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Biomedical subjects

R de Tournemire

Publications and source records attributed to R de Tournemire.

9 recordsLinked to original sources
PubMed2003

[Chronic illness in adolescence: ten pertinent questions].

Among adolescents with chronic illness or disability, some are survivors of a severe disease in childhood, some have a long-standing yet less severe condition and some have been ill since adolescence only. Owing to the considerable progress of pediatrics, the number of these adolescents and young adults has been regularly increasing. For all, the major question is that of their future and for many, that of the transition from pediatric to adult medical care. This work of follow-up and guidance requires, beyond a strong medical knowledge of each condition, a good understanding of the specific global needs at that age as well as of the multiple and reciprocal impacts between chronic illness and the progression of adolescence. In order to increase pediatricians' awareness and skills in that field, the authors propose a clinical guide composed of ten relevant questions to be addressed when dealing with any chronically ill or disabled adolescent.

Adaptation, Psychological↗
PubMed2003

[Anorexia nervosa: impact on growth and bone mineral density].

Anorexia nervosa (AN) concerns 1% of adolescent girls and happens at a time of intense bone growth. Adolescents who develop AN before or during puberty have growth retardation and may not achieve their genetic height potential. Osteopenia, as evidenced by dual-energy X-ray absorptiometry, is also frequent. The degree of osteopenia depends on the age of onset and the duration of AN. The role of estrogen deficiency is no more considered paramount with regards to other factors like the fall of growth factor IGF1. The prevention of osteopenia in AN relies mostly on early nutritional intervention. Hormone replacement therapy or calcium/vit D supplements are not sufficient to improve bone density in undernourished patients. New therapeutic strategies combining anabolic and antiresorptive agents are being developed.

Absorptiometry, Photon↗
PubMed2002

[Anorexia nervosa and severe malnutrition: nutritional practice guidelines in pediatrics].

The nutritional care of a severely emaciated anorexic adolescent can be performed in any pediatric ward. This article is a practical guide which reminds the indications, mostly clinical, for hospitalization and the way to achieve a progressive but efficient renutrition. We wish to share our own practical experience while focusing on acute nutritional care, according to the aim of this section of the journal.

Adolescent↗
PubMed1997

[Munchausen syndrome by proxy].

Munchausen syndrome by proxy is a form of child abuse presenting as a disease produced or simulated by a parent, the mother in most cases. Its diagnosis is uneasy because of its miscellaneous and unusual clinical presentation and of the misleading apparently normal attitude of the parents. Physicians may participate in the abuse by insistently looking for diagnostic and therapeutic measures, therefore contributing to the significant mortality of the syndrome. It is therefore important that physicians consider Munchausen syndrome in any ambiguous situation in order to protect the child by an early diagnosis.

Child↗
PubMed1997

[Septic sacroiliac arthritis in an adolescent].

BACKGROUND: Septic sacroiliitis is often difficult to diagnose because the clinical findings can be misleading and the radiological signs delayed. CASE REPORT: A 16-year-old adolescent was hospitalized with a history of fever and painful hip. The initial hypothesis of hip osteoarthritis was not confirmed by ultrasonography or CT-scan. The bone scan was also normal. The definitive diagnosis of sacroiliitis was made 1 week later based on the clinical evolution and a positive blood culture. It was confirmed by a second bone scan and MR imaging. CONCLUSION: Examination of the sacroiliac joint needs several different tests. Although the initial bone scan may be normal, an osteoarticular infection cannot be definitively ruled out and iterative radiological investigation is warranted. MR imaging may be an additional diagnostic tool for detecting sacroiliitis.

Adolescent↗