References of "Revue medicale de Liege"
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See detailŒdème aigu du poumon et traitement par tocolytiques chez la femme enceinte
Hardy, Pierre-Yves ULiege; Depierreux, Frédérique ULiege; Ferretti, Christian

in Revue Médicale de Liège (2019), 74(3), 129-133

Nous rapportons le cas d’une patiente traitée par nifédipine puis par atosiban pour une menace d’accouchement prématuré qui développe un œdème aigu du poumon non cardiogénique. La gravité des symptômes et ... [more ▼]

Nous rapportons le cas d’une patiente traitée par nifédipine puis par atosiban pour une menace d’accouchement prématuré qui développe un œdème aigu du poumon non cardiogénique. La gravité des symptômes et de l’hypoxémie ont mené à une césarienne en urgence et une hospitalisation aux soins intensifs. Ce cas clinique nous permet de faire une revue de littérature et d’aborder les différents diagnostics différentiels à évoquer et rechercher face à une dyspnée aiguë survenant chez une femme enceinte et la prise en charge d’un œdème pulmonaire aigu dans de telles circonstances. Les mécanismes physiopathologiques qui sont à l’origine de cette affection et l’implication du traitement tocolytique seront également discutés. [less ▲]

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See detailComment je traite … les tendinopathies de l’appareil extenseur du genou
Brilmaker, Thomas ULiege; Kaux, Jean-François ULiege

in Revue Médicale de Liège (2019), 74(2), 63-67

Knee tendinopathies account for a large number of sports dropping, especially in sports requesting jumps and running. There is actually no consensus about the management of those injuries. Nevertheless ... [more ▼]

Knee tendinopathies account for a large number of sports dropping, especially in sports requesting jumps and running. There is actually no consensus about the management of those injuries. Nevertheless, new therapies may offer possibilities to the non-responding ones. This review aims to actualise the treatment of knee tendinopathy, to discuss the most recent forms of treatment and their clinical use, limited by our current knowledge of the disease. [less ▲]

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See detailEtude des motifs d'admission au service des Urgences d'une cohorte de patients
Pirotte, Benoit; FRIPPIAT, Frédéric ULiege; DARCIS, Gilles ULiege et al

in Revue Médicale de Liège (2019)

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See detailAnalyse comparative entre la thérapie manuelle orthopédique et l’ostéopathie - Une mise au point sur la situation en Belgique
Hidalgo, Benjamiin; Demoulin, Christophe ULiege

in Revue Médicale de Liège (2019), 74(4), 204-211

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See detailImpact de la fonction thyroïdienne dans les inséminations artificielles avec sperme de donneur chez des femmes fertiles
Labye, Laurianne ULiege; WENDERS, Frédéric ULiege; Nisolle, Michelle ULiege et al

in Revue Médicale de Liège (2019)

Cette étude rétrospective, incluant 526 patientes, s’intéresse à l’effet de la fonction thyroïdienne sur le résultat des inséminations artificielles avec sperme de donneur chez des patientes a priori ... [more ▼]

Cette étude rétrospective, incluant 526 patientes, s’intéresse à l’effet de la fonction thyroïdienne sur le résultat des inséminations artificielles avec sperme de donneur chez des patientes a priori fertiles. Il n’existe aucune différence significative dans les caractéristiques des patientes et leur bilan de fertilité. Bien que la fertilité soit influencée par la fonction thyroïdienne, cette étude montre que les taux de grossesse et de naissance obtenus ne sont pas influencés par le taux de TSH dosé avant le début des inséminations. Toutefois, les hormones thyroïdiennes jouent un rôle dans le bon déroulement de la grossesse et le développement cérébral foetal. Il est donc important d’évaluer la fonction thyroïdienne en début de grossesse et d’instaurer un traitement substitutif si nécessaire (si TSH > 2,5 mUI/l). En effet, la grossesse est considérée comme un stress pour la thyroïde et une fonction thyroïdienne limite avant la grossesse peut décompenser pendant celle-ci. [less ▲]

