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Kharmoum S, Najdi A, Kharmoum J, Ait Benali H, Arifi S, Naciri S, Ismaili N, Elhfid M, Chraybi M, Errihani H, Shimi M. 91P Management challenges of extremity sarcomas in under-resourced settings: The first survey-based study in Morocco. ESMO Open 2023. [DOI: 10.1016/j.esmoop.2023.101128] [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: 04/05/2023] Open
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El Hadadi F, Mezni L, Meziane M, Ismaili N, Benzekri L, Senouci K. 149 Sweet’s Syndrome: One Center Study of 42 Patients. J Invest Dermatol 2022. [DOI: 10.1016/j.jid.2022.09.159] [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: 11/19/2022]
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Mezni L, El Hadadi F, Meziane M, Ismaili N, Benzekri L, Senouci K. 150 Rituximab in the treatment of pemphigus: A single-center Moroccan analysis of 43 cases. J Invest Dermatol 2022. [DOI: 10.1016/j.jid.2022.09.160] [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: 11/19/2022]
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4
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El Hadadi F, Mezni L, Meziane M, Ismaili N, Benzekri L, Senouci K. 155 Spectrum Of Skin Neglected Tropical Diseases: A Single Center Clinical Experience in Morocco. J Invest Dermatol 2022. [DOI: 10.1016/j.jid.2022.09.165] [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: 11/19/2022]
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Hamich S, Sqalli Houssaini A, Meziane M, Ismaili N, Benzekri L, Senouci K. Syndrome De Lyell Et Syndrome De Stevens-Johnson: Étude Rétrospective De 30 Cas. Ann Burns Fire Disasters 2022; 35:116-124. [PMID: 36381342 PMCID: PMC9416682] [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] [Subscribe] [Scholar Register] [Received: 05/07/2021] [Accepted: 05/15/2021] [Indexed: 06/16/2023]
Abstract
Stevens-Johnson syndrome and Lyell syndrome are severe bullous drug reactions that can be life-threatening. The aim of this study is to describe the epidemiological, etiological, clinical, therapeutic and evolutionary data of patients hospitalized in our Dermatology Department. This is a retrospective descriptive study over a period of 10 years. All records of patients admitted to the Dermatology Department for these cutaneous adverse drug reactions were included. A total of 30 patients were recorded, with a male predominance. There were 18 cases of Lyell syndrome, 8 cases of Stevens-Johnson syndrome and 4 cases of overlap syndrome. The mean time to onset after drug administration was 7.5 days. The average skin area detached was 48%. Visceral involvement was frequently observed: pulmonary involvement, renal involvement, hepatic cytolysis and hematological involvement. The notion of medication was found in all our patients, with self-medication in 23% of cases. The reason for prescription was dominated by post-surgical anticonvulsant prophylaxis. All our patients received symptomatic treatment, and corticosteroid therapy was administered in only one patient for macrophagic activation syndrome. The mortality rate was of 17%. Skin area involved, presence of renal failure or respiratory distress were the main prognostic factors.
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Affiliation(s)
- S. Hamich
- Service de Dermatologie et de Vénéréologie, CHU Ibn Sina, Université Mohamed V, 10100 Rabat, Maroc
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Lahmidi I, Assoweh CD, Haddiya I, Bentata Y, Ouafi NE, Ismaili N. Clinicopathological features of adult right-sided cardiac masses: Analysis of 19 cases. Ann Med Surg (Lond) 2022; 77:103613. [PMID: 35638074 PMCID: PMC9142628 DOI: 10.1016/j.amsu.2022.103613] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2022] [Revised: 04/08/2022] [Accepted: 04/08/2022] [Indexed: 11/22/2022] Open
Abstract
Background Right sided cardiac masses are rare. The purpose of this study is to review the clinical experience and pathological characteristics of right-sided cardiac masses and to provide a prognostic analysis in our hospital. Methods We retrospectively reviewed 19 consecutive cases of right heart masses diagnosed in our institution from 2016 to February 2020. All available clinicopathological features, imaging characteristics and disease outcomes were summarized and presented. Results The subjects included 9 men and 10 women with a mean age of 48.5 years. The most frequent complaint was dyspnea. The most common site was the right atrium (42.1%) followed by the tricuspid valve (36.8%). Clinical diagnosis revealed vegetations in 8 patients (42.1%), thrombi in 7 patients (36.8%), myxoma in 1 patient, hydatid cyst in 1 patient and metastatic (secondary) masse was seen in 2 cases. In the 19 patients, 3 patients underwent surgery, 15 patients were managed with medical treatment, therapeutic abstention was indicated in one patient. 14 patients were all alive at the end of the follow-up period. In contrast, 5 patients were dead (26.3%). Conclusion In our series, the majority of right cardiac masses were benign, outnumbering the malignant ones, as described in the literature. The mortality rate was relatively high about 26.3%.
