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El Ferkh R, Hadoux J, Lamartina L, Kamoun T, Cysique-Foinlan L, Jepiral G, Ducreux M, Baudin E, Marzac C, Baptiste Micol J. 888MO Emergence of clonal hematopoiesis after peptide receptor radionuclide therapy for neuroendocrine tumors. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.07.1014] [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: 11/17/2022] Open
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Weli M, Ben Hlima A, Belhadj R, Maalej B, Elleuch A, Mekki N, Gargouri L, Kamoun T, Barbouche MR, Mahfoudh A. Diagnosis and management of autoimmune hemolytic anemia in children. Transfus Clin Biol 2020; 27:61-64. [PMID: 32280062 DOI: 10.1016/j.tracli.2020.03.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [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: 01/27/2020] [Accepted: 03/18/2020] [Indexed: 11/25/2022]
Abstract
BACKGROUND AND AIM The aim of this study is to evaluate the clinical, biological and hematological profiles of autoimmune hemolytic anemia (AIHA) in children and to specify its etiologies, therapeutic modalities, and treatment responses. METHODS This is a 14-year retrospective study of AIHA cases collected at the department of pediatric emergency and reanimation of Hedi Chaker University Hospital in Sfax. We included patients under 14 years old with clinical and biological features of hemolysis and a positive direct antiglobulin test (DAT). The selected patients' demographic characteristics, physical signs, laboratory findings, and treatment responses were recorded. RESULTS Thirteen cases of AIHA were collected, including 8 girls and 5 boys. The median age at diagnosis was 4 years and 6 months (range: 8 months to 13 years). Consanguinity was reported in 6 cases and 4 patients had a previous infection history. The onset of AIHA was progressive in 9 cases, marked by an anemic syndrome and hemolysis symptoms in 6 and 8 cases, respectively. The clinical triad (pallor, jaundice and splenomegaly) was found in only 4 cases. At the time of diagnosis, the median hemoglobin (Hb) level was 6g/dL (range: 4.2 to 9.2g/dL), anemia was non-regenerative in 2 patients. Thrombocytopenia and neutropenia were noted in 5 and 1 patient, respectively. Peripheral smear examination showed spherocytosis in 2 cases. All the patients had a positive DAT. Of these, 10 were positive with IgG and 3 with both IgG and C3d. AIHA was secondary to other conditions in 9 patients: infection (3 cases), autoimmune disease (4 cases), and immunodeficiency (2 cases). All the patients received first-line corticosteroid therapy but only 8 of them required blood transfusions due to severe anemia. Complete remission was obtained in 7 cases. Corticosteroid resistance and dependence were noted in 1 and 2 cases, respectively. During evolution, additional therapy was indicated in 4 patients and it included cyclosporine A, azathioprine, and mycophenolate mofetil (MMF). After a median follow-up of 4.5 years, the cure rate was 80% and only 1 patient (a boy) died due to his underlying pathology. CONCLUSION Our study highlights the rarity, severity, and heterogeneity of etiological contexts of AIHA in children. The therapeutic difficulties justify specific expertise in pediatric hematology.
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Affiliation(s)
- M Weli
- Department of pediatric emergency and reanimation, Hedi Chaker university hospital of Sfax, Sfax, Tunisia; Faculty of medicine, university of Sfax, Sfax, Tunisia
| | - A Ben Hlima
- Department of pediatric emergency and reanimation, Hedi Chaker university hospital of Sfax, Sfax, Tunisia; Faculty of medicine, university of Sfax, Sfax, Tunisia
| | - R Belhadj
- Department of pediatrics, Hedi Cheker university hospital of Sfax, Sfax, Tunisia; Faculty of medicine, university of Sfax, Sfax, Tunisia.
