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  1. Article ; Online: Case of reactive sacroiliitis possibly induced by an mRNA coronavirus disease vaccine.

    Roux, Nicolas / Poussing, Sophie / Maurier, François

    BMJ case reports

    2022  Volume 15, Issue 7

    Abstract: A woman in her 30s received a second dose, first booster, Corminaty vaccine against the SARS-CoV-2. Three days later, the patient developed unilateral sacroiliitis. A pelvic scan revealed inflammatory joint edges, bone erosion and a heterogeneous mass of ...

    Abstract A woman in her 30s received a second dose, first booster, Corminaty vaccine against the SARS-CoV-2. Three days later, the patient developed unilateral sacroiliitis. A pelvic scan revealed inflammatory joint edges, bone erosion and a heterogeneous mass of 2.5 cm in the psoas muscle. Joint puncture revealed no microcrystalline deposits, but bone marrow cells, erythroblast were identified. The standard bacterial cultures and culture for mycobacteria were negative. HLA B27 was negative, and no seroconversion was identified for HIV, Epstein-Barr virus, cytomegalovirus, chlamydia or Quantiferon. Two months later, the sacroiliitis resolved.The aetiologic approach of this erosive unilateral acute sacroiliitis in a person naïve to rheumatologic pathology was negative for inflammatory or infectious sacroiliitis. Arthralgias after vaccination are expected. Arthritis is less common, and acute sacroiliitis has not yet been described. Acute sacroiliitis may be considered a reactive sacroiliitis to the anti-COVID-19 mRNA vaccine.
    MeSH term(s) Adult ; Arthritis/etiology ; COVID-19/prevention & control ; Epstein-Barr Virus Infections/complications ; Female ; Herpesvirus 4, Human ; Humans ; RNA, Messenger ; SARS-CoV-2 ; Sacroiliac Joint/diagnostic imaging ; Sacroiliac Joint/pathology ; Sacroiliitis/etiology ; Vaccination/adverse effects ; Vaccines, Synthetic ; mRNA Vaccines
    Chemical Substances RNA, Messenger ; Vaccines, Synthetic ; mRNA Vaccines
    Language English
    Publishing date 2022-07-07
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2022-249063
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Neuromyotonia: a skin-deep problem.

    Maurier, François / Michaud, Maud / Reviron, Roxane / Lipsker, Dan

    BMJ case reports

    2022  Volume 15, Issue 4

    Abstract: A 45-year-old woman was evaluated for right-sided hemicorporal scar-like skin lesions on her arm and thoracic and inguinal areas that appeared shortly after reduction mammoplasty. Five years later, she developed spontaneous cramps and involuntary ... ...

    Abstract A 45-year-old woman was evaluated for right-sided hemicorporal scar-like skin lesions on her arm and thoracic and inguinal areas that appeared shortly after reduction mammoplasty. Five years later, she developed spontaneous cramps and involuntary abnormal, painful, twitching movements in the same areas. With time, the cramps worsened and disabled the patient. The use of her right arm triggered contractures of muscles and abnormal movements. A diagnosis of neuromyotonia (NMT) was established on the basis of clinical findings and on electromyographic findings of a burst of high-frequency motor unit potentials recorded in the right triceps in the area of skin lesions. The results of medullary, encephalic MRI as well as a comprehensive metabolic panel were normal. She was positive for antinuclear antibodies without specificity. Neither antineural antibodies nor antivoltage-gated potassium channel complex antibodies (specifically, leucine-rich glioma inactivated protein 1 and contactin-associated protein-like-2) were detected. Her skin lesions were diagnosed as morphea. Two combined strategies of treatment were initiated: antiepileptic drugs for NMT and corticosteroids and methotrexate for morphea. NMT is a rare, debilitating neurological complication of morphea.
    MeSH term(s) Antibodies ; Female ; Humans ; Isaacs Syndrome/complications ; Isaacs Syndrome/diagnosis ; Leucine ; Middle Aged ; Muscle Cramp ; Scleroderma, Localized/complications
    Chemical Substances Antibodies ; Leucine (GMW67QNF9C)
    Language English
    Publishing date 2022-04-11
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2020-237959
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Coatomer-associated protein subunit alpha syndrome: abnormal trafficking between the Golgi complex and the endoplasmic reticulum.