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Affiliation(s)
- I Lahmidi
- Department of Cardiology, Laboratory of Epidemiology, Clinical Research and Public Health, Medical School, University Mohammed the First, Oujda, Morocco
| | - C Darar Assoweh
- Department of Cardiology, Laboratory of Epidemiology, Clinical Research and Public Health, Medical School, University Mohammed the First, Oujda, Morocco
| | - I Haddiya
- Department of Nephrology, Laboratory of Epidemiology, Clinical Research and Public Health, Medical School, University Mohammed the First, Oujda, Morocco
| | - Y Bentata
- Department of Nephrology, Laboratory of Epidemiology, Clinical Research and Public Health, Medical School, University Mohammed the First, Oujda, Morocco
| | - N El Ouafi
- Department of Cardiology, Laboratory of Epidemiology, Clinical Research and Public Health, Medical School, University Mohammed the First, Oujda, Morocco
| | - N Ismaili
- Department of Cardiology, Laboratory of Epidemiology, Clinical Research and Public Health, Medical School, University Mohammed the First, Oujda, Morocco
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Kallel O, Bourouis I, Bougrine R, Housni B, El Ouafi N, Ismaili N. Acute myocarditis related to Covid-19 infection: 2 cases report. Ann Med Surg (Lond) 2021; 66:102431. [PMID: 34075319 PMCID: PMC8152366 DOI: 10.1016/j.amsu.2021.102431] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2021] [Revised: 05/17/2021] [Accepted: 05/22/2021] [Indexed: 12/15/2022] Open
Abstract
INTRODUCTION AND IMPORTANCE Since COVID 19 was described for the first time in December 2019, we have not stopped discovering its different clinical manifestations. Despite the respiratory complication which is the most common symptomatology, multi-organ dysfunction and multiple cardiovascular complications were described such as acute myocarditis, heart failure and even arrhythmias. CASES PRESENTATION Two patients aged 26 and 56 year-old, developed acute myocarditis related to Covid-19 infection but with different symptomatology. CASE 1 Presented to the emergency room with digestive symptomatology, Covid-19 infection was confirmed by a positive chest CT scan and positive COVID-19 serology testing. Clinical, biological, radiological findings allowed making the diagnosis of a Covid-19 infection with a bacterial superinfection complicated by a fulminant myocarditis. CASE 2 Presented to the emergency department with a chest pain, dyspnoea, paroxistic cough, myalgia and fever. A Covid-19 infection was confirmed. The electrocardiogram showed a diffuse ST elevation, echocardiography showed normal systolic function and the high-sensitivity cardiac troponin I level was high. Invasive coronary angiography was performed, revealing angiographically normal coronary arteries. CLINICAL DISCUSSION Our 2 cases were treated differently, case 1 received antibiotherapy because of the bacterial superinfection and inotropic support for the septic and cardiogenic choc. Contrarily to case 2 who received inotropic support, immunoglobulin and corticosteroid. With a total recovery for both patients. CONCLUSION This article can help in considering cardiac affection due to SARS-CoV2, even with poor respiratory symptomatology, and to insist on the importance of the cardiac evaluation for young patients with a sever Covid-19 infection.
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Affiliation(s)
- O. Kallel
- Department of Cardiology, Mohammed VI University Hospital of Oujda, Faculty of Medicine and Pharmacy, Mohammed the First University of Oujda, Morocco
- Laboratory of Epidemiology, Clinical Research and Public Health, Faculty of Medicine and Pharmacy, Mohammed the First University of Oujda, Morocco
| | - I. Bourouis
- Department of Cardiology, Mohammed VI University Hospital of Oujda, Faculty of Medicine and Pharmacy, Mohammed the First University of Oujda, Morocco
| | - R. Bougrine
- Department of Cardiology, Mohammed VI University Hospital of Oujda, Faculty of Medicine and Pharmacy, Mohammed the First University of Oujda, Morocco
| | - B. Housni
- Department of Anaesthesiology and Reanimation, Mohammed VI University Hospital of Oujda, Mohammed the First University of Oujda, Morocco
| | - N. El Ouafi
- Department of Cardiology, Mohammed VI University Hospital of Oujda, Faculty of Medicine and Pharmacy, Mohammed the First University of Oujda, Morocco
- Laboratory of Epidemiology, Clinical Research and Public Health, Faculty of Medicine and Pharmacy, Mohammed the First University of Oujda, Morocco
| | - N. Ismaili
- Department of Cardiology, Mohammed VI University Hospital of Oujda, Faculty of Medicine and Pharmacy, Mohammed the First University of Oujda, Morocco
- Laboratory of Epidemiology, Clinical Research and Public Health, Faculty of Medicine and Pharmacy, Mohammed the First University of Oujda, Morocco
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Kallel O, Charmake D, Chergui I, El Ouafi N, Ismaili N. Patent foramen oval: A rare case of acute ischemia of the upper limb: A case with 2 year follow-up. Ann Med Surg (Lond) 2021; 63:102188. [PMID: 33717477 PMCID: PMC7921751 DOI: 10.1016/j.amsu.2021.102188] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2021] [Revised: 02/17/2021] [Accepted: 02/17/2021] [Indexed: 11/30/2022] Open
Abstract
Introduction and importance Paradoxical emboli (PDE) represent less than 2% of all arterial emboli, that is why they are considered as a rare event. We notice that the upper limb ischemia is very exceptional as part of a paradoxical embolism. This case presentation can help in considering the diagnosis the PFO as one of the most important risk factors of paradoxical embolism. Case presentation Here, we present a rare case of a 69-year-old woman with paradoxical systemic arterial embolism, presented by an acute ischemia of the upper limb, secondary to deep venous thrombosis and pulmonary embolism in the presence of patent foramen ovale, treated with long-term anticoagulation with rivaroxiban 20 mg/day, because of the mutation of the Factor II whish indicate already the anticoagulation. Discussion Echocardiographic techniques such as transthoracic echocardiography (TTE), transesophageal echocardiography (TEE), or transcranial echocardiography (TCE) are the principal tools used to detect PFO. There are no clear consensus on the treatment of PDE. Presenting symptoms largely depend upon the location of the embolus, necessitating a different approach for each patient, but There is essentially three therapeutic options: surgical embolectomy, thrombolysis, and anticoagulation. Conclusion PFO closure is, today, a standardized and safe intervention, but the indication stay individualized to each patient. Paradoxical emboli represent less than 2% of all arterial emboli, that is why they are considered as a rare event. The patent foramen oval stay the most frequent intracardiac defect associated with paradoxical emboli. transesophageal echocardiography TEE is the most reliable diagnostic test of the patent foramen oval. Recommendations for treatment should be individualized.
