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See detailLe cas clinique du mois. Le syndrome de Pierre-Marie Bamberger
Rouers, A.; Radermecker, Maurice ULg; Duysinx, Bernard ULg et al

in Revue Médicale de Liège (2006), 61(3), 142-4

We report the case of a lung adenocarcinoma revealed by clubbing and secondary hypertrophic osteoarthropathy or Pierre-Marie Bamberger syndrome.

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See detailLe cas clinique du mois. Le syndrome lissencephalique de Miller-Dieker.
Cremers, Julien ULg; Scholsem, Martin; Scholtes, Félix ULg et al

in Revue Médicale de Liège (2007), 62(3), 139-43

We present the case of a 10-year-old boy who presents with a severe epilepsy resistant to medical treatment in the context of a Miller-Dieker syndrome. This patient underwent the implantation of a ... [more ▼]

We present the case of a 10-year-old boy who presents with a severe epilepsy resistant to medical treatment in the context of a Miller-Dieker syndrome. This patient underwent the implantation of a pneumogastric nerve stimulator. We describe the patient's clinical history and the main characteristics of lissencephaly syndrome. [less ▲]

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See detailLe cas clinique du mois. Le tetanos existe toujours !
Legrand, D.; Delcour, A.; LANCELLOTTI, Patrizio ULg

in Revue Médicale de Liège (2013), 68(4), 157-9

We report the dramatic story of a 81 year old patient admitted to the intensive care unit following the development of tetanus. This man, perfectly autonomous, used to workin his garden without anti ... [more ▼]

We report the dramatic story of a 81 year old patient admitted to the intensive care unit following the development of tetanus. This man, perfectly autonomous, used to workin his garden without anti-tetanus immunization coverage. In this article, we report the therapeutic management of tetanus. We emphasize the importance of vaccination which permits to avoid the disease, the mortality and morbidity of which remain high. [less ▲]

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See detailLe cas clinique du mois. Le Twiddler's syndrome.
SakalihasanN, Natzi ULg; Radermacher, V.; Chevolet, C. et al

in Revue Médicale de Liège (2005), 60(7-8), 647-8

The Twiddler's syndrome is characterized by the migration of pacemaker's leads due to rotation of the pulse generator. In our case, ventricular leads coiled in the upper side of the right atrium with ... [more ▼]

The Twiddler's syndrome is characterized by the migration of pacemaker's leads due to rotation of the pulse generator. In our case, ventricular leads coiled in the upper side of the right atrium with stimulation of pectoralis major muscle during left decubitus lateralis position. [less ▲]

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See detailLe cas clinique du mois. Les endofuites, une complication specifique du traitement endovasculaire des pathologies aortiques.
BRULS, Samuel ULg; CREEMERS, Etienne ULg; TROTTEUR, Geneviève ULg et al

in Revue Médicale de Liège (2011), 66(11), 559-63

Endoleaks represent the most common complication of endovascular aortic aneurysm repair. With the increasing use of endovascular techniques for aortic aneurysm repair, the prevalence of endoleaks has ... [more ▼]

Endoleaks represent the most common complication of endovascular aortic aneurysm repair. With the increasing use of endovascular techniques for aortic aneurysm repair, the prevalence of endoleaks has risen. While maintaining pressurization of the aneurysm sac, endoleaks expose to persistent risks of an evolution towards rupture. Long-term surveillance with imaging studies is necessary to reduce the incidence of these specific complications that may require intervention. The objective of this article is to draw the attention to the possible occurrence of these complications and to report the elements of diagnosis and treatment. [less ▲]

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See detailLe cas clinique du mois. Maladie de Carrington: pneumopathie chronique idiopathique à eosinophiles.
Piette, Caroline; FRUSCH, Nicolas ULg; DUYSINX, Bernard ULg et al

in Revue medicale de Liege (2014), 69(3), 126-31

Idiopathic Chronic Eosinophilic Pneumonia (ICEP) or Carrington's disease is a rare disease, exclusively pulmonary, and of an unknown origin. Connective tissues of the lungs are infiltrated by eosinophilic ... [more ▼]

