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Le Pimpec-Barthes F, Rendina Iaffaldano AG, Masmoudi H, Al-Zreibi C. Now exists a scientific proof of increased lymphatic pumping using octreotide: what is its actual role in the chylothorax healing process? Eur J Cardiothorac Surg 2024; 65:ezad416. [PMID: 38407358 DOI: 10.1093/ejcts/ezad416] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/02/2023] [Accepted: 02/23/2024] [Indexed: 02/27/2024] Open
Affiliation(s)
| | | | - Hicham Masmoudi
- Department of Thoracic Surgery, European Hospital Georges Pompidou, Paris, France
| | - Charles Al-Zreibi
- Department of Thoracic Surgery, European Hospital Georges Pompidou, Paris, France
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Hamza F, Hamza R, Farhat N, Maaloul M, Hachicha H, Masmoudi H, Mhiri C, Guermazi F. Correction non uniforme de l’atténuation dans la TEMP/TDM de perfusion cérébrale et corrélation avec les données cliniques et les dosages des biomarqueurs du LCR. Médecine Nucléaire 2023. [DOI: 10.1016/j.mednuc.2023.01.080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/06/2023]
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Janet-Vendroux A, Al Zreibi C, Reverdito G, Arame A, Badia A, Masmoudi H, Messaoudi H, Le Pimpec-Barthes F. Middle lobe suffering due to malposition and 180° tilt of the 2 remaining lobes after right upper lobectomy. Interdiscip Cardiovasc Thorac Surg 2023; 36:7050937. [PMID: 36810693 PMCID: PMC9976767 DOI: 10.1093/icvts/ivad038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/13/2023] [Accepted: 02/05/2023] [Indexed: 02/24/2023]
Abstract
Middle lobe (ML) suffering after right upper lobectomy (RUL) is rare but represents a major complication usually due to lobar torsion. We report 3 atypical consecutive cases of ML suffering due to malposition of the 2 remaining right lobes with a 180° tilt. All 3 female patients had surgery for non-small-cell carcinoma including RUL associated with radical hilar and mediastinal lymph node removal. Postoperative chest X-ray abnormalities appeared at days 1-3 respectively. The diagnosis of malposition of the 2 lobes was done on contrast-enhanced chest CT scan at days 7, 7 and 6, respectively. A reoperation for suspected ML torsion was required in all patients. Three repositionings of the 2 lobes and 1 middle lobectomy were performed. The postoperative courses were then uneventful, and the 3 patients were alive at a mean follow-up of 12 months. Before thoracic approach closure after RUL, systematic check of good positioning of the 2 reinflated remaining lobes is indispensable. It may prevent ML suffering secondary to 180° lobar tilt leading to whole pulmonary malposition.
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Affiliation(s)
- Aurelie Janet-Vendroux
- Department of Thoracic Surgery and Lung Transplantation, Hôpital Européen Georges-Pompidou, Assistance Publique—Hôpitaux de Paris, Université Paris Cité, Paris, France
| | - Charbel Al Zreibi
- Department of Thoracic Surgery and Lung Transplantation, Hôpital Européen Georges-Pompidou, Assistance Publique—Hôpitaux de Paris, Université Paris Cité, Paris, France
| | - Guillaume Reverdito
- Department of Radiology, Hôpital Européen Georges-Pompidou, Assistance Publique-Hôpitaux de Paris, Université Paris Cité, Paris, France
| | - Alex Arame
- Department of Thoracic Surgery and Lung Transplantation, Hôpital Européen Georges-Pompidou, Assistance Publique—Hôpitaux de Paris, Université Paris Cité, Paris, France
| | - Alain Badia
- Department of Thoracic Surgery and Lung Transplantation, Hôpital Européen Georges-Pompidou, Assistance Publique—Hôpitaux de Paris, Université Paris Cité, Paris, France
| | - Hicham Masmoudi
- Department of Thoracic Surgery and Lung Transplantation, Hôpital Européen Georges-Pompidou, Assistance Publique—Hôpitaux de Paris, Université Paris Cité, Paris, France
| | - Houssem Messaoudi
- Department of Thoracic Surgery and Lung Transplantation, Hôpital Européen Georges-Pompidou, Assistance Publique—Hôpitaux de Paris, Université Paris Cité, Paris, France
| | - Francoise Le Pimpec-Barthes
- Corresponding author. Department of Thoracic Surgery and Lung Transplantation, Hôpital Européen Georges-Pompidou, Assistance Publique—Hôpitaux de Paris, Université Paris Cité, 20 rue Leblanc, 75908 Paris, France. Tel: +33-1-56093459; e-mail: (F. Le Pimpec-Barthes)
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Daoud I, Chtourou L, Mejdoub S, Abdelmoula A, Trabelsi N, Bouzid A, Hachicha H, Tahri N, Feki S, Masmoudi H. Signification clinique et apport diagnostique de l’antigène carbohydrate 125. Rev Med Interne 2022. [DOI: 10.1016/j.revmed.2022.10.304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
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Ferjeni Z, Raouia F, Abida O, Penha-Gonçalves C, Masmoudi H. Association of IGHM polymorphisms with susceptibility to type 1 diabetes. Immunol Res 2022; 70:325-330. [PMID: 35048256 DOI: 10.1007/s12026-021-09252-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Accepted: 11/04/2021] [Indexed: 01/15/2023]
Abstract
Differentiation of B lymphocytes is accompanied by a regulated switch in the expression pattern and stability of surface and secretory immunoglobulins (Igs). Several lines of evidence show that autoimmune responses evolving in much autoimmune pathologies were associated with a high level of humoral Ig, but their pathogenic role remains elusive. The aim of this study was to test the hypothesis that variants at the immunoglobulin heavy-chain IGH locus are genetic determinants to T1D susceptibility. Here, we tested the genetic association of the variants of the immunoglobulin heavy-chain IGH locus as a genetic determinant to T1D susceptibility. A total of 255 subjects from 59 Tunisian families were genotyped for 15 SNPs mapping in 4 regions in IGH locus. We found that rs1950942, rs2180790, rs1808152, and rs1956596 of IGHM and rs2516751 variant located in the IGHA1/IGHG2 region were significantly associated with a risk for T1D p = 7E-3; p = 0.03; p = 0.02; p = 0.043; and p = 3.65E-5, respectively. The TATGG haplotype derived from LD across three SNPs from IGHM gene and two SNPs from IGHD gene was significantly over-transmitted from parents to affect offspring. Our results suggest that genetic variants at the IGH locus are associated with T1D susceptibility. These variations may predispose to IgG AutoAbs production against pancreatic antigens and AutoAbs multi-reactivity, leading to T1D development.
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Affiliation(s)
- Zouidi Ferjeni
- Biology Department, Faculty of Arts and Sciences of Muhayil Aseer, King Khalid University, Abha, Saudi Arabia.
