Browsing
     by title


0-9 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

or enter first few letters:   
OK
Peer Reviewed
See detailComment je traite ... le myelome multiple refractaire par thalidomide
Scerbo, F.; Matus, G.; Sautois, Brieuc ULg et al

in Revue Médicale de Liège (2000), 55(11), 970-3

Despite the use of high-dose chemotherapy with autologous hematopoietic stem cell transplantation, multiple myeloma remains largely uncurable. Indeed complete remission rate is about 50% and median ... [more ▼]

Despite the use of high-dose chemotherapy with autologous hematopoietic stem cell transplantation, multiple myeloma remains largely uncurable. Indeed complete remission rate is about 50% and median survival reaches 5 years without plateau. Recently thalidomide has been identified as a promising agent. We report the clinical story of 2 patients with refractory myeloma that we treated successfully with thalidomide. [less ▲]

Detailed reference viewed: 82 (3 ULg)
Full Text
Peer Reviewed
See detailComment je traite ... le pied du sportif et sa pathologie cutanée non mycosique
Goffin, Véronique ULg; Bourguignon, R.; Fraiture, A. L. et al

in Revue Médicale de Liège (2002), 57(10), 630-6

Skin and nails of the foot of sport practitioners of various disciplines are subjected to the effects of benign but invalidating pathologies. Microtraumatisms are frequently involved. Beside ... [more ▼]

Skin and nails of the foot of sport practitioners of various disciplines are subjected to the effects of benign but invalidating pathologies. Microtraumatisms are frequently involved. Beside dermatomycoses and onychomycoses, a dozen of typical disorders are identified. [less ▲]

Detailed reference viewed: 273 (2 ULg)
Full Text
Peer Reviewed
See detailComment je traite ... les troubles de la magnésémie
Guillaume, Thierry; Krzesinski, Jean-Marie ULg

in Revue Médicale de Liège (2003), 58(7-8), 465-467

Because symptoms associated with hypomagnesia are highly aspecific, this ionic abnormality is rarely searched for although it could be present in as much as 20 % of the population. The mode of correction ... [more ▼]

Because symptoms associated with hypomagnesia are highly aspecific, this ionic abnormality is rarely searched for although it could be present in as much as 20 % of the population. The mode of correction (oral or intravenous) depends on the etiology, severity and clinical consequences of hypomagnesemia. Significant hypermagnesemia only occurs in the presence of renal insufficiency and/or acute excess administration, mainly by the intravenous route. If interruption of administration does not suffice, renal dialysis might become necessary to quickly correct the magnesemium serum levels. [less ▲]

Detailed reference viewed: 299 (13 ULg)
Full Text
Peer Reviewed
See detailComment je traite ... les varicosités par sclérothérapie
Mostinckx, S.; Dezfoulian, Bita ULg; Richert, Bertrand ULg et al

in Revue Médicale de Liège (2005), 60(2), 77-80

Sclerotherapy is a technique for the treatment of varicosities, vascular ectasia, and sometimes, leg varicose veins. This method is aesthetic and in some cases therapeutics and uses sclerosing agents ... [more ▼]

Sclerotherapy is a technique for the treatment of varicosities, vascular ectasia, and sometimes, leg varicose veins. This method is aesthetic and in some cases therapeutics and uses sclerosing agents, electrocoagulation and exceptionally LASER. These relatively simple methods are safe and efficient if they are applied with a rigorous procedure by well trained physicians. [less ▲]

Detailed reference viewed: 52 (0 ULg)
Full Text
Peer Reviewed
See detailComment je traite ... par hormonotherapie des patientes developpant des complications thrombo-emboliques lors du traitement d'un cancer du sein par tamoxifene
Pelerin, D.; Silvestre, R. M.; Jerusalem, Guy ULg et al

in Revue Médicale de Liège (2002), 57(12), 755-6

Thromboembolic complications are well known side effects of treatment with tamoxifen in patients with breast cancer. The authors review the pathophysiology and the risk factors that increase the ... [more ▼]

Thromboembolic complications are well known side effects of treatment with tamoxifen in patients with breast cancer. The authors review the pathophysiology and the risk factors that increase the probability to develop these complications. The most appropriate treatment is discussed. [less ▲]

Detailed reference viewed: 65 (0 ULg)
Full Text
Peer Reviewed
See detailComment je traite ... par metformine un patient diabetique avec insuffisance renale moderee.
SCHEEN, André ULg

in Revue Médicale de Liège (2013), 68(4), 190-5

Numerous patients with type 2 diabetes have renal impairment, especially in the elderly population. Metformin, the first choice oral glucose-lowering agent, is classically contraindicated in case of ... [more ▼]

