Prevalence and management of hypertension in Turner syndrome: data from the International Turner Syndrome (I-TS) registry.

Introduction: Cardiovascular disease is the commonest cause of death in Turner syndrome (TS) for which, arterial hypertension has a direct influence and is a key modifiable risk factor.

Objective: To investigate the prevalence and patterns of hypertension diagnosis and management in adult patients with TS who are registered in a large international multicentre database (TS-HTN study).

Methods: Retrospective multi-centre observational study of patients aged ≥18 years, included in the I-TS (International-TS) registry (2020-2022) utilising registry and participating centre collected data.

[Laparoscopic ultrasound in biliary diseases].

Laparoscopic ultrasound is an intraoperative exploration of the abdominal viscera using ultrasounds. The aim of this work is to obviate this new method of exploration and to underline its advantages and limits. In this study were enroled 65 pacients with gallbladder stones, admitted in The Surgical Clinic, "Elias" Emergency Hospital, from October 2005 until December 2006.

[The role of laparoscopy in the surgical treatment of scleroatrophic cholecystitis].

Atrophic cholecystitis is a chronic inflammatory complication of biliary lithiasis which occurs after many years of evolution and causes many problems in the surgical therapy. Authors analyze a 39 patients cohort and present the difficulties encountered during the treatment, especially in laparoscopic approach. These particular difficulties lead to a increase in conversion rate, 11.

[Postoperative hypoparathyroidism, an assumed risk in total thyroidectomy for Graves disease].

Hypocalcemia is a common clinical occurrence and has many potential causes, one of which can be congenital or acquired hypoparathyroidism. Acquired hypoparathyroidism is most commonly the result of damage to the glands, usually to their blood supply, during thyroidectomy, parathyroidectomy, or radical neck dissection. We present the case of a 40-year-old female known with Waldenström macroglobulinemia, cronic hepatitis C, who has been diagnosed with Graves disease and associated ophtalmopathy in 2004 and treated with antithyroid drugs for 1.

[The role of allergologic tests in asthma].

In order to establish the allergic etiology of asthma, the clinician must correlate some anamnestic details with those offered by the in vivo and in vitro allergological tests. Some specific allergic anamnestic informations (such as particular conditions of starting or worsening, co-existence of other allergic disorders, family atopic status) can be revealed by any experimented clinician but the performance of cutaneous tests must be done only by an allergology physician. EAACI recommends allergological prick tests as a reference method; it must be done only with standardized extracts; it has the optimal diagnostic sensibility.

[Optic neuropathy in multiple sclerosis].

The inflammation of the optic nerve called optic neuropathy could be an onset marker of multiple sclerosis. The authors review the place of optic neuropathy (neuritis) in the inflammatory demyelinating disease continuum, especially as the onset symptom of multiple sclerosis. We present the clinical symptoms, the aetiology of optic neuritis and the adjacent methods used to investigate optic neuritis.

[Resection--reconstruction in malignant tumors of the locomotory apparatus].

The malignant bone and soft tissue tumors, represents, like any other type of cancer, a continuous challenge for surgeon, who is constrained to search and find new techniques, to improve not only the life expectancy, but the quality of the life too. This aim determined orthopedic surgeons to perform new operations, with a complex technique, like resection - reconstruction of the limb. In orthopedic clinic of Elias Hospital, we had 35 patients with malignant tumors of the limbs; we performed 14 resection--reconstructions, with or without preserving the joint mobility.