647 results match your criteria: "Armand-Trousseau Hospital[Affiliation]"

Context: Congenital hypothyroidism (CH) is the most common neonatal endocrine disorder and is chiefly caused by thyroid dysgenesis (CHTD). The inheritance mode of the disease remains complex.

Objectives: Gain insight into the inheritance mode of CHTD.

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Current approach to diagnosis and management of low-phospholipid associated cholelithiasis syndrome.

Curr Opin Gastroenterol

January 2025

Reference Center for Inflammatory Biliary Diseases and Autoimmune Hepatitis, European Reference Network on Hepatological Diseases (ERN Rare-Liver), Saint-Antoine Hospital, Assistance Publique - Hôpitaux de Paris; Sorbonne University, INSERM, Saint-Antoine Research Center (CRSA).

Purpose Of Review: Low phospholipid-associated cholelithiasis (LPAC) syndrome is a rare genetic form of intrahepatic cholesterol lithiasis, affecting mainly young adults. This review describes the recent advances in genetic and clinical characterization, diagnosis and management of LPAC syndrome.

Recent Findings: Recent publications report data from several retrospective cohorts.

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Despite numerous studies on fetal therapy for myelomeningoceles (MMC), the pathophysiology of this malformation remains poorly understood. This study aimed to analyze the biochemical profile and proteome of amniotic fluid (AF) supernatants from MMC fetuses to explore the prenatal pathophysiology. Biochemical analysis of 61 AF samples from MMC fetuses was compared with 45 healthy fetuses' samples.

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Background And Aims: Image Defined Risk Factors (IDRFs) assess surgical risk in neuroblastoma (NB) and guide neoadjuvant therapy. Despite chemotherapy IDRFs may persist in 70 % of cases. Several studies have suggested that not all IDRFs hold equal significance and that the presence of an IDRF does not inherently signify unresectability.

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Purpose: Missense de novo variants in CACNA1G, which encodes the Cav3.1 T-type calcium channel, have been associated with a severe, early-onset form of cerebellar disorder with neurodevelopmental deficits (SCA42ND). We explored a large series of pediatric cases carrying heterozygous variants in CACNA1G to further characterize genotype-phenotype correlations in SCA42ND.

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Performance of serum interleukin-18 (IL-18) levels for the follow-up of patients with familial Mediterranean fever.

J Allergy Clin Immunol Pract

December 2024

Sorbonne Université - Assistance Publique Hôpitaux de Paris, Tenon hospital, department of internal medicine, DMU 3ID, Paris, France; INSERM U938; INSERM, UMRS 1155 UPMC, hôpital Tenon, Paris, France. Electronic address:

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A natural history study of pediatric patients with early onset of GM1 gangliosidosis, GM2 gangliosidoses, or gaucher disease type 2 (RETRIEVE).

Orphanet J Rare Dis

December 2024

Division of Metabolism and Children's Research Center, Reference Center for Inborn Errors of Metabolism, University Children's Hospital of Zurich, University of Zurich, Zurich, Switzerland.

Article Synopsis
  • RETRIEVE is a natural history study focused on the survival and disease progression of early-onset GM1, GM2, and type 2 Gaucher disease (GD2).
  • The study gathered data from 185 patients retrospectively and 40 patients prospectively, revealing varying median survival rates: GM1 (19 months), GM2 (44 months), and GD2 (14 months).
  • The findings noted that hypotonia was widespread among GM1 patients (94.4%), with additional symptoms like strabismus and splenomegaly specifically observed in GD2 patients, confirming known patterns of these rare lysosomal storage disorders.
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Surfactant protein B deficiency: the RespiRare cohort.

Thorax

December 2024

Assistance Publique - Hôpitaux de Paris, Pediatric Pulmonology Department and Reference Center for Rare Lung Diseases RespiRare, Armand Trousseau Hospital, Sorbonne University, Paris, France

Article Synopsis
  • ChILD is a group of rare and severe lung diseases in children, with some cases linked to deficiencies in surfactant protein B (SP-B).
  • The RespiRare network helps to gather detailed information about the characteristics and genetic backgrounds of these patients.
  • A study involving 11 patients found that those with complete SP-B deficiency showed symptoms at birth and had a median survival of 1 month, while rarer cases with partial SP-B function might have a better chance of survival.
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Background: Platelet transfusion is considered the standard treatment for preventing or controlling severe haemorrhage in Glanzmann thrombasthenia (GT). However, platelet transfusion can have detrimental effects, including the production of anti-GPIIb/IIIa isoantibodies or anti-HLA antibodies (Ab) and platelet transfusion refractoriness. Recombinant activated factor VII (rFVIIa) has been proposed as an alternative treatment to platelet transfusion.

