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Driouach S, Mounir A, Elkhader S, Zinebi A, El Baaj M, Moudden MK. [Pseudotumoral calcinosis of the wrist compressing the radial nerve in systemic sclerosis]. Ann Dermatol Venereol 2020; 147:366-369. [PMID: 31952956 DOI: 10.1016/j.annder.2019.09.612] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [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: 02/01/2019] [Revised: 04/19/2019] [Accepted: 09/03/2019] [Indexed: 11/26/2022]
Abstract
BACKGROUND Pseudotumoral calcinosis, a rare complication of systemic scleroderma, is characterized by the presence in extra-articular tissue, but rarely intra-articular tissue, of large masses made up of hydroxyapatite crystals. PATIENTS AND METHODS We report an original case of intra- and extra-articular pseudotumoral calcinosis of the wrist diagnosed in a patient followed for mild systemic scleroderma. The calcinosis was revealed in a highly unusual way via ductal syndrome secondary to compression of the radial nerve in the wrist. Surgical treatment resulted in marked clinical and functional improvement. COMMENT Although subcutaneous calcinoses are a fairly common complication of systemic scleroderma, the pseudo-tumoral form remains extremely rare. It may be complicated by pain, recurrent infection, and functional restriction, but literature contains only very rare reports of its revelation via ductal syndrome.
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Affiliation(s)
- S Driouach
- Service de médecine interne, hôpital militaire Moulay Ismail, BP S15, Meknès, Maroc.
| | - A Mounir
- Service de médecine interne, hôpital militaire Moulay Ismail, BP S15, Meknès, Maroc
| | - S Elkhader
- Service de médecine interne, hôpital militaire Moulay Ismail, BP S15, Meknès, Maroc
| | - A Zinebi
- Service de médecine interne, hôpital militaire Moulay Ismail, BP S15, Meknès, Maroc
| | - M El Baaj
- Pôle médical, hôpital militaire Moulay Ismail, BP S15, Meknès, Maroc
| | - M K Moudden
- Service de médecine interne, hôpital militaire Moulay Ismail, BP S15, Meknès, Maroc
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2
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Naji N, El Aissaoui A, Zinebi A, Moudden MK. [Charcot foot]. Rev Prat 2020; 70:288. [PMID: 32877060] [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] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Affiliation(s)
- Noura Naji
- Service de médecine interne, hôpital militaire Moulay Ismail, Meknès, Maroc
| | - Asmae El Aissaoui
- Service de médecine interne, hôpital militaire Moulay Ismail, Meknès, Maroc
| | - Ali Zinebi
- Service de médecine interne, hôpital militaire Moulay Ismail, Meknès, Maroc
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3
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Khalloufi A, Ouarssani A, Er-Rami M, Fellah H, Sebti F, Moudden MK. [A rare infectious etiology of COPD exacerbation]. Rev Mal Respir 2018; 35:956-958. [PMID: 30213623 DOI: 10.1016/j.rmr.2017.09.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [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: 06/23/2017] [Accepted: 09/27/2017] [Indexed: 10/28/2022]
Abstract
Chronic obstructive pulmonary disease (COPD) is a common respiratory disorder. Its exacerbation is infectious in more than half of the cases: with viral priority, while parasitic causes remain exceptional. In this work, we report a case of a COPD exacerbation caused by a visceral leishmaniasis (VL) complicated by a macrophage activation syndrome in an adult living in a Moroccan non-endemic region for this of leismaniasis form. In such atypical clinical feature, the diagnosis of VL was based on the myelogram after presence of peripheral cytopenia. Despite the seriousness of these pathologies, the early and specific treatment of VL allows a quickly improvement in the disorders caused by these diseases.
