La Revue de médecine interne
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TNF-alpha, ICAM1, VCAM1, ELAM, CD44 and DR expression were studied (indirect immunoperoxydase methods) on labial salivary gland sections in 5 patients with proven rheumatoid vasculitis (before and after treatment), 5 patients with RA and 5 normal controls. TNF-alpha and cell adhesion molecules were particularly expressed in vasculitic areas of patients with systemic vasculitis and only before the onset of the treatment.
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Case Reports
[Spontaneous dissection of the anterior interventricular coronary artery in the postpartum period].
We report a case of anterior myocardial infarction which occurred in a young woman without history of cardio-vascular disease 10 days after she had given birth. Coronary arteriography performed 2 months later showed a pseudo-aneurysm of the anterior interventricular artery consecutive to spontaneous dissection of this vessel. The other coronary arteries were normal.
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We report four cases of multiple arterial dissection associated with an inflammatory syndrome. The features of lesions and the absence of histological inflammatory arterial disease suggest an arterial dysplasia complicated by an infectious disease.