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Biomedical subjects

P Doury

Publications and source records attributed to P Doury.

At least 19 recordsLinked to original sources
PubMed1992

[Degenerative spinal disease in an outpatient clinic in Lomé (Togo)].

A survey was conducted to determine the frequency and semiological characteristics of degenerative spinal disease in patients attending a hospital rheumatology outpatient clinic in Lomé, Togo. Seven hundred and one of the 1,821 patients seen over a two-year period had degenerative spinal disease. Spinal disease included lower back pain (n = 385), lumbar and radicular pain suggestive of disk protrusion (n = 137), lumbar and radicular pain with claudication suggestive of stenosis of the spinal canal (n = 42), dorsal pain (n = 24), cervical pain (n = 68) and cervical and brachial pain (n = 45). Clinical patterns were similar to those seen in Western countries. However, lumbar and radicular pain with claudication suggestive of stenosis of the spinal canal occurred at a younger age and mainly affected females. These data are in contrast with previous studies suggesting that lumbar and radicular pain due to disk protrusion and stenosis of the spinal canal are uncommon in Black Africa.

Adult↗
PubMed1990

[Treatment and evolution of algodystrophy of the foot. Retrospective study of 199 cases].

This retrospective review presents the results of treating 199 patients with sympathetic reflex dystrophy of the foot: 141 of traumatic and 58 of non-traumatic origin. Calcitonin (177 patients) improved or cured 62.2 p. 100 of these patients and was equally effective for pseudo inflammatory and ischemic (cold) stages of the disease. Among the therapeutic means available, regional sympathetic blockade with guanethidine (49 patients, 163 treatments) provided 80 p. 100 improvement or cure, with twice as many patients in the hot phase as in the cold. All patients were cured: 75 p. 100 in less than a year, 4.6 p. 100 with moderate, non-handicapping sequelae. Normal activities were partially reinstituted 3.5 +/- 2.8 months (post-trauma) or 1.9 +/- 1 months (non-trauma) after treatment. They were completely possible 5 months after the end of treatment in both groups. In the trauma group, 73 patients had work-related accidents: their evolution was the same as that of the other patients in this group. When present, psychological background (35 p. 100 of the cases) only delayed progress in the non-traumatic group (9.9 vs 6.5 months).

Adolescent↗
PubMed1989

[Algodystrophy of the spine].

From a personal case, the author reviews the literature on the subject of algodystrophy of the spine, 20 cases of which have been reported. This is one of the forms of "Kümmel-Verneuil syndrome, a clinical entity which has been unjustly neglected for 30 years. The diagnosis of spinal algodystrophy is easy when preceded or followed by a typical algodystrophy of the peripheral joints. It is much more difficult or even impossible if the algodystrophy only involves the spine. The positive diagnosis is based on specific criteria but one must always rule out spinal affections of inflammatory, infectious and neoplastic nature. The treatment is simple, including a brief immobilisation of the spine during the painful phase with calcitonin associated with an early and cautious physical therapy.

Back Pain↗
PubMed1989

[Shoulder bursitis in rheumatoid polyarthritis].

Shoulder bursitis seldom appears in rheumatoid arthritis. It is usually associated with an involvement of the omohumeral joint but it may be isolate and sometimes indicative. The production of foreign bodies is very rare (3 published cases). We report about one observation of subacromiodeltoid bursitis with rice bodies, associated with rheumatoid arthritis following a severe evolution.

Arthritis, Rheumatoid↗