Numerous patients with type 2 diabetes have renal impairment, especially in the elderly population. Metformin, the first choice oral glucose-lowering agent, is classically contraindicated in case of chronic kidney disease of stages 3-5 (creatinine clearance < 60 ml/min/1.73 m2), because of a risk of accumulation of the biguanide that may lead to lactic acidosis. Hence numerous patients with some degree of renal impairment are being treated with metformin in clinical practice, apparently without any harm. In contrast, several observational studies have shown that they may clinically benefit from this therapy, including with a significant reduction of all-cause mortality when compared to patients not receiving metformin. Thus, an increasing number of physicians plea for revisiting the official criteria of contraindication to the use of metformin in case of renal insufficiency. The present paper discusses this controversy and insists upon the mandatory cautions to be taken when using metformin in a diabetic patient with moderate (stage 3) chronic kidney disease (metformin being contraindicated in case of severe renal impairment - stages 4-5). [less ▲]

Detailed reference viewed: 96 (1 ULg)
Full Text
Peer Reviewed
See detailCOMMENT JE TRAITE ... Point de vue critique sur l'approche actuelle du cancer du pancreas localisé
VAN DAELE, Daniel ULg; Martinive, Philippe ULg; Loly, C. et al

in Revue medicale de Liege (2015), 70(11), 540-5

Surgical resection followed by chemotherapy is the actual standard of care for localized, deemed resectable, pancreatic ductal adenocarcinoma. Despite a better selection of surgical candidates and the ... [more ▼]

Surgical resection followed by chemotherapy is the actual standard of care for localized, deemed resectable, pancreatic ductal adenocarcinoma. Despite a better selection of surgical candidates and the actual performance of expert teams, the proportion of patients with a prolonged survival has not been ameliorated during the last three decades. The morphological determinants of resectability are the subject of limitations. In the future, only a better understanding of the biological process, an earlier diagnosis of purely localized disease and more efficient systemic therapies may lead to a better prognosis. Meanwhile, taking into account the prognostic factors associated with a lower chance of cure is currently a matter of debate. The optimal therapeutic sequence, being a surgery-first or a neoadjuvant approach is controversial. The theoretical advantages of preoperative chemotherapy eventually associated with chemo-radiation are demonstrated in other tumours and applicable to pancreatic cancer without any excess of operative mortality, early progression rates and, on the contrary with positive survival data. The completion rates of multi-modal therapy are in favour of the preoperative approach, which also gives the opportunity to select the best candidates for surgical resection. [less ▲]

Detailed reference viewed: 26 (2 ULg)
Full Text
See detailComment je traite ... un herpès labial récurrent
Petit, L.; Braham, C.; Nikkels, Arjen ULg et al

in Information Dentaire (L') (2002), 22

L'herpès labial récurrent est une affection fréquente. Il fait suite à la réactivation du virus herpétique (HSV1 et au plus rarement HSV2) au niveau du ganglion de Gasser. Le traitement et la prévention ... [more ▼]

L'herpès labial récurrent est une affection fréquente. Il fait suite à la réactivation du virus herpétique (HSV1 et au plus rarement HSV2) au niveau du ganglion de Gasser. Le traitement et la prévention de l'herpès labial récurrent font classiquement appel à des agents antiviraux spécifiques. Les résultats spectaculaires obtenus chez les patients immunodéprimés sont beaucoup moins convaincants chez des sujets par ailleurs sains. D'autres voies prospectives de thérapeutique sont à l'étude utilisant des lipopeptides et des moyens physiques induisant une modification du pH cutané. [less ▲]

Detailed reference viewed: 82 (0 ULg)
Full Text
Peer Reviewed
See detailComment je traite ... un lentigo malin par l'imiquimod topique (Aldara).
Bourguignon, Raphaël; Paquet, Philippe ULg; Quatresooz, Pascale ULg et al

in Revue Médicale de Liège (2005), 60(9), 691-4

Lentigo maligna is a special form of in situ cutaneous melanoma that develops on the face of sun worshipers. The topic immunostimulator imiquimod can destroy the neoplasm before it expresses its invasive ... [more ▼]

Lentigo maligna is a special form of in situ cutaneous melanoma that develops on the face of sun worshipers. The topic immunostimulator imiquimod can destroy the neoplasm before it expresses its invasive potential. A strict clinical follow-up of the treated zone must be observed at least 5 years to detect any early sign of recurrence. [less ▲]