| | - B Maalej
- Department of pediatric emergency and reanimation, Hedi Chaker university hospital of Sfax, Sfax, Tunisia; Faculty of medicine, university of Sfax, Sfax, Tunisia
| | - A Elleuch
- Department of pediatric emergency and reanimation, Hedi Chaker university hospital of Sfax, Sfax, Tunisia; Faculty of medicine, university of Sfax, Sfax, Tunisia
| | - N Mekki
- Laboratory of transmission, control and immunobiology of infections (LR11IPT02), Tunis, Tunisia
| | - L Gargouri
- Department of pediatric emergency and reanimation, Hedi Chaker university hospital of Sfax, Sfax, Tunisia; Faculty of medicine, university of Sfax, Sfax, Tunisia
| | - T Kamoun
- Department of pediatrics, Hedi Cheker university hospital of Sfax, Sfax, Tunisia; Faculty of medicine, university of Sfax, Sfax, Tunisia
| | - M-R Barbouche
- Laboratory of transmission, control and immunobiology of infections (LR11IPT02), Tunis, Tunisia
| | - A Mahfoudh
- Department of pediatric emergency and reanimation, Hedi Chaker university hospital of Sfax, Sfax, Tunisia; Faculty of medicine, university of Sfax, Sfax, Tunisia
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Maaloul I, Ameur SB, Chabchoub I, Kolsi R, Bahloul M, Kamoun T, Bouaziz M, Hachicha M. Fulminant mulch pneumonitis in a previously healthy child. Arch Pediatr 2018; 25:495-496. [PMID: 30340947 DOI: 10.1016/j.arcped.2018.09.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [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: 04/23/2018] [Revised: 09/09/2018] [Accepted: 09/23/2018] [Indexed: 10/28/2022]
Abstract
Chronic granulomatous disease (CGD) is associated with multiple and recurrent infections. In patients with CGD, invasive pulmonary infection with aspergillus species remains the greatest cause of mortality. Acute fulminant presentations of fungal pneumonia are catastrophic. It is a medical emergency, and currently the treatment is based on association of corticosteroids and antifungal therapy. We describe the case of an 11-year-old boy, with late initial presentation of CGD, which was revealed by fulminant aspergillus pneumonia. He was successfully treated with an association of high doses of steroids and voriconazole.
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Affiliation(s)
- I Maaloul
- Department of pediatrics, Sfax Medical School, Hedi Chaker Hospital, Sfax, Tunisia.
| | - S Ben Ameur
- Department of pediatrics, Sfax Medical School, Hedi Chaker Hospital, Sfax, Tunisia
| | - I Chabchoub
- Department of pediatrics, Sfax Medical School, Hedi Chaker Hospital, Sfax, Tunisia
| | - R Kolsi
- Department of pediatrics, Sfax Medical School, Hedi Chaker Hospital, Sfax, Tunisia
| | - M Bahloul
- Intensive care unit, Sfax Medical School, Habib Bourguiba Hospital, Sfax, Tunisia
| | - T Kamoun
- Department of pediatrics, Sfax Medical School, Hedi Chaker Hospital, Sfax, Tunisia
| | - M Bouaziz
- Intensive care unit, Sfax Medical School, Habib Bourguiba Hospital, Sfax, Tunisia
| | - M Hachicha
- Department of pediatrics, Sfax Medical School, Hedi Chaker Hospital, Sfax, Tunisia
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Sellami K, Amouri M, Kmiha S, Bahloul E, Aloulou H, Sfaihi L, Guirat R, Mseddi M, Kamoun T, Hachicha M, Turki H. Adverse Reactions Due to the Bacillus Calmette-Guerin Vaccine: Twenty Tunisian Cases. Indian J Dermatol 2018. [PMID: 29527028 PMCID: PMC5838757 DOI: 10.4103/ijd.ijd_327_17] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Background Bacillus Calmette-Guérin (BCG) vaccine is a widely used vaccine. Management of local BCG complications differs between clinicians, and the optimal approach remains unclear. Aims We aim to describe the epidemiological, clinical and therapeutic aspects of the BCG vaccine side effects in Sfax. Patients and Methods This was a retrospective study of all the cases of BCG vaccine adverse reactions recorded in the Dermatology and Paediatrics Departments of Hedi Chaker University Hospital of Sfax over a period of 10 years (2005-2015). Results Twenty cases of BCG adverse reactions were notified during the study period. Actually, 80% of the patients presented local adverse reactions. The outcome was good in all the followed patients. The rate of disseminated BCG disease was 20%. Biological tests of immunity showed a primary immunodeficiency in three cases, whereas the outcome was fatal in two cases. Conclusion BCG vaccine adverse reactions range from mild to severe. However, the management of benign local reactions remains unclear. Disseminated BCG disease must alert clinicians to the possibility of a primary immunodeficiency.
