TY - JOUR A1 - Kunzmann, S. A1 - Ngyuen, T. A1 - Stahl, A. A1 - Walz, J. M. A1 - Nentwich, M. M. A1 - Speer, C. P. A1 - Ruf, K. T1 - Necrotizing enterocolitis after intravitreal bevacizumab in an infant with Incontinentia Pigmenti – a case report JF - BMC Pediatrics N2 - Background Incontinentia Pigmenti is a rare disease affecting multiple organs. Fifty of patients show affection of the eye with retinopathy and possible amaurosis being the worst outcome. Treatment has commonly been panretinal laser coagulation but intravitreal application of bevacizumab as VEGF-inhibitor has shown to effectively suppress retinal neovascularization. Case presentation A six-week-old female infant with Incontinentia Pigmenti developed a foudroyant necrotizing enterocolitis shortly after intravitreal injection of bevazicumab due to a retinopathy with impending tractional detachment of the left eye. Since the onset of abdominal symptoms occurred immediately after the intravitreal application, a link between the two events seemed likely. Sequential analyses of the VEGF serum concentrations showed a massive suppression of endogenous VEGF with only a very slow recovery over weeks. Such a severe systemic adverse event has not been reported after intravitreal treatment with bevacizumab in an infant. Conclusion This case report shows a relevant systemic uptake of bevacizumab after intravitreal application as suppressed VEGF levels show. There seems to be a connection between suppressed VEGF levels and the onset of necrotizing enterocolitis. Therefore, treatment with bevacizumab should be carefully considered and further research is needed to assess this drug’s safety profile. KW - Necrotizing enterocolitis KW - Incontinentia pigmenti KW - Bevacizumab KW - Retinopathy KW - VEGF Y1 - 2019 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-201024 VL - 19 ER - TY - JOUR A1 - Edgecock, T. R. A1 - Caretta, O. A1 - Davenne, T. A1 - Densam, C. A1 - Fitton, M. A1 - Kelliher, D. A1 - Loveridge, P. A1 - Machida, S. A1 - Prior, C. A1 - Rogers, C. A1 - Rooney, M. A1 - Thomason, J. A1 - Wilcox, D. A1 - Wildner, E. A1 - Efthymiopoulos, I. A1 - Garoby, R. A1 - Gilardoni, S. A1 - Hansen, C. A1 - Benedetto, E. A1 - Jensen, E. A1 - Kosmicki, A. A1 - Martini, M. A1 - Osborne, J. A1 - Prior, G. A1 - Stora, T. A1 - Melo Mendonca, T. A1 - Vlachoudis, V. A1 - Waaijer, C. A1 - Cupial, P. A1 - Chancé, A. A1 - Longhin, A. A1 - Payet, J. A1 - Zito, M. A1 - Baussan, E. A1 - Bobeth, C. A1 - Bouquerel, E. A1 - Dracos, M. A1 - Gaudiot, G. A1 - Lepers, B. A1 - Osswald, F. A1 - Poussot, P. A1 - Vassilopoulos, N. A1 - Wurtz, J. A1 - Zeter, V. A1 - Bielski, J. A1 - Kozien, M. A1 - Lacny, L. A1 - Skoczen, B. A1 - Szybinski, B. A1 - Ustrycka, A. A1 - Wroblewski, A. A1 - Marie-Jeanne, M. A1 - Balint, P. A1 - Fourel, C. A1 - Giraud, J. A1 - Jacob, J. A1 - Lamy, T. A1 - Latrasse, L. A1 - Sortais, P. A1 - Thuillier, T. A1 - Mitrofanov, S. A1 - Loiselet, M. A1 - Keutgen, Th. A1 - Delbar, Th. A1 - Debray, F. A1 - Trophine, C. A1 - Veys, S. A1 - Daversin, C. A1 - Zorin, V. A1 - Izotov, I. A1 - Skalyga, V. A1 - Burt, G. A1 - Dexter, A. C. A1 - Kravchuk, V. L. A1 - Marchi, T. A1 - Cinausero, M. A1 - Gramegna, F. A1 - De Angelis, G. A1 - Prete, G. A1 - Collazuol, G. A1 - Laveder, M. A1 - Mazzocco, M. A1 - Mezzetto, M. A1 - Signorini, C. A1 - Vardaci, E. A1 - Di Nitto, A. A1 - Brondi, A. A1 - La Rana, G. A1 - Migliozzi, P. A1 - Moro, R. A1 - Palladino, V. A1 - Gelli, N. A1 - Berkovits, D. A1 - Hass, M. A1 - Hirsh, T. Y. A1 - Schuhmann, M. A1 - Stahl, A. A1 - Wehner, J. A1 - Bross, A. A1 - Kopp, J. A1 - Neuffer, D. A1 - Wands, R. A1 - Bayes, R. A1 - Laing, A. A1 - Soler, P. A1 - Agarwalla, S. K. A1 - Cervera Villanueva, A. A1 - Donini, A. A1 - Ghosh, T. A1 - Gómez Cadenas, J. J. A1 - Hernández, P. A1 - Martín-Albo, J. A1 - Mena, O. A1 - Burguet-Castell, J. A1 - Agostino, L. A1 - Buizza-Avanzini, M. A1 - Marafini, M. A1 - Patzak, T. A1 - Tonazzo, A. A1 - Duchesneau, D. A1 - Mosca, L. A1 - Bogomilov, M. A1 - Karadzhov, Y. A1 - Matev, R. A1 - Tsenov, R. A1 - Akhmedov, E. A1 - Blennow, M. A1 - Lindner, M. A1 - Schwetz, T. A1 - Fernández Martinez, E. A1 - Maltoni, M. A1 - Menéndez, J. A1 - Giunti, C. A1 - González García, M. C. A1 - Salvado, J. A1 - Coloma, P. A1 - Huber, P. A1 - Li, T. A1 - López Pavón, J. A1 - Orme, C. A1 - Pascoli, S. A1 - Meloni, D. A1 - Tang, J. A1 - Winter, W. A1 - Ohlsson, T. A1 - Zhang, H. A1 - Scotto-Lavina, L. A1 - Terranova, F. A1 - Bonesini, M. A1 - Tortora, L. A1 - Alekou, A. A1 - Aslaninejad, M. A1 - Bontoiu, C. A1 - Kurup, A. A1 - Jenner, L. J. A1 - Long, K. A1 - Pasternak, J. A1 - Pozimski, J. A1 - Back, J. J. A1 - Harrison, P. A1 - Beard, K. A1 - Bogacz, A. A1 - Berg, J. S. A1 - Stratakis, D. A1 - Witte, H. A1 - Snopok, P. A1 - Bliss, N. A1 - Cordwell, M. A1 - Moss, A. A1 - Pattalwar, S. A1 - Apollonio, M. T1 - High intensity neutrino oscillation facilities in Europe JF - Physical Review Special Topics-Accelerators and Beams N2 - The EUROnu project has studied three possible options for future, high intensity neutrino oscillation facilities in Europe. The first is a Super Beam, in which the neutrinos come from the decay of pions created by bombarding targets with a 4 MW proton beam from the CERN High Power Superconducting Proton Linac. The far detector for this facility is the 500 kt MEMPHYS water Cherenkov, located in the Frejus tunnel. The second facility is the Neutrino Factory, in which the neutrinos come from the decay of mu(+) and mu(-) beams in a storage ring. The far detector in this case is a 100 kt magnetized iron neutrino detector at a baseline of 2000 km. The third option is a Beta Beam, in which the neutrinos come from the decay of beta emitting isotopes, in particular He-6 and Ne-18, also stored in a ring. The far detector is also the MEMPHYS detector in the Frejus tunnel. EUROnu has undertaken conceptual designs of these facilities and studied the performance of the detectors. Based on this, it has determined the physics reach of each facility, in particular for the measurement of CP violation in the lepton sector, and estimated the cost of construction. These have demonstrated that the best facility to build is the Neutrino Factory. However, if a powerful proton driver is constructed for another purpose or if the MEMPHYS detector is built for astroparticle physics, the Super Beam also becomes very attractive. KW - EMMA KW - beta-beam Y1 - 2013 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-126611 VL - 16 IS - 2 ER -