La Revue de médecine interne
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Antisynthetase syndrome is a rare entity characterized by myositis (dermatomyositis or polymyositis), interstitial lung disease, arthritis, Raynaud's phenomena and mechanic's hands skin manifestation, and the presence of autoantibodies against aminoacyl-transfer RNA synthetase. ⋯ The diffusion of immunologic assay will help us in the future to identify the specificity of this syndrome in order to improve care.
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Case Reports
[Subarachnoid hemorrhages form ruptured aneurysms as the presenting feature of lupus cerebral vasculitis].
Cerebral aneurysms secondary to cerebral vasculitis related to systemic lupus erythematosus are rare. We report a 31-year-old woman who presented with a lupus flare associated with inaugural generalized seizures. ⋯ The outcome was fatal. We discuss the frequency and management of this severe complication of systemic lupus erythematosus.
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Editorial Historical Article
[To get rid of "Caucasians". Race and ethnicity in the medical literature].
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Delirium tremens (DT) is the most severe complication from alcohol withdrawal. Risk factors for DT (before the withdrawal begins) and early predictive factors for the development of the withdrawal syndrome towards DT (once withdrawal has started) are not clearly established. We reviewed the literature from PubMed/Medline database to identify risk factors for DT. ⋯ Three only were prospective. The most commonly identified risk factors included personal history of DT, seizures, presence of acute somatic comorbidity especially infectious, presence of early withdrawal symptoms, and genetic predisposition. Most of these risk factors are still debated and prospective studies might appear useful considering the DT prevalence and the absence of consensual both diagnostic and therapeutic protocols.