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Affiliation(s)
- Khadija Sellami
- Department of Dermatology, Hedi Chaker Hospital, Sfax, Tunisia
| | - Meriem Amouri
- Department of Dermatology, Hedi Chaker Hospital, Sfax, Tunisia
| | - Sana Kmiha
- Department of Paediatrics, Hedi Chaker Hospital, Sfax, Tunisia
| | - Emna Bahloul
- Department of Dermatology, Hedi Chaker Hospital, Sfax, Tunisia
| | - Hajer Aloulou
- Department of Paediatrics, Hedi Chaker Hospital, Sfax, Tunisia
| | - Lamia Sfaihi
- Department of Paediatrics, Hedi Chaker Hospital, Sfax, Tunisia
| | - R Guirat
- Department of Paediatrics, Hedi Chaker Hospital, Sfax, Tunisia
| | - Madiha Mseddi
- Department of Dermatology, Hedi Chaker Hospital, Sfax, Tunisia
| | - T Kamoun
- Department of Paediatrics, Hedi Chaker Hospital, Sfax, Tunisia
| | - Mongia Hachicha
- Department of Paediatrics, Hedi Chaker Hospital, Sfax, Tunisia
| | - Hamida Turki
- Department of Dermatology, Hedi Chaker Hospital, Sfax, Tunisia
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Maaloul I, Laaroussi O, Jedidi I, Sfaihi L, Kmiha S, Kamoun T, Aloulou H, Hachicha M. [Management of patients with major beta thalassemia in a paediatric department in the south of Tunisia: About 26 cases]. Transfus Clin Biol 2017; 25:14-18. [PMID: 29199112 DOI: 10.1016/j.tracli.2017.11.002] [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: 06/14/2017] [Accepted: 11/07/2017] [Indexed: 01/19/2023]
Abstract
AIM Our objectives were to assess the management of patients with major thalassemia and identify the various complications and monitoring means. PATIENTS AND METHODS A retrospective study was conducted on 26 β-thalassemic patients in the department of paediatrics, Hédi Chaker hospital, Sfax, Tunisia during a period of 25 years (from 1 January 1990 to 31 December 2014). RESULTS The mean age of the beginning of transfusion was 11.5 months. That was with phenotyped red blood cells but not leukodepleted blood. Twenty-three patients received chelation. Before 2001, all patients received deferoxamine, poor adherence to this treatment was observed in 66% of cases. It was replaced by deferiprone since 2006 and deferasirox since 2009. A combination of 2 or 3 chelators was indicated for four patients. A total splenectomy was performed in 10 cases patients; it was due to hypersplenism. The bone marrow transplant was performed for one patient at the age of 9 year but it was rejected. Many complications were detected: endocrine complications (19 cases), immune complications (9 cases), gallbladder stones (5 cases), cardiac complications (4 cases), osteoporosis (3 cases), infectious complications (3 cases) and thromboembolic complications (2 cases). We noted some side effects related to chelation therapy in twelve cases. Four patients were dead. CONCLUSION Improving the medical care of homozygous β-thalassemic children requires adherence to transfusion regimen and chelation therapy. Bone marrow transplantation remains the only possible curative therapy, which must be promoted in our country.
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Affiliation(s)
- I Maaloul
- Service de pédiatrie générale, CHU Hédi Chaker, route El Ain km 0,5, 3029 Sfax, Tunisie.
| | - O Laaroussi
- Laboratoire d'hématologie, CHU Habib Bourguiba, Sfax, Tunisie
| | - I Jedidi
- Laboratoire d'hématologie, CHU Habib Bourguiba, Sfax, Tunisie
| | - L Sfaihi
- Service de pédiatrie générale, CHU Hédi Chaker, route El Ain km 0,5, 3029 Sfax, Tunisie
| | - S Kmiha
- Service de pédiatrie générale, CHU Hédi Chaker, route El Ain km 0,5, 3029 Sfax, Tunisie
| | - T Kamoun
- Service de pédiatrie générale, CHU Hédi Chaker, route El Ain km 0,5, 3029 Sfax, Tunisie
| | - H Aloulou
- Service de pédiatrie générale, CHU Hédi Chaker, route El Ain km 0,5, 3029 Sfax, Tunisie
| | - M Hachicha
- Service de pédiatrie générale, CHU Hédi Chaker, route El Ain km 0,5, 3029 Sfax, Tunisie
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Kamoun T, Chabchoub I, Ben Ameur S, Kmiha S, Aloulou H, Cave H, Polak M, Hachicha M. Transient neonatal diabetes mellitus and activating mutation in the KCNJ11 gene in two siblings. Arch Pediatr 2017; 24:453-456. [PMID: 28347637 DOI: 10.1016/j.arcped.2017.02.021] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2016] [Revised: 12/30/2016] [Accepted: 02/15/2017] [Indexed: 11/19/2022]
Abstract
Transient neonatal diabetes mellitus is a rare disease usually associated with chromosome 6 abnormalities. Mutations of the genes encoding the potassium channel are rarely associated with these transitional forms. Herein, we report the clinical features of two siblings with a heterozygous mutation C679 G>A in the KCNJ11 gene.