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Affiliation(s)
- O Kallel
- Department of Cardiology, Mohammed VI University Hospital of Oujda, Mohammed First University of Oujda, Morocco
| | - D Charmake
- Department of Cardiology, Mohammed VI University Hospital of Oujda, Mohammed First University of Oujda, Morocco
| | - I Chergui
- Department of Cardiology, Mohammed VI University Hospital of Oujda, Mohammed First University of Oujda, Morocco
| | - N El Ouafi
- Department of Cardiology, Mohammed VI University Hospital of Oujda, Mohammed First University of Oujda, Morocco.,Laboratory of Epidemiology, Clinical Research and Public Health, Faculty of Medicine and Pharmacy, Mohammed the First University of Oujda, Morocco
| | - N Ismaili
- Department of Cardiology, Mohammed VI University Hospital of Oujda, Mohammed First University of Oujda, Morocco.,Laboratory of Epidemiology, Clinical Research and Public Health, Faculty of Medicine and Pharmacy, Mohammed the First University of Oujda, Morocco
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Sialiti S, Maouni S, Abdelmouttalib A, Meziane M, Ismaili N, Benzekri L, Senouci K. Pyoderma gangrenosum révélant une artérite de Takayasu chez l’enfant. Ann Dermatol Venereol 2020. [DOI: 10.1016/j.annder.2020.09.289] [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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Maouni S, Mezni L, Abdelmouttalib A, Znati K, Meziane M, Ismaili N, Benzekri L, Senouci K. Amylose papuleuse généralisée traitée avec succès par acitrétine et acide trichloro-acétique. Ann Dermatol Venereol 2020. [DOI: 10.1016/j.annder.2020.10.011] [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: 11/16/2022]
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El Hadadi F, Mezni L, Znati K, Meziane M, Ismaili N, Benzekri L, Senouci K. Abcès froids cutanés révélant une tuberculose ostéo-articulaire. Ann Dermatol Venereol 2020. [DOI: 10.1016/j.annder.2020.10.009] [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: 10/22/2022]
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Toutai C, Berrajaa M, Aissaoui H, Elouafi N, Jabi R, Bouziane M, Latrech H, Housni B, Ismaili N. Rare association of aortoarteritis and pheochromocytoma: A case report. Int J Surg Case Rep 2020; 77:91-95. [PMID: 33157340 PMCID: PMC7649416 DOI: 10.1016/j.ijscr.2020.10.048] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2020] [Revised: 10/14/2020] [Accepted: 10/15/2020] [Indexed: 11/30/2022] Open
Abstract
Pheochromocytoma is a great masquerador. The coexistence of pheochromocytoma along with both aortoarteritis and renal artery stenosis is very rare. Management of vascular abnormalities is based on the control of catecholamine release. Pheochromocytoma should be included as differential diagnosis of aortoarteritis.
Introduction Pheochromocytoma is an uncommon but treatable cause of secondary hypertension, it may present with a wide variety of manifestations. The coexistence of pheochromocytoma and vascular abnormalities is described but rarely reported entity. Presentation of case A 36-year-old man was admitted to our hospital for severe hypertension, examination revealed absent femoral pulses with notion of intermittent claudication. Abdominal computed tomography revealed the presence of a right adrenal pheochromocytoma. CT angiogram showed thickening of the thoracoabdominal aortic wall and the proximal portions of some of its branches with stenosis of more than 50% of the origin of the celiac trunk, bilateral occlusion of the external iliac arteries and trunk stenosis of the right renal artery. The Pheochromocytoma was surgically removed. Discussion Coexistence of pheyochromocytoma and vascular abnormalities especially renal artery stenosis and aortoarteritis seems to be an association rather than a coincidence. Conclusion To the best of our knowledge, the coexistence of pheochromocytoma along with both aortoarteritis and renal artery stenosis has not been reported thus far. The diagnosis, management and potential mechanisms underlying such an association will be discussed in this case.
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Affiliation(s)
- C Toutai
- Department of Cardiology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Laboratory of Epidemiology and Public Health, Oujda, Morocco.
| | - M Berrajaa
- Department of Cardiology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Laboratory of Epidemiology and Public Health, Oujda, Morocco
| | - H Aissaoui
- Department of Cardiology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Laboratory of Epidemiology and Public Health, Oujda, Morocco
| | - N Elouafi
- Department of Cardiology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Laboratory of Epidemiology and Public Health, Oujda, Morocco
| | - R Jabi
- Department of General Surgery, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Oujda, Morocco
| | - M Bouziane
- Department of General Surgery, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Oujda, Morocco
| | - H Latrech
- Department of Endocrinology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Oujda, Morocco
| | - B Housni
- Intensive Care Unit, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Oujda, Morocco
| | - N Ismaili
- Department of Cardiology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Laboratory of Epidemiology and Public Health, Oujda, Morocco
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Aissaoui H, Hdidou Y, Bougrine R, Ismaili N, Ouafi NE. Infective Endocarditis Caused by Klebsiella Oxytoca in a Patient with Hemodialysis: A CARE-Compliant Case Report and Review of the Literature. J Saudi Heart Assoc 2020; 32:307-310. [PMID: 33154934 PMCID: PMC7640571 DOI: 10.37616/2212-5043.1107] [Citation(s) in RCA: 2] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2020] [Revised: 05/28/2020] [Accepted: 05/30/2020] [Indexed: 11/20/2022] Open
Abstract
The rarity of endocarditis due to Klebsiella species limits its recognition. We report the case of a 63-year-old man, known to have a tight calcified aortic stenosis presenting with acute heart failure associated with high fever. Klebsiella oxytoca endocarditis was diagnosed based on three sets of positive blood cultures together with fluttering vegetation (11 mm × 14 mm) on the middle segment of the anterior leaflet of the mitral valve. After 6 weeks of intravenous ceftriaxone and gentamicin bi-therapy, the patient had completely recovered. This case illustrates how sporadic this condition is, for which early assessment and proper treatment are crucial to enhance the short outcomes.