- Immunology Department, Habib Bourguiba Hospital, University of Sfax, Sfax, Tunisia.
| | - Fakhfakh Raouia
- Immunology Department, Habib Bourguiba Hospital, University of Sfax, Sfax, Tunisia
| | - O Abida
- Immunology Department, Habib Bourguiba Hospital, University of Sfax, Sfax, Tunisia
| | | | - H Masmoudi
- Immunology Department, Habib Bourguiba Hospital, University of Sfax, Sfax, Tunisia
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Daoud I, Jerbi A, Mkaouar F, Hachicha H, Mejdoub S, Louati S, Feki S, Marzouk S, Bahloul Z, Masmoudi H. Intérêt de la fluorescence cytoplasmique des cellules Hep-2 lors de la recherche des anticorps spécifiques des myopathies inflammatoires. Rev Med Interne 2022. [DOI: 10.1016/j.revmed.2022.03.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Mejdoub S, Feki S, Farhat N, Dammak M, Hachicha H, Sakka S, Ayedi A, Ayedi F, Mhiri C, Masmoudi H. Antinuclear antibodies positivity is not rare during multiple sclerosis and is associated with relapsing status and IgG oligoclonal bands positivity. Rev Neurol (Paris) 2022; 178:812-816. [DOI: 10.1016/j.neurol.2021.11.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Revised: 11/13/2021] [Accepted: 11/17/2021] [Indexed: 11/25/2022]
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Hachicha H, Chtourou L, Mejdoub S, Smaoui H, Trabelsi N, Tahri N, Feki S, Masmoudi H. Dosage concomitant des marqueurs tumoraux dans le sérum et le liquide d’ascite : quel intérêt en pratique clinique ? Rev Med Interne 2021. [DOI: 10.1016/j.revmed.2021.10.104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Halouani N, Feki R, Ellouze S, Turki M, Hachicha H, Masmoudi H, Aribi L, Aloulou J. [Variations in immunological parameters after treatment of a manic episode]. Encephale 2021; 48:280-287. [PMID: 34148647 DOI: 10.1016/j.encep.2021.03.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2020] [Revised: 02/23/2021] [Accepted: 03/12/2021] [Indexed: 10/21/2022]
Abstract
Bipolar disorder is a chronic and disabling mental illness affecting approximately 1-2% of the general population, characterized by the occurrence of manic episodes alone or alternating with depressive episodes. Bipolar disorder is associated with significant morbidity, mortality and personal suffering. The mechanisms underlying the onset and progression of bipolar disease are still poorly understood. Recently, immunological dysfunctions have been suggested in the pathogenesis of bipolar disorder, and many studies have focused on the interaction between bipolar disorder and immunity. Immunological changes have been widely studied during depressive episodes but less explored during manic episodes. The objective of our study was to explore changes in serum proteins and autoantibodies after treatment for a manic episode of bipolar I disorder. This study was carried out over a 30-month period from January 2017 to June 2019, in collaboration between the psychiatry department B of the Hédi Chaker CHU and the immunology department of the Habib Bourguiba CHU, in Sfax, Tunisia. It focused on a sample of 45 bipolar patients with manic relapse, naïve to psychotropic treatment, or discontinuing treatment for a period of at least three months and without a history of autoimmune disease. The study was conducted in two stages : on admission and after treatment. The mean plasma levels of IgG and complement C3 fraction were significantly higher in bipolar patients with relapsing mania. Studies of variation in immunoglobulins and complement fractions during relapses of bipolar disorder have all objected to variations in these serum proteins, but their results were inconsistent regarding the direction of variation and the fractions affected. After treatment, there was a statistically significant increase in the mean plasma levels of IgG and IgA and a decrease in the mean plasma level of the C4 fraction of complement. No significant variation in autoantibodies was noted after treatment. The mean plasma IgM level was significantly lower with sodium valproate. On atypical antipsychotic medication, the mean plasma level of fraction C3 was statistically lower, whereas on conventional antipsychotic medication it was statistically higher. This is in line with the data in the literature which support the immunomodulatory role of thymoregulators and antipsychotics. Serum proteins have been more sensitive than autoantibodies to the effect of psychotropic therapy during manic relapse.
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Affiliation(s)
- N Halouani
- Service de psychiatrie B, CHU Hédi Chaker, Sfax, Tunisie
| | - R Feki
- Service de psychiatrie B, CHU Hédi Chaker, Sfax, Tunisie
| | - S Ellouze
- Service de psychiatrie B, CHU Hédi Chaker, Sfax, Tunisie.
| | - M Turki
- Service de psychiatrie B, CHU Hédi Chaker, Sfax, Tunisie
| | - H Hachicha
- Service d'immunologie, CHU Habib Bourguiba, Sfax, Tunisie
| | - H Masmoudi
- Service d'immunologie, CHU Habib Bourguiba, Sfax, Tunisie
| | - L Aribi
- Service de psychiatrie B, CHU Hédi Chaker, Sfax, Tunisie
| | - J Aloulou
- Service de psychiatrie B, CHU Hédi Chaker, Sfax, Tunisie
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Jerbi A, Feki S, Chtourou L, Mariam B, Hend H, Abida O, Amouri A, Tahri N, Masmoudi H. Association du polymorphisme du gène de l’interleukine 17A à la susceptibilité aux maladies inflammatoires chroniques de l’intestin. Rev Med Interne 2021. [DOI: 10.1016/j.revmed.2021.03.155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Chtourou L, Smaoui H, Maatar R, Mallouli M, Gdoura H, Boudabous M, Charfi S, Mnif L, Amouri A, Boudawara T, Masmoudi H, Feki S, Tahri N. Profils cliniques de la maladie cœliaque de l’adulte. Rev Med Interne 2021. [DOI: 10.1016/j.revmed.2021.03.154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Hamza Z, Hachicha H, Frikha F, Feki S, Mkaouar F, Mejdoub S, Ayadi A, Maatoug A, Bahloul Z, Masmoudi H. Interêt des anticorps anti-DFS70 en pratique Clinique : une série monocentrique de 113 cas. Rev Med Interne 2021. [DOI: 10.1016/j.revmed.2021.03.173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Ben Hamad M, Frikha F, Hachicha H, Regaieg N, Chebbi D, Chabchoub I, Snoussi M, Ben Salah R, Masmoudi H, Bahloul