8,646 results match your criteria Revue medicale de Liege[Journal]


[Basal insulin glargine-lixisenatide fixed ratio combination (Suliqua®)].

Authors:
A J Scheen

Rev Med Liege 2019 Feb;74(2):111-116

Service de Diabétologie, Nutrition et Maladies métaboliques et Unité de Pharmacologie clinique, CHU Liège, Belgique.

Suliqua® (iGlarLixi) is a fixed ratio combination of basal insulin glargine U100 and the glucagon-like peptide-1 (GLP-1) receptor agonist lixisenatide. Both molecules exert complementary antihyperglycaemic effects : insulin glargine mainly targets fasting glycaemia while lixisenatide mainly targets postprandial hyperglycaemia. Thus, iGlarLixi is associated with a greater reduction in glycated haemoglobin (HbA1c) than each individual component and thereby results in a greater percentage of patients reaching HbA1c ? 7 %. Read More

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February 2019

[The necessary face-lifting for the electronic health record].

Authors:
P A Coucke

Rev Med Liege 2019 Feb;74(2):104-110

Service de Radiothérapie, Département de Physique médicale, CHU Liège, Belgique.

A revised Electronic Health Record (HER) is one of the most important keystones for the building of a new ecosystem. The latter is characterized by keywords such as big data, artificial intelligence, and cloud technology. The HER, which is used nowadays, does not fit within this purpose and - by the way - is considered as one of the most important reasons for frustration and burnout in the medical profession. Read More

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February 2019

[How I explore... a suspicion of paracetamol allergy in children].

Rev Med Liege 2019 Feb;74(2):100-103

Service de Pneumo-Allergologie pédiatrique, CHC Clinique de l'Espérance, Montegnée, Belgique.

Paracetamol (acetaminophen) is a molecule recognized worldwide for its anti-inflammatory and analgesic properties. While side effects are rare, some patients have allergic or non-allergic hypersensitivity to this molecule. Anamnesis helps to guide the diagnosis. Read More

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February 2019

[Congenital heart block revealing a maternal systemic disease : pathophysiology and therapeutic approaches].

Rev Med Liege 2019 Feb;74(2):95-99

Service de Gynécologie-Obstétrique, CHU Liège, Belgique.

Immunologic congenital atrioventricular block is due to the presence of anti-SSA and anti-SSB antibodies in maternal blood. This pathology is often diagnosed when the status is irreversible and is consequently associated with a high morbi-mortality. Close monitoring for high risk pregnancies can help to diagnose first and second degrees heart block and treatments can be offered when the block is still reversible. Read More

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February 2019
1 Read

[Giant pulmonary artery aneurysms. Case report and proposal of management algorithm].

Rev Med Liege 2019 Feb;74(2):90-94

Service de Chirurgie cardio-vasculaire et thoracique, CHU Liège, Belgique.

Pulmonary artery aneurysm is a rare and multiform pathology related to multiple etiologies and therefore different pathophysiological mechanisms. Delineating homogenous sub-groups is a pre-requisite to refine medico-surgical management. The case of a giant PAA without pulmonary hypertension but associated to a dysplastic pulmonary valve is reported. Read More

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February 2019
1 Read

[Norovirus nosocomial outbreak : an hospital experience].

Rev Med Liege 2019 Feb;74(2):86-89

Service de Microbiologie Clinique, CHU de Liège, Liège, Belgique.

Human noroviruses (NoV) are the main pathogenic agents worldwide responsible for viral sporadic and epidemic gastroenteritis worldwide. A gastroenteritis outbreak broke out in patients hospitalized in several wards located in two different floors of a hospital in Liege, Belgium. The objective was to determine whether a same NoV strain would be involved in the two different floors, and to explore how this outbreak would have spread from a floor to the other. Read More

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February 2019
1 Read

[Infantile spinal muscular atrophy : therapeutic (R)evolution].

Rev Med Liege 2019 Feb;74(2):82-85

Service de Pédiatrie, Centre de Références des Maladies Neuromusculaires, CHU Liège, Belgique.