Idiopathic Chronic Eosinophilic Pneumonia (ICEP) or Carrington's disease is a rare disease, exclusively pulmonary, and of an unknown origin. Connective tissues of the lungs are infiltrated by eosinophilic cell elements. This illness is progressive, consisting of dyspnea, cough and thoracic pain. In addition, the general condition is impaired. The average delay between onset of symptoms and discovery of chest radiographic opacities is often longer than 3-4 months. Symptoms and chest X-ray quickly improve under corticosteroid treatment. In the future, new research could lead to alternative treatments. We report the case of a woman with ICEP. We shall discuss the diagnostic approach, envisage the potential complications and describe the treatment of the disease. [less ▲]

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See detailLe cas clinique du mois. Maladie de Von Hippel-Lindau.
Gaspar, Y.; de Leval, Jean ULg; Quatresooz, Pascale ULg et al

in Revue Médicale de Liège (2001), 56(2), 68-71

VHL disease is a rare genetical disease with a poor long-term prognosis. Clinical features include retineous angiomas, CNS hemangioblastomas, pheochromocytomas and renal cysts. Renal cysts are bilateral ... [more ▼]

VHL disease is a rare genetical disease with a poor long-term prognosis. Clinical features include retineous angiomas, CNS hemangioblastomas, pheochromocytomas and renal cysts. Renal cysts are bilateral and frequently lead to malignant transformation. Surgical treatment of renal cysts is preferably delayed until a minimum of 3 cm diameter has been reached. Treatment has to be as conservative as possible, knowing that uni- or bilateral nephrectomy often has to be carried out later. [less ▲]

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See detailLe cas clinique du mois. Masse médiastinale antérieure chez une patiente acromégale.
Laret, Vinciane ULg; Valdes Socin, Hernan Gonzalo ULg; Betea, Daniela ULg et al

in Revue Médicale de Liège (2003), 58(12), 724-728

The discovery of an anterior asymptomatic mediastinal mass with acromegaly creates a dilemma for the clinician. As acromegaly can be due to a pituitary tumor but also to an ectopic production of GHRH, the ... [more ▼]

The discovery of an anterior asymptomatic mediastinal mass with acromegaly creates a dilemma for the clinician. As acromegaly can be due to a pituitary tumor but also to an ectopic production of GHRH, the first diagnostic step consists of finding the etiology of the disease in order to use adequate treatment. This can be complicated by the fact that acromegaly can be associated with other tumors (for instance in MEN-1 disease and Carney Complex) and because chronic GH hypersecretion can stimulate tumor overgrowth and perhaps tumor formation. We describe the case of a 44-year-old acromegalic woman with an anterior mediastinal mass. We present the different diagnoses and a review of the literature. [less ▲]

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See detailLe cas clinique du mois. Membrane sous-valvulaire aortique
Radermecker, M.A.; Dresse, Denise ULg; Grenade, T. et al

in Revue Médicale de Liège (2002), 57(1), 7-9

A case of fixed subvalvular aortic stenosis is reported. This clinical observation is the occasion to review the pathophysiology of this lesion and the last developments in the surgical treatment.

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See detailLe cas clinique du mois. Mesotheliome comprimant le tronc souche droit
Duysinx, Bernard ULg; Corhay, Jean-Louis ULg; Nguyen, Delphine et al

in Revue Médicale de Liège (2006), 61(11), 753-5

We report the case of a patient treated by chemotherapy for a diagnosis of mesothelioma. A quickly progressive dyspnea developed which was due to compression of the right main bronchus by mediastinal ... [more ▼]

We report the case of a patient treated by chemotherapy for a diagnosis of mesothelioma. A quickly progressive dyspnea developed which was due to compression of the right main bronchus by mediastinal extension of the tumor. This obstruction was treated by interventionnal bronchoscopy and stenting. [less ▲]

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See detailLe cas clinique du mois. Métastase musculaire en présence d'un cancer de l'ovaire.
Benoit, A.; Jerusalem, Guy ULg; GENNIGENS, Christine ULg

in Revue medicale de Liege (2013), 68(11), 557-61

We report the case of a patient with a sero-papillary ovarian cancer and a pectoral muscle metastasis. Muscular metastases are more common than previously suspected; any physician could encounter this ... [more ▼]