    Perrin, Julie / Roux, Nicolas / Maurier, François

    BMJ case reports

    2020  Volume 13, Issue 11

    Abstract: A 25-year-old woman with a history of juvenile idiopathic arthritis and rheumatoid factor-positive polyarthritis developed dyspnoea. Progressive cystic lung disease was diagnosed. Biomarkers of autoimmunity, such as antinuclear antibodies, ... ...

    Abstract A 25-year-old woman with a history of juvenile idiopathic arthritis and rheumatoid factor-positive polyarthritis developed dyspnoea. Progressive cystic lung disease was diagnosed. Biomarkers of autoimmunity, such as antinuclear antibodies, antiextractable nuclear antigen antibodies, anti-SCL-70, rheumatoid factor, cyclic citrullinated peptide antibodies, c-antineutrophil cytoplasmic antibody and MPO, were found. No familial disease was reported. Despite lack of kidney manifestations, coatomer-associated protein subunit alpha syndrome was suggested. Type 1 interferon signature score was 40.8 (range, <2.3). A class 4 heterozygous mutation (c.725T>G, p.Val242Gly) was confirmed. Due to abnormal trafficking between the Golgi complex and the endoplasmic reticulum, a Mendelian monogenic autosomal dominant syndrome associating inflammatory arthritis with interstitial lung disease, with several high-titre autoantibodies, was identified. Treatment with tyrosine kinase inhibitors, Janus kinases-signal transducers and activators of transduction, may be beneficial.
    MeSH term(s) Adult ; Arthritis, Juvenile/diagnosis ; Arthritis, Juvenile/metabolism ; Autoimmunity ; Biomarkers/metabolism ; Coatomer Protein/metabolism ; Diagnosis, Differential ; Endoplasmic Reticulum/metabolism ; Endoplasmic Reticulum/pathology ; Enzyme-Linked Immunosorbent Assay ; Female ; Golgi Apparatus/metabolism ; Golgi Apparatus/pathology ; Humans ; Protein Subunits ; Radiography ; Tomography, X-Ray Computed
    Chemical Substances Biomarkers ; Coatomer Protein ; Protein Subunits
    Language English
    Publishing date 2020-11-02
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2019-231553
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Respiratory Distress in SARS-CoV-2 without Lung Damage: Phrenic Paralysis Should Be Considered in COVID-19 Infection.

    Maurier, Francois / Godbert, Benoit / Perrin, Julie

    European journal of case reports in internal medicine

    2020  Volume 7, Issue 6, Page(s) 1728

    Abstract: We describe an overweight COVID-19 patient with respiratory distress preceded by anosmia/dysgeusia with no lung injury shown on CT, angio-CT or ventilation/perfusion scans. Orthopnoea and paradoxical abdominal respiration were identified. Phrenic ... ...

    Abstract We describe an overweight COVID-19 patient with respiratory distress preceded by anosmia/dysgeusia with no lung injury shown on CT, angio-CT or ventilation/perfusion scans. Orthopnoea and paradoxical abdominal respiration were identified. Phrenic paralysis, demonstrated by examination of patient breathing, and on x-ray while standing breathing in and out, explained the respiratory distress. This is a rare and previously undescribed neurological complication of COVID-19 infection caused by vagus nerve injury.
    Learning points: Phrenic paralysis must be kept in mind as a rare neurological complication of COVID-19.Vagus nerve palsy is a neurological manifestation as anosmia and dysgeusia, that were already identified in the olfactory system of COVID-19 patients.
    Keywords covid19
    Language English
    Publishing date 2020-05-21
    Publishing country Italy
    Document type Journal Article
    ISSN 2284-2594
    ISSN (online) 2284-2594
    DOI 10.12890/2020_001728
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Respiratory Distress in SARS-CoV-2 without Lung Damage

    Francois Maurier / Benoit Godbert / Julie Perrin

    European Journal of Case Reports in Internal Medicine (2020)

    Phrenic Paralysis Should Be Considered in COVID-19 Infection

    2020  

    Abstract: We describe an overweight COVID-19 patient with respiratory distress preceded by anosmia/dysgeusia with no lung injury shown on CT, angio-CT or ventilation/perfusion scans. Orthopnoea and paradoxical abdominal respiration were identified. Phrenic ... ...