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Affiliation(s)
- H Aissaoui
- Department of Cardiology/Mohammed I University of Oujda/Mohammed VI University Hospital/Epidemiological Laboratory of Clinical Research and Public Health, Oujda, Morocco
| | - Y Hdidou
- Department of Cardiology/Mohammed I University of Oujda/Mohammed VI University Hospital/Epidemiological Laboratory of Clinical Research and Public Health, Oujda, Morocco
| | - R Bougrine
- Department of Cardiology/Mohammed I University of Oujda/Mohammed VI University Hospital/Epidemiological Laboratory of Clinical Research and Public Health, Oujda, Morocco
| | - N Ismaili
- Department of Cardiology/Mohammed I University of Oujda/Mohammed VI University Hospital/Epidemiological Laboratory of Clinical Research and Public Health, Oujda, Morocco
| | - N El Ouafi
- Department of Cardiology/Mohammed I University of Oujda/Mohammed VI University Hospital/Epidemiological Laboratory of Clinical Research and Public Health, Oujda, Morocco
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Houssaini MS, Damou M, Guessous F, Ismaili N. P-358 Mutational status in Ras/Raf/MAPK signaling pathway in Moroccan colorectal cancer patients. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.04.440] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Maouni S, Sqalli A, El Anzi O, El Hadadi F, Mezni L, Elmeknassi I, Znati K, Meziane M, Benzekri L, Ismaili N, Senouci K, Hassam B. [Multiple crusty ulcerative lesions revealing systemic sarcoidosis]. Ann Dermatol Venereol 2019; 147:54-56. [PMID: 31676045 DOI: 10.1016/j.annder.2019.08.017] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2019] [Revised: 06/20/2019] [Accepted: 08/30/2019] [Indexed: 10/25/2022]
Affiliation(s)
- S Maouni
- Service de dermatologie et de vénérologie, université Mohammed V., centre hospitalier universitaire Ibn Sina, Rabat, Maroc.
| | - A Sqalli
- Service de dermatologie et de vénérologie, université Mohammed V., centre hospitalier universitaire Ibn Sina, Rabat, Maroc
| | - O El Anzi
- Service de dermatologie et de vénérologie, université Mohammed V., centre hospitalier universitaire Ibn Sina, Rabat, Maroc
| | - F El Hadadi
- Service de dermatologie et de vénérologie, université Mohammed V., centre hospitalier universitaire Ibn Sina, Rabat, Maroc
| | - L Mezni
- Service de dermatologie et de vénérologie, université Mohammed V., centre hospitalier universitaire Ibn Sina, Rabat, Maroc
| | - I Elmeknassi
- Service de dermatologie et de vénérologie, université Mohammed V., centre hospitalier universitaire Ibn Sina, Rabat, Maroc
| | - K Znati
- Service d'anatomo-pathologie, université Mohammed V., centre hospitalier universitaire Ibn Sina, Rabat, Maroc
| | - M Meziane
- Service de dermatologie et de vénérologie, université Mohammed V., centre hospitalier universitaire Ibn Sina, Rabat, Maroc
| | - L Benzekri
- Service de dermatologie et de vénérologie, université Mohammed V., centre hospitalier universitaire Ibn Sina, Rabat, Maroc
| | - N Ismaili
- Service de dermatologie et de vénérologie, université Mohammed V., centre hospitalier universitaire Ibn Sina, Rabat, Maroc
| | - K Senouci
- Service de dermatologie et de vénérologie, université Mohammed V., centre hospitalier universitaire Ibn Sina, Rabat, Maroc
| | - B Hassam
- Service de dermatologie et de vénérologie, université Mohammed V., centre hospitalier universitaire Ibn Sina, Rabat, Maroc
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El Meghraoui H, Boutaleb R, Berrajaa M, Haddiya I, Ismaili N, El Ouafi N, Bentata Y. Insuffisance rénale aiguë induite par les produits de contraste iodés lors des procédures interventionnelles cardiologiques : facteurs de risque et pronostic. Nephrol Ther 2019. [DOI: 10.1016/j.nephro.2019.07.233] [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: 10/26/2022]
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17
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Elanzi O, Maouni S, Sqalli A, Meziane M, Znati K, Ismaili N, Benzekri L, Senouci K, Hassam B. [Perineal localization of Langerhans cell histiocytosis]. Ann Dermatol Venereol 2019; 146:683-684. [PMID: 31324346 DOI: 10.1016/j.annder.2019.04.022] [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] [Subscribe] [Scholar Register] [Received: 01/24/2019] [Revised: 02/27/2019] [Accepted: 04/08/2019] [Indexed: 10/26/2022]
Affiliation(s)
- O Elanzi
- Service de dermatologie et de vénérologie, centre hospitalier universitaire Ibn Sina, université Mohammed V, 10170 Rabat, Maroc.
