6 results on '"V, Brenet-Dufour"'
Search Results
2. Ulcérations buccales après prise de mycophénolate de sodium (Myfortic®)
- Author
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J.-P. Denoeux, M. Andrejak, G. Chaby, V. Brenet-Dufour, R. Makdassi, Catherine Lok, and O. Miquel
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Gynecology ,medicine.medical_specialty ,Acide mycophenolique ,business.industry ,medicine ,Dermatology ,Enteric coated ,Oral cavity ,business ,Acido micofenolico ,Mycophenolic acid ,medicine.drug - Abstract
Resume Introduction Le mycophenolate de sodium (Myfortic ® ) est une formulation gastroresistante de l’acide mycophenolique utilise comme agent immunosuppresseur. Nous rapportons le cas d’une femme ayant eu des ulcerations buccales multiples associees a la prise de mycophenolate de sodium avec recidive des ulcerations lors de la reintroduction de ce traitement. Observation Il s’agissait d’une femme de 26 ans suivie depuis 1993 pour un lupus erythemateux dissemine, traite initialement par corticotherapie et mycophenolate mofetil (Cellcept ® ). Ce traitement avait ete arrete en raison de la survenue d’un zona plurimetamerique et d’une leucopenie. Elle consultait pour des ulcerations buccales invalidantes survenues 15 jours apres l’introduction d’un traitement par mycophenolate de sodium. Il n’y avait aucun argument pour une infection opportuniste ou une poussee lupique. L’arret du medicament permettait une disparition des lesions. La reintroduction de mycophenolate de sodium quelques semaines plus tard entrainait une recidive des ulcerations buccales, regressant 72 heures apres l’arret definitif du medicament. Discussion Le mycophenolate de sodium est une formulation recente, gastroresistante de l’acide mycophenolique, developpee pour reduire les effets indesirables digestifs du mycophenolate mofetil. Des cas isoles d’ulcerations buccales apres prise de mycophenolate mofetil ont ete rapportes. Une toxicite directe du medicament etait alors evoquee. Cet effet indesirable n’avait jamais ete decrit avec le mycophenolate de sodium. Dans notre observation, le fait que la malade avait prealablement pris un traitement par mycophenolate mofetil, sans toxicite muqueuse, alors qu’elle etait exposee a une concentration en acide mycophenolique au moins equivalente, est d’autant plus particulier.
- Published
- 2007
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3. [Mouth ulcers induced by enteric-coated mycophenolate sodium (Myfortic]
- Author
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O, Miquel, G, Chaby, M, Andrejak, V, Brenet-Dufour, R, Makdassi, J-P, Denoeux, and C, Lok
- Subjects
Adult ,Recurrence ,Humans ,Lupus Erythematosus, Systemic ,Female ,Tablets, Enteric-Coated ,Mycophenolic Acid ,Oral Ulcer ,Immunosuppressive Agents - Abstract
Mycophenolate sodium (Myfortic) is an enteric-coated formulation of the immunosuppressant therapy mycophenolic acid. We report a case of diffuse mouth ulceration in a patient treated with Myfortic presenting recurrence after another dose of drug.We report the case of a 26-year-old female patient with systemic lupus erythematosus, initially treated with corticosteroids and mycophenolate mofetil, but which was stopped because of varicella-zoster dissemination and leucopoenia. She consulted for mouth ulcers occurring two weeks after the introduction of Myfortic. There were no signs of opportunist infection or lupus activity. Mucosal ulcerations disappeared when Myfortic was stopped. Several weeks later, the patient presented recurrence of mouth ulcerations after another treatment of Myfortic.Myfortic is a new enteric-coated formulation of mycophenolic acid developed to reduce gastrointestinal upset associated with Cellcept. In certain cases, Cellcept toxicity can present as a number of oral ulcerations. Direct toxicity is involved in these cases. This side effect has never been described with Myfortic. In our case, the distinctive characteristic is that the patient was never treated with Cellcept without mucosal toxicity despite equivalent systemic mycophenolic acid exposure.
- Published
- 2007
4. Is the effect of mobile phone radiofrequency waves on human skin perfusion non-thermal?
- Author
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Loos N, Thuróczy G, Ghosn R, Brenet-Dufour V, Liabeuf S, Selmaoui B, Libert JP, Bach V, Diouf M, and de Seze R
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- Adult, Ear blood supply, Female, Humans, Jaw blood supply, Male, Time Factors, Cell Phone, Microcirculation radiation effects, Radio Waves, Skin blood supply, Vasodilation radiation effects
- Abstract
Objective: To establish whether SkBF can be modified by exposure to the radiofrequency waves emitted by a mobile phone when the latter is held against the jaw and ear., Methods: Variations in SkBF and Tsk in adult volunteers were simultaneously recorded with a thermostatic laser Doppler system during a 20-minute "radiofrequency" exposure session and a 20-minute "sham" session. The skin microvessels' vasodilatory reserve was assessed with a heat challenge at the end of the protocol., Results: During the radiofrequency exposure session, SkBF increased (vs. baseline) more than during the sham exposure session. The sessions did not differ significant in terms of the Tsk time-course response. The skin microvessels' vasodilatory ability was found to be greater during radiofrequency exposure than during sham exposure., Conclusions: Our results reveal the existence of a specific vasodilatory effect of mobile phone radiofrequency emission on skin perfusion., (© 2013 John Wiley & Sons Ltd.)