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See detailComment j'explore... Un traumatisme du rachis cervical chez l'enfant.
CAJGFINGER, Nathalie ULiege; Jamblin, P.; Gilis, N.

in Revue Medicale de Liege (2018), 73(12), 645-649

Cervical spine injuries are a regular reason for consultation in general practice or pediatric emergencies. In many cases, it is difficult to distinguish between whether or not a radiological assessment ... [more ▼]

Cervical spine injuries are a regular reason for consultation in general practice or pediatric emergencies. In many cases, it is difficult to distinguish between whether or not a radiological assessment is necessary. We propose in this article a management strategy based on clinical scores simple to achieve in order to avoid unnecessary radiological examinations for children. [less ▲]

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See detailAtteintes osseuses des leucemies lymphoblastiques aigues pediatriques : experience monocentrique et revue de la litterature.
Pécheux, Lucie ULiege; FORGET, Patricia ULiege; Geurten, Claire ULiege et al

in Revue medicale de Liege (2018), 73(11), 575-582

Bone pain associated with bone marrow infiltration is often present at diagnosis of pediatric acute lymphoblastic leukemia (ALL). It sometimes signs the presence of pathological fracture, lytic lesions ... [more ▼]

Bone pain associated with bone marrow infiltration is often present at diagnosis of pediatric acute lymphoblastic leukemia (ALL). It sometimes signs the presence of pathological fracture, lytic lesions, arthritis, or osteitis associated to ALL that can delay the diagnosis. During treatment, bone complications (pain, osteopenia, fracture, avascular necrosis, ...) are also reported. In order to describe bone involvement (BI) of pediatric LLA, we reviewed the records of 104 patients followed in our unit. The overall incidence of BI was 67 %. At diagnosis, 50 % of patients had BI and in 19 %, the diagnosis of ALL was delayed. During and after treatment, respectively 28 % and 37 % of patients presented bone complications (pain, fractures, avascular necrosis, osteopenia). Patients with BI had a lower leukocytosis inferior to 10x109/l (p = 0.005) and an ALL of average risk (p = 0.019). 38 % of patients with BI during treatment were over 10 years old and 55 % were girls (vs. 21 % and 38 % in the entire cohort, respectively). Osteoporosis was more severe at diagnosis than during treatment, suggesting the presence of constitutional promoting factors. In our cohort, the majority of BI was resolved at the end of treatment with no long-term sequelae. [less ▲]

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See detailL'image du mois: Atteinte isolée et retardée des ganglions de la base après intoxication à la méthadone
ALKAN, Serpil ULiege; DEMONCEAU, Nathalie; LEWIN, Michel

in Revue Médicale de Liège (2018), 10(73), 485-487

Preferential cerebellar localization during a severe methadone intoxication is explained by the high µ-opioid's receptors concentration in the cerebellum. If basal ganglia are affected, that may result in ... [more ▼]

Preferential cerebellar localization during a severe methadone intoxication is explained by the high µ-opioid's receptors concentration in the cerebellum. If basal ganglia are affected, that may result in unfavorable progressive neurological evolution. Here, we report the case of a patient who developed neurological deterioration with akinetic mutism, pyramidal and extrapyramidal syndrome with parkinsonism and dystonia, ten days after methadone intoxication and rapid CPR. Magnetic resonance shows lenticular nuclei damage extending in caudate nuclei. Our patient is the first case reported with isolated basal ganglia’s injury in this conditions. It asks the question of physiopathological mechanisms: direct toxic effect of methadone or secondary to hypoxia. Therapeutic and neuroprotective management are also discussed. [less ▲]