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Affiliation(s)
- A Khalloufi
- Laboratoire d'hématologie, hôpital militaire Moulay Ismail de Meknès, Bd El Hanssali, 50000 Meknès, Maroc.
| | - A Ouarssani
- Service de pneumologie, hôpital militaire Moulay Ismail de Meknès, Bd El Hanssali, 50000 Meknès, Maroc
| | - M Er-Rami
- Laboratoire d'hématologie, hôpital militaire Moulay Ismail de Meknès, Bd El Hanssali, 50000 Meknès, Maroc
| | - H Fellah
- Département de parasitologie, laboratoire national de référence des leishmanioses, institut national d'hygiène, Rabat, Maroc
| | - F Sebti
- Département de parasitologie, laboratoire national de référence des leishmanioses, institut national d'hygiène, Rabat, Maroc
| | - M K Moudden
- Service de médecine interne, hôpital militaire Moulay Ismail de Meknès, Bd El Hanssali, 50000 Meknès, Maroc
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4
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Eddou H, Zinebi A, Khalloufi A, Mahtat EM, El Khadir SE, Moudden MK, Doghmi K, Mikdame M, El Baaj M. [Thrombo-haemorrhagic disease-related hypoprothrombinemia-lupus anticoagulant syndrome revealing a light chains multiple myeloma]. J Med Vasc 2018; 43:325-328. [PMID: 30217348 DOI: 10.1016/j.jdmv.2018.07.008] [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] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/06/2018] [Accepted: 07/08/2018] [Indexed: 06/08/2023]
Abstract
Thrombosis and hemorrhage are two opposing manifestations of multiple myeloma. These hemostatic disorders are present in less than 12% of patients at diagnosis and involve various pathophysiological mechanisms. We report the case of a 39-year-old patient with multiple myeloma revealed by the association of a hemorrhagic syndrome and deep vein thrombosis related to a hypoprothrombinemia-anticoagulant lupus syndrome.
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Affiliation(s)
- H Eddou
- Service de médecine A, hôpital Militaire Moulay Ismail Meknès, Maroc; Faculté de médecine et de pharmacie de Fès, Maroc.
| | - A Zinebi
- Service de médecine A, hôpital Militaire Moulay Ismail Meknès, Maroc
| | - A Khalloufi
- Service d'hématologie biologique, hôpital Militaire Moulay Ismail Meknès, Maroc
| | - E M Mahtat
- Service d'hématologie clinique, hôpital Militaire d'instruction Mohammed V Rabat, Maroc
| | - S E El Khadir
- Service de médecine A, hôpital Militaire Moulay Ismail Meknès, Maroc
| | - M K Moudden
- Service de médecine A, hôpital Militaire Moulay Ismail Meknès, Maroc
| | - K Doghmi
- Service d'hématologie clinique, hôpital Militaire d'instruction Mohammed V Rabat, Maroc
| | - M Mikdame
- Service d'hématologie clinique, hôpital Militaire d'instruction Mohammed V Rabat, Maroc
| | - M El Baaj
- Service de médecine A, hôpital Militaire Moulay Ismail Meknès, Maroc
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5
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Karim Moudden M, Zinebi A, Zainoun B, El Baaj M. [Crohn’s and Takayasu diseases]. Rev Prat 2017; 67:986. [PMID: 30516908] [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] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Affiliation(s)
| | - Ali Zinebi
- Service de médecine interne, hôpital militaire Moulay-Ismail, Meknès, Maroc
| | - Brahim Zainoun
- Service de radiologie, hôpital militaire Moulay- Ismail, Meknès, Maroc
| | - Mohamed El Baaj
- Pôle médical, hôpital militaire Moulay-Ismail, Meknès, Maroc
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6
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Ouzzad O, Kechna H, Moudden MK, Chkoura K, Hanafi SM. [Cardiac arrest during liver hydatid cyst surgery]. Pan Afr Med J 2015; 22:32. [PMID: 26664533 PMCID: PMC4662535 DOI: 10.11604/pamj.2015.22.32.6909] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2015] [Accepted: 09/01/2015] [Indexed: 12/05/2022] Open
Abstract
L'hydatidose est une pathologie fréquente qui reste encore endémique au Maroc. Sa localisation privilégiée est le foie. Son traitement repose essentiellement sur la chirurgie. Celui-ci est parfois incriminé dans la survenue de réactions allergiques sévères pouvant menacer le pronostic vital. Nous rapportons un nouveau cas de réaction anaphylactique sévère de grade IV peropératoire au cours d'une chirurgie de kystes hydatiques multiples du foie. Nous insistons sur la nécessité de sa reconnaissance rapide afin d'instaurer rapidement un traitement efficace. La prévention de cet accident est basée sur des précautions chirurgicales pour éviter les fuites ou les ruptures accidentelles peropératoires des kystes hydatiques.
