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J Cledes

Publications and source records attributed to J Cledes.

83 records · Page 5Linked to original sources

[Treatment of the syndrome of inappropriate secretion of antidiuretic hormone with demethylchlortetracycline. Apropos of 2 cases].

Two cases of inappropriate antidiuresis are reported, one associated with small cell anaplastic bronchial carcinoma, the other secondary to acute hydrocephalus. ttreatment with demethylchlortetracycline proved effective in both cases. Treatment of the inappropriate antidiuretic syndrome is discussed and the advantages of demethylchlortetracycline emphasised. This antibiotic seems to represent the treatment of choice of the chronic syndrome of inappropriate antidiuresis.

Aged↗

[Interest of the dosage of serum ferritin in hemodialyzed patients (author's transl)].

The ferrous stock evaluation can be done to-day in a repetitive manner through the serum ferritin radio-assay. In 33 hemodialyzed patients, the ferrous lack is frequent and was found with a rate of 62%. It is profound in four cases and concealed in 17 cases. The serum ferritin has no correlation with the ordinary hematologic and biologic parameters. Its value stays in the Ag HBs positive patient. The oral ferrous treatment to the patient with a low ferritin rate (less than 30 ng/ml) induces a ferritin and a hemoglobin rate increased, so confirming the therapeutic efficacy when done with a rational prescription.

Adult↗

[Evolution of motor nerve conduction and Hoffmann reflex in 100 patients with chronic renal failure treated by periodic hemodialysis (author's transl)].

The study of motor nerve conduction (MNC) and H. reflex was carried out on 100 chronic uraemic patients, fifty-four males and fourty-six females, treated by periodic hemodialysis. The MNCV is more frequently normal in females than in males. Periodic hemodialysis improves MNCV but sometimes uraemic neuropathy appears with hemodialysis. The MNCV is oftener improved than H. reflex latency. Results are neither significantly improved by a greater number of hemodialysis seances nor in function of the different dialyzers. Any kidney activity does not modify the nerve conduction.

Adult↗

[The bony scan at 99m Tc pyrophosphate in the chronic kidney deficiency treated by hemodialysis (author's transl)].

The bony scan at 99m Tc pyrophosphate of thirty chronic hemodialyzed patients have been classified in four groups of increasing fixation according to Olgaard's criterions. The clinical, radiological symptoms of renal osteodystrophy the alkalin phosphatases and the PTHi rate have been compared. Twenty-six scans show a noticeable fixation (stage II) or an important one (stage III--eleven patients). The third stage patients have more important radiographical symptoms, a more important rate of alkalin phosphatases and PTHi rate than those of the second stage. According to our observations and those of literature, the scan at 99m Tc PP allow an early and faithful diagnosis of renal osteodystrophy. It seems to represent the increase of the osteoid immature tissue, which is the usual characteristic of the renal osteodystrophy.

Adult↗