[Primary hyperaldosteronism in a population of hypertensive patients].

The diagnosis of primary hyperaldosteronism (PHPA) has progressively increased over the last years and some authors consider it as the main cause of secondary hypertension. We studied the prevalence of PHPA in hypertensive patients followed at the Hypertension Unit from July 1999 to July 2017. A total of 2500 patients were included and diagnosis of PHPA was done in 79 of them (3.

A Rare Case of Adult Acute Disseminated Encephalomyelitis Associated with Primary Epstein-Barr Virus Infection.

Unlabelled: We report a rare case of acute disseminated encephalomyelitis (ADEM) secondary to a primary Epstein-Barr (EBV) infection, in a 22-year-old male. Symptomatic infectious mononucleosis and ADEM are both quite uncommon conditions in this age group.

Learning Points: ADEM is a very rare CNS disorder; it is more common in childhood but can also be described in adults.

[Nutcracker syndrome].

Nutcracker syndrome is a vascular anomaly consisting in the compression of the left renal vein between the superior mesenteric artery and the aorta. Clinical features in nutcracker syndrome include pelvic pain, flank pain, haematuria, gonadal varices or simply asymptomatic. We are presenting two cases, one of them with macroscopic haematuria and flank pain and the other was studied for hypertension but with previous antecedents of left renal vein embolization in the setting of varicocele.

Rare Case of Ischaemic Stroke Following Cervical Transforaminal Injection.

Unlabelled: We report a case of brainstem infarction following a C5-C6 cervical transforaminal injection, a rare and serious neurological complication of this procedure. Cervical transforaminal steroid injection is a common therapy for patients with persistent cervical radiculopathy not relieved by conservative treatment, and is effective in 65-70% of cases. Unfortunately, this procedure may lead to serious complications such as neurological damage.

Vitamin D deficiency in a psychiatric population and correlation between vitamin D and CRP.

Objectives: The main objective of the study was to assess 25-hydroxyvitamin D (25(OH)D) status in a psychiatric population in France according to psychiatric diagnoses. The secondary objective was to investigate a correlation between 25(OH)D and CRP.

Methods: A retrospective study from February 1st, 2014 to January 31, 2016, was carried out in a French psychiatric hospital.

Cognitive Decline: Not Always Alzheimer's Disease.

A 66-year-old woman presented with slowly progressive cognitive decline. MRI showed bi-frontotemporal atrophy, but the 14.3.

[Acute coronary syndrome in a young female patient: findings beyond coronary lesions].

We here report the case of a 47-year old female patient with acute coronary syndrome associated with possible arterial embolism of the right lower limb. During examination we detected G201210A Mutation of the Prothrombin Gene associated with lupus anticoagulant factor.

Transcatheter aortic valve implantation and surgical aortic valve replacement among hospitalized patients with and without type 2 diabetes mellitus in Spain (2014-2015).

Background: Type 2 diabetes mellitus (T2DM) is strongly related to the in-hospital and short-term prognosis in patients with cardiovascular diseases needing surgical or invasive interventions. How T2DM might influence the treatment of aortic stenosis (AS) has not been completely elucidated for surgical aortic valve replacement (SAVR) or transcatheter aortic valve implantation (TAVI). The aims of this study were: (1) to describe the use of aortic valve replacement procedures (TAVI and SAVR) among hospitalized patients with and without T2DM; and (2) to identify factors associated with in hospital mortality (IHM) among patients undergoing these procedures.

Chronic obstructive pulmonary disease predicts higher incidence and in hospital mortality for atrial fibrillation. An observational study using hospital discharge data in Spain (2004-2013).

Background: Our objectives were to describe and compare trends in the incidence of hospitalization for atrial fibrillation (AF) in patients with and without chronic obstructive pulmonary disease (COPD) in Spain during 2004-2013 and to assess the effect of COPD on the in-hospital mortality (IHM) of patients with AF.

Methods: We performed a retrospective study using the Spanish National Hospital Discharge Database. The study population comprised patients≥40years with a primary diagnosis of AF.

Thrombotic thrombocytopenic purpura in a new onset lupus patient?

We are presenting a case of TTP with undetectable levels of ADAMTS 13 in a 39-year-old woman. Diagnosis of systemic lupus was evoked in the setting of thrombotic microangiopathy. The patient presented normal renal function but important neurological impairment.

[The primary function of words in action].

The task of characterising functions in relation to the informal aspects of psychiatric care constitutes the heart of research results. An illustration based on the function of words in action. Words in action are full, they respond to a demand for reliability.

[The invisible reality of informal nursing].

Informal care was the subject of nursing research carried out by two psychiatric nurses. The investigation showed the importance within nursing of informal care, often confined to qualities associated with gender and the maternal function. A review of the pathway of the researchers, with a presentation of the choice of this research theme, a methodological resume and an overview of the results.

[Sensitive paranoia, concepts and a clinical case study].

Sensitive paranoia, classified by Ernst Kretschmer, is a combination of a paranoid disorder with solitude and mental distress. Sensitive paranoiacs, often depressive and anxious, perceive themselves as being excluded from society while at the same time cultivating a resentment towards it. They also constantly put themselves down.

[What about partial subcutaneous symphysiotomy or Zarate's operation? Review of the literature].

This study is a review of the literature on Zarate's partial subcutaneous symphysiotomy. Unfortunately, this operation is now forgotten since many obstetricians in western countries and even those of developing countries feel that symphysiotomy is an obsolete obstetric procedure. Partial subcutaneous symphysiotomy is an operation intended to widen the maternal pelvis in order to enable vaginal delivery in the presence of moderate feto-pelvic disproportion.

[Spontaneous rupture of an unscarred uterus during labor and epidural anesthesia].

We report a case of spontaneous rupture of unscarred uterus, during labour and under epidural analgesia in a 43 year-old patient at her third pregnancy and third delivery. The tear was vertical and took place on the left postero-lateral side of the uterus, occurring in the whole height of the lower segment and overlapping towards the uterine corpus and cervix. Analysis of medical, surgical, gynaecological and obstetrical past history has displayed no predisposing factors explaining this rare occurrence.

[Leiomyosarcoma of the small intestine. Review of the literature apropos of 3 cases].

This study reports three cases of leiomyosarcoma of the small intestine (a rare malignant neoplasm) presenting in our department of general surgery over a period of ten years. Tumors in these three patients were located in the jejunum and clinical features included severe gastrointestinal bleeding, intestinal obstruction and/or abdominal pain. All three patients underwent radical surgery.

[In vitro antifungal activity of nitroxoline. Preliminary clinical results].

Nitroxoline is an oxyquinoline derivative with a large antifungical activity. The fungistatic activity of nitroxoline is greater against Candida albicans than against Torulopsis glabrata, Candida tropicalis and Candida krusei. The MIC are compatible with urinary concentrations of nitroxoline.