La Revue de médecine interne
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Case Reports Comparative Study
[Colchicine intoxication in four elderly patients: how to prevent it?].
In France, unlike other countries, the use of colchicine is preferred to other anti-inflammatory drugs for the treatment of gout. ⋯ It would be useful to establish specific guidelines for colchicine use in the elderly population.
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[Abdominal manifestations of Henoch-Schönlein purpura in adults. A retrospective study of 23 cases].
Gastrointestinal manifestations of Henoch-Schönlein purpura (HSP) in adults may be severe. Data about treatment are controversial and the outcome is seldom described. ⋯ These results suggest that corticosteroids may reduce abdominal symptoms of HSP in adults with clinically severe disease. They are safe when CT scan is performed.
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Case Reports
[Acute respiratory distress syndrome as the presenting manifestation of an antisynthetase syndrome].
The antisynthetase syndrome is a subgroup of idiopathic inflammatory muscle diseases. Its characteristics are interstitial lung disease, myositis, polyarthritis, mechanic's hand like cutaneous involvement, and the presence of antisynthetase antibodies (anti-Jo1). ⋯ This patient was already followed-up for a scleroderma and presented a probable overlap syndrome. The disease course was favourable with anti-CD20 therapy.
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Hemoglobin A1c (HbA1c), measured regularly in the patients with diabetes, is the major form of stable glycated hemoglobin and has to be maintained below 6.5% to prevent or decrease the risk of chronic complications. HbA1c reflects mean blood glucose levels of the previous 3 months. ⋯ All hemolytic disorders can be responsible for falsely reassuring HbA1c values. Clinicians must be aware that hematologic status has to be considered for the correct interpretation of HbA1c results.