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MESH Headings
- Adolescent
- Blood Glucose/metabolism
- Child
- Child, Preschool
- Chromosome Aberrations
- Chromosomes, Human, Pair 6/genetics
- DNA Mutational Analysis
- Diabetes Mellitus/blood
- Diabetes Mellitus/diagnosis
- Diabetes Mellitus/drug therapy
- Diabetes Mellitus/genetics
- Follow-Up Studies
- Genetic Carrier Screening
- Glycated Hemoglobin/metabolism
- Humans
- Infant
- Infant, Newborn
- Infant, Newborn, Diseases/blood
- Infant, Newborn, Diseases/diagnosis
- Infant, Newborn, Diseases/drug therapy
- Infant, Newborn, Diseases/genetics
- Infusions, Intravenous
- Injections, Subcutaneous
- Insulin Aspart/administration & dosage
- Insulin, Regular, Pork/administration & dosage
- Isophane Insulin, Human/administration & dosage
- Male
- Potassium Channels, Inwardly Rectifying/genetics
- Recurrence
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Affiliation(s)
- T Kamoun
- Faculty of medicine Sfax, university of Sfax, Sfax, Tunisia; Service de pédiatrie, pediatric department, Hédi Chaker hospital, El Ain street K 0.5, 3029 Sfax, Tunisia
| | - I Chabchoub
- Faculty of medicine Sfax, university of Sfax, Sfax, Tunisia; Service de pédiatrie, pediatric department, Hédi Chaker hospital, El Ain street K 0.5, 3029 Sfax, Tunisia
| | - S Ben Ameur
- Faculty of medicine Sfax, university of Sfax, Sfax, Tunisia; Service de pédiatrie, pediatric department, Hédi Chaker hospital, El Ain street K 0.5, 3029 Sfax, Tunisia.
| | - S Kmiha
- Faculty of medicine Sfax, university of Sfax, Sfax, Tunisia; Service de pédiatrie, pediatric department, Hédi Chaker hospital, El Ain street K 0.5, 3029 Sfax, Tunisia
| | - H Aloulou
- Faculty of medicine Sfax, university of Sfax, Sfax, Tunisia; Service de pédiatrie, pediatric department, Hédi Chaker hospital, El Ain street K 0.5, 3029 Sfax, Tunisia
| | - H Cave
- Department of genetics, Robert-Debré university hospital, Assistance publique-Hôpitaux de Paris, 75019 Paris, France
| | - M Polak
- Paediatric endocrine unit, centre of rare endocrine diseases of growth, Necker-Enfants-Malades hospital, AP-HP, 75012 Paris, France
| | - M Hachicha
- Faculty of medicine Sfax, university of Sfax, Sfax, Tunisia; Service de pédiatrie, pediatric department, Hédi Chaker hospital, El Ain street K 0.5, 3029 Sfax, Tunisia
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Ben Ameur S, Smaoui S, Kamoun F, Chabchoub I, Kamoun T, Messaadi F, Aloulou H, Hachicha M. [Unilateral to bilateral pleurisy: Pleural tuberculosis?]. Arch Pediatr 2016; 23:385-8. [PMID: 26922570 DOI: 10.1016/j.arcped.2016.01.014] [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: 07/01/2015] [Accepted: 12/21/2015] [Indexed: 11/19/2022]
Abstract
Pleural tuberculosis is the first or second most common form of extrapulmonary tuberculosis as well as the main cause of pleural effusion in many countries. It is rare in young infants and is more common in children over 10 years of age. We report the case of a 19-month-old girl admitted for prolonged fever with unilateral pleural effusion. The mother reported a history of lymph node tuberculosis 6 years previously. Intravenous antibiotics with cefotaxime and vancomycin were started. Thoracocentesis yielded a serosanguinous exudate fluid with a lymphocyte predominance. The tuberculin skin test and PCR GeneXpert(©) on pleural fluid were negative. The initial outcome was favorable, but the chest X-rays 10 days after discharge showed bilateral pleural effusion. Pleural biopsy was proposed but the culture of pleural fluid was positive for Mycobacterium tuberculosis. The child was put under standard treatment for tuberculosis. The outcome was favorable.
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Affiliation(s)
- S Ben Ameur
- Service de pédiatrie, CHU Hédi-Chaker, Sfax, Tunisie; Faculté de médecine de Sfax, Sfax, Tunisie.