| | - S Maouni
- Service de dermatologie et de vénérologie, centre hospitalier universitaire Ibn Sina, université Mohammed V, 10170 Rabat, Maroc
| | - A Sqalli
- Service de dermatologie et de vénérologie, centre hospitalier universitaire Ibn Sina, université Mohammed V, 10170 Rabat, Maroc
| | - M Meziane
- Service de dermatologie et de vénérologie, centre hospitalier universitaire Ibn Sina, université Mohammed V, 10170 Rabat, Maroc
| | - K Znati
- Service d'anatomopathologie, centre hospitalier universitaire Ibn Sina, université Mohammed V, 10170 Rabat, Maroc
| | - N Ismaili
- Service de dermatologie et de vénérologie, centre hospitalier universitaire Ibn Sina, université Mohammed V, 10170 Rabat, Maroc
| | - L Benzekri
- Service de dermatologie et de vénérologie, centre hospitalier universitaire Ibn Sina, université Mohammed V, 10170 Rabat, Maroc
| | - K Senouci
- Service de dermatologie et de vénérologie, centre hospitalier universitaire Ibn Sina, université Mohammed V, 10170 Rabat, Maroc
| | - B Hassam
- Service de dermatologie et de vénérologie, centre hospitalier universitaire Ibn Sina, université Mohammed V, 10170 Rabat, Maroc
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Benahmed I, El Kasimi A, Laachach H, Ismaili N, elouafi N. Spontaneous Coronary Artery Dissection (SCAD): A Series of 7 Cases, Experience of the University Hospital Center Mohammed VI, Oujda, Morocco. Adv Med 2018; 2018:1964394. [PMID: 30386796 PMCID: PMC6189686 DOI: 10.1155/2018/1964394] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/12/2018] [Accepted: 05/07/2018] [Indexed: 11/26/2022] Open
Abstract
Spontaneous coronary artery dissection is a less known pathology by the cardiologists and represents a real challenge especially to the interventional cardiologist. The positive diagnosis is based on the visualization of intimal flap with the false lumen by intracoronary imaging means. This entity particularly interests young people without classic cardiovascular risk factors of atherosclerosis and female during the peripartum period. We report, in this paper, our experience in the University Hospital Center of Mohammed VI, Oujda, Morocco, about 7 cases diagnosed by coronary angiography during 3 years of practice while comparing our results with data from large series published in the literature. The purpose of this work is to draw more attention to this particular pathology that is becoming more and more common.
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Affiliation(s)
- I. Benahmed
- Cardiology Department, University Hospital Center Mohammed VI, Oujda, Morocco
| | - A. El Kasimi
- Cardiology Department, University Hospital Center Mohammed VI, Oujda, Morocco
| | - H. Laachach
- Cardiology Department, University Hospital Center Mohammed VI, Oujda, Morocco
| | - N. Ismaili
- Laboratory of Epidemiology, Clinical Research and Public Health, Faculty of Medicine, University of Mohammed First, Oujda, Morocco
| | - N. elouafi
- Laboratory of Epidemiology, Clinical Research and Public Health, Faculty of Medicine, University of Mohammed First, Oujda, Morocco
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Salim S, El Gaitibi F, Meziane M, Ismaili N, Bnezekri L, Senouci K, Hassam B. Ulcère de Marjolin : une complication redoutable des séquelles de brûlures. Ann Dermatol Venereol 2018. [DOI: 10.1016/j.annder.2018.03.159] [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: 10/17/2022]
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Bentata Y, Hamdi F, Chemlal A, Haddiya I, Ismaili N, El Ouafi N. Uremic pericarditis in patients with End Stage Renal Disease: Prevalence, symptoms and outcome in 2017. Am J Emerg Med 2017; 36:464-466. [PMID: 29248269 DOI: 10.1016/j.ajem.2017.11.048] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [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: 10/01/2017] [Revised: 11/06/2017] [Accepted: 11/19/2017] [Indexed: 10/18/2022] Open
Abstract
The prevalence of uremic pericarditis (UP) used to range from 3% to 41%. More recently, it has decreased to about 5%-20% and to <5% in the last decades, as hemodialysis techniques have become widely used and dialysis quality improved. The objective of this work is to determine the initial clinical picture and the prognosis of patients presenting End Stage Renal Disease (ESRD) with UP. MATERIALS This is a retrospective study (May 2015-September 2017). Inclusion criteria targeted patients who had uremic pericarditis defined as pericarditis occurring in a patient with ESRD before initiation of renal replacement therapy, or within eight weeks of its initiation. RESULTS 16 patients met the inclusion criteria. The median age of patients was 54 [24, 71] years and 56.2% were male. Pericardial effusion was small, moderate and large in 31.2%, 37.6% and 31.2% of cases respectively. One pericardiocentesis was performed in view of a clinical picture of impending cardiac tamponade and three pericardial drainages were performed given presentation of tamponade. Hemodialysis was initiated for all the patients and continued for 2 to 3weeks until complete regression of the pericardial effusion. The mean number of dialysis sessions was 11±3.5. One patient died of septic shock that developed three weeks after diagnosis of uremic pericarditis. CONCLUSION UP is considered a rare but fatal complication of ESRD because of the risk of tamponade and its prognosis remains dependent on early diagnosis and adequate treatment of ESRD.
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Affiliation(s)
- Yassamine Bentata
- Department of Nephrology, Medical School of Oujda, University Mohammed the First, Oujda, Morocco; Laboratory of Epidemiology, Clinical Research and Public Health, Medical School, University Mohammed The First, Oujda, Morocco.