Z. Manifestations neuropsychiatriques au cours du syndrome des antiphospholipides primaire. Rev Med Interne 2020. [DOI: 10.1016/j.revmed.2020.10.245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Daoud I, Hachicha H, Hsairi M, Gargouri L, Frikha F, Feki S, Chakroun L, Thouraya K, Bahloul Z, Mahfoudh A, Masmoudi H. Anticorps antiphospholipides chez l’enfant : signification clinique et apport diagnostique. Rev Med Interne 2020. [DOI: 10.1016/j.revmed.2020.10.246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Hend H, Kammoun A, Mahfoudh N, Dhaffouli F, Marzouk S, Frikha F, Feki S, Elloumi N, Fakhfakh R, Gaddour L, Hakim F, Bahloul Z, Masmoudi H. Polymorphisme poly (A) du récepteur de la vitamine D dans le lupus érythémateux systémique : étude cas-témoins. Rev Med Interne 2020. [DOI: 10.1016/j.revmed.2020.10.243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Barhoumi H, Agrebi I, Heni S, Kammoun A, Hachida H, Kammoun K, Makni H, Masmoudi H, Boudawara T, Ben Hmida M. Pronostic des vascularites à ANCA : à propos d’une cohorte tunisienne. Nephrol Ther 2020. [DOI: 10.1016/j.nephro.2020.07.120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Mejdoub S, Feki S, Dammak M, Farhat N, Hdiji O, Boukthir S, Hachicha H, Mhiri C, Masmoudi H. Neuromyelitis optica spectrum disorders in South of Tunisia: A rare entity with low seroprevalence of anti-aquaporin 4 autoantibodies. Rev Neurol (Paris) 2020; 176:261-267. [DOI: 10.1016/j.neurol.2019.08.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2019] [Revised: 08/24/2019] [Accepted: 08/28/2019] [Indexed: 12/27/2022]
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Hammami F, Amouri M, Feki S, Bahloul E, Masmoudi A, Masmoudi H, Turki H. Atteinte muqueuse au cours de la pemphigoïde bulleuse. Ann Dermatol Venereol 2019. [DOI: 10.1016/j.annder.2019.09.209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Etienne H, Agrafiotis AC, Masmoudi H, Assouad J. Postero-apical thoracic schwannoma with cervical extension resected by complete video-assisted thoracoscopic surgery. Monaldi Arch Chest Dis 2019; 89. [PMID: 31148605 DOI: 10.4081/monaldi.2019.1073] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2019] [Accepted: 05/15/2019] [Indexed: 11/22/2022] Open
Abstract
Schwannomas or neurilemmomas are benign tumors developed from the peripheral nervous system. Complete video-assisted thoracic surgery (cVATS) has set itself over the years as the preferred approach for the removal of small mediastinal neurogenic tumors. However, in case of apical location, complete VATS seems challenging because of proximity with the subclavian artery and/or elements of the brachial plexus. In case of a cVATS procedure, some authors prefer enucleation instead of resection, with a higher risk of relapse. We present two cases of cVATS resection of thoracic apical schwannomas.
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Affiliation(s)
- Harry Etienne
- Department of Thoracic Surgery, Tenon University Hospital, Paris.
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Mejdoub S, Hachicha H, Jerbi A, Feki S, Rekik F, Marzouk S, Ayedi A, Maatoug A, Bahloul Z, Masmoudi H. Valeur diagnostique des auto-anticorps dans les myopathies acquises idiopathiques. Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.10.043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Rekik F, Frikha F, Ben Salah R, Ghribi M, Ghariani R, Snoussi M, Hachicha H, Masmoudi H, Bahloul Z. Contribution à l’étude de la maladie cœliaque de l’adulte en milieu de médecine interne : une série monocentrique de 43 cas. Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.10.080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Frikha F, Rekik F, Snoussi M, Ghribi M, Dammak C, Ben Salah R, Jallouli M, Marzouk S, Hachicha H, Masmoudi H, Bahloul Z. Maladies auto-immunes associées à la maladie cœliaque de l’adulte : étude de 43 cas. Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.10.081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Bahloul E, Masmoudi A, Jerbi A, Abida O, Ben Jemaa M, Sellami K, Hachicha H, Boudaya S, Mseddi M, Masmoudi H, Amouri M, Turki H. Doit-on continuer à traiter le pemphigus superficiel par la dapsone ? Ann Dermatol Venereol 2018. [DOI: 10.1016/j.annder.2018.09.157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Ruppert A, Perrin J, Khalil A, Vieira T, Abou-Chedid D, Masmoudi H, Crequit P, Giol M, Cadranel J, Assouad J, Gounant V. Effect of cannabis and tobacco on emphysema in patients with spontaneous pneumothorax. Diagn Interv Imaging 2018; 99:465-471. [DOI: 10.1016/j.diii.2018.01.017] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2017] [Revised: 01/04/2018] [Accepted: 01/27/2018] [Indexed: 10/17/2022]
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Frikha A, Feki S, Chtourou L, Turki A, Hachicha H, Akrout R, Amouri A, Baklouti S, Tahri N, Masmoudi H. Intérêt du test QuantiFERON® dans le bilan pré-thérapeutique pour biothérapie. Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.03.065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Masmoudi H, Agrafiotis AC, Giol M, Assouad J. [Costal periosteal chondrosarcoma: A rare entity]. Rev Pneumol Clin 2018; 74:118-120. [PMID: 29459126 DOI: 10.1016/j.pneumo.2018.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/24/2017] [Revised: 01/21/2018] [Accepted: 01/29/2018] [Indexed: 06/08/2023]
Affiliation(s)
- H Masmoudi
- Service de chirurgie thoracique, hôpital Tenon, AP-HP, 4, rue de la Chine, 75020 Paris, France
| | - A C Agrafiotis
- Service de chirurgie thoracique, hôpital Tenon, AP-HP, 4, rue de la Chine, 75020 Paris, France.
| | - M Giol
- Service de chirurgie thoracique, hôpital Tenon, AP-HP, 4, rue de la Chine, 75020 Paris, France
| | - J Assouad
- Service de chirurgie thoracique, hôpital Tenon, AP-HP, 4, rue de la Chine, 75020 Paris, France
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Masmoudi H. Reply. Ann Thorac Surg 2018; 105:1281-1282. [PMID: 29571335 DOI: 10.1016/j.athoracsur.2017.09.050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/17/2017] [Accepted: 09/21/2017] [Indexed: 10/17/2022]
Affiliation(s)
- Hicham Masmoudi
- Department of Thoracic Surgery, Tenon Hospital, 4 rue de la chine, Paris 75020, France.