Spinal muscular atrophy (SMA) is an autosomal recessive neuromuscular disorder. The infantile form is the most common genetic cause of infantile death due to respiratory insufficiency. The disorder is caused by the premature death of motor neurons of anterior horn, leading to progressive weakness and muscular atrophy. Read More

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February 2019
1 Read

[Bronchial thermoplasty in the management of severe asthma : retrospective analysis of 10 cases treated at academic hospital of Liège].

Rev Med Liege 2019 Feb;74(2):74-81

Service de Pneumologie, CHU de Liège, Belgique.

As treating severe forms of asthma represents a medical and economical challenge, research for new therapies in this area is extensive and expansive. Recently, bronchial thermoplasty (BT) - ie. bronchoscopic procedure delivering a thermic form of energy through radiofrequency to the bronchi, in order to interfere with the components of the smooth muscle layer - arose as a promising technique. Read More

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February 2019

[The use of ExtraCorporeal Membrane Oxygenation (ECMO) in severe hypothermia associated with cardiac arrest].

Rev Med Liege 2019 Feb;74(2):71-73

Service des Urgences, Clinique Notre-Dame de Grâce, Gosselies, Belgique.

The use of extracorporeal membrane oxygenation (ECMO) in severe hypothermia associated with cardiac arrest has become a more frequent warming technique in specialized centers over the years with better survival outcomes compared to traditional rewarming methods. We show that a full recovery is possible, even after prolonged resuscitation. We report the case of a 36-year old male who survived approximately 4 hours of cardiopulmonary resuscitation following an unknown duration of asystole in the context of severe accidental hypothermia (24°C). Read More

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February 2019
1 Read

[Intestinal intussusception in adults, atypical and potentially dramatic].

Rev Med Liege 2019 Feb;74(2):68-70

Service de Chirurgie abdominale, sénologique, endocrine et Transplantation, CHU Liège, Belgique.

Intestinal intussusception is essentially a pediatric pathology that remains rare in adults. We report the case of a 67-year-old patient hospitalized for persistent painful abdominal attacks despite the completion of an almost exhaustive assessment. An entero-scanner will finally show the presence of ileal-ileal intussusception, which is the site of a monoclonal plasmablastic lymphoma and responsible for an upstream sub-obstruction. Read More

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February 2019
1 Read

[Update about management of knee tendinopathies].

Rev Med Liege 2019 Feb;74(2):63-67

Service de Médecine physique, CHU Liège, Belgique.

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. Read More

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February 2019

[Image of the month: Intra-uterine wire].

Rev Med Liege 2019 Feb;74(2):61-62

Service de Gynécologie, CHC Saint-Vincent, Liège, Belgique.

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February 2019
1 Read

[IMPACT study in COPD].

Authors:
J L Corhay

Rev Med Liege 2019 Jan;74(1):54-60

Service de Pneumologie CHU Sart Tilman, Liège, Belgique.

The role of the anti-inflammatory and bronchodilator triple therapy, including a long acting ß2-agonist (LABA), a long-acting muscarinic antagonist (LAMA) and an inhaled corticosteroid (ICS), in the prevention of the exacerbations of chronic obstructive pulmonary disease (COPD) is still not clearly established, and requires comparison with dual therapy (LABA-CSI or LABA-LAMA). IMPACT is a phase 3, double-blind randomized study comparing the tritherapy (LABA-LAMA-ICS) in a single inhaler (vilanterol 25 ?g/umeclidinium 62.5 ?g/fluticasone furoate 100 ?g) with the LABA-ICS association (vilanterol 25 ?g-fluticasone furoate 100 ?g) and the combination LABA-LAMA (vilanterol 25 ?g/umeclidinium 62. Read More

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January 2019
2 Reads

[Pattern of biological changes in interstitial lung diseases].

Rev Med Liege 2019 Jan;74(1):47-53

Service de Pneumologie, CHU de Liège, Belgique.