| | - F Hamdi
- Department of Nephrology, Medical School of Oujda, University Mohammed the First, Oujda, Morocco
| | - A Chemlal
- Department of Nephrology, Medical School of Oujda, University Mohammed the First, Oujda, Morocco
| | - I Haddiya
- Department of Nephrology, Medical School of Oujda, University Mohammed the First, Oujda, Morocco
| | - N Ismaili
- Department of Cardiology, Medical School of Oujda, University Mohammed the First, Oujda, Morocco
| | - N El Ouafi
- Department of Cardiology, Medical School of Oujda, University Mohammed the First, Oujda, Morocco
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Mansouri S, Mai S, Bounssir A, Benzekri L, Ismaili N, Hassam B. Lombalgies et neurofibromatose de type 1 : une association à ne pas négliger. Ann Dermatol Venereol 2017. [DOI: 10.1016/j.annder.2017.09.265] [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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Lakhmiri M, Benzekri A, Meziane M, Ismaili N, Benzekri L, Senouci K, Hassam B. Lichen hypertrophique : succès de l’association acide trichloroacétique à 50 % — clobétasol en occlusion. Ann Dermatol Venereol 2017. [DOI: 10.1016/j.annder.2017.09.564] [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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Zaouri H, Amarouch H, Elmakrini N, Tazi N, Ismaili N, Benzekri L, Senouci K, Hassam B. [Diffuse cutaneous mastocytosis of an infant: A case report]. Arch Pediatr 2016; 23:1150-1152. [PMID: 27670724 DOI: 10.1016/j.arcped.2016.08.003] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2016] [Revised: 05/15/2016] [Accepted: 08/05/2016] [Indexed: 11/18/2022]
Abstract
Mastocytosis is a group of diseases related to abnormal accumulation and proliferation of mast cells in one or more organs. They may be associated with an acquired point mutation and the activation of the receptor tyrosine-kinase c-KIT of CFS (mast cell growth factor). The clinical manifestations are varied and secondary to the release of mast cell mediators and/or infiltration of various organs. There are two main types of mastocytosis: pure cutaneous mastocytosis and systemic mastocytosis when more than two organs are involved in mast cell infiltration (bone marrow, gastrointestinal tract, bone, liver and spleen, lymph nodes). Mastocytosis affects children in two thirds of cases, most frequently as an isolated cutaneous form. The most common clinical form in children is urticaria pigmentosa and solitary mastocytoma; bullous diffuse mastocytosis is rare. We report the case of an 8-month-old infant who presented with a diffuse pruritic bullous eruption. The histology and immunohistochemistry results were suggestive of mastocytosis. A serum tryptase test yielded positive results. Laboratory investigations did not identify systemic involvement. The patient was given antihistamine H1 medication and local care. Advice regarding the disease was offered to the parents. The course of the disease was marked by a decrease in the number of blisters and attenuation of the pruritus at the 6-month follow-up. This observation emphasizes the importance of awareness of this rare entity, which should be considered in all cases of bullous dermatosis in children, thereby allowing for early treatment.
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Affiliation(s)
- H Zaouri
- Service de dermatologie, centre hospitalier universitaire Ibn Sina, rue Famfdal Cherkaoui, BP 6527, 10000 Rabat, Maroc.
| | - H Amarouch
- Service de dermatologie, centre hospitalier universitaire Ibn Sina, rue Famfdal Cherkaoui, BP 6527, 10000 Rabat, Maroc
| | - N Elmakrini
- Service de dermatologie, centre hospitalier universitaire Ibn Sina, rue Famfdal Cherkaoui, BP 6527, 10000 Rabat, Maroc
| | - N Tazi
- Centre d'anatomie pathologique les nations unies, Rabat, Maroc
| | - N Ismaili
- Service de dermatologie, centre hospitalier universitaire Ibn Sina, rue Famfdal Cherkaoui, BP 6527, 10000 Rabat, Maroc
| | - L Benzekri
- Service de dermatologie, centre hospitalier universitaire Ibn Sina, rue Famfdal Cherkaoui, BP 6527, 10000 Rabat, Maroc
| | - K Senouci
- Service de dermatologie, centre hospitalier universitaire Ibn Sina, rue Famfdal Cherkaoui, BP 6527, 10000 Rabat, Maroc
| | - B Hassam
- Service de dermatologie, centre hospitalier universitaire Ibn Sina, rue Famfdal Cherkaoui, BP 6527, 10000 Rabat, Maroc
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Affiliation(s)
- H Amarouch
- Resident in the Dermatology Department, University Hospital of IBN SINA, and University Hospital of Avicenna, University of Mohamed V, Rabat, Morocco
| | - H Zaouri
- Resident in the Dermatology Department, University Hospital of IBN SINA, Rabat, Morocco
| | - B Hassam
- Head of the Dermatology Department, University Hospital of IBN SINA, Rabat, Morocco
| | - N Ismaili
- Professor of Dermatology in the Dermatology Department, University Hospital of IBN SINA, Rabat, Morocco
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Ramli I, Rachadi H, Amarouch H, Znati K, Senouci K, Hassam B, Ismaili N. [Perioral pyoderma gangrenosum revealing systemic anaplastic lymphoma in a child]. Ann Dermatol Venereol 2016; 143:561-3. [PMID: 27174714 DOI: 10.1016/j.annder.2016.03.021] [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] [Subscribe] [Scholar Register] [Received: 11/13/2015] [Revised: 01/29/2016] [Accepted: 03/17/2016] [Indexed: 11/15/2022]
Affiliation(s)
- I Ramli
- Service de dermatologie et vénérologie, CHU Ibn Sina, université Mohammed V, Rabat, Maroc.