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Frikha F, Hachicha H, Jallouli I, Masmoudi H, Bahloul Z. Caractéristiques cliniques et immunologiques des patients avec des anticorps anti-Jo1 positifs. Rev Med Interne 2017. [DOI: 10.1016/j.revmed.2017.10.132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Feki S, Marzouk S, Masmoudi R, Hachicha H, Tlijani A, Bahloul Z, Masmoudi H. Lupus érythémateux systémique : profil sérologique des auto-anticorps autres qu’anti-nucléaires et spectre des maladies auto-immunes associées. Rev Med Interne 2017. [DOI: 10.1016/j.revmed.2017.10.135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Feki S, Turki A, Ben Salah R, Hachicha H, Frikha F, Chakroun L, Bahloul Z, Masmoudi H. Les anticorps anti-peptides α-énolase citrullinés (anti-CEP1) : nouveaux marqueurs diagnostiques pour la polyarthrite rhumatoïde séronégative. Rev Med Interne 2017. [DOI: 10.1016/j.revmed.2017.10.130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Ouede R, Masmoudi H, Etienne H, Assouad J. [Bronchial carcinoid tumor and recurrent pneumothoraxes]. Rev Pneumol Clin 2017; 73:263-266. [PMID: 29031965 DOI: 10.1016/j.pneumo.2017.08.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/20/2017] [Revised: 08/01/2017] [Accepted: 08/16/2017] [Indexed: 06/07/2023]
Abstract
Pneumothorax is a rare clinical manifestation of lung cancer. It can exceptionally reveal a bronchial carcinoid tumor. We present the case of a 27-year-old woman in whom recurrent pneumothoraxes were the clinical manifestation of a bronchial carcinoid tumor. The interest for chest computed tomography and bronchoscopy to identify etiology of secondary pneumothoraxes will be discussed.
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Affiliation(s)
- R Ouede
- Service de chirurgie thoracique, hôpital Tenon, 4, rue de Chine, 75020 Paris, France
| | - H Masmoudi
- Service de chirurgie thoracique, hôpital Tenon, 4, rue de Chine, 75020 Paris, France
| | - H Etienne
- Service de chirurgie thoracique, hôpital Tenon, 4, rue de Chine, 75020 Paris, France.
| | - J Assouad
- Service de chirurgie thoracique, hôpital Tenon, 4, rue de Chine, 75020 Paris, France
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Masmoudi H, Chambon G, Thomas P, D’Journo XB. V-083VIDEO-ASSISTED THORACIC DUCT LIGATION FOR MASSIVE CERVICAL CHYLE LEAK FOLLOWING THYROIDECTOMY WITH BILATERAL LYMPHADENECTOMY. Interact Cardiovasc Thorac Surg 2017. [DOI: 10.1093/icvts/ivx280.095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Elloumi N, Fakhfakh R, Abida O, Ayadi L, Marzouk S, Hachicha H, Fourati M, Bahloul Z, Mhiri MN, Kammoun K, Masmoudi H. Relevant genetic polymorphisms and kidney expression of Toll-like receptor (TLR)-5 and TLR-9 in lupus nephritis. Clin Exp Immunol 2017; 190:328-339. [PMID: 28763101 DOI: 10.1111/cei.13022] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/28/2017] [Indexed: 12/07/2022] Open
Abstract
Toll-like receptor (TLR) genetic polymorphisms may modify their expression causing inflammatory disorders and influencing both susceptibility and severity of lupus erythematosus. We aim to determine whether TLR-5 and TLR-9 gene polymorphisms are implicated in the susceptibility to systemic lupus erythematosus (SLE) and lupus nephritis (LN) and to evaluate their expressions and distributions in renal LN patients' biopsies. The frequencies of two SNP in the TLR-9 gene and one in the TLR-5 gene was examined in 106 SLE patients (among them 37 LN patients) and in 200 matched controls by polymerase chain reaction-restriction fragment-length polymorphisms (PCR-RFLP) analysis. TLR-9 and TLR-5 expressions were assessed by reverse transcription (RT)-PCR and immunohistochemistry carried on LN renal biopsies compared to healthy renal tissue. A significant genotypic and allelic association was revealed between TLR-9-rs352140 and both SLE and LN (P < 0·05). The TLR-9 transcript level was significantly higher in LN biopsies compared to control (P < 0·05). This increase was observed histochemically in the tubulointerstitial compartment. TLR-9 was detectable in LN glomeruli patients but not in normal control glomeruli. No allelic nor genotype association was found with TLR-5-rs5744168 in SLE. but the T allele and the TT genotype were raised significantly in the LN group (P < 0·05). A significant increase in TLR-5 gene expression in LN biopsies, which contrasted with normal kidneys (P < 0·05), was confirmed by an intense and diffuse staining for TLR-5 only in LN tubules (P < 0·05). Our data show that TLR-5 and TLR-9 are susceptible genes to LN and that their expression is dysregulated in LN patients' kidneys, supporting a role of these mediators in the pathogenesis of LN.
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Affiliation(s)
- N Elloumi
- Immunology Department, Habib Bourguiba Hospital, University of Sfax, Sfax, Tunisia
| | - R Fakhfakh
- Immunology Department, Habib Bourguiba Hospital, University of Sfax, Sfax, Tunisia
| | - O Abida
- Immunology Department, Habib Bourguiba Hospital, University of Sfax, Sfax, Tunisia
| | - L Ayadi
- Anatomopathology Department, Habib Bourguiba Hospital, University of Sfax, Sfax, Tunisia
| | - S Marzouk
- Internal Medicine Department, Hedi Chaker Hospital, University of Sfax, Sfax, Tunisia
| | - H Hachicha
- Immunology Department, Habib Bourguiba Hospital, University of Sfax, Sfax, Tunisia
| | - M Fourati
- Urology Department, Habib Bourguiba Hospital, University of Sfax, Sfax, Tunisia
| | - Z Bahloul
- Internal Medicine Department, Hedi Chaker Hospital, University of Sfax, Sfax, Tunisia
| | - M N Mhiri
- Urology Department, Habib Bourguiba Hospital, University of Sfax, Sfax, Tunisia
| | - K Kammoun
- Nephrology Department, Hedi Chaker Hospital, University of Sfax, Sfax, Tunisia
| | - H Masmoudi
- Immunology Department, Habib Bourguiba Hospital, University of Sfax, Sfax, Tunisia
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Hachicha H, Mahfoudh N, Kammoun A, Frikha F, Feki S, Fakhfakh R, Marzouk S, Gaddour L, Hakim F, Bahloul Z, Makni H, Masmoudi H. Polymorphisme génétique de MICA et lupus érythémateux systémique dans la population Sud Tunisienne. Rev Med Interne 2017. [DOI: 10.1016/j.revmed.2017.03.255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Masmoudi H, Etienne H, Sylvestre R, Evrard D, Ouede R, Le Roux M, Giol M, Assouad J. Three Hundred Fifty-One Patients With Pneumothorax Undergoing Uniportal (Single Port) Video-Assisted Thoracic Surgery. Ann Thorac Surg 2017; 104:254-260. [PMID: 28410634 DOI: 10.1016/j.athoracsur.2017.01.054] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2016] [Revised: 01/01/2017] [Accepted: 01/11/2017] [Indexed: 10/19/2022]
Abstract
BACKGROUND Video-assisted thoracic surgery (VATS) is usually performed using three ports. Uniportal VATS has not yet been widely developed. We report our single institution experience in uniportal VATS for the surgical management of 351 patients with pneumothorax. METHODS Between November 2009 and February 2016, we conducted a study in 351 patients treated for pneumothorax using uniportal VATS. Resection of apical bullae associated with partial pleurectomy, pleural abrasion, or talc effusion was performed. RESULTS The mean age was 29.6 ± 10.1 years. Surgical indications were mainly persistence or recurrence of pneumothorax. Sixty-seven patients (19%) presented with complications. At the 30-day control, 60.1% of patients were asymptomatic; 85% of patients were satisfied with the single small scar. The recurrence rate was 3.6% at 24 ± 13 months. CONCLUSIONS Uniportal VATS is feasible, safe, and reproducible in the treatment of pneumothorax. Morbidity is similar to multiport VATS. The recurrence rate is comparable with best results after multiport VATS or thoracotomy. Patients were satisfied with the single small scar.