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See detailComment j'explore...Une protéinurie
Résimont, Guillaume ULiege; GADISSEUR, Romy ULiege; LUTTERI, Laurence ULiege et al

in Revue Médicale de Liège (2018), 73(10), 519-525

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See detailL’image du mois: Atteinte isolée et retardée des ganglions de la base après intoxication à la méthadone
ALKAN, Serpil ULiege; DEMONCEAU, Nathalie; LEWIN, Michel

in Revue Médicale de Liège (2018), 73(10), 485-487

La localisation cérébelleuse préférentielle des lésions liées à une intoxication sévère à la méthadone s'explique par la concentration élevée des récepteurs opioïdes de type µ dans le cervelet. Si les ... [more ▼]

La localisation cérébelleuse préférentielle des lésions liées à une intoxication sévère à la méthadone s'explique par la concentration élevée des récepteurs opioïdes de type µ dans le cervelet. Si les ganglions de la base sont touchés, cela peut entraîner une évolution neurologique progressivement défavorable. Dans cet article, nous rapportons le cas d'un patient qui a développé une détérioration neurologique avec un mutisme akinétique, un syndrome pyramidal et extrapyramidal avec parkinsonisme et dystonie, dix jours après une intoxication à la méthadone et une rapide réanimation cardio-pulmonaire. La résonance magnétique montre des lésions au niveau des noyaux lenticulaires s'étendant aux noyaux caudés. Notre patient est le premier cas décrit évoluant vers une atteinte isolée et retardée des ganglions de la base dans ces conditions. Les mécanismes physiopathologiques peuvent être discutés: effet toxique direct de la méthadone ou secondaire à l'hypoxie. La prise en charge thérapeutique et les moyens de prévention sont également abordés. [less ▲]

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See detailDepistage neonatal de la mucoviscidose : vers une implementation nationale en Belgique en 2019.
BOBOLI, Hedwige ULiege; BOEMER, François ULiege; MASTOURI, Meriem ULiege et al

in Revue Medicale de Liege (2018), 73(10), 497-501

Cystic fibrosis has in Belgium a prevalence of 1/2.850 births, with a median age at diagnosis of 7 months according to the latest data from the Belgian registry of 2015. In our country, the diagnosis of ... [more ▼]

Cystic fibrosis has in Belgium a prevalence of 1/2.850 births, with a median age at diagnosis of 7 months according to the latest data from the Belgian registry of 2015. In our country, the diagnosis of cystic fibrosis is always based on signs and symptoms of the disease. However, because the scientific literature has largely demonstrated the benefits of neonatal screening for cystic fibrosis, it will be implemented in Belgium before the end of 2019. The screening programme should be framed by strict quality criteria in order to obtain the best performance with the least possible inconvenience. [less ▲]

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See detailComment je traite... L'otite moyenne aiguë chez l'enfant
Heinrichs, V.; Frère, Julie ULiege

in Revue Medicale de Liege (2018), 73(4), 167-172

Acute otitis media (AOM) is very common in early childhood (inferior to 2 years). As a spontaneous recovery occurs in superior to 80 % of cases, antibiotics use should not be systematic. The aim of this ... [more ▼]

Acute otitis media (AOM) is very common in early childhood (inferior to 2 years). As a spontaneous recovery occurs in superior to 80 % of cases, antibiotics use should not be systematic. The aim of this review is to discuss AOM diagnostic criteria based on the latest recommendations, aiming a wiser use of antibiotics. Antibiotics use in a child with AOM should take into account the age, the severity of the disease, uni- or bilateral otitis, the presence or absence of otorrhea, and the presence of possible risk factors. Delayed antibiotics prescription might be considered in some specific circumstances. The first line antibiotic treatment is amoxicillin, and increased dosage is efficient in case of resistant pneumococci. Pain evaluation is important, and, in every treatment protocols for AOM, pain-relievers use is needed. [less ▲]

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See detailPrise en charge multidisciplinaire de l'echinococcose alveolaire : le groupe Echino-Liege.
Cambier, Audrey; GIOT, Jean-Baptiste ULiege; LEONARD, Philippe ULiege et al

in Revue Médicale de Liège (2018), 73(3), 135-142

Alveolar echinococcosis is a zoonotic disease due to the tapeworm Echinococcus multilocularis. The definitive host is the red fox. Until recently, Belgium was considered a country at very low risk for ... [more ▼]

