Search PubMed⌕ Search

Biomedical subjects

E Housset

Publications and source records attributed to E Housset.

At least 55 records · Page 3Linked to original sources
PubMed1983

[Epidemiologic relations between arteriopathy of the lower extremities and chronic gastroduodenal ulcer].

The authors report the results of a study of 3 565 consecutive patients over 30 years of age, of French nationality living in the Paris region, hospitalised over a 5 year period in a Department of internal medicine and vascular pathology. The incidence of gastroduodenal ulcer was compared in each sex in 10 year age groups in 764 patients with arterial disease and 2 801 patients without arterial disease. The incidence of ulcers was higher in patients with occlusive arterial disease in men in the 50 to 59 year age group (20,4 p. 100 compared to 9 p. 100, p less than 0,01), and in the 60 to 69 year age group (20,3 p. 100 compared to 9,8 p. 100, p less than 0,001), and after 70 years of age in females (12,8 p. 100 compared to 4 p. 100, p less than 0,01). The overall incidence in all patients with arterial disease (16,7 p. 100 of all 591 males, and 12,1 p. 100 of all females) was higher than in a corresponding control group (9,7 p. 100, p less than 0,0001, and 4,8 p. 100, p less than 0,001 respectively). These results only concern chronic ulcers. There was no difference in the incidence of acute ulcers.

Adult↗
PubMed1983

[Takayasu's disease: diagnosis].

Takayasu's disease is a syndrome of inflammatory arteritis involving the aorta and its branches due to varying etiologies. The diagnosis is usually made after clinical, radiological and biological investigations, but the pathognomonic sign of the disease is inflammatory sclerosis of the adventitial media. There appear to be five prognostic factors: hypertension, arterial aneurysm, aortic regurgitation, coronary insufficiency, and retinopathy.

Aortic Arch Syndromes↗
PubMed1983

[Morphological abnormalities of nailbed capillaries in connective tissue diseases].

The Capillaroscopy Unit of Broussais Hospital has carried out more than 6,000 examinations involving all areas of pathology and more particularly the special role which the method plays in connective tissue diseases. This experience was used to attempt to define the characteristics of the morphological abnormalities of the nailbed capillaries in connective tissue diseases in the adult. The study was deliberately limited to abnormalities of the capillaries themselves, with the exclusion of abnormalities of the pericapillary spaces, abnormalities of blood flow and abnormalities capable of manifesting themselves in the cold; though bearing in mind that the interpretation of a capillaroscopic examination can be perfectly credible only if all such anomalies are taken into consideration. The following capillaroscopic appearances have been included under the heading "morphological abnormalities": dystrophies, dilatations of the loops without megacapillaries, megacapillaries, telangiectasia, filiform loops, regressive capillaries, long loops and microaneurysms. Groups of these morphological abnormalities form more or less typical associations in connective tissue diseases.

Adult↗
PubMed1983

[Charcot's blue edema, a case].

The case of an 18 year old Algerian girl with acrocyanosis of the four extremities since childhood and presenting a with 6 months history of oedema of the left hand resulting in severe functional handicap, is reported. Clinically, the oedema suggested a lymphatic origin. However, its localised, strictly unilateral distribution, the normality of vascular investigations, the absence of pain and regression of the oedema during the period of hospitalisation suggested autoaggression. The discovery of tourniquet marks on the skin of the thigh confirmed the diagnosis of Charcot's blue oedema. The patient has a hysterical personality, was of higher than normal intelligence but immature, and could only express herself through her functional handicap, a cry for affection in a rigid family environment only concerned by her scholastic achievements. To our knowledge, there have been 27 other reports of this condition since Charcot's first description in 1890. The majority concerned young intelligent women. Diagnosis is difficult and can only be confirmed by the finding of tourniquet marks on the skin. Psychotherapy is often useful as an underlying neurotic or psychotic personality is commonly found.

Adolescent↗
PubMed1982

[Capillaroscopy in vibration disease].

The results of nailfold capillary microscopy were compared in 107 lumberers who had been using a chain saw for more than 3 years and 115 manual workers who had never used vibrating tools. The prevalence of Raynaud's phenomenon was 61.7% in lumberers and 5.2% in the control group. The mean time of exposure to risk before the condition developed was 7.86 years. The syndrome was usually mild, but the patients had an abnormally high incidence of accidents at work, including wounds and cut off fingers. The number of capillary loops was significantly reduced. The lumberers affected showed an abnormal spasm of the digital artery in response to cold; the predictive value of this test was 88%. It is suggested that nailfold capillary microscopy should be systematically used in industrial medicine for monitoring workers using a vibrating tool.