We report the case of a patient with a sero-papillary ovarian cancer and a pectoral muscle metastasis. Muscular metastases are more common than previously suspected; any physician could encounter this type of case in his daily practice. This paper summarizes the literature on the subject. [less ▲]

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See detailLe cas clinique du mois. Mycobacteries atypiques et mésothérapie.
Henry, Frédérique ULg; Pierard, Claudine ULg; Pierard, Gérald ULg

in Revue Médicale de Liège (2005), 60(1), 7-10

Cutaneous infections due to atypical mycobacteria are varied. Their prevalence appears on the rise. The contamination comes from the environment following a breaking, even minimal, of the cutaneous ... [more ▼]

Cutaneous infections due to atypical mycobacteria are varied. Their prevalence appears on the rise. The contamination comes from the environment following a breaking, even minimal, of the cutaneous barrier. Mesotherapy, particularly when performed using a mechanical device, is a well recognized iatrogenic origin of this type of microorganism inoculation [less ▲]

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See detailLe cas clinique du mois. Necrose du cuir chevelu revelatrice d'une arterite a cellules geantes (maladie de Horton)
Smitz, S. S.; HEINEN, Vincent ULg; Van Damme, Hendrik ULg

in Revue Médicale de Liège (2006), 61(1), 5-7

Scalp necrosis is an uncommon manifestation of giant cell arteritis (GCA). In this paper, we report our experience with a 78-year old woman in whom extensive scalp necrosis developed as a complication of ... [more ▼]

Scalp necrosis is an uncommon manifestation of giant cell arteritis (GCA). In this paper, we report our experience with a 78-year old woman in whom extensive scalp necrosis developed as a complication of GCA. A left frontal defect (7 X 4 cm) involving full-thickness scalp was observed. The necrosis extended deeply, involving the epicranium and the outer table of the skull. The therapeutic approach included corticotherapy, anticoagulation and wound care. Severe wound infection (osteitis, subgaleal abscess) occurred, requiring prolonged antibiotherapy. Second intention healing was obtained using a conservative approach. During the healing process, areas of neovascularization developed beneath the exposed part of the outer table and the necrotic bone underwent resorption. [less ▲]

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See detailLe cas clinique du mois. Nodules pulmonaires multiples. L'hémangio-endotheliome epithelioide
Vandenheede, Michel; Salem, T.; Sayago, I. et al

in Revue Médicale de Liège (1998), 53(8), 454-8

The epithelioid hemangioendothelioma of the lung is generally detected incidentally by a routine chest radiograph, usually in young asymptomatic woman. This tumor pursues a clinical course intermediate ... [more ▼]

The epithelioid hemangioendothelioma of the lung is generally detected incidentally by a routine chest radiograph, usually in young asymptomatic woman. This tumor pursues a clinical course intermediate between that of hemangioma and angiosarcoma. Survival over 20 years have already been described in the literature. We report the case of a pulmonary epithelioid hemangioendothelioma diagnosed 16 years ago, with hepatic metastases and a radiologic follow-up that highlights the slow evolution of the pulmonary and hepatic lesions. [less ▲]

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See detailLe cas clinique du mois. Osteogenesis imperfecta
Kaux, Jean-François ULg; Le Goff, Caroline ULg; Debray, François-Guillaume ULg et al

in Revue Médicale de Liège (2009)

We report the case of a young boy who had had multiple bone fractures (more than 10) since the age of 19 months. The father had the same clinical history. The clinical examination was normal for his age ... [more ▼]

We report the case of a young boy who had had multiple bone fractures (more than 10) since the age of 19 months. The father had the same clinical history. The clinical examination was normal for his age except blue sclera. The bone densitometry showed a severe osteoporosis for his age. Biological exam swere correct. The genetic exploration revealed mutation of COL1A2 gene. With this clinical history, the diagnosis of Osteogenesis imperfecta (OI) was retained. OI is a hereditary dystrophy with abnormal synthesis or metabolism of collagen with, often, mutation of COL1A1 or COL1A2 genes. There are 7 different forms. We consider the possible differential diagnoses. The goal of any treatment is to promote bone remineralisation and to decrease the fracture frequency. The treatment includes calcium and vitamin D, and in the presence of some precise criteria, biphosphonate therapy. [less ▲]

