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Biomedical subjects

P Fouet

Publications and source records attributed to P Fouet.

At least 37 records · Page 2Linked to original sources

[Compressive tuberculous lymphadenitis of the common bile duct: spontaneous recovery by fistulization in the choledochus].

The authors report the case of a 26 year old man who presented with jaundice after an operation for peritoneal and ileal tuberculosis. Abdominal sonography, CT Scan and endoscopic retrograde cholangio-pancreatography showed that the jaundice was due to the compression of the common bile duct by tuberculous lymph nodes. This compression disappeared after spontaneous fistulisation into the common bile duct. The review of the literature shows that this localisation of tuberculous lymphadenitis is uncommon and is rarely diagnosed before laparotomy. Antituberculous therapy alone is generally not sufficient and should be associated with surgical treatment.

Adult↗

Multivariate analysis of clinical and biological data in cirrhotic patients: application to prognosis.

One hundred and thirty-one patients underwent clinical and biological investigation with the following determinations performed on the same day; presence or absence of ascites, icterus and/or encephalopathy, coagulation study, biochemical determinations including albumin, transferrin and immunoglobulins immunoassays. The principal component analysis of biological data showed two sets of highly representative and inversely correlated data; one included coagulation tests, albumin and transferrin, and the other included immunoglobulin A/transferrin ratio, immunoglobulin A and total bilirubin. Clinical and biological data were computed using discriminant analysis between dead and survivors. Six parameters were then selected (total bilirubin, encephalopathy, factor V, AST, antithrombin III and transferrin) giving a correct prognosis in 81.6% (31/38) of cases in a test sample. Neither ascites nor immunoglobulins were useful for the estimation of the prognosis.

Adult↗

[Dysphagia due to oesophageal in benign mucous membrane pemphigoid (author's transl)].

A 71 years old woman consulted for painless dysphagia Esophageal barium contrast X rays demonstrated regular strictures of the upper par of esophagus. She was followed by dermatologists with an oral benign mucous membrane pemphigoid since 11 years. Endoscopy asserted esophageal involvement with this disease, responsible for cicatricial stenosis. She had successful esophageal dilatations by bougie. Clinical, evolutive, pathogenic and histological features of this disease, and of esophageal involvement, are discussed.

Aged↗

[Clinical and biological aspects of macroamylasemia (author's transl)].

The authors report a case of macroamylasemia in which the diagnosis was made with some difficulty. A hyperamylasemia was discovered after the patient, an alcoholic, had been hospitalized for atypical abdominal pain and weight loss, and this was thought to be due to an acute episode of chronic pancreatitis. The absence of an incrase in amylasuria suggested the presence of a macroamylasemia, and both diagnoses were confirmed by suitable exploratory investigations. Alcoholic cirrhosis was also present. The two main known types of macroamylase and their iatrogenic variant are described as well as the incidence of this biological anomaly in the general population. Confirming the presence of this anomaly in the plasma is a delicate and complex procedure. Simultaneous study of amylase-creatinine clearance ratio was thought to be a decisive test, but this does not appear to be true.

Amylases↗