Alveolar echinococcosis is a zoonotic disease due to the tapeworm Echinococcus multilocularis. The definitive host is the red fox. Until recently, Belgium was considered a country at very low risk for alveolar echinococcosis. However, recent studies carried out in southern Belgium have revealed, through post-mortem examination, high prevalences (up to 62 %) in foxes. Cats and dogs can act as definitive hosts. Human are accidentally infected by ingestion of food contaminated by the feces. After a long incubation period, invasive hepatic lesions may appear, as well as extra-hepatic lesions. The disease may be fatal. The diagnosis is based on imaging techniques, serology and nucleic acid detection in tissues. Early diagnosis may allow surgical removal of the lesion associated with at least 2 years of albendazole postoperative treatment. In case of contraindication to surgery, a long term treatment with albendazole is necessary. Liver transplantation is sometimes necessary. This article presents the epidemiologic, clinical, diagnostic and therapeutics features of this zoonotic disease. [less ▲]

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See detailPrise en charge multidisciplinaire d'une volumineuse hydatidose hepatique.
HALLEUX, Danaé ULiege; Juriens, I.; Delwaide, Jean ULiege et al

in Revue Médicale de Liège (2018), 73(2), 65-71

Cystic echinococcosis or hydatidosis, is a zoonosis caused by larval stages of Echinococcus granulosus that can be encountered in Belgium in patients originating from endemic countries. The liver is the ... [more ▼]

Cystic echinococcosis or hydatidosis, is a zoonosis caused by larval stages of Echinococcus granulosus that can be encountered in Belgium in patients originating from endemic countries. The liver is the most commonly affected organ. In this paper, the authors describe the multidisciplinary management of this pathology based on the clinical case of a patient suffering from a 28 cm cystic echinococcosis treated by combination of albendazole and liver resection. Several treatment options are described in the literature although there is currently no clear consensus on the management of this condition. [less ▲]

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See detailPrévalence de l’hypovitaminose D chez la femme enceinte : quelle est la situation en région liégeoise ?
VRANKEN, Laura ULiege; EMONTS, Patrick ULiege; Bruyère, Olivier ULiege et al

in Revue Médicale de Liège (2018), 73(1), 10-16

Summary : Vitamin D deficiency is a worldwide health problem, also during pregnancy. Inadequate maternal vitamin D status in pregnancy is associated with poor fetal growth, impaired bone development and ... [more ▼]

Summary : Vitamin D deficiency is a worldwide health problem, also during pregnancy. Inadequate maternal vitamin D status in pregnancy is associated with poor fetal growth, impaired bone development and rickets in infants after birth. Furthermore, higher rates of preeclampsia and gestational diabetes are associated with low maternal vitamin D status during pregnancy. Toxicity of vitamin D is rare. Most countries recommend vitamin D supplementation during pregnancy but guidelines are controversial and inadequate compared to real mother’s and child’s needs. Wath’s the best strategy to follow and supplement mother during pregnancy? In a study carried out at the maternity clinic Notre- Dame des Bruyères (CHU Liège), we studied for a year the vitamin D concentrations of young women at start of pregnancy and of others after delivery to evaluate the local situation and management of vitamin D status during pregnancy. We did not collect the cord blood samples in this study. However, this is a project we would like to achieve soon. This would allow us to compare the vitamin D results of the mother at the time of delivery, to those of the cord blood of their respective child. [less ▲]

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See detailAcidose métabolique à trou anionique élevé (acidose pyroglutamique) induite par une prise chronique de paracétamol
TCHOUGANG NONO, Joël ULiege; MISTRETTA, Virginie ULiege; Noirot, Isabelle ULiege et al

in Revue Médicale de Liège (2018), 73(1), 39-42

Acetaminophen is the most consumable analgesic in the world in the form of medical prescription or selfmedication. It is one of the active ingredients most often involved in voluntary poisoning. Lethal ... [more ▼]

