage du syndrome hépatopulmonaire est préconisé chez tout patient atteint de cirrhose présentant de la dyspnée et chez tout patient candidat à une greffe hépatique. En effet, le seul traitement efficace est la transplantation hépatique, et ces patients bénéficient d’ailleurs de points d’exception dans le calcul du score de MELD («Model for End-Stage Liver Disease»). Nous rapportons ici le cas d’un patient de 39 ans atteint d’une cirrhose d’origine indéterminée compliquée d’un syndrome hépatopulmonaire qui s’est révélé par une dyspnée devenue rapidement invalidante. Ce patient a pu bénéficier d’une transplantation hépatique un an après le diagnostic de syndrome hépatopulmonaire, permettant ainsi une guérison complète tant sur plan hépatique que pulmonaire. [less ▲]

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See detailCholangite obstructive chez un patient atteint d’une hydatidose.
Basbous, C; Hayette, Marie-Pierre ULiege; LEONARD, Philippe ULiege et al

in Revue medicale de Liege (2021), 76(7-8), 575-578

The authors report the case of a 41-year-old patient originating from Algeria who developed obstructive cholangitis caused by the membrane of a ruptured hydatid cyst leading to the diagnosis of cystic ... [more ▼]

The authors report the case of a 41-year-old patient originating from Algeria who developed obstructive cholangitis caused by the membrane of a ruptured hydatid cyst leading to the diagnosis of cystic echinococcosis. Cystic echinococcosis can be asymptomatic for several years until a complication occurs, such as in this case an obstruction of the common bile duct, or cholangio-hydatidosis. This cause of jaundice is uncommon in Western Europe whereas it is more frequent in endemic areas. Identification and treatment of ruptured cysts are mandatory because of the mortality rate of these complications if left untreated. In this particular case, the treatment by endoscopic retrograde cholangiopancreatography was successful. [less ▲]

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See detailCentre de bien-être au CHU de Liège : intérêt pour les patients oncologiques et leurs proches
PAYE, Alexandra ULiege; FAYMONVILLE, Marie-Elisabeth ULiege; DEVOS, Martine ULiege

in Revue Médicale de Liège (2021), 76(5-6), 559-564

Bien que la médecine conventionnelle ait réalisé des progrès considérables dans la prise en charge du cancer, cette maladie reste une épreuve difficile pour les patients qui peuvent éprouver un sentiment ... [more ▼]

Bien que la médecine conventionnelle ait réalisé des progrès considérables dans la prise en charge du cancer, cette maladie reste une épreuve difficile pour les patients qui peuvent éprouver un sentiment de perte de contrôle sur leur vie. En réponse à ce besoin d’autonomie vis-à-vis de leurs choix thérapeutiques, certains patients se tournent vers les médecines complémentaires et alternatives . Certains centres de soins oncologiques mettent ainsi à disposition des patients un centre de bien-être où sont proposés différents types d’activités centrées sur le bien-être et le confort de la personne. Afin de rencontrer au mieux les besoins des utilisateurs, une enquête a été réalisée auprès de 82 patients fréquentant l’hôpital de jour oncologique ou le service de radiothérapie. Les résultats nous ont permis d’établir un plan d’action en phase avec les souhaits des patients, dans l’optique de créer un centre de bien-être situé au cœur de l’Institut de Cancérologie Arsène Burny au CHU de Liège et baptisé centre OASIS. Les différentes activités organisées autour d’axes psychocorporel et corporel/psychologique sont présentées dans cet article. [less ▲]

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