| | - H Rachadi
- Service de dermatologie et vénérologie, CHU Ibn Sina, université Mohammed V, Rabat, Maroc
| | - H Amarouch
- Service de dermatologie et vénérologie, CHU Ibn Sina, université Mohammed V, Rabat, Maroc
| | - K Znati
- Service de dermatologie et vénérologie, CHU Ibn Sina, université Mohammed V, Rabat, Maroc
| | - K Senouci
- Service de dermatologie et vénérologie, CHU Ibn Sina, université Mohammed V, Rabat, Maroc
| | - B Hassam
- Service de dermatologie et vénérologie, CHU Ibn Sina, université Mohammed V, Rabat, Maroc
| | - N Ismaili
- Service de dermatologie et vénérologie, CHU Ibn Sina, université Mohammed V, Rabat, Maroc
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Mansouri S, El Makrini N, Senouci K, Ismaili N, Hassam B. F13 : Spécificité de la transformation sarcomateuse de la maladie de Recklinghausen : une nouvelle observation d’une localisation rare. Ann Dermatol Venereol 2016. [DOI: 10.1016/s0151-9638(16)30120-x] [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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Guerouaz N, Ismaili N, Bousfiha M, Ailal F, Picard C, Hassam B, Senouci K. Le déficit en DOCK8 (dedicator of cytokinesis 8 gene) : à propos d’un nouveau cas. Ann Dermatol Venereol 2014. [DOI: 10.1016/j.annder.2014.09.186] [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: 10/24/2022]
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Ramli I, Tbatou F, Amarouch H, Rachadi H, Ait ourhroui M, Ismaili N, Senouci K, Hassam B. Érosions et ulcérations buccales en dermatologie : étude prospective à propos de 33 patients. Ann Dermatol Venereol 2014. [DOI: 10.1016/j.annder.2014.09.426] [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: 10/24/2022]
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29
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Rachadi H, Ramli I, Amarouch H, Bouhalab J, Berbich L, Senouci K, Hassam B, Ismaili N. Xanthomes tubéreux de présentation spectaculaire révélant une hypercholestérolémie familiale homozygote. Ann Dermatol Venereol 2014. [DOI: 10.1016/j.annder.2014.09.351] [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: 10/24/2022]
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Mahfoudi AE, Aloualou S, Elomrani A, Alaoui H, Ismaili N, Belbaraka G, Khouchani ME. Toxicité de la radiothérapie concomitante au trastuzumab : expérience du centre hospitalier universitaire Mohammed-VI de Marrakech. Cancer Radiother 2014. [DOI: 10.1016/j.canrad.2014.07.081] [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: 10/24/2022]
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31
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Benhiba H, Benzekri L, Bounnyit H, Moustachi A, Rimani M, Senouci K, Ait Ourhroui M, Ismaili N, Hassam B. Association actinomycétome cervico-brachial et hépatite B : difficultés thérapeutiques d’une rare localisation. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.10.013] [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: 10/26/2022]
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Abdou A, Moussaoui NE, Guerouaz N, Lamchahab F, Hassam B, Ismaili N. Syndrome de Lyell au paracétamol chez une fillette. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.09.414] [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: 10/26/2022]
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33
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Chakir K, Bouaddi M, Elamrani F, Elouazzani A, Jouid K, Kettani F, Hassam B, Ismaili N. Nodule cutané isolé révélant une maladie de Kaposi. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.254] [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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34
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Abil S, Madani N, Lamchahab F, Saidi A, Senouci K, Hassam B, Ismaili N. Lymphome cutané anaplasique à grandes cellules révélé par un syndrome d’activation macrophagique. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.230] [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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35
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EL Amrani F, Ismaili N, Hassam B. Intérêt de la TDM cérébrale dans le bilan systématique de neurofibromatose de type 1 chez l’adulte. Étude de 78 cas. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.283] [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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36
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Raffas W, Tbatou F, El Amrani L, Senouci K, Ismaili N, Hassam B. Atteinte œsophagienne au cours du pemphigus vulgaire : à ne pas méconnaître. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.269] [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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37
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Abil S, Madani N, Lamchahab F, Saidi A, Senouci K, Hassam B, Ismaili N. Lymphome cutané anaplasique à grandes cellules révélé par un syndrome d’activation Macrophagique. Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.10.558] [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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Ellouadghiri El Idrissi A, Hmamouchi I, Aoufi F, Hassam B, Ismaili N. Facteurs prédictifs de rechute du pityriasis versicolor : étude prospective d’une cohorte de 85 patients. Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.10.110] [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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Abil S, Bouhllab J, Zarkik S, Lamchahab FZ, Saidi A, Ismaili N, Senouci K, Hassam B. [Chondroid syringoma of the face]. Ann Dermatol Venereol 2012; 139:681-3. [PMID: 23122384 DOI: 10.1016/j.annder.2012.04.149] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2012] [Revised: 03/27/2012] [Accepted: 04/05/2012] [Indexed: 11/29/2022]
Affiliation(s)
- S Abil
- Service de dermatologie vénérologie, faculté de médecine et de pharmacie, université Mohamed V, CHU Ibn Sina Rabat, avenue Ahmed-Balafrej, 10000 Rabat, Maroc.
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Elmajjaoui S, Ismaili N, Hassouni K, Kebdani T, Benjaafar N. Modern Outcomes of Cervical Carcinoma in Moroccan Women Treated with Concurrent Chemoradiotherapy. Ann Oncol 2012. [DOI: 10.1016/s0923-7534(20)33557-2] [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] Open
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Ismaili N. Optimal management of extra-pulmonary small cell carcinoma and the role of prophylactic cranial irradiation. Strahlenther Onkol 2012; 188:632-3. [PMID: 22573206 DOI: 10.1007/s00066-012-0124-1] [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: 03/18/2012] [Accepted: 03/26/2012] [Indexed: 12/23/2022]
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Lamchahab FE, Tadlaoui I, Beqqal K, Bouattar T, Ouzeddoun N, Bayahia R, Ait Ourhroui M, Senouci K, Hassam B, Ismaili N. Maladie de Kaposi iatrogène en dehors du contexte de la transplantation : expérience marocaine. Ann Dermatol Venereol 2011. [DOI: 10.1016/j.annder.2011.10.225] [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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43
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Bensouda Y, Ismaili N, Ahbeddou N, El Hassani K, Chenna M, Sbitti Y, Boutayeb S, Errihani H. [Predictive factors of response to anthracyclines neoadjuvant chemotherapy in breast cancer]. ACTA ACUST UNITED AC 2011; 39:81-6. [PMID: 21324724 DOI: 10.1016/j.gyobfe.2010.12.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2009] [Accepted: 12/07/2010] [Indexed: 10/18/2022]
Abstract
OBJECTIVES Anthracyclines chemotherapy remains primordial and impossible to circumvent in the treatment of breast cancer, in the adjuvant, metastatic and neoadjuvant setting. But some breast invasive tumors are resistant to anthracyclines. The neoadjuvant model is ideal to test the chemosensibility by selecting the well-responder patients and identifying the predictive factors of this response. PATIENTS AND METHODS We report a retrospective study of 126 patients treated at our institute during 2 years (January 2003-December 2004) for a breast cancer with primary chemotherapy. All the patients received anthracyclines according to protocol AC60 (doxorubicine plus cyclophosphamide). RESULTS The clinical objective response rate (RO) was 67 % with a complete clinical response (RC) of 11 %. We found a pathological complete response (pCR) in seven patients (5,6 %) of the 126 cases. The statistical study identifies only two clinical factors as predictive of RC and pCR: tumoral size T2-T3 and clinical nodal status N0-N1, while the SBR grading and the hormonal receptors were not correlated. DISCUSSION AND CONCLUSION Some clinical and histological factors are recognized as predictive for the benefit of anthracyclines neoadjuvant chemotherapy, and correlated to the pCR; we discuss our results through those of the literature, by exposing the current data.