Acetaminophen is the most consumable analgesic in the world in the form of medical prescription or selfmedication. It is one of the active ingredients most often involved in voluntary poisoning. Lethal dose of acetaminophen classically induces acute hepatic failure on hepatic necrosis. Chronic intake of sub-lethal doses (i.e. near recommended therapeutic doses) of acetaminophen in the presence of certain risk factors may be responsible for another much less recognized pathological manifestation: severe metabolic acidosis with an increased anion gap due to the accumulation of 5-oxoproline or pyroglutamic acid. [less ▲]

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See detailUne urgence bien souvent meconnue.
MARCHETTA, Stella ULiege; DULGHERU, Raluca Elena ULiege; Oury, Cécile ULiege et al

in Revue Medicale de Liege (2018), 73(5-6), 283-289

Infective endocarditis is a rare disease that can lead to some diagnostic wandering because of its often nonspecific and polymorphic clinical manifestations. This latency is at the origin of severe ... [more ▼]

Infective endocarditis is a rare disease that can lead to some diagnostic wandering because of its often nonspecific and polymorphic clinical manifestations. This latency is at the origin of severe cardiac and extra-cardiac complications, yet highly fatal. The clinician should always bear in mind the differential diagnosis of a patient with fever of undetermined origin, with risk factors for valve infection such as foreign material, and history recent invasive procedures (including dental procedures) or recent hospitalization. The current medical tools make it possible to highlight the infection and its complications in a fast and complete manner, so as not to delay the patient's management, particularly with the introduction of urgent empirical antibiotherapy. [less ▲]

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See detailLa tamponnade cardiaque.
ANCION, Arnaud ULiege; ROBINET, Sébastien ULiege; Lancellotti, Patrizio ULiege

in Revue Medicale de Liege (2018), 73(5-6), 277-282

Cardiac tamponade is a vital emergency. It occurs when the accumulation of intra-pericardial fluid exceeds the pericardial adaptation capacity. Pericardial pressure is equalized with that of cardiac ... [more ▼]

Cardiac tamponade is a vital emergency. It occurs when the accumulation of intra-pericardial fluid exceeds the pericardial adaptation capacity. Pericardial pressure is equalized with that of cardiac cavities and severe heart failure occurs, most often rapidly. Several clinical presentations are possible. The diagnosis is based on the assessment of pericardial effusion and its impact on the heart by echocardiography. Supportive treatments have limited effectiveness. The only emergency treatment is drainage of the pericardium by direct puncture or by surgical approach. [less ▲]

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See detailLa myocardite.
MOONEN, Marie ULiege; Lancellotti, Patrizio ULiege

in Revue Medicale de Liege (2018), 73(5-6), 269-276

Myocarditis is an illness characterized by myocardial infiltration with inflammatory cells and non-ischemic myocytic necrosis. The clinical presentation of myocarditis varies widely and diagnosis is ... [more ▼]

Myocarditis is an illness characterized by myocardial infiltration with inflammatory cells and non-ischemic myocytic necrosis. The clinical presentation of myocarditis varies widely and diagnosis is sometimes difficult to establish. The current incidence of myocarditis is also difficult to determine as endomyocardial biopsy, the diagnostic gold standard, is unfrequently used, or even not justified. The leading causes are infections, immune-mediated injury and toxins. Prognosis is most often good but, in some patients, the disease can be fulminant with progression to cardiogenic shock, or occurrence of sudden cardiac death. Prognosis in myocarditis patients varies according to the underlying aetiology. Treatment is generally symptomatic, but in some cases, a specific therapy is appropriated as a function of the corresponding aetiology. This paper aims to review current knowledge concerning myocarditis, with particular emphasis on <<urgent>> situations. [less ▲]

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