Quickly progressive amyotrophy of the thigh: An unusual cause of rapid chondrolysis of the knee

International audienceWhile rapidly destructive OA is more recognized in hip, we report the case of a 50-year-old woman who presented a rapid chondrolysis in the patellofemoral joint in a context of rapid loss of muscular strength. She had arthralgia, myalgia and proximal muscular deficit of the limbs. Creatine phospho kinase level was elevated and electromyogram exam showed a myogenic syndrome. Neither immune nor visceral disease was highlighted. As we suspected a polymyositis, we started corticosteroids and physiotherapy, then methotrexate and intravenous immunoglobulin. Concomitantly to the worsening of the muscular deficit and atrophy of hamstrings, she developed a persistent and disabling knee pain. Initial radiographs and magnetic resonance imaging (MRI) showed only a patellofemoral dysplasia and tiny cartilage damages. Because of aggravation of myalgia, we treated by mycophenolate mofetyl then rituximab. One year later, the knee remained painful and swollen. MRI showed signs of advanced osteoarthritis including an important loss of cartilage with an atrophy of hamstrings. Several articular corticosteroids injections were done. In the same time, the evolution of the muscular disease was unusual. Another histological analysis of muscle has highlighted a genetic myopathy due to mutation of calpain. Immunosuppressive treatments were stopped and a total joint replacement was performed. We show for the first time a case of rapid chondrolysis of patellofemoral joint related to a severe genetic myopathy

Neural correlates of anxiety in rhesus macaques exposed to early social adversity: A longitudinal DTI study across adolescence

International audienceUsing diffusion tensor imaging (DTI) and behavioral observation, this study investigated the longitudinal effects of early social adversity (ESA) on risk for anxiety and the neural mechanisms underlying this relationship across adolescence. Diffusion MRI data were collected from 21 macaques comprising two groups that differed in exposure to ESA; mother-reared and nursery-reared. Each monkey was scanned at 2.5, 3.5 and 4.5 years old, with anxiety-like behavior assessed at each time-point. Results suggest that ESA has long-term effects on WM fractional anisotropy (FA) in several regions, with differences in frontolimbic and frontostriatal WM tracts modulating the relationship between ESA and anxiety

Neural correlates of anxiety in rhesus macaques exposed to early social adversity: A longitudinal DTI study across adolescence

International audienceUsing diffusion tensor imaging (DTI) and behavioral observation, this study investigated the longitudinal effects of early social adversity (ESA) on risk for anxiety and the neural mechanisms underlying this relationship across adolescence. Diffusion MRI data were collected from 21 macaques comprising two groups that differed in exposure to ESA; mother-reared and nursery-reared. Each monkey was scanned at 2.5, 3.5 and 4.5 years old, with anxiety-like behavior assessed at each time-point. Results suggest that ESA has long-term effects on WM fractional anisotropy (FA) in several regions, with differences in frontolimbic and frontostriatal WM tracts modulating the relationship between ESA and anxiety

Neural correlates of anxiety in rhesus macaques exposed to early social adversity: A longitudinal DTI study across adolescence

International audienceUsing diffusion tensor imaging (DTI) and behavioral observation, this study investigated the longitudinal effects of early social adversity (ESA) on risk for anxiety and the neural mechanisms underlying this relationship across adolescence. Diffusion MRI data were collected from 21 macaques comprising two groups that differed in exposure to ESA; mother-reared and nursery-reared. Each monkey was scanned at 2.5, 3.5 and 4.5 years old, with anxiety-like behavior assessed at each time-point. Results suggest that ESA has long-term effects on WM fractional anisotropy (FA) in several regions, with differences in frontolimbic and frontostriatal WM tracts modulating the relationship between ESA and anxiety