Publications by authors named "Grados A"

Article Synopsis
  • Giant cell arteritis (GCA) is a common condition in individuals over 50 that can lead to serious issues like vision loss if not diagnosed quickly.
  • This study assesses the effectiveness of using color Doppler ultrasound as the first step for diagnosing GCA, followed by temporal artery biopsy for those who test negative on the ultrasound.
  • The findings showed that ultrasound confirmed GCA in 44% of cases, compared to 17% for biopsy and 21% for other methods, but the study had limitations like a small sample size and no objective gold-standard for comparison.
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Background: Polyclonal hypergammaglobulinaemia (PH) represents a classic diagnosis problem in internal medicine. However, there is no consensus threshold for PH. The aim of this study was to define a threshold for PH.

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Recent studies have shown that bacterial nucleoid-associated proteins (NAPs) can bind to DNA and result in altered structural organization and bridging interactions. Under spontaneous self-assembly, NAPs may also form anisotropic amyloid fibers, whose effects are still more significant on DNA dynamics. To test this hypothesis, microrheology experiments on dispersions of DNA associated with the amyloid terminal domain (CTR) of the bacterial protein Hfq were performed using magnetic rotational spectroscopy (MRS).

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Article Synopsis
  • Polyclonal hypergammaglobulinaemia (PH) is a common diagnostic challenge in internal medicine, and this study aimed to establish a consensus threshold for PH based on serum protein electrophoresis (SPE) data from 2016.
  • The researchers analyzed data from over 20,700 SPEs across three hospitals and found that the 95th percentile threshold for PH was 18.9 g/L, noting variations based on geographical regions.
  • The study concludes that while the 19 g/L threshold may be significant, its biological nature requires validation through future prospective studies to determine its clinical relevance.
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Article Synopsis
  • The study aimed to evaluate the effectiveness and safety of rituximab and methotrexate (RTX/MTX) combination therapy in treating ANCA-associated vasculitis (AAV), specifically granulomatosis with polyangiitis (GPA).
  • A total of 17 patients with GPA participated, with most having previously failed other treatments; after 6 months, 88% showed a positive response, and by the end of the study, 94% had responded to the therapy.
  • While the combination therapy was generally well-tolerated, 41% of patients experienced severe side effects, but it was considered effective for managing persistent GPA symptoms.
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We study the dynamics of ideal phototactic swimmers in a steady two-dimensional model flow with transport barriers. We consider a distant light source, in which case the self-propulsion velocity of the swimmers is, at any instant, along a predetermined direction. The probability of transport along that direction emerges from the competing effects of the swimmers' self-propulsion and the flow's transport barriers.

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IgG4-related disease is a chronic inflammatory disease characterized by clinical, biological and pathological unifying findings. Because these criteria are not always all together available in patients and because biological and pathological markers are not totally specific, the diagnosis should be retained after exclusion of mimickers. Since the individualization of IgG4-RD, several studies have allowed to better characterize immunological abnormalities associated with this particular condition.

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Objective: To study a muscle-to-muscle standardised uptake value (SUV) ratio with FDG-PET/CT (FDG-PET) as a marker for the detection of disease activity in dermatomyositis (DM).

Methods: Patients with DM (n = 24) who met the European Neuro-Muscular Centre diagnostic criteria were retrospectively identified over a 3-year period through a national survey. Muscle biopsy was performed in all patients.

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Pachymeningitis is rare, either idiopathic or secondary to inflammatory disorders, after tumoral, surgical or infectious causes have been excluded. The fibroinflammatory IgG4-related disease is one of the etiologies of pachymeningitis with only few cases reported yet. From a single referral regional center, we evaluated the frequency of IgG4-related disease as the cause of inflammatory pachymeningitis in 10% of cases.

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Objectives: To assess efficacy and safety of rituximab (RTX) as induction therapy, maintenance of remission and treatment of relapses in a cohort of IgG4-related disease (IgG4-RD) patients.

Methods: Nationwide retrospective multicenter study of IgG4-RD patients treated with at least one course of RTX. Clinical, biological and radiological response, relapse rate and drug tolerance were analyzed.

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Introduction: Glycoprotein IIb/IIIa inhibitors (anti-GPIIbIIIa) prevent platelet binding to fibrinogen. Transient sometimes-severe thrombocytopenia is a well-known side effect.

Observation: A 71-year-old patient presented severe thrombocytopenia after the administration of tirofiban (anti-GPIIbIIIa).

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IgG4-related disease (IgG4-RD) is a fibro-inflammatory disorder involving virtually every organ with a risk of organ dysfunction. Despite recent studies regarding B cell and T cell compartments, the disease's pathophysiology remains poorly understood. We examined and characterized subsets of circulating lymphocytes in untreated patients with active IgG4-RD.

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IgG4-related disease (IgG4-RD) is characterized by variable tissue or organ involvements sharing common pathological findings. Orbital or orbital adnexa involvement of the disease has been reported in a few case series. The aim of our study was to characterize and analyze ophthalmic manifestations from a nationwide French case-series.

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Viscoelastic liquids are characterized by a finite static viscosity and a yield stress of zero, whereas soft solids have an infinite viscosity and a non-zero yield stress. The rheological nature of viscoelastic materials has long been a challenge and is still a matter of debate. Here, we provide for the first time the constitutive equations of linear viscoelasticity for magnetic wires in yield-stress materials, together with experimental measurements by using magnetic rotational spectroscopy (MRS).

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Cancer can occur in patients with inflammatory myopathies. This association is mainly observed in dermatomyositis, and myositis-specific antibodies have allowed us to delineate patients at an increased risk. Malignancy is also reported in patients with necrotizing autoimmune myopathies, but the risk remains elusive.

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Immune thrombocytopenic purpura (ITP) is a disease characterized by antibody-mediated platelet destruction. The T- and B-cell subsets have been extensively studied in primary ITP, but the NK cell compartment has been less thoroughly explored. We investigated the NK cell receptor repertoire and the functionality of NK cells in the peripheral blood and spleen in patients with primary ITP.

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The association between cancer and sarcoidosis is controversial. Some epidemiological studies show an increase of the incidence of cancer in patients with sarcoidosis but only few cases of sarcoidosis following cancer treatment have been reported. We conducted a retrospective case study from internal medicine and oncology departments for patients presenting sarcoidosis after solid cancer treatment.

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