Interstitial lung diseases (ILD) are a part of a vast and heterogeneous clinicopathological entity. The work-up have to rule out a granulomatosis or a secondary cause, before making the diagnosis of an idiopathic ILD. The etiological diagnosis is based on a multidisciplinary approach integrating a network of clinical and paraclinical datas. Read More

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January 2019
6 Reads

[Noroviruses, these unknown worldwide epidemic enteropathogens].

Rev Med Liege 2019 Jan;74(1):41

Service de Virologie Vétérinaire et Maladies Virales Animales, Faculté de Médecine Vétérinaire, Centre FARAH, Liège Université, Liège, Belgique.

Discovered in the 1970s, human noroviruses (NoV) are the leading cause of foodborne disease and gastroenteritis outbreaks worldwide. NoV affect people of all ages. In children less than 5 years old, despite rotavirus remains the main enteropathogen responsible for viral gastroenteritis, NoV become the first etiological virus in countries where the rotavirus vaccine was introduced. Read More

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January 2019
1 Read

[Evaluation of a supervised six-month exercise program in patients with prostate cancer receiving androgen-deprivation therapy].

Rev Med Liege 2019 Jan;74(1):36-40

Service d'Urologie, Cliniques universitaires Saint-Luc, Bruxelles, Belgique.

Prostate cancer is the most common cancer in men in Belgium. Its treatment is mainly based on androgen-deprivation therapy, which is accompanied by some adverse effects (e.g. Read More

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January 2019
1 Read

[Emergency department utilization by HIV-positive adults in a Belgian setting].

Rev Med Liege 2019 Jan;74(1):28-35

Département des maladies infectieuses, Liège Université, CHU de Liège, Belgique.

The use of the emergency department (ED) by human immunodeficiency virus (HIV)-infected adults undergoes an evolution following the introduction of antiretroviral therapy (ART). Improving our knowledge about ED use characteristics will contribute to a correct diagnosis and therapeutic approach in this patient group, at the moment they are discharged from the ED. We conducted a one-year retrospective study on characteristics of ED use involving 1026 patients living with HIV. Read More

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January 2019
1 Read

[Why stopping smoking is difficult in patients suffering from schizophrenia? How better to take care of them?]

Rev Med Liege 2019 Jan;74(1):23-27

Unité de Recherche Clinique, Centre Hospitalier Henri Laborit, Université de Poitiers, 86021 Poitiers, France.

Smoking is much higher among patients suffering from schizophrenia compared to the general population. These patients inhale the smoke more deeply and extract a significant amount of nicotine from the cigarette. They are highly addicted to tobacco and their attempts to stop smoking are more frequently marked by failures. Read More

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January 2019
1 Read

[A case of periodic thyrotoxic paralysis].

Authors:
G Kisoka X Bertrand

Rev Med Liege 2019 Jan;74(1):20-22

Département des Urgences, CHR Citadelle, Liège, Belgique.

Periodic thyrotoxic paralysis (TPP) is a disease that usually affects Asian men from 20 to 50 years. It is secondary to genetic mutations of ion channels for the transport of sodium and potassium. It is characterized by recurrent and brutal bouts of paresis / flaccid paralysis, without sensory involvement, in a context of hyperthyroidism. Read More

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January 2019
7 Reads

[An unusual cause of kidney disease in a diabetic patient].

Rev Med Liege 2019 Jan;74(1):15-19

Service de Néphrologie, CHU Sart Tilman, Liège, Belgique.

Diabetic nephropathy is a complication of diabetes that affects 25-40 % of diabetic patients. This complication is usually associated with other microangiopathic disorders. We describe a case of a patient suffering from type 2 diabetes with proteinuria, and no signs of retinopathy. Read More

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January 2019
2 Reads

[Treatment of mucocutaneous toxicity of target therapy in oncology].

Rev Med Liege 2019 Jan;74(1):7-14

Service de Dermatologie, CHU Sart Tilman, Liège, Belgique.