| | - S Smaoui
- Laboratoire régional d'hygiène, Sfax, Tunisie
| | - F Kamoun
- Service de pédiatrie, CHU Hédi-Chaker, Sfax, Tunisie; Faculté de médecine de Sfax, Sfax, Tunisie
| | - I Chabchoub
- Service de pédiatrie, CHU Hédi-Chaker, Sfax, Tunisie; Faculté de médecine de Sfax, Sfax, Tunisie
| | - T Kamoun
- Service de pédiatrie, CHU Hédi-Chaker, Sfax, Tunisie; Faculté de médecine de Sfax, Sfax, Tunisie
| | - F Messaadi
- Laboratoire régional d'hygiène, Sfax, Tunisie
| | - H Aloulou
- Service de pédiatrie, CHU Hédi-Chaker, Sfax, Tunisie; Faculté de médecine de Sfax, Sfax, Tunisie
| | - M Hachicha
- Service de pédiatrie, CHU Hédi-Chaker, Sfax, Tunisie; Faculté de médecine de Sfax, Sfax, Tunisie
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Maaloul I, Hsairi M, Fourati H, Chabchoub I, Kamoun T, Mnif Z, Hachicha M. Occipital dermoid cyst associated with dermal sinus complicated with meningitis: A case report. Arch Pediatr 2016; 23:197-200. [PMID: 26724977 DOI: 10.1016/j.arcped.2015.11.018] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2015] [Revised: 09/11/2015] [Accepted: 11/20/2015] [Indexed: 11/16/2022]
Abstract
BACKGROUND Occipital dermal sinus, usually associated with dermoid cyst, is a rare entity; it results from the persistence of an abnormal embryonal communication between the skin and the intradural space. Its main complication is intracranial infection. CASE DESCRIPTION This 2-year-old girl was hospitalized for meningitis. Neuroradiological studies revealed a cystic mass of the posterior fossa communicating with the skin and hydrocephalus. The diagnosis of dermoid cyst associated with dermal sinus was established at surgery. The patient was treated with radical excision of both the occipital cyst and the dermal sinus associated with systemic antibiotic therapy. She had a good outcome. CONCLUSION Posterior fossa dermoid cyst should be considered in all children with chronic occipital skin lesion, especially a dermal sinus. We emphasize the importance of early neurosurgical treatment of dermoid cysts to prevent the development of severe complications.
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Affiliation(s)
- I Maaloul
- Pediatric department, Hedi-Chaker Hospital, Sfax, Tunisia.
| | - M Hsairi
- Pediatric department, Hedi-Chaker Hospital, Sfax, Tunisia
| | - H Fourati
- Department of radiology, Hedi-Chaker Hospital, Sfax, Tunisia
| | - I Chabchoub
- Pediatric department, Hedi-Chaker Hospital, Sfax, Tunisia
| | - T Kamoun
- Pediatric department, Hedi-Chaker Hospital, Sfax, Tunisia
| | - Z Mnif
- Department of radiology, Hedi-Chaker Hospital, Sfax, Tunisia
| | - M Hachicha
- Pediatric department, Hedi-Chaker Hospital, Sfax, Tunisia
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Sellami K, Amouri M, Aloulou H, Mansour LB, Kamoun T, Hachicha M, Mseddi M, Turki H. Bécégite dans ses formes locale et disséminée : série de 9 cas. Ann Dermatol Venereol 2015. [DOI: 10.1016/j.annder.2015.10.414] [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: 10/22/2022]
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Gargouri L, Maaloul I, Kamoun T, Maalej B, Safi F, Majdoub I, Hachicha M, Mahfoudh A. Ecthyma gangrenosum: A manifestation of community-acquired Pseudomonas aeruginosa septicemia in three infants. Arch Pediatr 2015; 22:616-20. [DOI: 10.1016/j.arcped.2015.03.006] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2014] [Revised: 07/06/2014] [Accepted: 03/11/2015] [Indexed: 11/16/2022]
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Maaloul I, Aloulou H, Fourati H, Sfaihi L, Chabchoub I, Kamoun T, Mnif Z, Hachicha M. [Hereditary hemorrhagic telangiectasia. Report of a pediatric case]. Arch Pediatr 2014; 21:768-71. [PMID: 24935454 DOI: 10.1016/j.arcped.2014.04.021] [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: 09/13/2013] [Revised: 12/03/2013] [Accepted: 04/18/2014] [Indexed: 11/28/2022]
Abstract
Hereditary hemorrhagic telangiectasia, or Rendu-Osler-Weber syndrome, is an autosomal dominant multiorgan disorder. This multisystemic vascular dysplasia is determined by a mutation of one of two main genes, endoglin (ENG) or HHT1, or ACVRL1 or HHT2. These mutations induce vascular disorders that cause recurrent epistaxis and eventually multiple telangiectasia and arteriovenous visceral malformations. We report the case of a 7-year-old girl who developed severe hypoxemia due to multiple pulmonary arteriovenous malformations.