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Lupus-associated hypoprothrombinemia syndrome in children: Differences between post-infectious and autoimmune forms.

Thromb Res

January 2025

Department of Pediatric Oncology and Hematology, Univ Montpellier, CHU Montpellier, Montpellier, France; Resources and Competence Center for Constitutional Bleeding Disorders, Univ Montpellier, CHU Montpellier, Montpellier, France; IRMB, University of Montpellier, INSERM, Montpellier, France. Electronic address:

Introduction: Lupus-anticoagulant hypoprothrombinemia syndrome (LAHS) is a rare but potentially serious condition. LAHS can be of post-infectious (PI) or autoimmune (AI) origin. However, there is currently no clear data available on the differences between these two forms.

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High CD44 expression and enhanced E-selectin binding identified as biomarkers of chemoresistant leukemic cells in human T-ALL.

Leukemia

November 2024

Université Paris Cité, Inserm, CEA, Stabilité Génétique Cellules Souches et Radiations, iRCM/SGCSR/Laboratoire des cellules Souches Hématopoïétiques et des Leucémies (LSHL), F-92260, Fontenay-aux-Roses, France.

Article Synopsis
  • * Research using single-cell RNA sequencing identified a specific group of chemotherapy-resistant leukemic cells (CLCs) that are quiescent and marked by high CD44 expression, allowing them to evade treatment.
  • * The study found that these CLCs exhibit unique gene activity and enhanced E-selectin binding during relapse, suggesting potential pathways for improving prognosis and developing new therapies.
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Article Synopsis
  • Spinal muscular atrophy (SMA2) is a severe neuromuscular disorder that can lead to spinal deformities like scoliosis, often requiring early surgical intervention when bracing is ineffective.
  • The study investigated changes in spinal and thigh muscles in SMA2 patients before and after a minimally invasive spinal surgery, involving MRI analysis for fat infiltration in muscle tissues.
  • Results showed increased fat infiltration in certain muscles post-surgery, but overall muscle involvement was significant in both preoperative and postoperative groups, while quality of life remained unaffected by these changes.
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Classic Hodgkin Lymphoma: The LYSA pragmatic guidelines.

Eur J Cancer

December 2024

Department of Hematology, Hospices Civils de Lyon, CHU Lyon-Sud, Pierre-Bénite, France.

Classic Hodgkin lymphoma (HL) is a distinct entity among hematological malignancies of B-cell origin. It is characterized by its unique histopathological features and generally favorable prognosis. Over the years, advancements in understanding its pathogenesis, coupled with refined diagnostic and evaluation modalities, as well as therapeutic strategies, have significantly transformed the landscape of HL management.

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Objective: To determine the prevalence of genetic and endocrine abnormalities and to assess fetal, neonatal and surgical outcomes in cases of hypospadias associated with fetal growth restriction.

Method: A multicentric retrospective study was conducted across five prenatal diagnosis centers in Paris. The cohort encompassed all fetuses diagnosed with the combination of fetal growth restriction < 10th percentile (FGR) and hypospadias from 2013 to 2021.

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Purpose: Our objective was to analysis the barycentremetry, obtained from the external envelope reconstruction of biplanar radiographs, in adolescent idiopathic scoliosis (AIS) and to determine whether assessing would help predict the distinction between progressive and stable AIS at the early stage.

Methods: A retrospective study with a multicentre cohort of 205 AIS was conducted. All AIS underwent a biplanar X-ray between 2013 and 2020.

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Achieving Return to Sport (RTS) is crucial in managing ankle fractures for athletes. This study aimed to identify RTS factors post-surgical fixation of ankle fractures. A retrospective analysis was conducted on 93 active patients with surgically treated displaced or unstable ankle fractures from January 2020 to January 2021.

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Objective: To identify prenatal predictors of poor perinatal outcome in fetuses with isolated sacrococcygeal teratoma (SCT).

Methods: This was a retrospective study of fetuses with isolated (non-syndromic) SCT managed at one of five pediatric surgery and/or fetal medicine centers between January 2007 and December 2017. The primary outcome was the occurrence of poor perinatal outcome, defined as prenatal death (including termination), or neonatal death or severe compromise (hemorrhagic shock).

