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Biomedical subjects

P Bourgeois

Publications and source records attributed to P Bourgeois.

At least 163 records · Page 9Linked to original sources
PubMed1989

Mixed connective tissue disease after exposure to polyvinyl chloride.

We present 4 patients fulfilling criteria for mixed connective tissue disease (MCTD) with anti-RNP antibodies, who had been previously exposed, in 4 different professions, to polyvinyl chloride. This presentation is clinically and serologically different from the classical polyvinyl chloride disease in which no such antibody can be found. Already observed in patients after cosmetic surgery, MCTD could also be a result of toxic exposure.

Adult↗
PubMed1988

[Symptomatic and prognostic differences according to ethnic group in systemic lupus erythematosus. A controlled study of 3 populations].

Systemic lupus erythematosus (SLE) has been found in all ethnic groups, but some of these groups--notably the black populations of the United States--seem to develop severe forms of the disease. We compared the signs and course of SLE in 20 black patients from the French West Indies, 20 patients of North African origin and 40 European Caucasians. At the onset of the disease, most of the West Indian and North African patients were living in France, and their social level was similar to that of the European patients. On the whole, our study confirmed that SLE is particularly severe in black populations. This severity is primarily due to renal involvement: 7 of the 13 renal biopsies we performed showed diffuse proliferative glomerulonephritis. In North African patients the severity of SLE was intermediate between that observed in West Indians and in European Caucasians. Five out of our 40 West Indian and North African patients died, as against only one female patient among the 40 European Caucasians. These differences seem to be ascribable to genetic factors rather than to environmental factors.

Adolescent↗
PubMed1988

[Evaluation of health expenditures in the first 6 months after the diagnosis of cancer using a population register].

It is currently estimated in France, that the cost of cancer is rising to 25 billion francs, which represents approximately 6% of all health expenditure with an annual growth of 5-10%. The data from the Register of Tumors in the Doubs region have enabled us to make an evaluation of health expenditure, reimbursed by the social security system, and its distribution in relationship with the different posts (assessment, type of treatment, supervision, transport) according to the cancer site. The average cost per patient within the first 6 months of the illness has been evaluated at 26,000 F (1984). The results show major differences for the cancer sites, care facilities and posts which are budgeted for.

Cancer Care Facilities↗
PubMed1988

[Lupus disease with antinuclear antibodies of the nucleolar type. Apropos of a series of 13 cases].

An exclusive or predominant nucleolar location of antinuclear antibodies is rare in the course of lupus disease: less than 1 p. cent of our patients. Thirteen cases of lupus disease with exclusive or predominant antinucleolar antibodies are analyzed: clinically, the only difference from other lupus diseases is the absence of pleurisy (p less than 0.03) and the frequent thrombopenia (p = 0.05). A proliferative glomerular lesion was found 4 times on renal biopsy. No patient presented any indications of overlapping sign with sclerodermia, polymyositis or Gougerot-Sjögren syndrome which are usually associated to a nuclear fluorescence of nucleolar type. 11 out of 13 patients have natural anti-DNA antibodies, including 9 with a very weak titer. Six patients present cytoplasmic anti-organic antibodies. Four patients have antibodies which precipitates on gelose, identifying nuclear or cytoplasmic antibodies: in 1 instance anti-SS-B et SS-A (Ro), in 1 instance anti-ribosomes associated with anti-ADN, in one instance anti-DNA. No serum contained anti-histones antibodies. The study of the sensitivity of nucleolar antigens to digestion by various enzymes (DNAse, RNAse and trypsin) showed that antinucleolar sera could be placed into three groups: 8/10 recognize a ribonucleic antigen, 1/10 a ribonucleoproteic antigen and 1/10 an antigen resisting to various enzymatic digestions. Therefore, in spite of its rarity, an exclusively nucleolar fluorescence should not rule out the diagnosis of lupus disease.

Adolescent↗
PubMed1988

[Prognostic and therapeutic significance of bone marrow biopsy in multiple myeloma. Analysis of 31 stage II A and III A patients].

The prognostic value of bone marrow biopsy was established in 31 patients suffering from stage IIA and IIIA myeloma (Durie and Salmon classification). Data obtained from quantitative marrow cytology permit to differentiate 3 sub-groups of cells: plasmocytes, plasmoblasts, plasmocytes/plasmoblasts of which the incidence on the prognosis and the response to treatment was studied. There is a correlation between the response to MP and the nature of various cells populations and, on the other hand, the type of infiltration. A sub-group of patients, resisting to MP, was identified: diffuse plasmoblastic myelomas of poor prognosis. Induction poly-chemotherapy seems far superior over the MP combination, which was always a controverted issue.

Aged↗
PubMed1988

[Fatty cerebral embolism after lymphography].

A 25 year-old man with Hodgkin's disease, presented a confusional state with choreatic movements, 1 hour after a lymphography. CT showed high density in the heads of both caudate nuclei, and in the cortex. The patient's state improved and he entirely recovered within 2 weeks, while CT returned to normal. No right-to-left shunt was demonstrated. The mechanisms of this infrequent complication of lymphography are discussed: exceeding filtration capacity of lung because of a too rapid administration of contrast or severe lung embolism? intracardiac right-to-left shunts? microscopic arteriovenous shunts in the lung? bad venous cerebral drainage consecutive to a vena cava superior syndrome?

Adult↗
PubMed1987

Quality of life.

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Consumer Behavior↗
PubMed1987

[Treatment of rheumatoid arthritis. Comparative study of the effect of immunoglobulins G eluted from the placenta and of venoglobulins].