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Affiliation(s)
- I Maaloul
- Service de pédiatrie générale, CHU Hédi Chaker, route El Ain Km 0,5, 3029 Sfax, Tunisie.
| | - H Aloulou
- Service de pédiatrie générale, CHU Hédi Chaker, route El Ain Km 0,5, 3029 Sfax, Tunisie
| | - H Fourati
- Service d'imagerie médicale, CHU Hédi Chaker, Sfax, Tunisie
| | - L Sfaihi
- Service de pédiatrie générale, CHU Hédi Chaker, route El Ain Km 0,5, 3029 Sfax, Tunisie
| | - I Chabchoub
- Service de pédiatrie générale, CHU Hédi Chaker, route El Ain Km 0,5, 3029 Sfax, Tunisie
| | - T Kamoun
- Service de pédiatrie générale, CHU Hédi Chaker, route El Ain Km 0,5, 3029 Sfax, Tunisie
| | - Z Mnif
- Service d'imagerie médicale, CHU Hédi Chaker, Sfax, Tunisie
| | - M Hachicha
- Service de pédiatrie générale, CHU Hédi Chaker, route El Ain Km 0,5, 3029 Sfax, Tunisie
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Ben Ameur S, Telmoudi J, Kamoun F, Aloulou H, Kamoun T, Hachicha M. SFP P-022 - Hypercalcémie de l’enfant: étude de 7 observations. Arch Pediatr 2014. [DOI: 10.1016/s0929-693x(14)71992-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: 11/26/2022]
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13
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Maaloul I, Baklouti K, Kmiha S, Aloulou H, Chabchoub I, Kamoun T, Hachicha M. SFP P-154 - La maladie de Rendu Osler à révélation prècoce : à propos d’une observation. Arch Pediatr 2014. [DOI: 10.1016/s0929-693x(14)72124-4] [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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14
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Aloulou H, Kmiha S, Maaloul I, Sfaihi L, Chabchoub I, Kamoun T, Hachicha M. SFP PC-34 - La maladie de pompe : à propos de 7 cas. Arch Pediatr 2014. [DOI: 10.1016/s0929-693x(14)72184-0] [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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Maaloul I, Ben Ameur S, Kamoun F, Majdoub I, Ben Dhaou M, Kamoun T, Mhiri R, Mahfoud A, Hachicha M. SFP P-153 - Les hernies diaphragmatiques congénitales à révélation tardive: étude de 14 observations. Arch Pediatr 2014. [DOI: 10.1016/s0929-693x(14)72123-2] [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]
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16
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Kamoun T, Kmiha S, Khemakhem S, Kamoun F, Telmoudi J, Chabchoub I, Ayadi H, Ghribi F, Hachicha M. SFP PC-04 - Profil psychologique des enfants atteints de déficit en hormone de croissance : étude de 30 observations. Arch Pediatr 2014. [DOI: 10.1016/s0929-693x(14)72154-2] [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: 10/25/2022]
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Kmiha S, Chaabene H, Maaloul I, Aloulou H, Chabchoub I, Kamoun T, Turki H, Hachicha M. SFP P-008 - Traitement des hémangiomes infantiles par propranolol : à propos de 18 observations. Arch Pediatr 2014. [DOI: 10.1016/s0929-693x(14)71978-5] [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: 11/27/2022]
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18
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Kamoun F, Sfaihi L, Wali M, Kamoun T, Hachicha M. [An uncommon cause of hematemesis in children: factor XI deficiency]. Arch Pediatr 2014; 21:296-8. [PMID: 24461936 DOI: 10.1016/j.arcped.2013.12.004] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2013] [Revised: 07/18/2013] [Accepted: 12/06/2013] [Indexed: 11/17/2022]
Abstract
Congenital factor XI deficiency, also called hemophilia C, is a rare coagulation disorder that is particularly common in Ashkenazi Jews. Individuals with factor XI deficiency may or may not have a mild bleeding tendency, which is typically provoked by surgery or trauma. We report the case of a 5.5-year-old girl who presented with abdominal pain, vomiting, and hematemesis. Biological tests showed a prolonged activated partial thromboplastin time (aPTT) of 113 s (control=29 s) caused by a constitutional factor Xl deficiency (2.7%). The progression was spontaneously favorable.
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Affiliation(s)
- F Kamoun
- Service de pédiatrie, hôpital Hédi-Chaker, 3029 Sfax, Tunisie; Faculté de médecine de Sfax, Sfax, Tunisie.
