Anticorps anti-cytoplasme des polynucléaires neutrophiles : Questions médicales fréquentes
Nom anglais: Antibodies, Antineutrophil Cytoplasmic
Descriptor UI:D019268
Tree Number:D23.101.050
Termes MeSH sélectionnés :
Femur
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"name": "Diagnostic",
"headline": "Diagnostic sur Anticorps anti-cytoplasme des polynucléaires neutrophiles",
"description": "Comment diagnostiquer la présence d'ANCA ?\nQuels tests sont utilisés pour les ANCA ?\nLes ANCA sont-ils toujours présents dans les maladies ?\nQuel rôle joue l'historique médical dans le diagnostic ?\nLes ANCA peuvent-ils être détectés chez des personnes saines ?",
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"description": "Quels sont les symptômes associés aux ANCA ?\nLes ANCA provoquent-ils des symptômes respiratoires ?\nY a-t-il des symptômes cutanés liés aux ANCA ?\nLes ANCA affectent-ils les reins ?\nLes symptômes des ANCA sont-ils similaires à d'autres maladies ?",
"url": "https://questionsmedicales.fr/mesh/D019268?mesh_terms=Femur&page=5#section-symptômes"
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"name": "Prévention",
"headline": "Prévention sur Anticorps anti-cytoplasme des polynucléaires neutrophiles",
"description": "Peut-on prévenir les maladies liées aux ANCA ?\nLes vaccinations sont-elles recommandées pour les patients ANCA ?\nComment réduire le risque de complications ?\nL'évitement de certains médicaments est-il conseillé ?\nLe stress influence-t-il les maladies ANCA ?",
"url": "https://questionsmedicales.fr/mesh/D019268?mesh_terms=Femur&page=5#section-prévention"
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"headline": "Traitements sur Anticorps anti-cytoplasme des polynucléaires neutrophiles",
"description": "Quels traitements sont utilisés pour les ANCA ?\nLes traitements sont-ils personnalisés pour chaque patient ?\nLes ANCA nécessitent-ils un suivi régulier ?\nY a-t-il des effets secondaires aux traitements ?\nLes traitements peuvent-ils guérir les ANCA ?",
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"description": "Quelles sont les complications possibles des ANCA ?\nLes ANCA peuvent-ils entraîner des infections ?\nY a-t-il un risque de cancer associé aux ANCA ?\nLes complications sont-elles réversibles ?\nComment surveiller les complications des ANCA ?",
"url": "https://questionsmedicales.fr/mesh/D019268?mesh_terms=Femur&page=5#section-complications"
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"name": "Facteurs de risque",
"headline": "Facteurs de risque sur Anticorps anti-cytoplasme des polynucléaires neutrophiles",
"description": "Quels sont les facteurs de risque des ANCA ?\nLe sexe influence-t-il le risque d'ANCA ?\nL'âge joue-t-il un rôle dans le développement des ANCA ?\nCertaines professions augmentent-elles le risque d'ANCA ?\nLes infections antérieures sont-elles un facteur de risque ?",
"url": "https://questionsmedicales.fr/mesh/D019268?mesh_terms=Femur&page=5#section-facteurs de risque"
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"@type": "Question",
"name": "Comment diagnostiquer la présence d'ANCA ?",
"position": 1,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un test sanguin spécifique détecte les ANCA dans le sérum du patient."
}
},
{
"@type": "Question",
"name": "Quels tests sont utilisés pour les ANCA ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les tests ELISA et indirect immunofluorescence sont couramment utilisés."
}
},
{
"@type": "Question",
"name": "Les ANCA sont-ils toujours présents dans les maladies ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Non, leur présence varie selon la maladie et le stade de l'inflammation."
}
},
{
"@type": "Question",
"name": "Quel rôle joue l'historique médical dans le diagnostic ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'historique aide à identifier les symptômes et les antécédents de maladies auto-immunes."
}
},
{
"@type": "Question",
"name": "Les ANCA peuvent-ils être détectés chez des personnes saines ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des ANCA peuvent être présents à faible niveau chez des individus sains."
}
},
{
"@type": "Question",
"name": "Quels sont les symptômes associés aux ANCA ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes incluent fatigue, fièvre, perte de poids et douleurs articulaires."
}
},
{
"@type": "Question",
"name": "Les ANCA provoquent-ils des symptômes respiratoires ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, ils peuvent causer des symptômes respiratoires comme la toux et l'essoufflement."