The spectrum of the mucocutaneous adverse effects of directed oncologic therapies, such as anti-EGFR, anti-VEGF, anti-TK and anti-BRAF, presents similarities but also differences compared to that of the classic chemotherapeutics. This article reviews the dermatological toxicities of the targeted therapies, with 11 clinical cases, including mucositis and oral toxicities, the acne-like eruptions, nail changes and complications, the «hand/foot» syndrome, radiosensitization, alopecias, xerosis and skin fissures. After a brief clinical case presentation and theoretical issues, the clinical management is discussed in detail. Read More

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January 2019
1 Read

[Image of the month. « CUP » : Cancer of unknown primary].

Rev Med Liege 2019 Jan;74(1):4-6

Service d'Oncologie et Hématologie, Centre Hospitalier du Bois de l'Abbaye, Liège, Belgique.

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January 2019
1 Read

Editorial. Que de questionnements à propos de notre avenir.

Authors:
A J Scheen

Rev Med Liege 2019 Jan;74(1):1-3

Service de Diabétologie, Nutrition et Maladies métaboliques et Unité de Pharmacologie clinique, CHU de Liège, Belgique.

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January 2019
1 Read

[A traumatic cervical spine injury in children?]

Rev Med Liege 2018 Dec;73(12):645-649

Service de Neurochirurgie, CHR Citadelle, Liège, Belgique.

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. Read More

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December 2018
1 Read

[Trisomy 18 in a bichorial-biamniotic twin pregnancy].

Rev Med Liege 2018 Dec;73(12):640-644

Service de Gynécologie-obstétrique, CHU de Liège.

Screening for chromosomal abnormality such as trisomy 18 in a bichorial-biamniotic twin pregnancy is based on ultrasound and a non-invasive prenatal test (NIPT) from 12 weeks of gestation. An invasive examination such as amniocentesis is necessary for a diagnostic confirmation. The management of these complicated cases consists in performing a selective feticide in the first or third trimester of pregnancy. Read More

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December 2018
2 Reads

[Rheumatoid arthritis and cardiovascular risk factor : literature review].

Rev Med Liege 2018 Dec;73(12):634-639

Département de Médecine Interne, Hôpital Central, CHRU Strasbourg, France.

The rheumatoid arthritis remains a common condition and constitutes a diagnostic and therapeutic challenge, especially in the elderly. Rheumatoid arthritis is known to be associated with increased mortality, including coronary and cerebrovascular atherosclerosis. A literature review is conducted on the role of rheumatoid arthritis as a cardiovascular risk factor. Read More

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December 2018
1 Read

[Management of hyperglycaemia of type 2 diabetes. Paradigm change according to the ADA-EASD consensus report 2018].

Authors:
A J Scheen N Paquot

Rev Med Liege 2018 Dec;73(12):629-633

Service de Diabétologie, Nutrition et Maladies métaboliques, CHU Liège.

The strategy for the management of hyperglycaemia in type 2 diabetes was updated in October 2018 by a group of experts of the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). They are triggered by the results of cardiovascular outcome trials published since 2015, which demonstrated a cardiovascular (and renal) protection with two classes of medications, SGLT2 inhibitors (gliflozins) and some GLP-1 receptor agonists (mainly liraglutide) in patients with established cardiovascular disease. Thus, after failure of lifestyle and metformin, the addition of one of these agents is recommended in presence of atherosclerotic cardiovascular disease. Read More

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December 2018
1 Read

[Patient partner approach into question].

Rev Med Liege 2018 Dec;73(12):621-628

Approche Patient Partenaire de Soins.

Patient engagement in health care system can be regarded as a lever for the general improvement of people's health, the quality and safety of care. Among the many approaches that co-exist, the model of Patient Partner is relatively recent and declares itself as the most successful to promote this engagement. The authors of this article propose to present briefly the above model and to raise the remaining questions on its operational application. Read More

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December 2018
1 Read

[Demons-Meigs syndrome secondary to an ovarian Brenner tumour. Case report and literature survey].

Rev Med Liege 2018 Dec;73(12):615-620

Service d'Onco-Hématologie, CHC de Liège, Belgique.