    Abstract We describe an overweight COVID-19 patient with respiratory distress preceded by anosmia/dysgeusia with no lung injury shown on CT, angio-CT or ventilation/perfusion scans. Orthopnoea and paradoxical abdominal respiration were identified. Phrenic paralysis, demonstrated by examination of patient breathing, and on x-ray while standing breathing in and out, explained the respiratory distress. This is a rare and previously undescribed neurological complication of COVID-19 infection caused by vagus nerve injury.
    Keywords covid-19 ; respiratory distress ; phrenic paralysis ; neurotropism ; Medicine ; R ; covid19
    Language English
    Publishing date 2020-05-01T00:00:00Z
    Publisher SMC MEDIA SRL
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: An Unusual Cause of Recurrent Gastric Bleeding.

    Maurier, Francois / Galland, Joris / Lipsker, Dan

    Gastroenterology

    2018  Volume 155, Issue 1, Page(s) e9–e11

    MeSH term(s) Aged ; Anemia/etiology ; Atrial Fibrillation/drug therapy ; Collagen Type IV/metabolism ; Female ; Gastrointestinal Hemorrhage/etiology ; Humans ; Platelet Aggregation Inhibitors/adverse effects ; Recurrence ; Skin Diseases/complications ; Skin Diseases/diagnosis ; Stomach Diseases/etiology ; Telangiectasis/complications ; Telangiectasis/diagnosis ; Telangiectasis/metabolism ; Telangiectasis/pathology
    Chemical Substances Collagen Type IV ; Platelet Aggregation Inhibitors
    Language English
    Publishing date 2018-02-02
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 80112-4
    ISSN 1528-0012 ; 0016-5085
    ISSN (online) 1528-0012
    ISSN 0016-5085
    DOI 10.1053/j.gastro.2017.12.030
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Health related quality of life, remission and low lupus disease activity state in patients with systemic lupus erythematosus.

    Thibault, Thomas / Rajillah, Abdessamad / Bourredjem, Abderrahmane / Corneloup, Marie / Maurier, François / Wahl, Denis / Muller, Geraldine / Aumaitre, Olivier / Sève, Pascal / Blaison, Gilles / Besancenot, Jean-François / Martin, Thierry / Magy-Bertrand, Nadine / Samson, Maxime / Arnaud, Laurent / Amoura, Zahir / Devilliers, Hervé

    Rheumatology (Oxford, England)

    2023  

    Abstract: Objectives: To measure the association between systemic lupus erythematosus (SLE) remission and scores of patients reported outcome measures (PRO).: Methods: We performed a prospective cohort study of SLE patients with a 2-year follow-up, recording ... ...

    Abstract Objectives: To measure the association between systemic lupus erythematosus (SLE) remission and scores of patients reported outcome measures (PRO).
    Methods: We performed a prospective cohort study of SLE patients with a 2-year follow-up, recording LupusPRO, LupusQol, SLEQOL, and SF-36 questionnaires. Remission was defined as remission-off-treatment (ROFT) and remission-on-treatment (RONT) according to the DORIS consensus. Mixed models accounting for repeated measures were used to compare groups as follow: ROFT and RONT versus no remission, and Lupus Low Disease activity state (LLDAS) versus no LLDAS.
    Results: A total of 1478 medical visits and 2547 PRO questionnaires were collected during the follow-up from the 336 recruited patients. A between-group difference in PRO scores reaching at least 5 points on a 0-100 scale was obtained in the following domains: "lupus symptoms" (LLDAS: +5 points on the 0-100 scale, RONT: +9 and ROFT: +5), "lupus medication" (LLDAS: +5, RONT: +8 and ROFT: +9), "pain vitality" (LLDAS: +6, RONT: +9 and ROFT: +6) of LupusPRO, "role emotional" (LLDAS: +5, RONT: +8), "role physical" (RONT: +7 and ROFT: +7), "bodily pain" (RONT: +6), "mental health" (RONT: +5) and "social functioning" (RONT: +6) of SF-36. In contrast, a between-group difference reaching at least 5 points was not achieved for any of the LupusQol and SLEQOL domains.
    Conclusions: RONT, ROFT, and LLDAS were associated with significant and clinically relevant higher quality of life in most PRO domains of LupusPRO (disease-specific) and SF-36 (generic) questionnaires, but not with LupusQol and SLEQOL disease-specific questionnaires.
    Language English
    Publishing date 2023-08-17
    Publishing country England
    Document type Journal Article
    ZDB-ID 1464822-2
    ISSN 1462-0332 ; 1462-0324
    ISSN (online) 1462-0332
    ISSN 1462-0324
    DOI 10.1093/rheumatology/kead407
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Immune Thrombocytopenic Purpura in Patients with COVID-19.

