Philippe Gerhardt

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BACKGROUND It has been claimed in several prospective studies that endoscopic ultrasonography (EUS) is highly accurate in the locoregional staging of pancreatic cancer. However, the value of the EUS criteria for the diagnosis of vascular involvement is less well established. To totally exclude potential bias introduced by the availability of prior(More)
There is a lack of large studies appraising the effect of the human immunodeficiency virus (HIV) on the course of syphilis since the advent of highly active antiretroviral therapy (HAART). We aimed to appraise the effect of HIV on clinical and serologic features of syphilis at baseline and during follow-up in the post-HAART era.We designed a retrospective(More)
Epidemiological aspects of syphilis in Western countries have undergone a significant change with respect to the number of cases. Detection of Treponema pallidum is difficult, and the correct diagnosis of secondary syphilis can be critical. In this study, biopsy samples from skin lesions of 12 patients with secondary syphilis were used. Diagnosis of(More)
Two major Treponema pallidum subtypes, 14 d/g and 14 d/f, were identified in a population of 119 patients with syphilis in Paris, France, characterized by a high proportion of men who have sex with men. A new subtype named 11 q/j was characterized, and a reinfection case was determined in 1 patient having consecuitve syphilis infection at 19-month interval.
Die Kosten im Gesundheitswesen sind seit 1970 in allen Industrienationen erheblich gestiegen. Hierfür sind mehrere Ursachen verantwortlich, deren Bedeutung unterschiedlich beurteilt wird. Hierzu gehören v. a. die demographische Entwicklung, die große Zahl der Ärzte, die Urlaubsregelung mit entsprechender Personalvermehrung, die Lohnsteigerungen und nicht(More)
Percutaneous CT-guided biopsies were carried out in 350 patients; on 291 occasions, 14- or 18-gauge and, on 59 occasions, an 0.95 mm cutting biopsy cannula was employed. Using the 14- and 18-gauge needles, a histological diagnosis was possible in 191 cases, a sensitivity of 82.7%. The 0.95 mm cannulas proved successful in 39 of the 59 punctures, producing a(More)
On the basis of 6 figures it is attempted to demonstrate the importance of angio-tomography of the posterior cerebral fossa as a complement to general angiography. Our experience shows that tomographic examination enables an improved evaluation to be made, especially of the course of the posterior inferior cerebellar artery. — The examination requires a(More)
OBJECTIVE Various modern imaging procedures such as endoscopic retrograde cholangiopancreatography (ERCP), computed tomography (CT), and endoscopic ultrasonography (EUS) have been shown to be highly accurate in the diagnosis of specific disorders of the pancreas. However, prior information often causes bias in the interpretation of these results. Little(More)