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Affiliation(s)
- Omar Ouzzad
- Pôle d'anesthésie-Réanimation-Urgences, Hôpital Militaire Moulay Ismail, Meknès, Maroc
| | - Hicham Kechna
- Pôle d'anesthésie-Réanimation-Urgences, Hôpital Militaire Moulay Ismail, Meknès, Maroc
| | | | - Khalid Chkoura
- Pôle d'anesthésie-Réanimation-Urgences, Hôpital Militaire Moulay Ismail, Meknès, Maroc
| | - Sidi Mohamed Hanafi
- Pôle d'anesthésie-Réanimation-Urgences, Hôpital Militaire Moulay Ismail, Meknès, Maroc
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7
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Moudden MK, Ziadi T, Al Bouzidi A, Ouarssani A, Hadri L, El Baaj M. [Sarcoïdose in patient with chronic hepatitis C treated with pegylated interferon]. Rev Pneumol Clin 2014; 70:362-365. [PMID: 25131364 DOI: 10.1016/j.pneumo.2014.07.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [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: 05/23/2013] [Revised: 06/24/2014] [Accepted: 07/04/2014] [Indexed: 06/03/2023]
Abstract
Induced sarcoïdosis during therapy with interferon for chronic viral hepatitis C involves mainly by isolated cutaneous lesions or with lung lesions. Systemic forms are very rare. We report an observation. A 50-year-old patient developed a systemic sarcoïdosis two months after the end of treatment for hepatitis C with pegylated interferon and ribavirin with lung, joint and hepatic manifestations. After starting corticosteroid therapy, the evolution was favourable. Induced sarcoïdosis by interferon therapy is rare, treatment necessitates stopping interferon, and sometimes corticosteroid therapy.
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Affiliation(s)
- M K Moudden
- Service de médecine interne, hôpital militaire Moulay-Ismail, BP S15, Meknès, Maroc.
| | - T Ziadi
- Service de radiologie, hôpital militaire Moulay-Ismail, Meknès, Maroc
| | - A Al Bouzidi
- Service d'anatomopathologie, hôpital militaire Mohamed V Rabat, Meknès, Maroc
| | - A Ouarssani
- Service de pneumologie, hôpital militaire Moulay-Ismail, Meknès, Maroc
| | - L Hadri
- Pole médical, hôpital militaire Moulay-Ismail, Meknès, Maroc
| | - M El Baaj
- Service de médecine interne, hôpital militaire Moulay-Ismail, BP S15, Meknès, Maroc
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8
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Moudden MK, Touiheme N, Hommadi A, Hadri L, El Baaj M. [Rendu-Osler-Weber syndrome. A case report]. Rev Pneumol Clin 2013; 69:351-353. [PMID: 24210154 DOI: 10.1016/j.pneumo.2013.08.005] [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] [Subscribe] [Scholar Register] [Received: 03/22/2013] [Revised: 07/18/2013] [Accepted: 08/04/2013] [Indexed: 06/02/2023]
Affiliation(s)
- M K Moudden
- Service de médecine interne, hôpital militaire Moulay-Ismail, BP S15, Meknès, Maroc.