    Revuz, Sabine / Vernier, Nathalie / Saadi, Leilah / Campagne, Julien / Poussing, Sophie / Maurier, François

    European journal of case reports in internal medicine

    2020  Volume 7, Issue 7, Page(s) 1751

    Abstract: We described three COVID-19-infected patients with profound immune thrombocytopenia causing haemorrhagic mucocutaneous complications. We conclude that an immune mechanism was responsible as common causes were excluded. Since corticoids were considered ... ...

    Abstract We described three COVID-19-infected patients with profound immune thrombocytopenia causing haemorrhagic mucocutaneous complications. We conclude that an immune mechanism was responsible as common causes were excluded. Since corticoids were considered harmful in the circumstances, the patients were successfully treated with intravenous immunoglobulins without later relapse.
    Learning points: The severity of haemorrhagic syndrome is not correlated with the severity of COVID-19 infection.Thrombocytopenia in mild COVID-19 infection seems to have an autoimmune mechanism.Intravenous immunoglobulins (1 g/kg) should be the first line of treatment.
    Keywords covid19
    Language English
    Publishing date 2020-06-09
    Publishing country Italy
    Document type Journal Article
    ISSN 2284-2594
    ISSN (online) 2284-2594
    DOI 10.12890/2020_001751
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: The mediating effect of fatigue in impaired quality of life in systemic lupus erythematosus: mediation analysis of the French EQUAL cohort.

    Thibault, Thomas / Bourredjem, Abderrahmane / Maurier, François / Wahl, Denis / Muller, Geraldine / Aumaitre, Olivier / Sève, Pascal / Blaison, Gilles / Pennaforte, Jean-Loup / Martin, Thierry / Magy-Bertrand, Nadine / Audia, Sylvain / Arnaud, Laurent / Amoura, Zahir / Devilliers, Hervé

    Rheumatology (Oxford, England)

    2023  Volume 62, Issue 9, Page(s) 3051–3058

    Abstract: Objectives: Mediation analyses were conducted to measure the extent to which musculoskeletal (MSK) flares and depression affected physical health through excessive fatigue.: Methods: Mediation analyses were performed in a large multicentre cohort of ... ...

    Abstract Objectives: Mediation analyses were conducted to measure the extent to which musculoskeletal (MSK) flares and depression affected physical health through excessive fatigue.
    Methods: Mediation analyses were performed in a large multicentre cohort of SLE patients. Domains of the LupusQoL and SLEQOL questionnaires were selected as outcomes, MSK flares according to the SELENA-SLEDAI flare index (SFI-R) score and depression defined by Center for Epidemiologic Studies-Depression scale (CES-D) scale as exposures and different fatigue domains from MFI-20 and LupusQoL questionnaires as mediators. For each model, total, direct, indirect effects and proportion of effect mediated by fatigue (i.e. proportion of change in health-related quality of life) were determined.
    Results: Of the 336 patients, 94 (28%) had MSK flares at inclusion and 99 (29.5%) were considered with depression. The proportion of the total effect of MSK flares on physical health impairment explained by fatigue ranged from 59.6% to 78% using the LupusQOL 'Physical health' domain and from 51.1% to 73.7% using the SLEQOL 'Physical functioning' domain, depending on the fatigue domain selected. The proportion of the total effect of depression on physical health impairment explained by fatigue ranged from 68.8% to 87.6% using the LupusQOL 'Physical health' domain and from 79.3% to 103.2% using the SLEQOL 'Physical functioning' domain, depending on the fatigue domain selected.
    Conclusions: The effect of MSK flares and depression on physical health impairment is largely mediated by fatigue. Thus, the patient's perception of disease activity as measured by physical health is largely influenced by fatigue. In addition, fatigue has a significant negative impact on quality of lifeof SLE patients with depression.
    Trial registration: ClinicalTrials.gov, http://clinicaltrials.gov, NCT01904812.
    MeSH term(s) Humans ; Quality of Life ; Mediation Analysis ; Lupus Erythematosus, Systemic/complications ; Surveys and Questionnaires ; Fatigue/epidemiology ; Fatigue/etiology ; Severity of Illness Index
    Language English
    Publishing date 2023-01-18
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1464822-2
    ISSN 1462-0332 ; 1462-0324
    ISSN (online) 1462-0332
    ISSN 1462-0324
    DOI 10.1093/rheumatology/kead020
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Regulatory T-cell dysfunctions are associated with increase in tumor necrosis factor α in autoimmune hemolytic anemia and participate in Th17 polarization.

