Mme Docteur EMILIE MAURY

Bibliographie

• Is transiliac bone biopsy a painful procedure ?

  2012

  ArticleClinical Nephrology

Source : HAL — archive ouverte CCSD/CNRS (couvre articles, chapitres EMC, communications congrès, thèses).

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• CABINET DU DR EMILIE MAURY

  L'HOPITAL PRIVE DU CONFLUENT — 4 RUE ERIC TABARLY, 44200 Nantes

  ☎ 0228255853Libéral
  63 m73 m81 m87 m

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Top publications · les plus citées

• 1

  Bone mineral density evolution after successful parathyroidectomy in patients with normocalcemic primary hyperparathyroidism

  The Journal of clinical endocrinology and metabolism · 2013

  📚 93 citations🎯 RCR 4.07Top 11% NIH🔓 Open Access📄 PDF gratuit ↗
• 2

  Increased risk of osteoporosis and fracture in women with systemic sclerosis: a comparative study with rheumatoid arthritis

  Arthritis care & research · 2012

  📚 56 citations🎯 RCR 2.28Top 23% NIH

  Lire l'abstract Crossref ↓

  AbstractObjectiveTo investigate whether women with systemic sclerosis (SSc) have an increased risk of osteoporosis (OP) and related fractures compared to a high‐risk population with rheumatoid arthritis (RA) and also healthy controls, and to determine putative specific OP and fracture risk factors.MethodsWe performed a cross‐sectional study with successive inclusion of age‐matched healthy women and women with SSc and RA. Risk factors for OP and fracture were collected for all patients. Bone mineral density (BMD) was systematically measured at the lumbar spine and total hip region with dual x‐ray absorptiometry.ResultsWe included 71 women with SSc, 139 women with RA, and 227 healthy women. The prevalence of OP and fracture was similar in SSc and RA, and was for both diseases higher than in healthy controls (OP: 30% in SSc, 32% in RA, and 11% in controls; fracture: 35% in SSc, 33% in RA, and 10% in controls). Multivariate analysis identified age as a risk factor of OP in SSc. Age and low 25‐hydroxyvitamin D (25[OH]D) levels were recognized as risk factors of fracture in SSc. In comparison, age and corticosteroid treatment were associated with OP in RA. Multivariate analysis confirmed age, OP, and low 25(OH)D levels as independent risk factors of fractures in RA.ConclusionThe prevalence of OP and fracture in SSc was increased compared to healthy women and reached the high prevalence associated with RA. Age and vitamin D deficiency were identified as risk factors of fracture in SSc. Therefore, increasing the awareness and performance of BMD measurements together with the vitamin D supply in patients with SSc is warranted.

• 3

  Rheumatic and musculoskeletal features of Whipple disease: a report of 29 cases

  The Journal of rheumatology · 2013

  📚 37 citations🎯 RCR 1.61🩺 Clinique🔓 Open Access📄 PDF gratuit ↗

  Lire l'abstract Crossref ↓

  Objective.Whipple disease is a rare infection caused by Tropheryma whipplei. Although patients commonly complain of osteoarticular involvement, musculoskeletal manifestations have been poorly described. We report cases of Whipple disease with rheumatic symptoms and describe their clinical presentation, modes of diagnosis, and outcomes.Methods.This retrospective multicenter study included patients with Whipple disease diagnosed and referenced between 1977 and 2011 in 10 rheumatology centers in France and Italy.Results.Twenty-nine patients were included. The median age was 55 years. The median time to diagnosis from first symptoms was 5 years. Polyarthritis was the most frequent presentation (20/29), and was most often chronic, intermittent (19/29), seronegative (22/23), and nonerosive (22/29). In all cases, the symptoms had led to incorrect diagnosis of inflammatory rheumatic disease and immunosuppressants, including biotherapy, were prescribed in most cases (24/29) without success. The diagnosis of Whipple disease was made by histological analysis, molecular biology tests, or both in 21%, 36%, and 43% of the cases, respectively. Duodenal biopsies were performed in most cases (86%). Synovial biopsies were performed in 18% of cases, but all contributed to diagnosis. The clinical outcomes after antibiotic therapy were good for all patients.Conclusion.Polyarthritis is the main feature observed in cases of Whipple disease; it is seronegative and associated with general and gastrointestinal symptoms. The molecular analysis of duodenal tissue and/or other tissues remains the method of choice to confirm the diagnosis. Reducing the time to diagnosis is important because severe late systemic and fatal forms of the disease may occur.

Publications scientifiques (16) — classées par pathologie

Source PubMed · Recherche par auteur (homonymes possibles, vérifier l'affiliation).

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