| | - N Touiheme
- Service d'otorhinolaryngologie, hôpital militaire Moulay-Ismail, BP S15, Meknès, Maroc
| | - A Hommadi
- Service de radiologie, hôpital militaire Moulay-Ismail, BP S15, Meknès, Maroc
| | - L Hadri
- Pôle médical, hôpital militaire Moulay-Ismail, BP S15, Meknès, Maroc
| | - M El Baaj
- Service de médecine interne, hôpital militaire Moulay-Ismail, BP S15, Meknès, Maroc
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9
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Hachimi MA, Hatim EA, Moudden MK, Elkartouti A, Errami M, Louzi L, Hanafi SM, Mahmoudi A. [The acute respiratory distress syndrome in malaria: is it always the prerogative of Plasmodium falciparum?]. Rev Pneumol Clin 2013; 69:283-286. [PMID: 23688721 DOI: 10.1016/j.pneumo.2013.03.001] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [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: 12/04/2012] [Revised: 03/10/2013] [Accepted: 03/11/2013] [Indexed: 06/02/2023]
Abstract
Severe malaria causes nearly one million deaths annually in endemic areas and is a public health priority worldwide. Severity associated with the occurrence of acute respiratory distress syndrome (ARDS) is a well-known complication of infection with Plasmodium falciparum and can reach 25% of infected adults. However, ARDS is less often described with other Plasmodium species. We report the case of a young Moroccan soldier who died in an array of ARDS related to malaria of Plasmodium ovale 7 months after his return from an endemic country.
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Affiliation(s)
- M A Hachimi
- Pôle d'anesthésie réanimation et urgences, hôpital militaire d'instruction Moulay Ismaïl, Meknès, Maroc.
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10
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Moudden MK, Boukhira A, Sarret D, Cazajous G, Labaye J, Herody M, Soler C, Didelot F. [Septicaemia due to Lactobacillus jensenii: bacteriological diagnostic orientation]. Ann Biol Clin (Paris) 2007; 65:299-302. [PMID: 17502304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2006] [Accepted: 01/30/2007] [Indexed: 05/15/2023]
Abstract
Septicaemia concerning Lactobacillus jensenii is exceptional. This bacteria commensal of the normal human flora is known for its low pathogenicity. We report here the observation of a woman, 50 years old, who was admitted in our service for an obstructive acute renal failure and who has presented a septicaemia due to L. jensenii, with a favourable issue by use of antibiotics (amoxicillin-clavulanic acid). This observation permits to report the clinical and bacteriological characteristics of L. jensenii. The importance of the immunodepressed status (diabetes mellitus, chronic renal failure) and use of the endoureteral acts is mentioned.
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Affiliation(s)
- M K Moudden
- Clinique de néphrologie et Unité d'hémodialyse, Hôpital d'instruction des armées du Val du Grâce, Paris, France.
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Niamane R, Karim Moudden M, Zyani M, Hda A. Protracted fever of unknown origin as the presenting symptom of Behçet’s disease. Report of a case. Joint Bone Spine 2005; 72:175-6. [PMID: 15797500 DOI: 10.1016/j.jbspin.2003.12.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [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: 08/22/2003] [Accepted: 12/12/2003] [Indexed: 10/26/2022]
Abstract
We report a case of Behçet's disease that presented as protracted fever of unknown origin. The diagnosis was established when a thromboembolic event and ora3l aphthous ulcers occurred simultaneously. Antibiotics had no effect on the fever, which resolved when glucocorticoid and anticoagulant therapy was given. Among causes of protracted fever of unknown origin, Behçet's disease is exceedingly rare but should be considered together with the other vasculitides. Above all, the presence of a fever should prompt a search for a thromboembolic complication.
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Affiliation(s)
- Radouane Niamane
- Department of Internal Medicine, Avicenne Armed Forces Hospital, Marrakech, Morocco.
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Jalal O, Niamane R, Zyani M, Moudden MK, Hda A. Polyneuropathie révélatrice d’une maladie de Behçet. À propos d’une observation. Rev Med Interne 2005; 26:76-9. [PMID: 15639333 DOI: 10.1016/j.revmed.2004.09.014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2004] [Accepted: 09/16/2004] [Indexed: 10/26/2022]
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