Adult↗
PubMed1982

[Takayasu's disease. Diagnostic criteria (author's transl)].

Retrospective analysis of the records of 86 patients with Takayasu's disease confirmed that the condition is more common in women, that it is frequently associated with a history of tuberculosis and that angiography is of considerable help in showing vascular lesions that are characteristic by their location (common carotid artery, post-vertebral subclavian artery) and by their diffusion to various areas. Histological examination of 20 surgical specimens confirmed the diagnostic value of sclerosis of the media and adventitia (associated or not with inflammatory lesions) and therefore radically different from the lesions of the intima observed in Horton's disease. Diagnostic criteria based on clinical, radiological and histological data are proposed.

Aortic Arch Syndromes↗
PubMed1982

[Takayasu's disease. Spontaneous course and treatment (author's transl)].

The natural history of Takayasu's disease remains a highly controversial subject. Whereas for some authors it is a progressive disorder with an extremely poor vital prognosis requiring aggressive medical or surgical treatment, for others it runs a slow course with few symptoms, and has a relatively good prognosis, depending on the presence of four factors: arterial hypertension and its cardiovascular, renal, and cerebral complications, retinopathy, aortic incompetence, and aneurysmal lesions. Based on the presence or absence of these complications, the disease can be classified as benign, moderately progressive, or severe forms, therapy, including surgery, being adapted to the type of affection present.

Adrenal Cortex Hormones↗
PubMed1982

Endothelial cell renewal in skin of patients with progressive systemic sclerosis (PSS): an in vitro autoradiographic study.

The labelling index of endothelial cells of the dermal microvessels was studied by in vitro autoradiography with [3H] thymidine. 14 patients with PSS were compared with 7 control subjects, by sampling the upper-third of the forearm skin. One patient had a second biopsy in this area, on a telangiectasis. Microvessels from patients showed a significant increase in endothelial cell labelling. Within the PSS group, no difference was found between the indurated and the non-indurated skin. There was no correlation between the labelling index and the duration of the disease. A very high uptake was found in the telangiectasis. Such an increased labelling index in PSS is consistent with a response to the endothelial cell destruction as described in electron microscopy and in cultures with patient's serum.

Adult↗
PubMed1982

[Inflammatory lesions of the aorta and its branches, Introduction and etiological aspects (excluding Takayasu's disease)(author's transl)].

Acquired lesions of the aorta are not confined to atherosclerosis alone, and diagnostic, etiological, pathogenic, and therapeutic problems may be raised when confronted with less frequent infective or inflammatory processes. Syphilitic aortitis was for a long time considered to be the only infective lesion involving the aorta, but bacterial (mycotic) aneurysms were now known to exist. Many pathogenic agents may be involved: staphylococcus, Salmonella, pneumococcus, Proteus, Klebsiella, Brucella, more rarely KB, Rickettsia, or nematodes. Inflammatory causes have been recognized more recently, epidemiological and histological studies confirming their presence and the multiple etiologies involved: Horton's disease, rheumatic disorders, connective tissue diseases.

Aneurysm, Infected↗
PubMed1982

[Systemic scleroderma : salivary immunoglobulins and the Gougerot-Sjögren syndrome].

The concentrations of immunoglobulins (Ig) A, G and M were measured in saliva using an electro-immunodiffusion technique at pH 5 with carbamylation of the antisera. Thirty-one controls and 20 patients with generalised scleroderma (10 with and 10 without Sjögren's syndrome) were studied. The three classes of immunoglobulins were in normal saliva. A concentration of IgG greater than 55 mg/l in whole saliva was associated with Sjörgren's syndrome. This is the consequence of the reduction of the rate of saliva production, as well as an increased local synthesis of IgG. The measurement of IgG in unconcentrated saliva could be useful in the detection of Sjögren's syndrome.

Humans↗
PubMed1981

[Clinical presentations of Cockett's syndrome. 16 cases].

Cockett's syndrome (iliac compression syndrome) results from compression of the common iliac vein by the aortic bifurcation. The anatomical abnormality is frequent (15-20% of the population), but symptoms only appear when compression is pronounced. In a study of 16 patients, predominantly female, the following clinical presentations were observed: venous oedema of the left lower limb in 4 cases; symptoms suggesting iliac phlebitis in 3 cases; pulmonary embolism as first sign of peripheral venous thrombosis in 6 cases; and deterioration of angiodyplasia in 3 cases. In all patients, the diagnosis of Cockett's syndrome was confirmed by cavography. Surgical treatment, successfully performed in 13 patients, consists of uncrossing the artery and vein and placing a clip on the vena cava in case of pulmonary embolism

Adolescent↗