Annales de médecine interne
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Endocrine encephalopathy, excepting hypoglycaemia and diabetes mellitus, is usually the clinical expression of non specific neuronal suffering secondary to a severe endocrine disturbance. The presentation is sometimes atypical and the prognosis poor but reversible with appropriate treatment; the condition should be recognised as the diagnosis can be made by simple investigations.
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Ann Med Interne (Paris) · Jan 1985
Case Reports[Hypovolemic shock caused by increased capillary permeability associated with monoclonal gammopathy. New case and review of the literature].
The authors report another case of hypovolaemic shock due to increased capillary permeability and review previous reports in the medical literature. It is a rare condition with all patients presenting hypovolaemic shock of sudden onset with varying degrees of hypoproteinaemia and increased haematocrit. A monoclonal globulin peak is usually observed on serum electrophoresis during and between episodes of shock. The pathological role of this globulin in the increased capillary permeability has not been established.
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Ann Med Interne (Paris) · Jan 1985
Case Reports[Choriocarcinomatous neoplastic pulmonary embolism. A case].
Massive obstruction of the right branches of the pulmonary artery by choriocarcinomatous cells was found at embolectomy in a 36 year old woman who had had a hydatidiform mole 10 years previously. Several febrile lung infections resistant to antibiotic therapy over an 11 months period, had led to a reduction in the volume and vascularisation of the right lung. ⋯ The patient died a few days after surgery despite administration of chemotherapy postoperatively. The authors discuss the problems in the diagnosis of recurrent pulmonary embolism in the absence of a suggestive cause and the problem of detecting the tumoural nature of these emboli.
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Ann Med Interne (Paris) · Jan 1984
[Skin manifestations of sarcoidosis. Review of the literature and 53 personal cases].
The authors review the literature and 53 personal cases, and describe the very variable appearances of the skin lesions in sarcoidosis: these may be divided into two main groups: non-specific "vasculitis" mainly represented by acute lesions of the erythema nodosum type, and specific polymorphic lesions often difficult to diagnose clinically and requiring skin biopsy. As in previous reports, the personal cases bring out a number of special features: silicotic granulomatous sarcoid like lesions may be observed in authentic cases of sarcoidosis; lesions identical to those described in systemic sarcoidosis may appear in isolation without other localisations. Is this cutaneous sarcoid? or sarcoid-like granulomata of unknown origin? The treatment of sarcoid skin lesions is described briefly.
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Ann Med Interne (Paris) · Jan 1984
Case Reports[Adie's syndrome and polyneuropathy: apropos of a new case and a case of pupillotonia, polyneuropathy and generalized amyloidosis sparing the nerve].
The association of Adie's syndrome and of neuropathy of chronic evolution is not a frequent occurrence; first made known by Togi in 1967, four cases have been described ever since. The authors report two new observations: one concerns a man showing a unilateral tonic pupil associated to sensory neuropathy, raised C. ⋯ The other is that of a woman affected with bilateral pupillotonia, motor neuropathy of the four limbs and generalized amylosis. If the first observation is comparable to the five cases reported, the second is more questionable: the absence of amyloid deposit on three nerve biopsies and at the ciliary ganglion level does not absolutely exclude the possibility of amyloid neuropathy.