A 65-year old woman presents with a Demons-Meigs syndrome characterized by dyspnea resulting from a transsudative pleural effusion, an important unilateral right ovarian mass and ascites. The diagnosis of a Brenner type histology was obtained after complete surgical removal of ovarian tumor. After discharge the patient entered in a sustained complete response and thus potential cure. Read More

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December 2018
2 Reads

[Morel-Lavallée syndrome. Case analysis and focus on medical care].

Rev Med Liege 2018 Dec;73(12):610-614

Antenne Chirurgicale Parachutiste, Service de Santé des Armées françaises.

Morel-Lavallée syndrome is a trauma that remains rare and whose management is not yet standardized. It is a closed delamination between the fascia superficialis and the cutaneous-subcutaneous tissue. This empty space is filled with fluid and may be complicated by surinfection and tissue necrosis. Read More

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December 2018
1 Read

[Cushing's syndrome during pregnancy : diagnostic and therapeutic difficulties].

Rev Med Liege 2018 Dec;73(12):603-609

Service d`Endocrinologie, CHU de Liège, Liège, Belgique.

Cushing's syndrome (CS), which is often associated with infertility, exceptionally occurs in pregnancy, and markedly increases maternal and fetal morbidity and mortality. Gestational CS may be challenging. Indeed, symptoms of hypercorticism may overlap with physiological hyperactivity of the hypothalamus-pituitary-adrenal axis in normal pregnancy. Read More

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December 2018
3 Reads

[Role of metformin in gynaecology and obstetrics].

Rev Med Liege 2018 Dec;73(12):597-602

Service de Gynécologie-Obstétrique, CHU de Liège, Belgique.

Metformin raises much interest in the fields of gynaecology and obstetrics. This article discusses both the efficacy and safety of metformin in the management of polycystic ovary syndrome as well as in the prevention, treatment and follow-up of gestational diabetes. Recent observational data suggest that metformin may also exert positive effects as adjuvant therapy in some cancers, among which endometrial cancer and breast cancer. Read More

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December 2018
3 Reads

[Exploring focal liver lesions with contrastenhanced ultrasonography].

Rev Med Liege 2018 Nov;73(11):592-596

Service de Radiodiagnostic, CHU de Liège, Belgique.

Noninvasive diagnosis of focal liver lesions is usually based on unenhanced ultrasonography, computed tomography, or magnetic resonance. Contrast-enhanced ultrasonography (CEUS) can be used among the other imaging modalities in evaluating these lesions. The technique requires the intravenous injection of contrast media. Read More

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November 2018
14 Reads

[New 2018 European guidelines for the management of hypertension and comparison with the 2017 American guidelines].

Rev Med Liege 2018 Nov;73(11):583-591

Service de Néphrologie-Dialyse-Hypertension et Transplantation, CHU de Liège, Belgique.

New European guidelines for high blood pressure management have just been published in 2018, modifying those published in 2013 and may be seen as a response to those published by the American societies late 2017. The latter proposed a new definition of hypertension (blood pressure equal or higher than 130/80 mmHg), a therapeutic approach based on the evaluation of the cardiovascular risk, and a blood pressure target inferior to130/80 mmHg in all patients, even those older than 80 years still valid. The European guidelines, on the contrary, maintain the definition threshold of hypertension to a blood pressure equal or higher than 140/90 mmHg. Read More

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November 2018
11 Reads

[Bone disorders and complications of pediatric acute lymphoblastic leukemia : monocentric study and review of the literature].

Rev Med Liege 2018 Nov;73(11):575-582

Service de Pédiatrie, Hémato-Oncologie Pédiatrique, CHU de Liège, Belgique.

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, . Read More

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November 2018
21 Reads

[Exacerbations in asthma and chronic obstructive pulmonary disease (COPD) Survey on the criteria of pescription of systemic corticoids and antibiotics by general practicioners and chest physicians].

Rev Med Liege 2018 Nov;73(11):570-574

Service de Pneumologie, CHU Sart Tilman, 4000 Liège, Belgique.