A double-blind multicenter study comparing the effect of placenta eluted IgG and venoglobulins in the treatment of rheumatoid arthritis was conducted in 113 hospitalized patients. Rheumatoid arthritis was severe, classical (92 cases) or definite (21 cases), seropositive in 87 cases, with nodules in 32 cases; the mean duration of the disease was 10 years. The majority of patients had previously received numerous slow-acting drugs without result or with side-effects. A statistically significant decrease of all the quantitative indices but one (grip strength) was obtained with both products on the 8th day of treatment; the effect of placenta eluted IgG was statistically superior for the number of swollen joints (P less than 0.025), Ritchie's index (P less than 0.0005) and some extra-articular manifestations. There was no significant decrease in associated treatments and biological parameters (erythrocyte sedimentation rate, rheumatoid factor). Tolerance was excellent; some cases of benign venulitis were observed; treatment was never discontinued on account of side-effects. Further placebo-controlled of each of these immunoglobulins of placental origin are needed for firm conclusions to be drawn.

Arthritis, Rheumatoid↗
PubMed1987

In vivo animal demonstration of the effect of vasoactive drugs using 195mAu and gamma camera techniques.

195mAu, an ultrashort-lived (physical half life = 30.5 s) generator-produced radionuclide, has been used in an animal model to study, by gamma camera techniques, the peripheral effects of the vasoactive drugs norepinephrine and sodium nitroprusside systemically administered or epinephrine (intraarterially) injected at various concentrations. According to the results obtained by the analysis of time activity curves generated from areas of interest drawn on the proximal and distal parts of the limbs, the well known hemodynamic changes induced by these drugs, vasoconstriction (resulting in a decrease of the distal activity recorded), or vasodilatation (shortening the time of radioactivity appearance), could be observed. It is concluded that gamma camera techniques using the ultrashort lived radionuclide 195mAu allow the in vivo study of the effects of vasoactive drugs in an animal model and potentially in clinical situations.

Animals↗
PubMed1987

Profile and cross-reactivities of antiphospholipid antibodies in systemic lupus erythematosus and syphilis.

Antiphospholipid antibodies have been determined in two groups of 48 sera from patients with systemic lupus erythematosus (SLE) and syphilis. Using an ELISA, IgG anticardiolipin (CL), antiphosphatidyl serine (PS) and antiphosphatidyl ethanolamine (PEA), antibodies have been detected with the same frequency in both groups of patients. Titres of antiphosphatidyl serine (PS) (p less than 0.005) and PEA antibodies (p less than 0.05) were significantly higher in the syphilitic sera compared to the SLE sera. Anticardiolipin binding activity of both groups of sera could be inhibited by preincubation with phosphatidic acid, phosphatidyl serine, phosphatidyl glycerol and cardiolipin antigens, but the inhibiting ratio of phosphatidyl antigen was significantly higher (p less than 0.01) in the SLE group. These data suggest that anticardiolipin auto-antibodies present in SLE sera are very similar to the "reagins" or antibodies to cardiolipin seen in syphilitic sera. IgG anticardiolipin antibodies may be an epiphenomenon and are probably not implicated in the pathogenesis of the thrombotic diathesis seen preferentially in some patients with SLE.

Antibodies↗
PubMed1987

Characterization of the blast cell population in two neonates with Down's syndrome and transient myeloproliferative disorder.

The phenotype and in vitro growth properties of blood and marrow blast cells detected in two neonates with Down's syndrome and a transient leukaemic picture are presented. In both patients, blast cells at diagnosis were heterogeneous and expressed predominantly megakaryocyte and erythroid markers identified by membrane fluorescence using monoclonal antibodies or ultrastructural detection of platelet peroxidase and ferritin. An additional trisomy involving chromosome 22 was detected in blast cells from one patient. Blood and marrow cells colony-assays performed at diagnosis revealed precursors with an abnormal differentiation capacity similar to those found in acute myelogenous leukaemia colony assays. However, an unusual feature was the persistence of high numbers of precursor cells (namely erythroid) following a normal differentiation pathway. Phenotypically and cytogenetically abnormal cells spontaneously disappeared by week 4-6, but overt relapse occurred in one patient 20 months later. These results bring strong arguments in favour of the neoplastic nature of the transient leukaemic picture observed in some neonates with Down's syndrome. Furthermore, we suggest that this disorder can be individualized as a separate entity with specific phenotypic and biological properties.

Bone Marrow↗
PubMed1987

[Not Available].

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History, Modern 1601-↗
PubMed1987

Antiphospholipid antibodies: a disease marker in 25 patients with antinuclear antibody negative systemic lupus erythematosus (SLE). Comparison with a group of 91 patients with antinuclear antibody positive SLE.

Twenty-five antinuclear antibody (ANA) negative patients with systemic lupus erythematosus (SLE) or lupus-like disease were compared to 91 ANA positive patients with SLE for clinical and biological symptoms. Cutaneous symptoms were infrequent in ANA negative patients (p less than 0.03). Thrombocytopenia (p less than 0.001), venous or arterial thrombosis (p less than 0.02) as well as cerebral infarction (p less than 0.001) were more frequent. Three types of antiphospholipid antibodies were determined by different methods; the VDRL, the lupus anticoagulant and an ELISA for IgG anticardiolipin antibody (aCL). The frequency of a positive VDRL test was significantly higher in the ANA negative group (p less than 0.05). Correlation studies suggest that the 3 methods are not redundant and detect overlapping but not identical antibodies. Of the 3 antiphospholipid antibody assays, only the IgG aCL test was significantly associated with thrombosis in the ANA negative group (p less than 0.02).

Adolescent↗