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11.
G. Canaud N. Kamar D. Anglicheau L. Esposito M. Rabant L.‐H. Noël C. Guilbeau‐Frugier R. Sberro‐Soussan A. Del Bello F. Martinez J. Zuber L. Rostaing C. Legendre 《American journal of transplantation》2013,13(8):2179-2185
Thrombotic microangiopathy (TMA) is one of the hallmark vascular lesions of antiphospholipid syndrome nephropathy (APSN). These lesions are at high risk of recurrence after kidney transplantation. The complement pathway is thought to be active in this process. We used eculizumab to treat three consecutive kidney transplant recipients with posttransplant TMA due to APSN recurrence that was resistant to plasmapheresis and explored the complement deposition and apoptotic and vascular cell markers on the sequential transplant biopsies. Treatment with eculizumab resulted in a rapid and dramatic improvement of the graft function in all three patients and in improvement of the TMA lesions within the graft. None of these patients had TMA flares after eculizumab was withdrawn. At the time of TMA diagnosis, immunofluorescence studies revealed intense C5b‐9 and C4d depositions at the endothelial cell surface of the injured vessels. Moreover, C5b‐9 colocalized with vessels exhibiting a high rate of apoptotic cells. Examination of sequential biopsies during eculizumab therapy showed that TMA lesions, C4d and apoptotic markers were rapidly cleared but the C5b‐9 deposits persisted for several months as a footprint of the TMA. Finally, we noticed that complement inhibition did not prevent the development of the chronic vascular changes associated with APSN. Eculizumab seems to be an efficient method for treating severe forms of posttransplant TMA due to APSN recurrence. Terminal complement inhibition does not prevent the development of chronic APSN. 相似文献
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13.
Oleg Rummo Mario Carmellini Nassim Kamar Antoine Durrbach Christiane Mousson Flavia Caputo Zoltan Mathe Maarten H. L. Christiaans Dirk R. J. Kuypers Jürgen Klempnauer Swapneel Anaokar Martin Hurst Gbenga Kazeem Nasrullah Undre Frank Lehner 《Transplant international》2020,33(2):161-173
The objectives of this study were to assess long-term graft survival, patient survival, renal function, and acute rejections in de novo kidney transplant recipients, treated with once-daily prolonged-release tacrolimus-based therapy. The study was a 5-year non-interventional prospective follow-up of patients from the ADHERE study, a Phase IV 12-month open-label assessment of patients randomized to receive prolonged-release tacrolimus in combination with mycophenolate mofetil (MMF) (Arm 1) or sirolimus (Arm 2). From 838 patients in the randomized study, 587 were included in the long-term follow-up, of whom 510 completed the study at year 5. At 1 year post-transplant, graft and patient survival rates were 93.0% and 97.8%, respectively, and at 5 years were 84.0% and 90.8%, respectively. Cox proportional hazards analysis showed no association between graft loss, initial randomized treatment arm, donor age, donor type, or sex. The 5-year acute rejection-free survival rate was 77.4%, and biopsy-confirmed acute rejection-free survival rate was 86.0%. Renal function remained stable over the follow-up period: mean ± SD eGFR 4-variable modification diet in renal disease formula (MDRD4) was 52.3 ± 21.6 ml/min/1.73 m2 at 6 months and 52.5 ± 23.0 ml/min/1.73 m2 at 5 years post-transplant. These findings support the role of long-term once-daily prolonged-release tacrolimus-based immunosuppression, in combination with sirolimus or MMF, for renal transplant recipients in routine clinical practice. 相似文献
14.
Kamar M Portnoy O Bar-Dayan A Amitai M Munz Y Ayalon A Zmora O 《Diseases of the colon and rectum》2004,47(7):1242-1246
Computed tomography colonography, also termed virtual colonoscopy, is a new imaging method to investigate the colon, which may be a potential alternative to the conventional endoscopic colonoscopy in some cases. The high safety profile of this imaging method was considered as an additional advantage of this procedure. A case of colonic perforation in computed tomography colonography is presented, highlighting a potential risk related to this procedure. It is assumed that perforation was the result of overinflation of air into an obstructed colon caused by a lesion at the rectosigmoid junction. Thus, it is suggested that in such cases, air insufflation should be gradual, thereby minimizing the risk of perforation. 相似文献
15.