Exacerbations in asthma and chronic obstructive pulmonary disease (COPD) are critical events in the evolution of the disease. They are generally defined by the need to be temporarily treated by systemic corticoids and/or antibiotics. Very few studies have examined the criteria on which clinicians including general practitioners (GP) and chest physicians are basing their decision to prescribe. Read More

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November 2018
2 Reads

[Contribution of FreeStyle Libre® in the care of diabetic patients : experience at the CHU of Liege].

Rev Med Liege 2018 Nov;73(11):562-569

Service de Diabétologie, Nutrition et Maladies métaboliques, CHU de Liège, Belgique.

Since July 2016, diabetic patients included in the INAMI glycemic self-monitoring system in category A in Belgium can benefit from a new system for measuring the concentration of subcutaneous glucose : FreeStyle Libre® (FSL) from Abbott company. The main advantage of this technology is that it is less invasive as it does not require finger blood sampling and allows patients to obtain, in addition to the instantaneous value of glucose concentration, retrospective kinetic data, but also prospective trend of its kinetics. In this study, we mainly evaluated the contribution of FSL on the overall equilibration of diabetes and on the time spent in hypoglycaemia. Read More

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November 2018
2 Reads

[Membranous occlusion of the inferior vena cava a rare cause of Budd-Chiari syndrome].

Rev Med Liege 2018 Nov;73(11):557-561

Service d'hépatologie, CHU de Liège, Belgique.

Rarely encountered in the Western countries, membranous occlusion of the inferior vena cava results from a fibrous thickening of the intima and is commonly located at the orifices of the hepatic veins. To date, two etiopathogenic hypotheses have been formulated: the first, dealing with the embryological aspect, the second, arguing for a thrombotic origin. Nevertheless, several studies are still underway to understand the exact physiopathological mechanism of this obstruction. Read More

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November 2018
3 Reads

[Cardiac complications of sickle cell disease in children].

Rev Med Liege 2018 Nov;73(11):550-556

Service de Pédiatrie, CHU de Liège, Belgique.

Sickle cell disease (SCD) is a genetic disorder due to an abnormal gene coding for the chain ? of the hemoglobin. The main clinical manifestations related to the major forms of SCD (SS-, SC-, and S-thalassemia) are chronic hemolysis, susceptibility to infections and vasoconstrictive crisis causing micro-emboli and/or infarction responsible for acute or chronic organ lesions. The latest are enhanced by tissue iron overload due to repeated blood transfusions. Read More

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November 2018
18 Reads

[Reappraisal of metformin : less restrictions and more potential indications].

Rev Med Liege 2018 Nov;73(11):544-549

Service de Diabétologie, Nutrition et Maladies métaboliques CHU de Liège, Belgique.

While commercialized since over 60 years, metformin is still the first-line drug recommended for the management of type 2 diabetes and is thus today the first glucose-lowering agent used worldwide. Despite this long experience, metformin retains its mysteries, especially regarding the underlying mechanisms responsible for its antidiabetic activity and other potential beneficial effects. During the last years, some contra-indications of metformin use have been at least partially withdrawn while new indications have been recognized. Read More

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November 2018
4 Reads

[Scorbut, historic disease ?]

Rev Med Liege 2018 Nov;73(11):541-543

Gastro-entérologie, CHBA, Liège, Belgique.

Scurvy, a disease caused by a deficit in vitamin C, is again described in Europe nowadays. This condition is associated with poverty and malnutrition, as found in developing countries. However, denutrition may also occur with a "western" lifestyle that can lead to nutriment deficiencies. Read More

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November 2018
3 Reads

[Assessment of a digestive malabsorption syndrome].

Rev Med Liege 2018 Oct;73(10):526-532

Service de Diabétologie, Nutrition et Maladies métaboliques, CHU Liège, Belgique.

Malabsorption syndrome is a complex clinical entity that needs to be carefully explored. Patients present frequently chronic diarrhoea associated with weight loss. These symptoms affect patient's quality of life. Read More

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October 2018
10 Reads

[Basal insulin degludec - liraglutide fixed ratio combination (Xultophy®)].