Detailed reference viewed: 126 (3 ULg)
Full Text
See detailComment je traite ... un melasma du visage
Pierard, Gérald ULg

in Revue Médicale de Liège (1997), 52(2), 58-9

Detailed reference viewed: 11 (0 ULg)
Peer Reviewed
See detailComment je traite ... un patient avec une insuffisance cardiaque légère ou modérée?
Pierard, Luc ULg

in Revue Médicale de Liège (1995), 50(1), 5-6

Detailed reference viewed: 10 (0 ULg)
Full Text
See detailComment je traite ... un phénomène de Raynaud
Pierard, Gérald ULg

in Revue Médicale de Liège (1998), 53(3), 119-20

Raynaud's phenomenon is a paroxysmal vasospasm affecting the extremities, particularly the fingers. The idiopathic type is the most frequently encountered and the secondary types have multiple origins ... [more ▼]

Raynaud's phenomenon is a paroxysmal vasospasm affecting the extremities, particularly the fingers. The idiopathic type is the most frequently encountered and the secondary types have multiple origins. The mainstay of treatment relies on hygieno-dietetic measures. When they fail, calcium antagonists, sustained-release transdermal glyceryl trinitrate and a few other vasoactive drugs may prove to be effective. However, side effects may limit their prescription. [less ▲]

Detailed reference viewed: 20 (0 ULg)
Full Text
Peer Reviewed
See detailComment je traite ... un psoriasis en plaques par l'association calcipotriol-dipropionate de betamethasone.
Henry, Frédérique ULg; Flagothier, Caroline ULg; Franchimont, Claudine ULg et al

in Revue Médicale de Liège (2006), 61(3), 139-41

The combination of calcipotriol and betamethasone dipropionate in a single topical formulation is a recent advance in treatment of plaque type psoriasis. Studies rooted on evidence-based medicine have ... [more ▼]

The combination of calcipotriol and betamethasone dipropionate in a single topical formulation is a recent advance in treatment of plaque type psoriasis. Studies rooted on evidence-based medicine have been recently published. We report a synthesis and a critical analysis, critical analysis of these investigations, and translate their data with a view to apply them in daily practice. [less ▲]

Detailed reference viewed: 68 (1 ULg)
Peer Reviewed
See detailComment je traite ... Un sujet a risque d'endocardite infectieuse
Kulbertus, Henri ULg; Pierard, Luc ULg

in Revue Médicale de Liège (1997), 52(5), 316

Detailed reference viewed: 5 (0 ULg)
Full Text
Peer Reviewed
See detailCOMMENT JE TRAITE ... une colique néphrétique.
Lavergne, O.; Bonnet, Quentin; Thomas, Alexandre et al

in Revue Médicale de Liège (2016), 71(5), 220-6

Renal colic (RC) represents nearly 2% of emergency department admissions. RC is defined by the occurrence of back pain which may radiate towards the abdomen and external genitals. In adults, the ... [more ▼]

Renal colic (RC) represents nearly 2% of emergency department admissions. RC is defined by the occurrence of back pain which may radiate towards the abdomen and external genitals. In adults, the obstruction is caused by a urinary stone in 80% of cases. The 20 % of non-stone related RCs are due either to an intrinsic obstruction (pyeloureteral junction stenosis, ureteral tumor, ...) or an extrinsic compression (pelvic tumor, lymphadenopathy ...). In over 90% of cases, an RC does not require hospitalization and is treated with medication. In contrast, complicated renal colic (CRC) requires hospitalization with specialized care. Obstructive pyelonephritis (OPN) is a form of CRC and the diagnosis should be considered in a clinical presentation of "renal colic" with acute pyelonephritis. This is a true emergency requiring surgical drainage of the upper urinary tract upstream of the obstacle, as well as antibiotic therapy. It must be kept in mind that some clinical presentations may be atypical, especially in the elderly, which can delay the diagnosis and, thus, the management. The gold standard for diagnosis is CT urography. [less ▲]

Detailed reference viewed: 12 (2 ULg)
Full Text
Peer Reviewed
See detailComment je traite ... une dermatite seborrhéique.
Pierard, Claudine ULg; Arrese Estrada, Jorge ULg; Pierard, Gérald ULg

in Revue Médicale de Liège (2003), 58(2), 67-9

Seborrhoeic dermatitis results from a peculiar inflammatory reaction directed to yeasts of the genus Malassezia which are present at the skin surface. The current therapeutic strategies to control ... [more ▼]

