Publications by authors named "Bruel H"

Glycine encephalopathy (MIM #605899) is an autosomal recessive inborn error of metabolism caused by pathogenic variants in three genes , , encoding glycine cleavage enzyme system. We report an 8-year-old boy with late-onset glycine encephalopathy who harbors a novel homozygous likely pathogenic variant c.707G > A p.

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Article Synopsis
  • The text discusses a case of an 8-year-old boy with severe undernutrition and scurvy, initially suspected to have Avoidant Restrictive Food Intake Disorder (ARFID) due to his selective eating habits.
  • Observations and analyses indicated that the boy's eating behaviors were likely influenced by his mother, suggesting a possible case of Munchausen syndrome by proxy rather than true ARFID.
  • The study highlights the challenges in differentiating between ARFID and other disorders like Munchausen syndrome by proxy in children exhibiting similar symptoms.
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The PANDA unit is a full-time mother-baby hospitalization unit based on an original model of care for vulnerable dyads. It is located within a neonatal unit allowing tripartite care (perinatal psychiatry, neonatology and post-natal care). It thus differs from traditional mother-baby units in its close links with the other perinatal care actors, allowing comprehensive health and mental health care in the immediate post-partum period.

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Objectives: International literature suggests that active perinatal management at extremely low gestational ages improves survival without increasing the risk of impairment in survivors, compared to less active management. Although these results are limited to a small number of countries, they question current practices in France. New propositions on perinatal management of extremely preterm infants have carried out by the French Society of Perinatal Medicine, the French Society of Neonatology and the National College of French Obstetricians and Gynecologists.

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Article Synopsis
  • TANGO2 disease is a severe genetic disorder causing symptoms like metabolic crises, brain issues, heart rhythm problems, and low thyroid hormone levels, with unclear mechanisms behind its effects.
  • A study of 20 French patients showed common symptoms include developmental delays, metabolic crises, and hypothyroidism, revealing significant variation in symptoms among families.
  • Despite normal mitochondrial function in various tests, researchers noted that TANGO2 patients might have specific triggers like certain anesthetics that lead to serious metabolic crises, indicating a need for careful cardiac and anesthesia management in treatment.
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Context: Early childhood caries is a chronic disease that affects a child's general state of health. The question of a link between primary tooth caries and breastfeeding has been addressed for many years, with contradictory results. The concomitant decay of primary teeth, effective establishment, or not, of oral hygiene, and alimentary diversification away from breastfeeding are all confounding factors in this topic.

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We report for the first time severe acute pancreatitis in a child treated for phenylketonuria (PKU) discovered on neonatal screening. This 2-year-old boy was first hospitalized for bilious vomiting and moderate back pain. Laboratory values included a lipase level of 1.

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Objective: To evaluate whether magnesium sulphate (MgSO(4)) given to women at risk of very-preterm birth would be neuroprotective in preterm newborns.

Patients And Methods: In 18 French centres, women with fetuses of gestational age less than 33 weeks whose birth was expected within 24 hours were randomised from 1993 to 2003 with follow-up of infants until two years of age after discharge. They received a single injection of 0.

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The Ca(2+)-sensing receptor (CaSR) belongs to the class III G-protein-coupled receptors (GPCRs), which include receptors for pheromones, amino acids, sweeteners, and the neurotransmitters glutamate and gamma-aminobutyric acid (GABA). These receptors are characterized by a long extracellular amino-terminal domain called a Venus flytrap module (VFTM) containing the ligand binding pocket. To elucidate the molecular determinants implicated in Ca(2+) recognition by the CaSR VFTM, we developed a homology model of the human CaSR VFTM from the x-ray structure of the metabotropic glutamate receptor type 1 (mGluR1), and a phylogenetic analysis of 14 class III GPCR VFTMs.

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We describe two cases of congenital varicella. The first presented with cutaneous aplasia and scars; the second with skin abnormalities, limb atrophy, limb paresis, Horner's syndrome and liver calcifications: prognosis was poor in this case. After reviewing the published cases of congenital varicella, we advocate the use of varicella vaccine in seronegative women before pregnancy.

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Unlabelled: Metopic craniosynostosis may be an adverse effect of valproic acid exposed fetus.

Cases: We report two infants with metopic craniosynostosis, born to mothers who were treated with valproic acid. In one case, a prenatal diagnosis was made.

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Unlabelled: Drug administration during the last trimester of pregnancy may have adverse effects for the newborn.

Case Report: A hemolytic anemia occurred during the first hours of life in a full-term neonate whose mother had taken nitrofurantoin during the last month of pregnancy.

Conclusion: The immature enzymatic systems of the neonate are exposed to this adverse effect and justify the recommendation not to prescribe nitrofurantoin at the end of pregnancy.

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Unlabelled: The association of aplasia cutis congenita and aortic coarctation could be a coincidence.

Case Report: A neonate was born with an aplasia cutis congenita in the midline of the scalp. When she was two months old, an aortie coarctation was detected and surgically resected.

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