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See detailLe cas clinique du mois. Ostéoporose et beta-thalassémie
Halkin, V.; Francotte-Lempereur, N.; Debrun, A. et al

in Revue Médicale de Liège (1997), 52(3), 138-41

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See detailLe cas clinique du mois. Pemphigoide bulleuse apres brulure thermique.
Blaise, G.; Pierard, Claudine ULg; Quatresooz, Pascale ULg et al

in Revue Médicale de Liège (2008), 63(4), 182-3

In rare instances, some injuring physical factors such as thermal burns can be at the origin of bullous pemphigoid lesions. The early lesions are most often restricted to the injured skin area. Secondary ... [more ▼]

In rare instances, some injuring physical factors such as thermal burns can be at the origin of bullous pemphigoid lesions. The early lesions are most often restricted to the injured skin area. Secondary generalization is the natural evolution to be expected. However, once the episode is resolved, recurrence is exceptional. When the natural history of bullous pemphigoid differs from the regular type, the peculiar condition of development of these lesions does not change any of the diagnostic clinical and histological criteria, as well as the therapeutic procedures to follow. [less ▲]

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See detailLe cas clinique du mois. Pericardite constrictive a pericarde macroscopiquement normal: a propos d'un cas
Hoffer, E.; Materne, P.; Limet, Raymond ULg et al

in Revue Médicale de Liège (2007), 62(4), 184-7

The diagnosis of constrictive pericarditis is not easy to make. This rare condition can be suggested by clinical, echocardiograohic, hemodynamic, and radiological signs. It must be distinguished from ... [more ▼]

The diagnosis of constrictive pericarditis is not easy to make. This rare condition can be suggested by clinical, echocardiograohic, hemodynamic, and radiological signs. It must be distinguished from restrictive cardiomyopathy as therapeutic options are radically different. We present an ambiguous case of constrictive pericarditis with macroscopically normal pericardium recognized 10 years after open-chest cardiac surgery: a large pericardiectomy rapidly induced clinical improvement. [less ▲]

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See detailLe cas clinique du mois. Pericardite constrictive.
Johnen, J.; RADERMECKER, Marc ULg; Defraigne, Jean-Olivier ULg

in Revue Médicale de Liège (2012), 67(3), 107-12

Constrictive pericarditis (CP) is a common disease with difficult diagnosis. We report a well-documented case of CP with extended pericardial calcification treated by total pericardiectomy. A brief review ... [more ▼]

Constrictive pericarditis (CP) is a common disease with difficult diagnosis. We report a well-documented case of CP with extended pericardial calcification treated by total pericardiectomy. A brief review of symptoms and signs of CP is presented, as well as additional examination allowing the diagnosis to be confirmed. The differential diagnosis with restictive cardiomyopathy is also discussed. [less ▲]

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See detailLe cas clinique du mois. Péricardite purulente chez un patient atteint de sarcoïdose pulmonaire
NYSSEN, Astrid ULg; MELON, Pierre ULg; GARWEG, Christophe ULg et al

in Revue Médicale de Liège (2011), 66(7-8), 411-6

We report the case of a patient, suffering from pulmonary sarcoidosis, who developed a purulent pericarditis complicated with a cardiac tamponade. The widespread use of antibiotics has progressively ... [more ▼]

We report the case of a patient, suffering from pulmonary sarcoidosis, who developed a purulent pericarditis complicated with a cardiac tamponade. The widespread use of antibiotics has progressively reduced the number of purulent pericarditis. However, it remains a serious disease that has to be rapidly diagnosed to be treated timely. We will review the required tests for the diagnosis and the treatment of this pathology that leads to death otherwise. The link with pulmonary sardoidosis is uncertain. [less ▲]

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