<html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:m="http://schemas.microsoft.com/office/2004/12/omml" xmlns="http://www.w3.org/TR/REC-html40">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8">
<meta name="Generator" content="Microsoft Word 14 (filtered medium)">
<style><!--
/* Font Definitions */
@font-face
{font-family:Calibri;
panose-1:2 15 5 2 2 2 4 3 2 4;}
@font-face
{font-family:Tahoma;
panose-1:2 11 6 4 3 5 4 4 2 4;}
@font-face
{font-family:Verdana;
panose-1:2 11 6 4 3 5 4 4 2 4;}
/* Style Definitions */
p.MsoNormal, li.MsoNormal, div.MsoNormal
{margin:0cm;
margin-bottom:.0001pt;
font-size:12.0pt;
font-family:"Times New Roman","serif";}
a:link, span.MsoHyperlink
{mso-style-priority:99;
color:blue;
text-decoration:underline;}
a:visited, span.MsoHyperlinkFollowed
{mso-style-priority:99;
color:purple;
text-decoration:underline;}
span.EmailStyle17
{mso-style-type:personal-reply;
font-family:"Calibri","sans-serif";
color:#1F497D;}
.MsoChpDefault
{mso-style-type:export-only;
font-size:10.0pt;}
@page WordSection1
{size:612.0pt 792.0pt;
margin:70.85pt 70.85pt 70.85pt 70.85pt;}
div.WordSection1
{page:WordSection1;}
--></style><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1026" />
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1" />
</o:shapelayout></xml><![endif]-->
</head>
<body lang="FR" link="blue" vlink="purple">
<div class="WordSection1">
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Bonjour.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Nous avons eu un cas mais pas en dialyse. A priori, pas d’atteinte rénale ds ce Sd.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Diagnostic à faire confirmer par un centre de référence.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Le pronostic ne semble pas très bon…<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Un ttt par coenzyme Q10 existe.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Bien à vous<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Dr d thibaudin<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">St étienne<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"><o:p> </o:p></span></p>
<div>
<div style="border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0cm 0cm 0cm">
<p class="MsoNormal"><b><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif"">De :</span></b><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif""> Renaliste [mailto:renaliste-bounces@nephrodial.org]
<b>De la part de</b> gha was<br>
<b>Envoyé :</b> dimanche 24 juillet 2016 21:04<br>
<b>À :</b> renaliste@nephrodial.org<br>
<b>Objet :</b> [Renaliste] syndrome de MELAS<o:p></o:p></span></p>
</div>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
<div>
<div id="yui_3_16_0_ym19_1_1469386025830_2802">
<p class="MsoNormal" style="background:white"><span style="font-family:"Verdana","sans-serif";color:black">Bonjour, j'ai un patient de 34 ans qui présente une insuffisance rénale chronique au stade terminal , et dont je suspecte un syndrome de MELAS.<o:p></o:p></span></p>
</div>
<div id="yui_3_16_0_ym19_1_1469386025830_2802">
<p class="MsoNormal" style="background:white"><span style="font-family:"Verdana","sans-serif";color:black">Est ce que vous avez déjà eu ces cas en dialyse.<o:p></o:p></span></p>
</div>
<div id="yui_3_16_0_ym19_1_1469386025830_2802">
<p class="MsoNormal" style="background:white"><span style="font-family:"Verdana","sans-serif";color:black"><o:p> </o:p></span></p>
</div>
<div id="yui_3_16_0_ym19_1_1469386025830_2802">
<p class="MsoNormal" style="background:white"><span style="font-family:"Verdana","sans-serif";color:black">Merci<o:p></o:p></span></p>
</div>
<div id="yui_3_16_0_ym19_1_1469386025830_2802">
<p class="MsoNormal" style="background:white"><span style="font-family:"Verdana","sans-serif";color:black">Dr Ghalem tani Wassila<o:p></o:p></span></p>
</div>
<div id="yui_3_16_0_ym19_1_1469386025830_2802">
<p class="MsoNormal" style="background:white"><span style="font-family:"Verdana","sans-serif";color:black">Néphrologie<o:p></o:p></span></p>
</div>
<div id="yui_3_16_0_ym19_1_1469386025830_2802">
<p class="MsoNormal" style="background:white"><span style="font-family:"Verdana","sans-serif";color:black">EPH Ghazaouet<o:p></o:p></span></p>
</div>
<div id="yui_3_16_0_ym19_1_1469386025830_2802">
<p class="MsoNormal" style="background:white"><span style="font-family:"Verdana","sans-serif";color:black">Tlemcen<o:p></o:p></span></p>
</div>
</div>
</div>
</body>
</html>