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Affiliation(s)
- Hicham Masmoudi
- Department of Thoracic Surgery, Tenon Hospital, Paris, France.
| | - Harry Etienne
- Department of Thoracic Surgery, Tenon Hospital, Paris, France
| | | | - Diane Evrard
- Department of Thoracic Surgery, Tenon Hospital, Paris, France
| | - Raphaël Ouede
- Department of Thoracic Surgery, Tenon Hospital, Paris, France
| | | | - Mihaela Giol
- Department of Thoracic Surgery, Tenon Hospital, Paris, France
| | - Jalal Assouad
- Department of Thoracic Surgery, Tenon Hospital, Paris, France
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Ferjani Z, Bouzid D, Fourati H, Fakhfakh R, Kammoun T, Hachicha M, Penha-Gonçalves C, Masmoudi H. WITHDRAWN: CREM variant rs17583959 conferred susceptibility to T1D risk in the Tunisian families. Gene Reports 2017. [DOI: 10.1016/j.genrep.2016.11.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/07/2022]
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Jerbi A, Masmoudi A, Hachicha H, Bahloul E, Feki S, Abida O, Amouri M, Bouzid A, Masmoudi H, Turki H. Pemphigus herpétiforme du sud tunisien : particularités épidémio-cliniques et immunologiques. Ann Dermatol Venereol 2016. [DOI: 10.1016/j.annder.2016.09.304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Jerbi A, Masmoudi A, Hachicha H, Bahloul E, Feki S, Abida O, Mseddi M, Bouzid A, Masmoudi H, Turki H. Intérêt des anticorps anti-desmogléine 1 et 3 dans le suivi du pemphigus dans le Sud tunisien. Ann Dermatol Venereol 2016. [DOI: 10.1016/j.annder.2016.09.305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Ferjani Z, Bouzid D, Fourati H, Fakhfakh R, Kammoun T, Hachicha M, Penha-Gonçalves C, Masmoudi H. Association between the IL2RA polymorphism and type 1 diabetes risk: Family based association study. Meta Gene 2016. [DOI: 10.1016/j.mgene.2016.08.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/07/2022] Open
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40
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Jerbi A, Masmoudi A, Hachicha H, Bahloul E, Feki S, Abida O, Mseddi M, Bouzid A, Masmoudi H, Turki H. Profils atypiques des anticorps anti-desmogléine 1 et 3 chez les patients atteints de pemphigus vulgaire. Ann Dermatol Venereol 2016. [DOI: 10.1016/j.annder.2016.09.303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Zouidi F, Bouzid D, Fourati H, Fakhfakh R, Kammoun T, Hachicha M, Penha-Gonçalves C, Masmoudi H. CREM variant rs17583959 conferred susceptibility to T1D risk in the Tunisian families. Immunol Lett 2016; 181:1-5. [PMID: 27840176 DOI: 10.1016/j.imlet.2016.11.007] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2015] [Revised: 11/09/2016] [Accepted: 11/09/2016] [Indexed: 12/17/2022]
Abstract
Type 1 diabetes mellitus (T1D) is a chronic autoimmune disease caused by the destruction of insulin-producing pancreatic β-cells by autoreactive T cells. Studies in animal models, such as the non-obese diabetic (NOD) mouse reveal that this disease is under the control of several genes that encode molecules implicated in regulation of transcription factors and in T cell activation. In order to underline the role of the genes involved in this regulation pathways, we investigated, using the Sequenom MassARRAY platform, 13 single-nucleotide polymorphisms (SNPs) belonging to CREM, IRF5, STAT4, and STAT5a/b genes in 59 T1D Tunisian families. In the current study, we identified an association with rs17583959 (allele G; Z score=2.27; p=0.02; Genotype GG: score=1.96; p=0.04) of CREM gene. In LD analysis a strong LD between the 3 CREM variants (Block 1) was detected; rs2384352 was in complete LD with rs1148247. When haplotypes were constructed between CREM polymorphisms (rs1148247, rs17583959, rs2384352), AGA haplotype (H2) was significantly over-transmitted from parents to affected offspring (Z score=2.988; P=0.002) and may confer a risk for T1D disease. Whereas, AAG haplotype (H5) (Z score=-2.000; p=0.045) was less transmitted than expected to affected children suggesting its protective effect against T1D pathology. No significant association in IRF5, STAT4, and STAT5a/b genes were observed. In conclusion, this study shows an eventually involvement of CREM gene in the development of T1D pathology in Tunisian families. These facts are consistent with a major role for transcription factor genes involved in the immune pathways in the control of autoimmunity. Further researches of association and functional analysis across populations are needed to confirm these findings.
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Affiliation(s)
- Ferjani Zouidi
- Immunology Department, Habib Bourguiba Hospital, University of Sfax, Tunisie.
| | - D Bouzid
- Immunology Department, Habib Bourguiba Hospital, University of Sfax, Tunisie
| | - H Fourati
- Immunology Department, Habib Bourguiba Hospital, University of Sfax, Tunisie
| | - R Fakhfakh
- Immunology Department, Habib Bourguiba Hospital, University of Sfax, Tunisie
| | - T Kammoun
- Pediatric Department, Hedi Chaker Hospital, Sfax, Tunisie
| | - M Hachicha
- Pediatric Department, Hedi Chaker Hospital, Sfax, Tunisie
| | | | - H Masmoudi
- Immunology Department, Habib Bourguiba Hospital, University of Sfax, Tunisie
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Masmoudi H, Persichini R, Cecchini J, Delemazure J, Dres M, Mayaux J, Demoule A, Assouad J, Similowski T. Corrective effect of diaphragm pacing on the decrease in cardiac output induced by positive pressure mechanical ventilation in anesthetized sheep. Respir Physiol Neurobiol 2016; 236:23-28. [PMID: 27836647 DOI: 10.1016/j.resp.2016.10.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2016] [Revised: 10/17/2016] [Accepted: 10/25/2016] [Indexed: 01/13/2023]
Abstract
Positive pressure ventilation (PPV) is a fundamental life support measure, but it decreases cardiac output (CO). Diaphragmatic contractions produce negative intrathoracic and positive abdominal pressures, promoting splanchnic venous return. We hypothesized that: 1) diaphragm pacing alone could produce adequate ventilation without decreasing CO; 2) diaphragm pacing on top of PPV could improve CO. Of 11 anesthetized and mechanically ventilated ewes (39.6±5.9kg), 3 were discarded from analysis because of hemodynamic instability during the experiment, and 8 retained for analysis. Phrenic stimulation electrodes were inserted in the diaphragm (implanted phrenic nerve stimulation, iPS). CO was measured by the thermodilution technique (pulmonary artery catheter). CO during end-expiratory apnea served as reference. Median CO was 9.77 [6.25-11.25] lmin-1 during end-expiratory apnea, 8.25 [5.06-9.25] lmin-1 during "PPV" (-15%) (p<0.05), 9.19 [5.60-10.19] lmin-1 during "PPV-iPS" (NS vs apnea) and 9.37 [6.12-10.48] lmin-1 during "iPS" (NS vs. apnea). iPS-driven ventilation was comparable to its PPV counterpart (median 92% [74-97], NS). Diaphragm pacing alone can produce adequate ventilation without reducing CO. Superimposed onto PPV, diaphragm pacing can reduce the PPV-induced decrease in CO.