    Ciudad, Marion / Ouandji, Sethi / Lamarthée, Baptiste / Cladière, Claudie / Ghesquière, Thibault / Nivet, Martin / Thébault, Marine / Boidot, Romain / Soudry-Faure, Agnès / Chevrier, Sandy / Richard, Corentin / Maillet, Thibault / Maurier, François / Greigert, Hélène / Genet, Coraline / Ramon, André / Trad, Malika / Predan, Valérie / Saas, Philippe /
    Samson, Maxime / Bonnotte, Bernard / Audia, Sylvain

    Haematologica

    2024  Volume 109, Issue 2, Page(s) 444–457

    Abstract: Warm autoimmune hemolytic anemia (wAIHA) is a rare acquired autoimmune disease mediated by antibodies targeting red blood cells. The involvement of CD4 T-helper cells has been scarcely explored, with most findings extrapolated from animal models. Here, ... ...

    Abstract Warm autoimmune hemolytic anemia (wAIHA) is a rare acquired autoimmune disease mediated by antibodies targeting red blood cells. The involvement of CD4 T-helper cells has been scarcely explored, with most findings extrapolated from animal models. Here, we performed quantification of both effector T lymphocytes (Teff) and regulatory T cells (Treg), associated with functional and transcriptomic analyses of Treg in human wAIHA. We observed a shift of Teff toward a Th17 polarization concordant with an increase in serum interleukin-17 concentration that correlates with red blood cell destruction parameters, namely lactate dehydrogenase and bilirubin levels. A decrease in circulating Treg, notably effector Treg, associated with a functional deficiency, as represented by their decrease capability to inhibit Teff proliferation, were also observed. Treg deficiency was associated with a reduced expression of Foxp3, the master transcription factor known to maintain the Treg phenotype stability and suppressive functions. Transcriptomic profiling of Treg revealed activation of the tumor necrosis facto (TNF)-α pathway, which was linked to increased serum TNF-α concentrations that were twice as high as in controls. Treg transcriptomic profiling also suggested that post-translational mechanisms possibly accounted for Foxp3 downregulation and Treg dysfunctions. Since TNF-α participates in the rupture of immune tolerance during wAIHA, its inhibition could be of interest. To this end, the effects of fostamatinib, a SYK inhibitor, were investigated in vitro, and we showed that besides the inhibition of erythrocyte phagocytosis by monocytes, fostamatinib is also able to dampen TNF-α production, thus appearing as a promising multitargeting therapy in wAIHA (clinicaltrials gov. Identifier: NCT02158195).
    MeSH term(s) Animals ; Humans ; T-Lymphocytes, Regulatory ; Tumor Necrosis Factor-alpha ; Anemia, Hemolytic, Autoimmune ; Forkhead Transcription Factors/metabolism ; Th17 Cells ; Aminopyridines ; Morpholines ; Pyrimidines
    Chemical Substances Tumor Necrosis Factor-alpha ; fostamatinib (SQ8A3S5101) ; Forkhead Transcription Factors ; Aminopyridines ; Morpholines ; Pyrimidines
    Language English
    Publishing date 2024-02-01
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2333-4
    ISSN 1592-8721 ; 0017-6567 ; 0390-6078
    ISSN (online) 1592-8721
    ISSN 0017-6567 ; 0390-6078
    DOI 10.3324/haematol.2023.282859
    Database MEDical Literature Analysis and Retrieval System OnLINE

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