}
},
{
"@type": "Question",
"name": "Y a-t-il des symptômes cutanés liés aux ANCA ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des éruptions cutanées et des lésions peuvent apparaître chez certains patients."
}
},
{
"@type": "Question",
"name": "Les ANCA affectent-ils les reins ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, ils peuvent entraîner des atteintes rénales, comme la glomérulonéphrite."
}
},
{
"@type": "Question",
"name": "Les symptômes des ANCA sont-ils similaires à d'autres maladies ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, ils peuvent être confondus avec d'autres maladies auto-immunes ou inflammatoires."
}
},
{
"@type": "Question",
"name": "Peut-on prévenir les maladies liées aux ANCA ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il n'existe pas de méthode de prévention spécifique, mais un mode de vie sain aide."
}
},
{
"@type": "Question",
"name": "Les vaccinations sont-elles recommandées pour les patients ANCA ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les vaccinations peuvent être recommandées pour prévenir les infections."
}
},
{
"@type": "Question",
"name": "Comment réduire le risque de complications ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un suivi médical régulier et une gestion proactive des symptômes sont essentiels."
}
},
{
"@type": "Question",
"name": "L'évitement de certains médicaments est-il conseillé ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certains médicaments peuvent aggraver les symptômes et doivent être évités."
}
},
{
"@type": "Question",
"name": "Le stress influence-t-il les maladies ANCA ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le stress peut aggraver les symptômes et doit être géré efficacement."
}
},
{
"@type": "Question",
"name": "Quels traitements sont utilisés pour les ANCA ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les corticostéroïdes et les immunosuppresseurs sont souvent prescrits."
}
},
{
"@type": "Question",
"name": "Les traitements sont-ils personnalisés pour chaque patient ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le traitement est adapté en fonction de la gravité et des symptômes du patient."
}
},
{
"@type": "Question",
"name": "Les ANCA nécessitent-ils un suivi régulier ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, un suivi régulier est essentiel pour ajuster le traitement et surveiller l'évolution."
}
},
{
"@type": "Question",
"name": "Y a-t-il des effets secondaires aux traitements ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les traitements peuvent avoir des effets secondaires comme l'infection ou l'ostéoporose."
}
},
{
"@type": "Question",
"name": "Les traitements peuvent-ils guérir les ANCA ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il n'existe pas de cure, mais les traitements peuvent contrôler les symptômes et la progression."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles des ANCA ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent des atteintes rénales, pulmonaires et cardiovasculaires."
}
},
{
"@type": "Question",
"name": "Les ANCA peuvent-ils entraîner des infections ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les traitements immunosuppresseurs augmentent le risque d'infections."
}
},
{
"@type": "Question",
"name": "Y a-t-il un risque de cancer associé aux ANCA ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certaines études suggèrent un risque accru de certains cancers chez les patients ANCA."
}
},
{
"@type": "Question",
"name": "Les complications sont-elles réversibles ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certaines complications peuvent être réversibles avec un traitement approprié."
}
},
{
"@type": "Question",
"name": "Comment surveiller les complications des ANCA ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des examens réguliers et des tests sanguins aident à surveiller les complications."
}
},
{
"@type": "Question",
"name": "Quels sont les facteurs de risque des ANCA ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent des antécédents familiaux, le tabagisme et certaines infections."
}
},
{
"@type": "Question",
"name": "Le sexe influence-t-il le risque d'ANCA ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les femmes sont plus souvent touchées par les maladies associées aux ANCA."
}
},
{
"@type": "Question",
"name": "L'âge joue-t-il un rôle dans le développement des ANCA ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les ANCA apparaissent généralement chez les adultes jeunes à moyens d'âge."
}
},
{
"@type": "Question",
"name": "Certaines professions augmentent-elles le risque d'ANCA ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les professions exposant à des produits chimiques peuvent augmenter le risque."
}
},
{
"@type": "Question",
"name": "Les infections antérieures sont-elles un facteur de risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certaines infections peuvent déclencher la production d'ANCA chez des individus prédisposés."
}
}
]
}
]
}
Interprosthetic femur fractures (IFF) are rare injuries, whose surgical treatment is basically with osteosynthesis or revision arthroplasty. Various therapy algorithms have been proposed based on very...
The aim of the retrospective monocentric study is to derive a treatment algorithm based on a large number of cases and to identify factors influencing the outcome....
Between 2006 and 2020, 70 IFF were identified. The surgical treatment comprised 38 osteosyntheses, 30 revision arthroplasties and 2 amputations. With classification and time to surgery, 69 perioperati...
