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Biomedical subjects

G Mortier

Publications and source records attributed to G Mortier.

At least 55 records · Page 3Linked to original sources

Gastric xanthoma.

Gastric xanthoma (GX) consists of a small yellowish lesion of the gastric mucosa, frequently of multiple occurrence; histologically, there is an accumulation of lipid-laden histiocytes in the lamina propria. Seven cases are reported. One patient also had jejunal localizations. There is no correlation with hypercholesterolemia but in four cases a slight hypertriglyceridemia was found. A control gastroscopy, performed in four cases, revealed no changes in the first patient but a decrease in size in a second and the disappearance of GX in two other patients.

Aged↗

Unilateral bowing of long bones and multiple congenital anomalies in a child born to a mother with gestational diabetes.

We report on a new-born girl with multiple congenital anomalies consisting of major skeletal anomalies restricted to the left side, cleft palate, ventricular and atrial septal defect, retromicrognathia, short neck, dysplastic low-set ears and large birth weight. The left-side bony anomalies include shortening and bowing of the femur and tibia, hypoplasia of the fibula, hip dislocation, clubfoot and mild shortening of the long tubular bones in the left arm with elbow dislocation. The pregnancy was complicated by insulin-dependent gestational diabetes mellitus in the mother. The radiographic features were not consistent with the diagnosis of campomelic dysplasia, kyphomelic dysplasia or other skeletal dysplasias characterized by bowing and shortening of the long bones. To our knowledge, the multiple congenital anomalies, including major skeletal malformations, present in our case have never been simultaneously reported until now. A maternal diabetes syndrome in this infant is probable. The occurrence of major congenital malformations in offspring of women with gestational diabetes is reviewed and discussed. We provide evidence that gestational diabetes mellitus could be teratogenic. We recommend a careful diabetic control in every woman with a history of gestational diabetes.

Abnormalities, Multiple↗

A retrospective study of the conservative treatment of tennis-elbow.

The files of 64 patients (70 tennis elbows) treated in our department because of tennis elbow complaints, were reviewed. The results showed injection with a corticosteroid preparation to be effective in alleviating the pain in the short term (91% improvement within 1 week), but the incidence of recurrence of symptoms to be high (51%) after an average period of 3 months). Physical therapy appeared to be less effective (47% improvement after an average of 6 weeks or 20 sessions), but recurrence of symptoms was far less frequent (5%).

Adrenal Cortex Hormones↗

[Correlation between motor terminal latency time of the median nerve and the result of conservative treatment (cortisone injection) in carpal tunnel syndrome].

45 patients with carpal tunnel syndrome could be followed after an initial conservative treatment (local injection with Depomedrol 40 mg) either up to a surgical intervention (15 patients) or up to 14 to 48 months after the first injection (mean 23 months). Pregnant patients were excluded, as well as the patients with a distal motor latency (DML) greater than or equal to 7 msec (immediate surgical intervention). The age and sex distribution corresponds with the data reported in the literature: 7 males (15%) versus 38 females (85%), including 7 between 20 and 39 years (16%), 24 between 40 en 59 years (53%) and 14 between 60 and 80 years (31%). The side of the complaints also corresponds with the literature data: bilateral 16 (36%), right hand 23 (51%), left hand 6 (13%). In the 16 patients with a DML greater than 5,5 msec (normal value up to 4.3 msec) a rapid recurrence of the complaints after the injections necessitated a surgical intervention in 12 cases. In the 29 patients with a DML less than or equal to 5.5 msec who had been operated, the improvement of the complaints after the first injection lasted 2 months at most in 8 cases, as opposed to an average of 12.5 months (0 to 48 months) for the population as a whole.

Adult↗

F-wave latencies of the deep peroneal nerve in diabetic polyneuropathy.

The F-wave latency of the deep peroneal nerve in function of leg length was determined in 66 normal persons and 25 diabetic patients with known polyneuropathy. The latencies were measured by stimulating the nerve at the ankle and recording the F-wave at the musculus extensor digitorum brevis using a needle electrode. The leg length was represented by the distance between the spina iliaca anterior superior and the lateral malleolus. The F-wave latencies obtained in diabetic patients were significantly higher than in controls (p less than 0.01). The method is suitable to detect polyneuropathy, especially in early cases where the conventional techniques (determination of the motor and/or sensory latencies and/or conduction velocities at the lower limbs) may still yield normal or borderline values. The upper limits of the normal values of the F-wave latencies in function of leg length is given by a non-linear curve, which can be represented by the equation: F-wave latency (msec) = 14.7 + 47.5 x (leg length in m)2. For practical purposes, the upper limit of the normal value for a given leg length can be readily determined from a latency-length curve.

Adult↗