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Health
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 28/01/2008, 18:36
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Nickel
 
Joined on 02/10/2007
Lot
Posts 184
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Re: Affections Longue Durée translation
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21) Périartérite Noueuse, Lupus Erythémateux Aigue Disséminé, Sclérodermie Généralisée Evolutive.
Periarteritis Nodosa, Systemic Lupus Erythematosus, Progressive Systemic Scleroderma.
Auto-immune Chronic Inflammatory Connective Tissue Diseases
1) Periarteritis Nodosa -Covers a large number of diseases that affect the small arteries -Because many organs may be affected the clinical signs are very varied. It is a serious disorder requiring immuno-suppressives and steroid treatment, a lot will depend on the specific organ damage.
* If limited just to skin lesions it may not be exempt
2) Systemic(disseminated) Lupus Erythematosus. A serious disease with a varied presentation affecting many organs of the body- heart, lungs, kidneys, liver, brain, skin and therefore can produce a large range of symptoms Probably genetic predisposition with environmental triggers. Periods of remission and illness (flares) Treatment is symptomatic and huge advances have been made in the understanding of this disease
*Discoid lupus which is mainly confined to skin and Drug Induced Lupus ( many drugs can produce symptoms of lupus) are not exempt*
3) Progressive Systemic Scleroderma -A serious and rare disease causing thickening and tightening of connective tissue. Outcome depends on organs involved e.g severe lung /kidney involvement. The diffuse and CREST types are exempt
* Localised scleroderma - usually (but not always ) confined to the skin - rarely develops into the systemic scleroderma and may not be exempt.
It's not dark yet ......but it's getting there.
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28/01/2008, 21:56
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Nickel
Joined on 02/10/2007
Lot
Posts 184
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Re: Affections Longue Durée translation
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22) Polyarthrite Rhumatoide Evolutive Grave
Rheumatoid Arthritis - Chronic inflammatory auto-immune disease affecting many of the joints in the body
Painful condition causing destruction of the joints and loss of mobilty with increasing disability.Slow onset usually affecting small joints of hands and feet and may progress to larger joints. The inflammatory changes can affect other organs - liver, lungs, heart etc.
Diagnosis is made from a list of 7 criteria of which 4 are necessary to confirm.
Some have mild symptoms but for the majority of sufferers the disease steadily progresses to substantial functional disability.
A number of advances are being made in drug treatments along with the importance of rest and physical activity.
There are many other chronic arthritic diseases e.g psoriatic arthritis which also have exemption and others still such as Crohn's disease which are listed separately.
It's not dark yet ......but it's getting there.
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29/01/2008, 13:32
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Nickel
Joined on 02/10/2007
Lot
Posts 184
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Re: Affections Longue Durée translation
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23) Psychose, Trouble grave de la personnalité, Arriérations Mentale.
Psychosis, Severe personality disorders, Mental Retardation ( this term is no longer used in UK/US and Learning Difficulties, Severe mental impairment - Intellectual and Developmental Disabilities are current terminologies)
A huge range of disorders, not easily classified, with crossing-over between "psychiatric " and "neurological" causes.
1) Psychosis. - Severe mental disorder - derangement of personality and loss of contact with reality. It is really a symptom of other disorders
Includes - Schizophrenia, Bipolar disorder,Unipolar disorder( severe clinical depression) Delerium.
Initial exemption of 6 months as condition assessed with renewal though some acute psychoses will not be covered.
2) Severe Personality disorders - Behaviour that deviates markedly from expectations of individual's culture. A very broad range of disorders. e;g Histrionic, obsessional, phobic,anxiety,etc etc.
3) Mental Impairment. This group includes the developmental disabilities manifesting in childhood - cerebral palsy, autism, Down's etc etc
and also the dementias occuring in older age group no matter what the cause , e.g Alzheimer's, Pick's disease, senile dementia.
Exemption depends on severity, many minor or transitory problems will not be exempt. Alcohol and drug dependency can produce a number of neurological - psychological problems - psychosis - dementia - personality disorder - depression etc
* This somewhat oversimplifies a very large and varied group of disorders
It's not dark yet ......but it's getting there.
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29/01/2008, 16:03
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Nickel
Joined on 02/10/2007
Lot
Posts 184
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Re: Affections Longue Durée translation
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24) Recto-colite hémorragique et Maladie de Crohn évolutive
Ulcerative Colitis and Crohn's Disease
1) Ulcerative Colitis - Chronic Inflammatory Bowel Disease ( not to be confused with irritable bowel syndrome) affects colon/ rectum but is also a systemic disease so other organs may be affected. Clinical diagnosis +/- endoscopy(sigmoidoscopy) May be mild to very severe requiring hospitalisation and surgery, may require partial or total colectomy ( the latter amounting to a cure) If disease is widespread it carries a risk of cancer.
Exemption depending on severity, initially for 1 year when reassessed. If quiescent and improvement shown on endoscopy may no longer be exempt even if on continued specific medication.
2) Crohn's Disease - Chronic Inflammatory Bowel Disease, can affect the entire digestive tract. Also systemic so may affect other parts of the body - esp eyes/ joints. Diagnosis - by clinical, radiology and biopsy.
Symptoms are diarrhoea and abdominal pain - May be strictures (obstructions) in the intestines with abscesses and perforations.
Surgery may be required to remove affected lengths of bowel. there is no cure, people experience remissions and "flares".
Treatment - treat acute episodes and maintain remissions - surgery - anti inflammatory and immunosuppressive medication. Also carries an increased risk of bowel cancer.
All Crohn's disease is exempt unless very mild and not requiring regular treatment nor showing signs of recurring after 2 years.
* Although both conditions do carry an increased incidence of bowel cancer - these patients tend to have more frequent investigations than the general population and it is likely that their cancer will be diagnosed and treated early *
It's not dark yet ......but it's getting there.
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29/01/2008, 16:56
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Nickel
Joined on 02/10/2007
Lot
Posts 184
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Re: Affections Longue Durée translation
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25) Sclérose en Plaques Invalidante
Mutiple Sclerosis. A chronic inflammatory disease of the Central Nervous System whereby the fatty sheaths around the nerve are destroyed resulting in loss of transmission of the "nerve/electrical" impulses.
Usually occurs with "attacks" of loss of sensation ( most common) or muscle weakness, maybe speech problems or eye signs.This may be transitory so a diagnosis may not be made. May be months or even years before the next attack. gradually becomes more progressive with less remissions.
During attacks neurological symptoms may be severe requiring hospitalisation.
Exemption for 6 months following any attack and each new attack gaining a similar exemption but as the disease progresses to possibly cause severe disability exemption will be granted
It's not dark yet ......but it's getting there.
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29/01/2008, 21:48
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Chris
Joined on 08/09/2006
S.W.England (for now...)
Posts 57
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![Smile [:)]](/cs/images/emotions/smile.gif)
Re: Affections Longue Durée translation
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What a fascinating and valuable list - can I ask a question, or should I wait until the end to avoid interrupting the flow of information?
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France Forum » Living » Health » Re: Affections Longue Durée translation
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