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Clinical case of the month. Tetanus still exist !
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| D. Legrand, A. Delcour, P. Lancellotti |
| We report the dramatic story of a 81 year old patient admitted to the intensive care unit following the development of tetanus. This man, perfectly autonomous, used to workin his garden without anti-tetanus immunization coverage. In this article,
... [Read more]
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| Rev Med Liege 2013, 68(4),157-159 |
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Adenomyosis
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| M. Jason, V. Dechenne, F. Chantraine, M. Nisolle |
| Adenomyosis is a medical benign condition of the endometrium-myometrium interface that is histopathologically characterized by the presence of ectopic tissue (endometrial glands and stroma) in myometrium.
The diagnosis is complicated by the low
... [Read more]
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| Rev Med Liege 2013, 68(4),160-162 |
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Orthostatic hypotension : 2nd part.
Epidemiology, complications and treatments
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| M. Tyberghein, J-C. Philips, J-M. Krzesinski, A.J. Scheen |
| Orthostatic hypotension (OH) is a rather common
phenomenon in clinical practice. It may occur in 5-10 % of
normal individuals, but its prevalence increases with age and
various pathologies, so that it may rise above 35 % in certain
subgroups of
... [Read more]
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| Rev Med Liege 2013, 68(4),163-170 |
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Cerebrotendinous xanthomatosis, a rare, severe, but treatable metabolic disorder
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| S. Delstanche, T. Deflandre, B. Otto, L. Tshibanda, P. Simoni, G. Moonen |
| Cerebrotendinous xanthomatosis (CTX) is a rare
and treatable autosomal recessive disease. The diagnosis
should be suspected in the presence of a suggestive clinical
triad characterized by early-onset cataract, tendinous xanthomata
and
... [Read more]
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| Rev Med Liege 2013, 68(4),171-176 |
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Whooping cough in adults, think about it !
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| A. Toukouki, F. Frippiat, N. Frusch, P. Leonard, P. Caprasse, C. Meuris, C. Rodeghiero, R. Vanhoof, D. Pierard, M. Moutschen, K. Huygen, J-B. Giot |
| suffering from persistent cough for more than three
weeks. Patient coughed predominantly during night time, without
fever. The amoxicillin-clavulanic acid initially prescribed
was not effective. A series of complementary investigations
were
... [Read more]
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| Rev Med Liege 2013, 68(4),177-179 |
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Epidemiology and characteristics of febrile seizures in children
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| C. Kaputu Kalala Malu, E. Mafuta Musalu, J-M. Dubru, P. Leroy, A-M. Tomat, J-P. Misson |
| Febrile Seizures (FS), despite their usual benign
clinical course, are still subject of controversies regarding the
need for further investigation and treatment with anti-epileptic
drugs (AEDs). Our study aimed to inventory the
... [Read more]
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| Rev Med Liege 2013, 68(4),180-185 |
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How to cope with the bad reputation of depression
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| W. Pitchot, G. Scantamburlo |
| Today, the term depression has lost its meaning.
Recent scientific data suggests a change in our classifications
of mental disorders. Depression is frequently used to refer to
« normal » sadness, anxiety disorders, personality disorders
or
... [Read more]
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| Rev Med Liege 2013, 68(4),186-189 |
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how i treat … with metformin a diabetic patient with moderate renal insufficiency
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| A.J. Scheen |
| Numerous patients with type 2 diabetes have
renal impairment, especially in the elderly population. Metformin,
the first choice oral glucose-lowering agent, is classically
contraindicated in case of chronic kidney disease of
stages 3-5
... [Read more]
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| Rev Med Liege 2013, 68(4),190-195 |
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Medication of the month. Asenapine (Sycrest®)
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| W. Pitchot |
| Asenapine is a new atypical antipsychotic. Like
other atypicals, asenapine acts as an antagonist at both dopamine
D2 and serotonin 5-HT2A receptors. The efficacy of
asenapine monotherapy in the treatment of bipolar disorder
manic episodes in
... [Read more]
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| Rev Med Liege 2013, 68(4),196-200 |
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Diagnosis of gestational diabetes
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| J-C. Philips, A.J. Scheen |
| Gestational diabetes (GD) is a common complication
of pregnancy. Its prevalence depends on the strategy used
for screening and the studied population. Pregnant women
with GD are at increased risk for maternal and fetal complications.
The
... [Read more]
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| Rev Med Liege 2013, 68(4),201-207 |
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