[Complicated optic atrophy of infancy (Behr's disease)].
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Adult↗
Biomedical subjects
G Hermans
Publications and source records attributed to G Hermans.
[Acute bilateral ophthalmoplegia caused by median tumor of the base of the skull].
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Female↗
[Anatomo-clinical confrontation: idiopathic pulmonary fibrosis].
Idiopathic pulmonary fibrosis and pulmonary fibrosis associated with systemic diseases are the most frequent diffuse interstitial pulmonary diseases. They slowly but irrevocably progress towards terminal respiratory failure. They can also be complicated by severe acute respiratory failure and admission in the intensive care unit can be discussed. Despite invasive mechanical ventilation, anti-infectious and immunosuppressive treatments, the disease carries a high mortality rate. We report and discuss the case of a patient with idiopathic, pulmonary fibrosis (UIP) who underwent rapid clinical deterioration.
Humans↗
[Gallbladder volvulus].
We report two new cases of gallbladder volvulus. This rare condition principally affects elderly patients but is due to a congenital malformation related to the presence of a long mesocyst. Various factors such as kyphoscoliosis, multiparity and peristalsis of neighbouring organs favorise the occurrence of volvulus, the role of lithiasis is debatable. The diagnosis may be suggested on ultrasound but is most often confirmed at laparotomy. Diagnosis should be made rapidly in order to avoid progression towards a potentially fatal secondary peritonitis. Certain clinical elements such as the presence of a "floating mass" on palpation may suggest the diagnosis.
Aged↗
[Carcinoid tumors of the bronchi. Our experience of these during the last 10 years, with a review of the literature].
We present our experience with 18 bronchial carcinoids, two of those being of atypical histology. Mean age is 44 years, without sex preponderance. Clinical symptoms are poorly specific, with persistent cough and recurrent pneumonia as most frequent features. Carcinoid syndrome was seen in one patient. In 4 patients, the carcinoid tumor was an incidental finding on routine chest X-Ray film. Lack of pathognomonic clinical signs explains the considerable delay in diagnosis, with a mean of 10 months of clinical evAluation. Radiographic patterns are atelectatic lobe consolidation, a solitary coin lesion or a transparent lung field. All patients were submitted to bronchoscopic evaluation and only two endoscopic explorations remained negative, because of their peripheral localizations. In all other cases, there was a typical appearance of "cherry red adenoma". Mediastinal extension was present in 2 cases, while extrathoracic metastases were never found. Whenever possible, surgical resection was performed (16 cases). Two patients got endoscopic extirpation of their tumor. There is one postoperative hospital death. This study was done to gain a better understanding of clinical, diagnostic and pathologic features of bronchial carcinoid tumors, and their implications in terms of therapy and prognosis. The authors discuss clinical, diagnostic and therapeutic aspects of bronchial carcinoids as well as their microscopic appearance and relationship with oat cell carcinoma.
Adult↗