Éditeur(s) : HAL CCSD
Résumé : International audience
Objective To guide nosology and classification of patients with eosinophilic granulomatosis with polyangiitis (EGPA) based on phenotype and presence or absence of ANCA. Methods Organ manifestations and ANCA status were retrospectively analyzed based on the presence or not of predefined definite vasculitis features or surrogates of vasculitis in patients asthma, eosinophilia, and at least one systemic organ manifestation attributable to systemic disease. Results The study population included 157 patients (mean age 49.4 ± 14.1), with a follow-up of 7.4 ± 6.4 years. Patients with ANCA (31%) more frequently had weight loss, myalgias, arthralgias, biopsy-proven vasculitis, glomerulonephritis on biopsy, hematuria, leukocytoclastic capillaritis and/or eosinophilic infiltration of arterial wall on biopsy, and other renal disease. A total of 41% of patients had definite vasculitis manifestations (37%) or strong surrogates of vasculitis (4%), of whom only 53% had ANCA. Mononeuritis multiplex was associated with systemic vasculitis (p = 0.005) and with the presence of ANCA (p < 0.001). Overall, 59% of patients had polyangiitis as defined by definite vasculitis, strong surrogate of vasculitis, mononeuritis multiplex, and/or ANCA with at least one systemic manifestation other than ENT or respiratory. Patients with polyangiitis had more systemic manifestations including arthralgias (p = 0.02) and renal disease (p = 0.024), had higher peripheral eosinophilia (p = 0.027), and a trend towards less myocarditis (p = 0.057). Using predefined criteria of vasculitis and surrogates of vasculitis, ANCA alone were found to be insufficient to categorise patients with vasculitis features. Conclusion We suggest a revised nomenclature and definition for EGPA and a new proposed entity referred to as hypereosinophilic asthma with systemic (non vasculitic) manifestations. © 2016 Elsevier B.V.
Autoimmunity Reviews

hal-01467544
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01467544
DOI : 10.1016/j.autrev.2016.09.018
PUBMED : 27671089

Résumé : L’incorporation de sous-produits agricoles ou de matériaux naturels dans la matrice cimentaire confère des propriétés intéressantes aux composites élaborés. L’objectif de cette thèse est d’élaborer un matériau pouvant répondre aux exigences mécaniques, thermiques et de durabilité des matériaux de construction en zone tropicale humide. Dans un premier temps, l’activité pouzzolanique d’une pouzzolane naturelle, de cendres de tronc de bambou et de cendres de bagasse de canne à sucre ont été évaluées. L’influence de leur incorporation a été ensuite étudiée sur les propriétés mécaniques et la durabilité des mortiers exposés à des ions chlorures et sulfates. Dans un second temps, l’influence de l’ajout de fibres de bagasse sur les propriétés thermiques et mécaniques des composites a été étudiée en fonction de différents paramètres (teneur en fibres, environnement de vieillissement, type de matrice cimentaire).Les résultats obtenus ont permis de montrer que les matériaux étudiés possèdent une activité pouzzolanique et qu’il est possible de les incorporer au ciment afin de lutter contre la corrosion. De plus, les composites élaborés avec des fibres de bagasse sont plus isolants que ceux élaborés sans fibres. Cependant, du point de vue des propriétés mécaniques, l’incorporation de fibres de bagasse diminue les contraintes à la flexion des composites.
The incorporation of crop wastes or natural materials in the cement matrix confers interesting properties to composites prepared. The aim of this thesis is to develop a material that can reach the mechanical, thermal and durability requirements for building materials in the humid tropical zone. Firstly, pozzolanic activity of a natural pozzolan, bamboo stem and sugar cane bagasse ashes has been determined. Influence of their incorporation on mechanical properties and durability of mortars exposed to chloride and sulphate ions was studied. Secondly, influence of addition of bagasse fibers on thermal and mechanical properties of composites was studied as a function of various parameters (fibers content, curing, type of cement matrix).These results has shown that the materials studied have pozzolanic activity and it is possible to incorporate them into the cement to fight against corrosion. Moreover, composites elaborated with bagasse fibers are more insulating than those elaborated without fibers. However, from the viewpoint of mechanical properties, incorporation of bagasse fibers decreases flexural strength of composites in the present work and under the conditions producing procedures that were adopted.

http://www.theses.fr/2014AGUY0804/document