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1.
Rev Med Liege ; 78(4): 189-192, 2023 Apr.
Artigo em Francês | MEDLINE | ID: mdl-37067833

RESUMO

One of the difficult challenges in endocrinology is the etiological diagnosis of isolated thickened pituitary stalk (PS). We report the case of a woman in whom a thickened PS was diagnosed following the onset of central diabetes insipidus revealed by polyuria-polydypsia syndrome of late pregnancy and postpartum. The pituitary exploration showed panhypopituitarism with disconnecting hyperprolactinemia. An etiological investigation for an inflammatory, granulomatous or tumour cause was carried out, but was negative. Postpartum lymphocytic hypophysitis was then retained. However, the course was puzzling with a control pituitary MRI showing disappearance of the PS thickening with paradoxical appearance of a supra-pituitary tumour, the biopsy of which concluded of being a Langerhansian histiocytosis. This paradoxical sequence is unusual and has not been reported before. It called into question the autoimmune lymphocytic origin of the thickened PS, initially considered, and raised the likelihood of a causal relationship between this PS thickening and Langerhansian histiocytosis.


Le diagnostic étiologique d'un épaississement isolé de la tige pituitaire (TP) constitue l'un des grands défis en endocrinologie. Nous rapportons le cas d'une patiente chez qui un épaississement de la TP a été diagnostiqué suite à la survenue d'un diabète insipide central révélé par un syndrome polyuro-polydypsique de fin de grossesse et du post-partum. Le bilan hypophysaire a montré un panhypopituitarisme avec une hyperprolactinémie de déconnexion. Une enquête étiologique à la recherche d'une cause inflammatoire, granulomateuse ou tumorale a été menée et s'est avérée négative. Une hypophysite lymphocytaire du post-partum a alors été retenue. Cependant, l'évolution a été déroutante avec, à l'IRM hypophysaire de contrôle, la disparition de l'épaississement de la TP et l'apparition paradoxale d'une tumeur suprahypophysaire dont la biopsie a conclu à une histiocytose langerhansienne. Cette évolution paradoxale est inhabituelle et n'a pas été rapportée auparavant. Elle a remis en question l'origine lymphocytaire auto-immune de l'épaississement de la TP, retenue initialement, et a soulevé la possibilité d'une relation de cause à effet entre cet épaississement de la TP et l'histiocytose langerhansienne.


Assuntos
Diabetes Insípido , Histiocitose , Doenças da Hipófise , Feminino , Humanos , Gravidez , Diabetes Insípido/diagnóstico , Diabetes Insípido/etiologia , Doenças da Hipófise/complicações , Doenças da Hipófise/diagnóstico , Doenças da Hipófise/patologia , Hipófise/diagnóstico por imagem , Hipófise/patologia , Histiocitose/complicações , Histiocitose/patologia , Imageamento por Ressonância Magnética/efeitos adversos
2.
Data Brief ; 20: 1556-1560, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-30258959

RESUMO

Process simulation is a useful tool that has been widely used to analyze, design and optimize energy balances in chemical technologies including those related to biomass processing, biorefinery processes and chemical engineering. The presented data set serves as basis for the simulation of chitin purification, nanofibers and nanocrystals production processes, considering laboratory experimental procedures described in previous experimental articles.

3.
Carbohydr Polym ; 196: 385-397, 2018 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-29891310

RESUMO

Chitin nanocrystals (ChNCs) and chitin nanofibers (ChNFs) are nanomaterials with great innovative potential for sustainable applications in academic and industrial fields. The research related to their isolation and production, characterization, and utilization is still new. The aim of this study is to investigate the effects of the production process on the morphology and properties of ChNFs and ChNCs produced from the same source of chitin. ChNCs were prepared by acid hydrolysis of commercial shrimp shell α-chitin, and ChNFs were prepared by mechanical defibrillation using closed loop supermass colloidal grinding. Differences in their shape, size, and crystallinity were observed. ChNFs were observed to have higher aspect ratio, higher viscosity, and better thermal stability than ChNCs. Although the ChNC casting film had a higher degree of transparency, it had lower mechanical properties than ChNF film. In addition, the capacities of each nanomaterial for producing Pickering emulsions were comparatively investigated. ChNFs showed better oil-in-water emulsion stabilization ability than ChNCs at the same concentrations. In vitro cytotoxicity assays using two epithelial-like cell lines and two fibroblast-like cell lines demonstrated that both nanomaterials were non-toxic. Finally, we evaluated the economics of production using process engineering simulation to assess the energy and chemical consumption for each process of production of these nanomaterials.

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