| | - L Sfaihi
- Service de pédiatrie, hôpital Hédi-Chaker, 3029 Sfax, Tunisie; Faculté de médecine de Sfax, Sfax, Tunisie
| | - M Wali
- Service de pédiatrie, hôpital Hédi-Chaker, 3029 Sfax, Tunisie; Faculté de médecine de Sfax, Sfax, Tunisie
| | - T Kamoun
- Service de pédiatrie, hôpital Hédi-Chaker, 3029 Sfax, Tunisie; Faculté de médecine de Sfax, Sfax, Tunisie
| | - M Hachicha
- Service de pédiatrie, hôpital Hédi-Chaker, 3029 Sfax, Tunisie; Faculté de médecine de Sfax, Sfax, Tunisie
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Ben Ameur S, Hentati Y, Ben Dhaoui M, Weli M, Kamoun T, Mnif Z, Mhiri R, Hachicha M. [Neonatal renal candidiasis: a case report]. Arch Pediatr 2014; 21:287-90. [PMID: 24457108 DOI: 10.1016/j.arcped.2013.12.008] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2013] [Revised: 07/02/2013] [Accepted: 12/06/2013] [Indexed: 10/25/2022]
Abstract
UNLABELLED Neonatal renal candidiasis is an increasingly common condition affecting predominantly premature infants receiving neonatal intensive care or term infants with urogenital tract anomalies. CASE REPORT a female infant was born by cesarian section at 30 weeks' gestation to a mother whose pregnancy had been complicated by rupture of membranes for 5 days. The infant was admitted at birth, maternofetal bacterial infection was suspected, and intravenous antibiotics were prescribed. The patient developed sepsis caused by Klebsiella pneumoniae at the age of 13 days. She was referred to our hospital at the age of 50 days because of renal abscess. At admission, the baby presented with hypothermia and abdominal distention. Renal ultrasonography findings were compatible with fungal disease. Blood, urine, and cerebrospinal fluid cultures were negative for fungi; however, galactomannan antigen blood levels were increased. Amphotericin B was administered for 6 weeks. End-organ evaluation of the heart, brain, and eyes did not demonstrate disseminated infection. The patient was discharged with a prescription for oral fluconazole and remained well at follow-up.
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Affiliation(s)
- S Ben Ameur
- Service de pédiatrie générale, CHU Hédi Chaker, route El Ain Km 0,5, 3029 Sfax, Tunisie; Faculté de médecine de Sfax, Sfax, Tunisie.
| | - Y Hentati
- Faculté de médecine de Sfax, Sfax, Tunisie; Service d'imagerie médicale, CHU Hédi Chaker, Sfax, Tunisie
| | - M Ben Dhaoui
- Faculté de médecine de Sfax, Sfax, Tunisie; Service de chirurgie pédiatrie, CHU Hédi Chaker, Sfax, Tunisie
| | - M Weli
- Service de pédiatrie générale, CHU Hédi Chaker, route El Ain Km 0,5, 3029 Sfax, Tunisie; Faculté de médecine de Sfax, Sfax, Tunisie
| | - T Kamoun
- Service de pédiatrie générale, CHU Hédi Chaker, route El Ain Km 0,5, 3029 Sfax, Tunisie; Faculté de médecine de Sfax, Sfax, Tunisie
| | - Z Mnif
- Faculté de médecine de Sfax, Sfax, Tunisie; Service d'imagerie médicale, CHU Hédi Chaker, Sfax, Tunisie
| | - R Mhiri
- Faculté de médecine de Sfax, Sfax, Tunisie; Service de chirurgie pédiatrie, CHU Hédi Chaker, Sfax, Tunisie
| | - M Hachicha
- Service de pédiatrie générale, CHU Hédi Chaker, route El Ain Km 0,5, 3029 Sfax, Tunisie; Faculté de médecine de Sfax, Sfax, Tunisie
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Kamoun F, Zribi R, Maaloul I, Mesrati H, Sfaihi L, Baklouti K, Kamoun T, Chabchoub I, Turki H, Hachicha M. Une alopécie de l’enfant peut annoncer un rachitisme. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.09.401] [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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21
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Maaloul I, Fourati H, Wali M, Chabchoub I, Kamoun T, Mnif Z, Kaabachi N, Hachicha M. [Megalencephaly with dystonia revealing Canavan disease]. Arch Pediatr 2013; 20:783-6. [PMID: 23727372 DOI: 10.1016/j.arcped.2013.04.023] [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: 02/28/2013] [Revised: 03/22/2013] [Accepted: 04/23/2013] [Indexed: 10/26/2022]
Abstract
Canavan disease, or N-acetyl aspartic aciduria, is an autosomal recessive leukodystrophy characterized by spongy degeneration of the brain. The disease results from the accumulation of N-acetyl aspartic acid in the brain, due to aspartoacylase deficiency. We report the case of a 6-month-old girl who presented with megalencephaly, peripheral hypertonia, and a developmental delay noticeable after 4 months of age. Magnetic resonance imaging of the brain with spectroscopy was suggestive of Canavan disease, which was confirmed by chromatography of urinary organic acids.
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Affiliation(s)
- I Maaloul
- Service de pédiatrie générale, hôpital Hédi-Chaker, avenue Majida-Boulila, 3029 Sfax, Tunisie.
