Chondromas of the spine: report of two cases and review of the literature.

We report two cases of vertebral chondroma presenting with spinal cord compression. In one case there was ultimate malignant transformation.

Vincristine and intestinal pseudo-obstruction in children: report of 5 cases, literature review, and suggested management.

Summary: Intestinal pseudo-obstruction is a rare complication resulting from a variety of disorders. Symptoms include abdominal pain, nausea, vomiting, diarrhea, constipation, and malnutrition. Vincristine-related pseudo-obstruction has been reported in the literature, but its description in children and recommendations for management are lacking. A review of the literature revealed 21 reported pediatric cases of vincristine-related pseudo-obstruction. Most have, however, been attributed to a drug interaction with itraconazole, accidental vincristine overdose, or liver failure. Potential genetic causes are rarely addressed. We present here 5 cases of pseudo-obstruction related to vincristine without any identifiable predisposing factors, and a suggested algorithm for management

L'entretien motivationnel, une nouvelle "panacée" dans la prise en charge de patients toxicodépendants ? Une revue de littérature [Motivational interviewing, the new "panacea" for treatment of substance use disorders ? A review of literature]

Cet article aborde l'entretien motivationnel (EM), considéré comme un style thérapeutique centré sur le client et directif, visant à développer la motivation au changement par l'exploration et la résolution de l'ambivalence (Miller, W.R., Rollnick, S., 2002. Motivational interviewing: preparing people for change. The Guilford Press, New York, p. 25). Après une brève présentation théorique de ce style thérapeutique, nous présentons un survol des principaux résultats empiriques relatifs à la question de son efficacité dans la prise en charge des troubles liés à l'utilisation de substances psychoactives. Malgré un corpus important de travaux qui mettent en évidence les effets de l'EM, la question des « ingrédients actifs » reste encore relativement peu explorée. Quelques hypothèses permettant de mieux comprendre le succès de l'EM sont évoquées.

Spectrum of digoxin-induced ocular toxicity: a case report and literature review.

BACKGROUND: Digoxin intoxication results in predominantly digestive, cardiac and neurological symptoms. This case is outstanding in that the intoxication occurred in a nonagenarian and induced severe, extensively documented visual symptoms as well as dysphagia and proprioceptive illusions. Moreover, it went undiagnosed for a whole month despite close medical follow-up, illustrating the difficulty in recognizing drug-induced effects in a polymorbid patient. CASE PRESENTATION: Digoxin 0.25 mg qd for atrial fibrillation was prescribed to a 91-year-old woman with an estimated creatinine clearance of 18 ml/min. Over the following 2-3 weeks she developed nausea, vomiting and dysphagia, snowy and blurry vision, photopsia, dyschromatopsia, aggravated pre-existing formed visual hallucinations and proprioceptive illusions. She saw her family doctor twice and visited the eye clinic once until, 1 month after starting digoxin, she was admitted to the emergency room. Intoxication was confirmed by a serum digoxin level of 5.7 ng/ml (reference range 0.8-2 ng/ml). After stopping digoxin, general symptoms resolved in a few days, but visual complaints persisted. Examination by the ophthalmologist revealed decreased visual acuity in both eyes, 4/10 in the right eye (OD) and 5/10 in the left eye (OS), decreased color vision as demonstrated by a score of 1/13 in both eyes (OU) on Ishihara pseudoisochromatic plates, OS cataract, and dry age-related macular degeneration (ARMD). Computerized static perimetry showed non-specific diffuse alterations suggestive of either bilateral retinopathy or optic neuropathy. Full-field electroretinography (ERG) disclosed moderate diffuse rod and cone dysfunction and multifocal ERG revealed central loss of function OU. Visual symptoms progressively improved over the next 2 months, but multifocal ERG did not. The patient was finally discharged home after a 5 week hospital stay. CONCLUSION: This case is a reminder of a complication of digoxin treatment to be considered by any treating physician. If digoxin is prescribed in a vulnerable patient, close monitoring is mandatory. In general, when facing a new health problem in a polymorbid patient, it is crucial to elicit a complete history, with all recent drug changes and detailed complaints, and to include a drug adverse reaction in the differential diagnosis.

Verrucous Carcinoma of the Vulva: A Case Report and Review of the Literature.

Verrucous carcinoma of the vulva is a rare lesion (1). Affecting essentially postmenopausal women, this lesion is a distinct and particular entity in vulval carcinoma classification and its scalability is uncertain and unpredictable. Here, we present a case concerning a 48-year-old patient, without follow-up after a condyloma acuminate of the vulva (large left lip). The origin of this case will be discussed in this article. The treatment decided was only surgical. A review of literature shows the rarity of this lesion of the female genital tract.

9-6-20, [jardin colonial de] Nogent-sur-Marne [cérémonie de consécration du temple aux mânes des Indochinois morts pour la France] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 59609

9-6-20, [jardin colonial de] Nogent-sur-Marne, transfert du rescrit impérial dans le temple [cérémonie en l'honneur des Indochinois morts pour la France] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 59610

9-6-20, [jardin colonial de] Nogent-sur-Marne, départ de M. Sarraut et du maréchal Joffre [cérémonie en l'honneur des Indochinois morts pour la France] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 59611

9-6-20, [jardin colonial de] Nogent-sur-Marne, transfert du rescrit impérial dans le temple [cérémonie en l'honneur des Indochinois morts pour la France] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 59612

9-6-20, [jardin colonial de] Nogent-sur-Marne, l'envoyé de la Cour d'Annam [Dang Ngoc Oanh] prononce son discours [cérémonie en l'honneur des Indochinois morts pour la France] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 59613

9-6-20, [jardin colonial de] Nogent-sur-Marne, l'envoyé de la Cour d'Annam [Le Quang Liem Bay] prononce son discours [cérémonie en l'honneur des Indochinois morts pour la France] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 59614

9-6-20, [jardin colonial de] Nogent-sur-Marne [cérémonie en l'honneur des Indochinois morts pour la France] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 59615

9-6-20, [jardin colonial de] Nogent-sur-Marne, transfert du rescrit impérial dans le temple [cérémonie en l'honneur des Indochinois morts pour la France] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 59616