[Hypotonia and convulsive encephalopathy with lipid myopathy and palmitoyl-carnitine transferase deficiency. A new entity?].
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Biomedical subjects
Publications and source records attributed to M Hermier.
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A retrospective cooperative survey allowed analysis of 151 cases of ulcers diagnosed by endoscopy (106), surgery (40), or autopsy (5). There were 58 primary ulcers, 21 aspirin-induced ulcers, 23 steroid-induced ulcers, and 49 stress ulcers. Up to the age of 7, the majority of ulcers (80%) were secondary; after 7 years, only 47.6%. The higher incidence was found in boys of all groups, especially after 7 years of age. Only aspirin-induced ulcers were located more often in the stomach (52.3%). A family history was present in parents and siblings of children with primary ulcers (31%) and aspirin-induced ulcers (23.8%). The secondary ulcers were often complicated: hemorrhage was nearly always present with aspirin induced ulcers (95.2%); perforation occurred principally in steroid-induced ulcers (30.4%), and stress ulcers (42.8%). Death occurred only in steroid-induced ulcers (8) and stress ulcers (21). Secondary ulcers rarely became chronic.
The authors report two cases of Still's disease with unusual presentation, characterized by important paraaortic lymphatic nodes. The findings of the lymphography could not distinguish between Hodgkin's disease, lymphoma, or inflammatory hyperplasia. Lymphography is usually of little interest for the diagnostic of Still's disease. However the knowledge of such misleading aspects is important when unusual clinical manifestations lead to perform a lymphography.
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