- Published
- 2013
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5. Effects of GSM 900 MHz on middle cerebral artery blood flow assessed by transcranial Doppler sonography.
- Author
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Ghosn R, Thuróczy G, Loos N, Brenet-Dufour V, Liabeuf S, de Seze R, and Selmaoui B
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- Adult, Breath Holding radiation effects, Female, Heart Rate radiation effects, Humans, Male, Middle Cerebral Artery physiology, Pulsatile Flow radiation effects, Skin Temperature radiation effects, Young Adult, Blood Circulation radiation effects, Cell Phone, Middle Cerebral Artery diagnostic imaging, Middle Cerebral Artery radiation effects, Radio Waves adverse effects, Ultrasonography, Doppler, Transcranial
- Abstract
Mobile phone use has increased worldwide but its possible effects on the brain remain unclear. The aim of the present study was to investigate the effect of acute exposure to a radio frequency electromagnetic field (RF EMF) generated by a mobile phone operating in the Global System for Mobile Communication (GSM) 900 MHz on cerebral blood flow. Twenty-nine volunteers attended two experimental sessions: a sham exposure session and a real exposure session in a cross-over double-blind study in which a mobile phone was positioned on the left side of the head. In one session, the mobile phone was operated without RF radiation (sham phone) and in the other study it was operated with RF radiation (real phone) for 20 min. Thus, each subject served as its own control. Middle cerebral artery blood flow was monitored noninvasively by transcranial Doppler sonography to measure middle cerebral artery blood flow velocity. Pulsatility index and resistance index were also evaluated. A voluntary breath holding physiological test was carried out as a positive control for testing cerebral vasoreactivity. Hemodynamic variables were recorded and analyzed before, during and after mobile phone exposure. No significant changes were detected in studied variables in middle cerebral arteries during sham or real exposure. In the exposed side the cerebral blood flow velocity, the pulsatility index and the resistance index during sham and real exposure were respectively: [61.9 ± 1.3, 61.7 ± 1.3 cm/s (P = 0.89)]; [0.93 ± 0.03, 0.90 ± 0.02 (P = 0.84)] and [0.58 ± 0.01, 0.58 ± 0.01 (P = 0.96)] at baseline; and [60.6 ± 1.3, 62 ± 1.6 cm/s (P = 0.40)]; [0.91 ± 0.03, 0.87 ± 0.03 (P = 0.97)]; [0.57 ± 0.01, 0.56 ± 0.01 (P = 0.82)] after 20 min of exposure. Twenty minutes of RF exposure to a mobile phone does not seem to affect the cerebral circulation.
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- 2012
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6. [Quantification of the part allocated to the preventability of vitamin K antagonists therapy bleeding events].
- Author
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Gras-Champel V, Brenet-Dufour V, Moragny J, Masson H, Davidau E, Masmoudi K, and Andrejak M
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- Cohort Studies, France epidemiology, Hemorrhage epidemiology, Humans, Product Surveillance, Postmarketing, Prospective Studies, Anticoagulants adverse effects, Hemorrhage chemically induced, Hemostatics adverse effects, Vitamin K antagonists & inhibitors
- Abstract
A prospective cohort of patients with a high INR (>or=5) and being treated by vitamin K antagonists (VKA) was assessed in the Amiens University Hospital. One of the purposes of the study was to assess the preventability of the haemorrhages due to VKA. The preventability concept is not very used in France. Identifying the preventability part of a side effect of a drug needs an adapted and reliable tool. Although different methods of assessment of preventability have been developed, none of them is unquestionable. For the needs of our study, we built a scale of measure adapted from a scale of preventability already published by defining more accurately some items and by reducing the subjective part of the interpretation. We were able to confirm the relevance of our revised scale by testing it by two experts. After consensus on the conflicting data, two thirds of the severe bleedings were considered as "potentially or totally preventable". These data are in agreement with published data. Indeed the data found in the literature are concordant to consider that an important part of VKA bleedings events can be prevented by a better management of the treatment., (© 2010 Société Française de Pharmacologie et de Thérapeutique.)
- Published
- 2010
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