Periarteritis nodosa is a necrotizing vasculitis diagnosed on clinical, angiographic and histological criteria. We conducted a retrospective study of the various clinical and paraclinical manifestations of the disease in a series of 27 patients hospitalized in an Internal Medicine department. Visceral angiography showed microaneurysms in only 12.5% of the cases, and we consider that the indications of this method are limited. Segmental necrotizing vasculitis of the medium- and small-caliber arteries was found in only 33% of muscle biopsies. This criterion has low sensitivity and must be improved by systematic electromyography which showed abnormal results in 87% of the patients. Due to the insufficient sensitivity of paraclinical criteria, the clinical criteria proposed by Godeau and Guillevin are of great practical value. However, we suggest that their definition should be modified on three points: multineuritis should be replaced by peripheral neuropathies; livedo should be included in the cutaneous criterion, and positive serology for hepatitis B or C virus should be added to the positivity criteria.

Adult↗

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[The prevalence of antibodies directed against hepatitis C virus in hepatocellular carcinoma: relation to hepatitis B virus, Pugh's score, Okuda's staging and survival].

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Adult↗

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[Importance of numeric scintigraphy of the hips during primary aseptic osteonecrosis of the femoral head in adults].

The authors have studied 58 cases of primitive aseptic osteonecrosis of the hips, 35 cases of coxarthrosis, 12 algodystrophies and 11 cases of coxitis, using numerical scintigraphy with Technetium 99m pyrophosphate. They have studied the ration of uptake by the femoral head over the uptake by the soft issues. The values obtained are compared to those observed in the study of normal hips. The result is that the technique offers the possibility of establishing, in a more differential manner, a diagnosis of lesion of the hips at an infraradiologic stage.

Adult↗

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[Early and unusual presentation of temporal arteritis. A report of 7 cases (author's transl)].

The authors report 7 cases of temporal arteritis, proved by biopsy, with unusual early symptoms. They emphasize dental extraction as a possible incitant of the disease. Diagnosis is very often overlooked when local symptoms of involvment of temporal arteries are lacking. Various head and neck pain, fever of unexplained origin, weight loss, when associated with erythrocyte sedimentation rate greater than 50 mm, should convince the physician to biopsy the temporal artery of people over the age of 60. Steroid therapy must begin as soon as diagnosis is made.

Adrenal Cortex Hormones↗

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[Esophageal Abrikosov's tumor, preoperative diagnosis with echoendoscopy].

Echo-endoscopic investigation provided the preoperative diagnosis in a case of oesophageal Abrikossoff's tumor. Characteristics of this rare tumor are described, and difficulties of etiologic diagnosis prior to histology underlined, using conventional exploratory examinations. Minimal surgery should be attempted for this exceptionally malignant tumor.

Esophageal Neoplasms↗

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