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Affiliation(s)
- Y Bensouda
- Service d'oncologie médicale, Institut national d'oncologie, BP 6213, avenue Allal-El-Fassi, Rabat, Maroc.
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Tanz R, Mahfoud T, Bazine A, Khmamouch R, Bensouda Y, Ismaili N, Benjaafar N, El Gueddari BK, Ichou M, Errihani H. [Cardiac safety of trastuzumab in adjuvant: a review across 53 observations]. ACTA ACUST UNITED AC 2011; 40:144-8. [PMID: 21227599 DOI: 10.1016/j.jgyn.2010.12.003] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2010] [Revised: 11/20/2010] [Accepted: 12/08/2010] [Indexed: 11/20/2022]
Abstract
Trastuzumab has been a revolution in the treatment of breast cancer overexpressing HER. Its use as an adjuvant for a period of 1 year is currently an international standard. Its major toxicity is cardiac, where the systematic monitoring of the LVEF before and during treatment. To evaluate the cardiac safety for our patients, we conducted this retrospective case-control study. The average in LVEF before the start of trastuzumab was 62.5% (51-80), and at the end of treatment 60.55 (40-77), a decrease in absolute value by 2%. This difference is statistically significant with P<0.001. Eighty-three percent of our patients have completed treatment, of whom 26.4% with a provisional arrest because of a regressive fall in LVEF. A final arrest has been made in 17% cases due to either a nonregressive reduction in LVEF or the appearance of symptomatic heart failure found in two patients. Analysis of risk factors toxicity found in this group of patients with a cardiotoxicity persisting an average age and average number of treatments received anthracyclines higher than the rest of our sample, and diminished baseline LVEF. But all these differences were not statistically significants. During the period of monitoring of these patients, six (67%) had spontaneous recovery of their LFEV 5 months ± 2.01 after discontinuation of trastuzumab. For two cases of symptomatic heart failure, they had a clinical improvement under medical treatment in February but is still less than 40%. The cardiac safety in our study seems comparable with the literature data but located in the upper range of levels of toxicity. The lack of statistical power of our study does not exclude a greater cardiac toxicity of trastuzumab among Moroccan women and should prompt a more cautious use of this drug and the achievement of larger studies that could answer this question.
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Affiliation(s)
- R Tanz
- Service d'oncologie médicale, hôpital militaire d'instruction Mohamed V, Rabat, Maroc.
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Boulaamane L, Lalya I, Tazi E, Essaadi I, Allam W, Ismaili N, M’rabti H, Benjaafar N, El Gueddari B, Errihani H. Le lymphome non hodgkinien de l’amygdale : série de 21 cas sur trois ans. Cancer Radiother 2010. [DOI: 10.1016/j.canrad.2010.07.549] [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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46
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Elmajjaoui S, Ismaili N, Kharmoum S, El kabbaj H, Elkacemi H, Elhassouni K, Elkebdani T, Errihani H, Benjaafar N, Elgueddari I. Cancer du col utérin : expérience du Maroc, à propos de 696 cas. Cancer Radiother 2010. [DOI: 10.1016/j.canrad.2010.07.571] [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: 10/19/2022]
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47
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Boulaamane L, El Mejjaoui S, Aassab R, Ismaili N, Lalya I, Mahfoud T, M’rabti H, Benjaafar N, El Gueddari B, Errihani H. Carcinome lobulaire infiltrant du sein : expérience marocaine à propos de 130 cas. Cancer Radiother 2010. [DOI: 10.1016/j.canrad.2010.07.550] [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: 10/19/2022]
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48
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Abahssain H, Lalya I, Tazi M, M’rabet F, Ismaili N, M’rabti H, Benjaafar N, Errihani H. La place de la radiothérapie dans la prise en charge du cancer du sein chez la femme de moins de 35 ans. Cancer Radiother 2010. [DOI: 10.1016/j.canrad.2010.07.514] [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: 10/19/2022]
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49
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Elkihal N, Senouci K, Hassam B, Ismaili N. [Cutaneous fistula revealing tubercular pyonephrosis]. Ann Dermatol Venereol 2010; 137:580-1. [PMID: 20804910 DOI: 10.1016/j.annder.2010.06.003] [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] [Subscribe] [Scholar Register] [Received: 09/10/2009] [Accepted: 04/23/2010] [Indexed: 10/19/2022]
Affiliation(s)
- N Elkihal
- Service de dermatologie, CHU de Rabat, Rabat, Maroc.
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Berrada N, Kharmoum S, Ismaili N, Kharmoum J, Boulaamane L, Sghiri T, Essadi I, Rahhali R, Mrabti H, Errihani H. The psychosocial impact of cancer in Moroccan families. J Clin Oncol 2010. [DOI: 10.1200/jco.2010.28.15_suppl.e19631] [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: 11/20/2022] Open
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