Rev Med Liege 2018 Oct;73(10):526-532

Département d'Endocrinologie clinique et expérimentale, UZ Gasthuisberg, KU Leuven, Leuven, Belgique.

Xultophy® (IDegLira) is a fixed ratio combination of basal insulin degludec and glucagon-like peptide-1 (GLP-1) receptor agonist liraglutide. Insulin degludec is characterized by an original mode of prolonged and continuous insulin diffusion after its subcutaneous injection. Thereby, it has a very long half-life, around 25 hours, and a better reproducibility from both a pharmacokinetic and pharmacodynamic point of view, with less hypoglycaemia, especially at night. Read More

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October 2018
3 Reads

[How I explore… a proteinuria].

Rev Med Liege 2018 Oct;73(10):519-525

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The measurement of proteinuria is a very simple tool to screen and manage kidney diseases. Its predictive role is also relevant from a cardiovascular point of view. However, the interpretation of the results is not always easy. Read More

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October 2018
1 Read

[Screening of frailty in family practice by the modified SEGA grid].

Authors:
E Feck A A Zulfiqar

Rev Med Liege 2018 Oct;73(10):513-518

Département de Médecine Générale, Gériatrie, Thérapeutique, Hôpital universitaire de Rouen, 76140 Le Petit Quevilly, France.

The objective of this study was to evaluate frailty by the use of the modified SEGA grid in a population aged 75 years and older. This cross-sectional study was carried out in Marne (Champagne Ardenne), including subjects aged 75 years or more, who can go to medical general practionners consultation. Frailty was assessed by the modified SEGA tool. Read More

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October 2018
1 Read

[Asherman's syndrome : management after curettage following a postnatal placental retention and literature review].

Rev Med Liege 2018 Oct;73(10):508-512

, Service de Gynécologie-Obstétrique, CHR Citadelle, Liège, Belgique.

Asherman's syndrome (AS) is a partial or complete obliteration of the uterine cavity after intrauterine trauma. Approximately 90 % of severe AS cases occur after abortion curettage or postpartum curettage. Clinical signs and symptoms are abnormalities of the cycle (hypomenorrhoea or amenorrhoea) and fertility disorders. Read More

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October 2018
2 Reads

[The Patient Blood Management].

Rev Med Liege 2018 Oct;73(10):502-207

Service laboratoire d'Hématologie et d'Immuno-Hématologie, CHU de Liège, Belgique.

Patient Blood Management (PBM) is a comprehensive hospital approach to the anemic patient or at risk of becoming anemic, aimed at protecting and optimizing the patient's blood capital and resistance. The main aim of BPM is to combat the risk factors of anaemia, hemorrhage and blood transfusion. PBM involves transdisciplinary collaboration ranging from pre-hospital prevention to post-hospital follow-up. Read More

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October 2018
1 Read

[Neonatal screening for cystic fibrosis : towards a national implementation in Belgium in 2019].

Rev Med Liege 2018 Oct;73(10):497-501

Service de Pneumologie Pédiatrique, Département de Pédiatrie, CHU de Liège, Belgique.

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. Read More

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October 2018
9 Reads

[Maxillomandibular advancement surgery in severe OSAS].

Rev Med Liege 2018 Oct;73(10):492-496

Service de Chirurgie maxillofaciale,CHU de Liège, Belgique.

Obstructive Sleep Apnea Syndrome (OSAS) is a common underdiagnosed pathology. Its consequences are serious, especially in terms of quality of life and cardiovascular risk. This article describes the case of a patient having a severe OSAS. Read More

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October 2018
14 Reads

[How I manage drug therapy failure].

Authors:
A J Scheen

Rev Med Liege 2018 Oct;73(10):488-491

Service de Diabétologie, Nutrition et Maladies métaboliques et Unité de Pharmacologie clinique, CHU de Liège, Belgique.

Drug therapy failure may occur with any medical intervention. It is badly accepted by both the physician and the patient. Drug failure may be attributed to the physician, the patient, the medication or the severity of the disease itself. Read More

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October 2018
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