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Affiliation(s)
- Hicham Masmoudi
- AP-HP, Groupe Hospitalier Saint-Antoine Tenon Trousseau, Service de Chirurgie Thoracique, F-75013 Paris, France; Sorbonne Universités, UPMC Univ Paris 06, INSERM, UMRS1158 Neurophysiologie respiratoire expérimentale et clinique, F-75005 Paris, France
| | - Romain Persichini
- AP-HP, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Service de Pneumologie et Réanimation Médicale (Département "R3S"), F-75013 Paris, France
| | - Jérôme Cecchini
- Sorbonne Universités, UPMC Univ Paris 06, INSERM, UMRS1158 Neurophysiologie respiratoire expérimentale et clinique, F-75005 Paris, France; AP-HP, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Service de Pneumologie et Réanimation Médicale (Département "R3S"), F-75013 Paris, France
| | - Julie Delemazure
- AP-HP, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Service de Pneumologie et Réanimation Médicale (Département "R3S"), F-75013 Paris, France
| | - Martin Dres
- Sorbonne Universités, UPMC Univ Paris 06, INSERM, UMRS1158 Neurophysiologie respiratoire expérimentale et clinique, F-75005 Paris, France; AP-HP, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Service de Pneumologie et Réanimation Médicale (Département "R3S"), F-75013 Paris, France
| | - Julien Mayaux
- AP-HP, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Service de Pneumologie et Réanimation Médicale (Département "R3S"), F-75013 Paris, France
| | - Alexandre Demoule
- Sorbonne Universités, UPMC Univ Paris 06, INSERM, UMRS1158 Neurophysiologie respiratoire expérimentale et clinique, F-75005 Paris, France; AP-HP, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Service de Pneumologie et Réanimation Médicale (Département "R3S"), F-75013 Paris, France
| | - Jalal Assouad
- AP-HP, Groupe Hospitalier Saint-Antoine Tenon Trousseau, Service de Chirurgie Thoracique, F-75013 Paris, France; Sorbonne Universités, UPMC Univ Paris 06, INSERM, UMRS1158 Neurophysiologie respiratoire expérimentale et clinique, F-75005 Paris, France
| | - Thomas Similowski
- Sorbonne Universités, UPMC Univ Paris 06, INSERM, UMRS1158 Neurophysiologie respiratoire expérimentale et clinique, F-75005 Paris, France; AP-HP, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Service de Pneumologie et Réanimation Médicale (Département "R3S"), F-75013 Paris, France.
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Feki S, Turki A, Frikha F, Hachicha H, Walha L, Gargouri A, Bahloul Z, Masmoudi H. [Neonatal lupus and maternofetal transmission of anti-SSA/Ro and anti-SSB/La antibodies]. Arch Pediatr 2015; 22:154-9. [PMID: 25440767 DOI: 10.1016/j.arcped.2014.10.020] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2014] [Revised: 07/07/2014] [Accepted: 10/23/2014] [Indexed: 10/24/2022]
Abstract
Neonatal lupus (NL) is a rare syndrome caused by placental transfer of maternal anti-SSA/Ro (60 and 52kDa) or anti-SSB/La antibodies. The aim of this study was to evaluate the clinical and biological profile of NL at the neonatal unit of Sfax, Tunisia, over a 10-year period. Six mother-NB pairs (two sets of twins and two sisters) had positive ANA by transplacental transmission during the study period. The ANA pattern was speckled and the NBs' sera titer was half that of their mothers'. Anti-SSA, anti-Ro52, and anti-SSB were found in 100%, 33%, and 50% of the mothers' sera, respectively. The transmission of anti-SSA was observed in four pregnancies out of six, anti-Ro52 in two pregnancies out of two, and anti-SSB in one pregnancy out of three. The patients' clinical records showed that two NBs had a congenital heart block: one with anti-SSA, whose mother had Sjögren syndrome, and another with anti-SSA, anti-SSB, anti-Ro52, and anti-mitochondrial antibodies (M2 type), whose mother had no diagnosis at the child's birth (cutaneous erythema and positive ANA with the same profile). Cutaneous signs (erythema, petechia) were described in three NBs out of six. The two sets of fraternal twins had cutaneous signs with the same ANA titer and profile (no anti-SSA transmission from their mother with lupus and anti-phospholipid syndrome). The two sisters' (two pregnancies 3 years apart) mother had Sjögren syndrome, one of them had heart block with positive anti-SSA, and the other was asymptomatic with anti-SSA and anti-Ro52. The same mother had a history of three pregnancies with two NBs who died of heart block.
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Affiliation(s)
- S Feki
- Laboratoire d'immunologie, université de Sfax, CHU Habib-Bourguiba, Sfax, Tunisie
| | - A Turki
- Laboratoire d'immunologie, université de Sfax, CHU Habib-Bourguiba, Sfax, Tunisie
| | - F Frikha
- Service de médecine interne, université de Sfax, CHU Hédi-Chaker, Sfax, Tunisie.