Olivier Guillaud Jérôme Dumortier Rodolphe Sobesky Dominique Debray Philippe Wolf Claire Vanlemmens François Durand Yvon Calmus Christophe Duvoux Sébastien Dharancy Nassim Kamar Karim Boudjema Pierre Henri Bernard Georges-Philippe Pageaux Ephrem Salamé Jean Gugenheim Alain Lachaux Dalila Habes Sylvie Radenne Jean Hardwigsen Olivier Chazouillères Jean-Marc Trocello France Woimant Philippe Ichai Sophie Branchereau Olivier Soubrane Denis Castaing Emmanuel Jacquemin Didier Samuel Jean-Charles Duclos-Vallée 《Journal of hepatology》2014
16.
T. Comont D. Bonnet N. Sigur A. Gerdelat F. Legrand-Abravanel N. Kamar L. Alric 《La Revue de médecine interne / fondée ... par la Société nationale francaise de médecine interne》2014
Introduction
Hepatitis E virus (HEV) infection is now recognized to be an emerging autochthonous disease in several countries. There have been several reports of neurological manifestations associated with HEV infections. Immunocompromised patients seem to be particularly vulnerable.Case report
We report a 73-year-old man who presented with an acute polyradiculopathy and an acute hepatitis. HEV RNA was positive in serum and cerebrospinal fluid. Serum antiganglioside antibodies were also detected. Liver function tests returned to normal rapidly and HEV RNA was undetectable 4 weeks after initial testing. The neurological features improved gradually with the use of intravenous immunoglobulins.Conclusion
We report a case of Guillain-Barré syndrome related to acute hepatitis E in an immunocompetent patient. The outcome was favorable after intravenous immunoglobulins administration. HEV screening should be systematic in patients who present with an acute polyradiculopathy and abnormal liver function tests. 相似文献17.
Background
It has been suggested that identifying phenotypes in chronic obstructive pulmonary disease (COPD) might improve treatment outcome and the accuracy of prediction of prognosis. In observational studies vitamin D deficiency has been associated with decreased pulmonary function, presence of emphysema and osteoporosis, upper respiratory tract infections, and systemic inflammation. This could indicate a relationship between vitamin D status and COPD phenotypes. The aim of this study was to assess the association between vitamin D levels and COPD phenotypes. In addition, seasonality of vitamin D levels was examined.Methods
A total of 91 patients from a Danish subpopulation of the “Evaluation of COPD Longitudinally to Identify Predictive Surrogate End-points” cohort took part in a biomarker substudy. Vitamin D concentration was measured from blood samples taken at two visits, approximately 6 months apart. The participants were 40–75-year-old patients with COPD and had a smoking history of >10 pack-years.Results
Fifty-six patients had 25-hydroxyvitamin D measured from blood samples from both visits. In the final model of the multivariate analyses, the factors that were associated with vitamin D deficiency at the first visit were age (OR: 0.89, p = 0.02) and summer season (OR: 3.3, p = 0.03). Factors associated with vitamin D level also at the first visit were age (B: 0.9, p = 0.02) and 6 min walking distance (B: 0.05, p = 0.01).Conclusion
Vitamin D was not associated with COPD phenotypes and season did not seem to be a determinant of vitamin D levels in patients with moderate to severe COPD. 相似文献18.
19.
Katherine Ember Franois Daoust Myriam Mahfoud Frdrick Dallaire Esmat Zamani Ahmad Trang Tran Arthur Plante Mame-Kany Diop Tien Nguyen Amlie St-Georges-Robillard Nassim Ksantini Julie Lanthier Antoine Filiatrault Guillaume Sheehy Gabriel Beaudoin Caroline Quach Dominique Trudel Frdric Leblond 《Journal of biomedical optics》2022,27(2)
20.
Kateřina Kamarádová Hana Vošmiková Kateřina Rozkošová Aleš Ryška Ilja Tachecí Jan Laco 《Pathology, research and practice》2019,215(4):730-737