Seborrhoeic dermatitis results from a peculiar inflammatory reaction directed to yeasts of the genus Malassezia which are present at the skin surface. The current therapeutic strategies to control episodes of the dermatitis target the yeasts, the host reaction or both. [less ▲]

Detailed reference viewed: 230 (4 ULg)
Full Text
Peer Reviewed
See detailComment je traite ... une dyslipidemie en fonction du profil de risque cardiovasculaire.
Descamps, O. S.; SCHEEN, André ULg; De Backer, G. et al

in Revue Médicale de Liège (2012), 67(4), 167-73

The new guidelines from the European Atherosclerosis Society and the European Society of Cardiology include a number of new items. Here we demonstrate their application in several different clinical ... [more ▼]

The new guidelines from the European Atherosclerosis Society and the European Society of Cardiology include a number of new items. Here we demonstrate their application in several different clinical examples. We focus on the 4 items most pertinent for medical practice: 1) the stratification of risk of cardiovascular disease into 4 categories ('very high', 'high', 'moderate' and 'low risk'), involving--for primary prevention cases--the use of the SCORE table, which has been calibrated for Belgium and where the risk can be adjusted according to HDL cholesterol and the presence of other risk factors; 2) the choice of more stringent therapeutic targets for LDL cholesterol (< 70 mg/dl for 'very high' risk patients, 100 mg/dl for 'high' risk patients and 115 mg/dl for patients at 'moderate' risk); 3) the choice of other therapeutic targets (non-HDL cholesterol and apolipoprotein B levels) for patients at 'very high' or 'high' risk with combined dyslipidaemia; and 4) follow-up of lipid parameters and muscular and hepatic enzymatic profiles. [less ▲]

Detailed reference viewed: 141 (4 ULg)
Full Text
See detailComment je traite ... une epilepsie refractaire par stimulation du nerf vague
Sadzot, Bernard ULg; Martin, Didier ULg

in Revue Médicale de Liège (2001), 56(6), 407-10

Intermittent left vagus nerve stimulation is a novel therapeutic modality that can be proposed to patients with a refractory epilepsy and for whom resective surgery is not an option. Its precise mechanism ... [more ▼]

Intermittent left vagus nerve stimulation is a novel therapeutic modality that can be proposed to patients with a refractory epilepsy and for whom resective surgery is not an option. Its precise mechanism of action is not known. Controlled studies have shown that its efficacy is similar to that of antiepileptic drugs: 50% decrease in seizure frequency in 40% patients after two years. Side effects which are generally mild to moderate are the result of a diffusion of the stimulation to the larynx. No CNS side effect has been reported. [less ▲]

Detailed reference viewed: 172 (10 ULg)
Full Text
Peer Reviewed
See detailComment je traite ... une grossesse extra-uterine
Degee, S.; Dricot, J. F.; Lamborelle, S. et al

in Revue Médicale de Liège (2006), 61(12), 797-803

Nowadays, the management of ectopic pregnancy should be codified as often as possible. Two types of treatment are possible. One surgical and the other medical. Our study is concerned with a series of 97 ... [more ▼]

Nowadays, the management of ectopic pregnancy should be codified as often as possible. Two types of treatment are possible. One surgical and the other medical. Our study is concerned with a series of 97 patients hospitalized for suspicion of ectopic pregnancy for whom the risk factors and treatment were analyzed. Our conclusion is that the medical treatment should be more frequently proposed and surgery should prefer the conservative treatment whenever it is still possible. [less ▲]

Detailed reference viewed: 159 (14 ULg)
Full Text
Peer Reviewed
See detailComment je traite ... une hypertrichose.
Pierard, Claudine ULg; Henry, Frédérique ULg; Paquet, Philippe ULg et al

in Revue Médicale de Liège (2003), 58(10), 605-10

Hypertrichosis can result from various origins and exhibit diverse clinical presentations. Any etiological treatment, when available, does not always lead to regression of the excess in pilosity. Most ... [more ▼]

Hypertrichosis can result from various origins and exhibit diverse clinical presentations. Any etiological treatment, when available, does not always lead to regression of the excess in pilosity. Most often, hypertrichosis represents a real esthetic burden and affects the patient's self-esteem. Currently the laser epilation technique offers new and promising therapeutic possibilities. [less ▲]

Detailed reference viewed: 169 (2 ULg)