| | - H Hachicha
- Laboratoire d'immunologie, université de Sfax, CHU Habib-Bourguiba, Sfax, Tunisie
| | - L Walha
- Service de néonatologie, université de Sfax, CHU Hédi-Chaker, Sfax, Tunisie
| | - A Gargouri
- Service de néonatologie, université de Sfax, CHU Hédi-Chaker, Sfax, Tunisie
| | - Z Bahloul
- Service de médecine interne, université de Sfax, CHU Hédi-Chaker, Sfax, Tunisie
| | - H Masmoudi
- Laboratoire d'immunologie, université de Sfax, CHU Habib-Bourguiba, Sfax, Tunisie
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Ferjeni Z, Bouzid D, Fourati H, Stayoussef M, Abida O, Kammoun T, Hachicha M, Penha-Gonçalves C, Masmoudi H. Association of TCR/CD3, PTPN22, CD28 and ZAP70 gene polymorphisms with type 1 diabetes risk in Tunisian population: family based association study. Immunol Lett 2014; 163:1-7. [PMID: 25448703 DOI: 10.1016/j.imlet.2014.11.005] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2014] [Revised: 10/30/2014] [Accepted: 11/10/2014] [Indexed: 11/28/2022]
Abstract
Type 1 diabetes (T1D) is caused by an immune-mediated destruction of the insulin-producing β-cells. Several studies support the involvement of T cell activation molecules in the pathogenesis of T1D. In order to underline the role of the genes involved in this activation pathway, we investigated, using the Sequenom MassARRAY platform, 45 single-nucleotide polymorphisms (SNPs) belonging to TCR/CD3, CD28, ZAP70, and PTPN22 genes in 59 T1D Tunisian families. In the current study, we identified an association with rs706 (Z score=2.782; p=0.005) of TCRβ gene. We also demonstrated that rs10918706 in the intron of the CD3z gene was associated with increased risk of T1D (Z score 2.137; p=0.032). In the same region, rs2949655 (Z score=2.101; p=0.035) and rs1214611 (Z score=4.036; p=0.00005) showed a genotype association with the risk of T1D. When haplotypes were constructed, GAA haplotype displayed significant association with T1D (Z score=2.135; p=0.032), while GGA haplotype (Z score=-1.988; p=0.046) was negatively associated with the disease. We also identified an association with rs3181096 (Z score=2.177; p=0.029), rs17695937 (Z score =2.111; p=0.034) and rs2488457 (Z score=2.219; p=0.026), respectively of CD28, ZAP70 and PTPN22 genes. In addition, our results suggest a significant effect on T1D susceptibility for AC (Z score=2.30; p=0.02) and CTGGC (Z score=2.309, p=0.02) haplotypes of ZAP70 and PTPN22 genes, respectively. While, the GTCT (Z score=-2.114, p=0.034) and CTAGG (Z score=-2.121, p=0.033) haplotypes of CD28 and PTPN22 genes, may confer protection against T1D. These findings confirm the role of PTPN22 and CD28 involved in the T cell activation pathway in the development of T1D in Tunisian families. Interestingly, ZAP70 and TCRβ/CD3z seem to contribute to the susceptibility to the disease in our population. However, this finding has to be confirmed in further studies.
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Affiliation(s)
- Zouidi Ferjeni
- Immunology Department, Habib Bourguiba Hospital, University of Sfax, Sfax, Tunisia.
| | - D Bouzid
- Immunology Department, Habib Bourguiba Hospital, University of Sfax, Sfax, Tunisia
| | - H Fourati
- Immunology Department, Habib Bourguiba Hospital, University of Sfax, Sfax, Tunisia
| | - M Stayoussef
- Immunology Department, Habib Bourguiba Hospital, University of Sfax, Sfax, Tunisia
| | - O Abida
- Immunology Department, Habib Bourguiba Hospital, University of Sfax, Sfax, Tunisia
| | - T Kammoun
- Pediatric Department, Hedi Chaker Hospital, University of Sfax, Sfax, Tunisia
| | - M Hachicha
- Pediatric Department, Hedi Chaker Hospital, University of Sfax, Sfax, Tunisia
| | | | - H Masmoudi
- Immunology Department, Habib Bourguiba Hospital, University of Sfax, Sfax, Tunisia
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Jallouli M, Hriz H, Cherif Y, Marzouk S, Snoussi M, Frikha F, Ben Salah R, Masmoudi H, Bahloul Z. Causes and outcome of hospitalisations in Tunisian patients with systemic lupus erythematosus. Lupus Sci Med 2014; 1:e000017. [PMID: 25396063 PMCID: PMC4225742 DOI: 10.1136/lupus-2014-000017] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2014] [Revised: 04/22/2014] [Accepted: 05/08/2014] [Indexed: 12/01/2022]
Abstract
Objective To describe the most common reasons of admission of Tunisian patients with systemic lupus erythematosus (SLE) and the outcomes of these hospitalisations. Method The charts of patients with SLE who were hospitalised at our Department of Internal Medicine during a 2-year period from January 2011 to December 2012 were retrospectively reviewed, and the demographic characteristics, clinical and laboratory features, as well as all comorbidities, were collected. Results There were 128 episodes of hospitalisation of 87 patients with SLE. 25 patients (28.7%) were admitted twice or more. The median length of stay for all admissions was 11 days (2–76). The total number of days of hospitalisation was 1896 days, which represent 10.7% of the total number of days of hospitalisation in our department. The most common overall reason for hospitalisation was active SLE (55 events, 43%). In 29 patients, SLE was newly diagnosed during hospitalisation. Other causes of hospitalisation included assessment of the disease, infections (9.4%) and associated autoimmune disease (6.25%). Adverse drug reaction (3.1%) and thromboembolic events (1.25%) were uncommon causes of hospitalisations. There was a significant difference in length of stay between patients admitted with SLE flare and those admitted for non-SLE flare reasons (p<0.01). Four hospitalisations (3%) resulted in death. The principal cause of death was active SLE. Conclusions Hospitalisation of patients with SLE is common in our department. Our study of this North African SLE population confirms the findings of previous studies suggesting that active SLE and infection remain the most common causes of hospitalisation of patients with SLE.