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Article Synopsis
  • Ultrasound (US) is becoming a key non-invasive imaging tool for diagnosing lung diseases in newborns, offering high-quality images without harmful radiation.
  • The study discusses how thoracic ultrasound helps assess lung conditions, including analyzing pleural structures and checking for issues like pneumothorax and respiratory distress syndrome through specific ultrasound findings.
  • It highlights the growing role of lung ultrasound in neonatal care by improving diagnostics, predicting intensive care needs, and reducing the need for X-rays, enhancing overall patient management from birth.
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Genetic alterations are the cornerstone of risk stratification in B-cell precursor acute lymphoblastic leukemia (BCP-ALL), and their accurate identification is critical for optimal treatment. Most cases with ABL-class fusion are classified as high-risk yet display good responses to tyrosine kinase inhibitors (TKIs). Current clinical protocols recommend adding a TKI to chemotherapy as soon as possible, making it mandatory to rapidly identify these alterations.

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Li-Fraumeni-associated osteosarcomas: The French experience.

Pediatr Blood Cancer

December 2024

Department of Children and Adolescents Oncology, Gustave Roussy Cancer, Paris-Saclay University, Villejuif, France.

Purpose: Describe clinical characteristics and outcome of Li-Fraumeni syndrome (LFS)-associated osteosarcomas.

Methods: TP53 germline pathogenic/likely pathogenic variant carriers diagnosed with osteosarcoma in France between 1980 and 2019 were identified via the French Li-Fraumeni database at Rouen University Hospital. Sixty-five osteosarcomas in 52 patients with available clinical and histological data were included.

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Caudal vertebra rat free flap in the groin: A preliminary study of a new combined osteocutaneous flap model.

J Stomatol Oral Maxillofac Surg

October 2024

Department of Pediatric Orthopedics and Reconstruction, Armand Trousseau Hospital, AP-HP, France; Sorbonne University, Faculty of Health, Paris, France.

Introduction: Murins were used for microsurgical training but in the literature, only a few papers reported about murin combination of flaps and fewer about osteocutaneous ones. We proposed a rat model of a combined osteocutaneous flap in which the pedicle axis is intentionally lengthened.

Technical Note: From June to August 2020, one corpse and eight living Albinos Wistar rats were dissected.

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Role of Amniotic Fluid Toxicity in the Pathophysiology of Myelomeningocele: A Narrative Literature Review.

Prenat Diagn

November 2024

Department of Fetal Medicine, Armand Trousseau Hospital, AP-HP, DMU ORIGYNE, National Reference Center for Rare Disease: Spin@, Sorbonne University, Paris, France.

Myelomeningocele is a birth defect whose clinical manifestations are due both to incomplete neural tube closure and the progressive destruction of exposed neuroepithelium during pregnancy. Two hypotheses have been formulated to explain the spinal cord damage in utero: mechanical trauma and chemical factors. The objective of this review was to summarize the current insights about the potential role of amniotic fluid in spinal cord damage in myelomeningocele.

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Health status of individuals with polyhandicap across a 5-year follow-up period.

Sci Rep

October 2024

EA 3279, CEReSS - Research Centre on Health Services and Quality of Life, Aix Marseille University, 27, Boulevard Jean-Moulin, Marseille, France.

The present longitudinal study examined a large sample of individuals with PIMD/Polyhandicap to: (i) describe the evolution over time of the health status in terms of severity, (ii) identify the potential predictors of health status change. This study used the data of the French national EVAL-PLH cohort. Inclusion criteria were: individuals with PIMD/Polyhandicap; age > 3 years at the time of inclusion; age at onset of cerebral lesion younger than 3 years old.

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Article Synopsis
  • Magnetic controlled growing rods (MCGRs) combined with a sacro-bi-iliac "T-construct" show promising results in correcting early onset neuromuscular scoliosis in non-walking patients, aiming to maintain pelvic balance over time.
  • A study involving 18 patients highlighted significant improvements in spinal curvature and pelvic tilt after surgery, with average corrections of 33.2° and 11°, respectively.
  • Despite a 35% complication rate (mostly mechanical), the study suggests that while some spinal correction was lost over time, pelvic stability was maintained, indicating a need for ongoing monitoring and possible interventions.
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