ASA and Charlson score correlated with 1‑year-mortality. In addition, preoperatively increased CRP levels, reduced hemoglobin and the CHA...
The identified factors influencing the outcome correspond to those of patients with hip fractures. IFF should be treated timely. A treatment path was developed on the basis of the largest patient grou...
Several different designs of hemiarthroplasty are used to treat intracapsular fractures of the proximal femur, with large variations in costs. No clinical benefit of modular over monoblock designs has...
Patients recorded by the Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR) between 1 September 1999 and 31 December 2020 who underwent hemiarthroplasty for the treatment...
A total of 41,949 hemiarthroplasties were included. Exeter V40 with a Unitrax head was the most commonly used (n = 20,707, 49.4%). The overall rate of revision was small. A total of 28,201 patients (6...
There was no difference in implant survival between all the designs of hemiarthroplasty in the first three years following surgery, supporting the selection of a cost-effective design of hemiarthropla...
Premature physeal closure (PPC) is a common and concerning complication to distal femoral fractures as the distal growth plate accounts for 70% of the growth of the femur. The literature is not unanim...
In this register-based study, between 2014 and 2021, 70 children with distal femoral physeal fractures presented to our hospital. Demographic data, and fracture- and treatment-related details were col...
Physeal fractures of the distal femur occurred with an annual incidence of 6/105 children, and a resulting PPC occurred in 16/70 (23%) with an annual incidence of 1.3/105 children. In multivariable an...
One-fourth of distal femoral physeal fractures developed PPC. Greater dislocation and higher injury energy were significant risk factors, whereas choice of fracture treatment was not an independent ri...
Periosteal or osteoperiosteal medial femoral condyle (MFC) flaps may be good options for atrophic nonunion. The aim of this study was to evaluate the effectiveness and safety of pedicled MFC flap in t...
Three-Dimensional Computed Tomography (3D-CT) planning can predict the prosthetic femoral size in uncemented primary Total Hip Arthroplasty (THA). Correct sizing usually results in optimal varus/valgu...
With a growing number of patients undergoing total knee replacements globally, coupled with an elderly population, the incidence of periprosthetic fractures around total knee replacements is increasin...
To report the peri-implant fracture rates after locked plating of distal femur fractures and examine risk factors....
Over a 7 year period, 89 AO/OTA 33A/C distal femur fractures were identified and reviewed. After excluding treatment with intramedullary nails, age under 50, those with the proximal femur protected, o...
3/42 were open injuries, 9/42 were type C, 16/42 were type A, and 17 were periprosthetic above a knee arthroplasty. Two patients were treated with a dynamic plating construct using all far-cortical lo...
The overall peri-implant fracture risk was 7.1% (3/42), 3/17 patients with a locking screw most proximal experienced a peri-implant fracture, 3/9 with an all-locking construct, and 2/2 patients with a...
Cortical and trabecular volumetric bone mineral density (vBMD), cortical thickness and surface BMD (sBMD, density-to-thickness ratio) were analyzed in the proximal femur of elite female football playe...
Postoperative radiographs are used to monitor fractures of the tibia and femur after intramedullary fixation. This study sought to examine how frequently these radiographs change management....
This was a single-center chart review of patients over a 4-year period at a level I trauma center. Radiographs were defined as either performed for routine surveillance or performed with some clinical...
A total of 374 patients were found. Two hundred seventy-seven received at least one post-op radiograph. The median follow-up was 23 weeks. Six hundred seventeen total radiographs were reviewed. Nine r...
Our results suggest that radiographs taken in the first 3 months post-op in asymptomatic patients treated with lower extremity intramedullary rods do not result in changes to clinical management....
Effects of clockwise torque rotation onto proximal femoral fracture fixation have been subject of ongoing debate: fixated right-sided trochanteric fractures seem more rotationally stable than left-sid...
The American College of Surgeons National Surgical Quality Improvement Program was queried from 2016-2019 to identify patients aged 50 years and older undergoing CMN for a proximal femoral fracture. T...
In total, of 20,122 patients undergoing CMN for proximal femoral fracture management, 1.8% (n=371) had to undergo an unplanned reoperation within 30 days after surgery. Overall, 208 (2.0%) were left-s...
This study shows a higher risk of reoperation for left-sided compared to right-sided proximal femur fractures after CMN in a large sample size. Although results may be underpowered and statistically i...
Therapeutic level II....