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Affiliation(s)
- M Jallouli
- Department of Internal Medicine , Hedi Chaker University Hospital , Sfax , Tunisia
| | - H Hriz
- Department of Internal Medicine , Hedi Chaker University Hospital , Sfax , Tunisia
| | - Y Cherif
- Department of Internal Medicine , Hedi Chaker University Hospital , Sfax , Tunisia
| | - S Marzouk
- Department of Internal Medicine , Hedi Chaker University Hospital , Sfax , Tunisia
| | - M Snoussi
- Department of Internal Medicine , Hedi Chaker University Hospital , Sfax , Tunisia
| | - F Frikha
- Department of Internal Medicine , Hedi Chaker University Hospital , Sfax , Tunisia
| | - R Ben Salah
- Department of Internal Medicine , Hedi Chaker University Hospital , Sfax , Tunisia
| | - H Masmoudi
- Department of Immunology , Habib Bourguiba University Hospital , Sfax , Tunisia
| | - Z Bahloul
- Department of Internal Medicine , Hedi Chaker University Hospital , Sfax , Tunisia
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Masmoudi H, Karsenti A, Giol M, Gounant V, Grunenwald D, Assouad J. Cervical and retrosternal approach to the left thoracic cavity using a flexible endoscope. Interact Cardiovasc Thorac Surg 2014; 18:784-8. [PMID: 24632425 DOI: 10.1093/icvts/ivu055] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVES Mediastinoscopy remains the gold standard for surgical exploration of the mediastinum. The use of this approach to access the left thoracic cavity could be complicated by vascular or neurological lesion. The aim of this experimental work was to describe a new approach to the left thoracic cavity through a cervical incision and retrosternal space using a flexible endoscope as a unique instrument. METHODS We conducted an experimental work on 12 refrigerated and non-embalmed cadavers. Through a cervical incision, we dissected the retrosternal space to the level of Louis angle and then opened the left mediastinal pleura. We introduced the flexible endoscope through this pleural window into the left thoracic cavity. We defined three distances between the borders of the endoscope entry point, the phrenic nerve and the mammary artery: Distance 1: between the medial edge of the endoscope entrance point and the medial edge of the left mammary artery, Distance 2: between the top of the endoscope entrance point and the penetration of phrenic nerve in the left thoracic cavity and Distance 3: between the lateral edge of the entrance point of the endoscope and the medial edge of the phrenic nerve. To measure these distances, we performed a left postero-lateral thoracotomy. RESULTS Procedure was successfully executed in 10 of the 12 studied subjects. The mean distances 1, 2 and 3 were 17.1 (range 2-40), 39.5 (17-80) and 19.1 mm (10-40), respectively. The minimal Distance 1 was in two subjects 0.2 and 0.5 mm. CONCLUSIONS This approach avoids the para-aortic and supra-aortic zone; this access could be less dangerous than already described access techniques. Despite the limits of our work on cadavers, and the two failures in the application of the access, the mean distances we calculated show the potential safety of our approach concerning the phrenic nerve and the mammary artery. An experimental protocol on living animals is currently underway with the aim of confirming the safety of our approach.
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Affiliation(s)
- Hicham Masmoudi
- Department of Thoracic Surgery, Tenon Hospital, Paris, France Department of Anatomy, Surgical School of 'Le Fer à Moulin, Assistance-Publique, Hôpitaux de Paris', Paris, France
| | - Alexandre Karsenti
- Department of Thoracic Surgery, Tenon Hospital, Paris, France Department of Anatomy, Surgical School of 'Le Fer à Moulin, Assistance-Publique, Hôpitaux de Paris', Paris, France
| | - Mihaëla Giol
- Department of Thoracic Surgery, Tenon Hospital, Paris, France
| | - Valérie Gounant
- Department of Thoracic Surgery, Tenon Hospital, Paris, France
| | | | - Jalal Assouad
- Department of Thoracic Surgery, Tenon Hospital, Paris, France Department of Anatomy, Surgical School of 'Le Fer à Moulin, Assistance-Publique, Hôpitaux de Paris', Paris, France
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Masmoudi H, Coirault C, Demoule A, Mayaux J, Beuvin M, Romero N, Assouad J, Similowski T. Can phrenic stimulation protect the diaphragm from mechanical ventilation-induced damage? Eur Respir J 2014; 42:280-3. [PMID: 23813311 DOI: 10.1183/09031936.00045613] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Assouad J, Fénane H, Masmoudi H, Giol M, Karsenti A, Gounant V, Grunenwald D. [Flexible endoscope in thoracic surgery: CITES or cVATS?]. Rev Pneumol Clin 2013; 69:294-297. [PMID: 24041974 DOI: 10.1016/j.pneumo.2013.05.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/17/2012] [Revised: 04/11/2013] [Accepted: 05/06/2013] [Indexed: 06/02/2023]
Abstract
Early pain and persistent parietal disorders remains a major unresolved problem in thoracic surgery. Thoracotomy and the use of multiple ports in most Video Assisted Thoracic Surgery (VATS) procedures are the major cause of this persistent pain. For the last decade, a few publications describing the use of either single incision VATS and cervical thoracic approaches have been reported without significant results in comparison with current used techniques. Intercostals compression during surgery and early after by intercostals chest tube placement, are probably the major cause of postoperative pain. Flexible endoscope is currently used in several surgeries and will take more and more importance in our daily use in thoracic surgery. Instrument flexibility allows its use through minimally invasive approaches and offers a very interesting intra-thoracic navigation. We describe here the first use in France of a flexible endoscope in thoracic surgery through a single cervical incision to perform simultaneous exploration and biopsies of the mediastinum and right pleura using the original approach of Cervical Incision Thoracic Endoscopic Surgery (CITES).
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Affiliation(s)
- J Assouad
- Service de chirurgie thoracique, hôpital Tenon, 58, avenue Gambetta, 75020 Paris, France.
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Giol M, Masmoudi H, Karsenti A, Evrard D, Costea C, Sylvestre R, Gounant V, Debrosse D, Grunenwald D, Assouad J. P-221TRANSCERVICAL AND RETROSTERNAL APPROACH TO LEFT THORACIC CAVITY USING A FLEXIBLE ENDOSCOPE. Interact Cardiovasc Thorac Surg 2013. [DOI: 10.1093/icvts/ivt288.221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Toumi A, Abida O, Ben Ayed M, Masmoudi A, Turki H, Masmoudi H. Cytokine gene polymorphisms in Tunisian endemic pemphigus foliaceus: a possible role of il-4 variants. Hum Immunol 2013; 74:658-65. [PMID: 23376457 DOI: 10.1016/j.humimm.2013.01.009] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2012] [Revised: 12/19/2012] [Accepted: 01/14/2013] [Indexed: 01/17/2023]
Abstract
Polymorphism in the genes of TH2 cytokines and/or theirs receptors can influence serum cytokine levels in and the switch to the pathologic IgG4 auto-antibodies. In order to underline the role of these genes in the aethiopathogenesis of Pemphigus Foliaceus, we conduct a familial and a case control studies including 80 Tunisian patients, 147 related subjects and 160 matched healthy controls. We investigated, by PCR-RFLP technique, seven nucleotide polymorphisms: rs2243250 in promoter region of IL4 gene, rs47877948, rs3024530 and rs30246223 in the IL4R gene, rs1881457and rs205412 SNPs in IL13 gene and rs535036 in IL13RA2 gene. After Bonferroni adjustment, T allele and the TT genotype of IL4-590 were significantly increased in the PF patients group compared to healthy controls. This association was confirmed by the family study. Interestingly, the serum IL-4 levels were significantly increased in patients with the TT genotype compared to CT or CC genotypes. Interestingly, the IL4/IL13:T-A-C haplotype exhibited a significant effect on PF susceptibility. In addition, a significant gene-gene interaction between the IL4/IL4R (TACA) significantly increases in PF patients as compared to controls. These findings assess the role of the IL4/IL4R axis in the aethiopathogenesis of Tunisian endemic PF by the induction of a high transcriptional activity which could enhance the T-cell balance and inducing immunoglobulin isotype switching.
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Affiliation(s)
- Amina Toumi
- Immunology Department, Habib Bourguiba University Hospital, Sfax, Tunisia.
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