[Acute necrotic alcoholic pancreatitis with Cullen and Grey Turner signs].
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Biomedical subjects
Publications and source records attributed to Jean-Claude Paris.
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AIM OF THE STUDY: To assess the prevalence of risk factors of prion-related disease transmission in a gastrointestinal endoscopy unit. METHODS: Clinical evaluation of the risk of transmission of prion-related diseases using the criteria defined by the French circular 138 in patients referred for digestive endoscopy without anesthesia. RESULTS: 1017 patients were included in this study. According to circular 138, 7 patients (0.68%) were at high risk of transmitting prion-related disease. According to these criteria, a high index of suspicion of prion-related disease was detected in 26 patients (2.55%). Clinical evaluation of risk was not possible for 56 patients (5.51%), due to coma or sedation (38 patients) or communication impairment (18 patients). CONCLUSIONS: Application of circular 138 led us to consider that 2.55% of patients in this study had a high risk of prion-related disease. The circular criteria cannot be assessed in patients with sedation for mechanical ventilation, coma or communication impairment.
Eosinophilic gastroenteritis is an uncommon disease with an unknown natural history, and its relation to digestive allergies has not been confirmed. This study reports the case of a 27 year old patient who developed eosinophilic gastroenteritis with gastric, intestinal, rectal and peritoneal localisations. In the Congo, massive blood hypereosinophilia suggests digestive parasitosis and gastroenteritis with malnutrition and cutaneous symptoms suggest AIDS/HIV, making the present agnosis uncommon.