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Sfaihi L, Kamoun F, Hentati Y, Tiss O, Kamoun T, Mnif Z, Hachicha M. Fièvre prolongée chez un enfant de 2 ans. Arch Pediatr 2013; 20:665-6, 685-7. [DOI: 10.1016/j.arcped.2013.03.018] [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: 10/03/2012] [Revised: 11/21/2012] [Accepted: 03/13/2013] [Indexed: 10/26/2022]
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Sfaihi L, Kamoun F, Hentati Y, Tiss O, Maaloul I, Kamoun T, Mnif Z, Hachicha M. Syndrome d’encéphalopathie postérieure réversible induit par une glomérulonéphrite aiguë postinfectieuse. Arch Pediatr 2013; 20:633-6. [DOI: 10.1016/j.arcped.2013.03.014] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2012] [Revised: 12/02/2012] [Accepted: 03/15/2013] [Indexed: 10/26/2022]
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Kamoun T, Sfaihi L, Kamoun F, Chabchoub I, Aloulou H, Hachicha M. [Primary distal renal tubular acidosis in children in the South of Tunisia: study of 15 cases]. Tunis Med 2013; 91:258-262. [PMID: 23673705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
BACKGROUND primary distal renal tubular acidosis in children (RTA) is characterized by metabolic acidosis due to defect in urinary excretion of hydrogen (H+) in the distal tubular. AIM To report the epidemiological, clinical, therapeutic and evolutionary of distal RTA in our patients. PATIENTS AND METHODS We conducted a retrospective study of all cases of distal RTA collected in the department of pediatrics of Hedi Chaker University hospital in the south of Tunisia, during a period of 23 years (1988-2010). We studied the epidemiological, clinical, biological, evolutionary and therapeutic data. RESULTS During the study period 15 cases of distal RTA were collected. The average age was 6 months (1 month -2 years). Most common presenting symptoms were vomiting (8cases), failure to thrive (4cases), lack of appetite, polyuria-polydipsia syndrome (1case) and urinary infection (2cases). The clinical examination showed staturoponderal delay (9 cases), dehydration (6 cases), signs of rickets (3 cases) and polyuria (10 cases). Biological data showed high urine pH in the presence of metabolic acidosis in 11 cases, hypokalaemia in 10 cases and hypercalciuria in all cases. Urine acidification test with ammonium chloride was performed in 4 cases, the urinary pH was always higher than 5.5 in all cases. Ammoniuria performed in 9 cases was less than 40mmol/l. Radiological investigation objectified a nephrocalcinosis in fourteen patients and signs of rickets in three cases. Deafness was found in three patients. Genetic study performed in two cases showed mutation of ATP6V1B1 gene. The medical treatment involved an alkali load. Long-term outcome was favorable in 7 cases. CONCLUSION The distal renal tubular acidosis is a rare pathology in our country but probably under diagnosed. The clinical gravity of this disease and the risk of evolution towards the terminal renal insufficiency justify an antenatal diagnosis to establish a neonatal management or propose a therapeutic interruption of the pregnancy if the distal RTA is associated with a severe pathology.
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Sfaihi L, Fourati H, Kamoun F, Hakim A, Ben Mahfoudh F, Kamoun T, Mnif Z, Hachicha M. [Edema of the lower limb. Sickle cell disease revealed by venous thrombosis]. Arch Pediatr 2012; 19:1217-8. [PMID: 23084701 DOI: 10.1016/j.arcped.2012.08.010] [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: 05/09/2012] [Revised: 07/27/2012] [Accepted: 08/14/2012] [Indexed: 10/26/2022]
Affiliation(s)
- L Sfaihi
- Service de pédiatrie, hôpital Hedi Chaker, Sfax, Tunisie; Faculté de médecine de Sfax, Sfax, Tunisie.
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Chabchoub I, Kamoun F, Daoued E, Ben Mansour L, Kmiha S, Kamoun T, Mnif Z, Hachicha M. [Aicardi syndrome associated with severe congenital ptosis]. Arch Pediatr 2011; 18:970-3. [PMID: 21820292 DOI: 10.1016/j.arcped.2011.06.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2010] [Revised: 03/08/2011] [Accepted: 06/11/2011] [Indexed: 11/19/2022]
Abstract
Aicardi syndrome is a rare neurodevelopmental disorder characterized by corpus callosum agenesis, chorioretinal lacunae and early-onset infantile spasms. We report a particular case of Aicardi syndrome characterized by the association of the classical triad of severe bilateral ptosis, pontocerebellar hypoplasia, and perisylvian polymicrogyria in a girl born to non-consanguineous parents, but whose mother suffered from idiopathic generalized epilepsy.
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Affiliation(s)
- I Chabchoub
- Service de pédiatrie, CHU Hédi-Chaker, Sfax, Tunisie.
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27
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Chabchoub I, Ayadi L, Mejdoub I, Maalej B, Kamoun T, Boudawara T, Hachicha M. Alopécie, ichtyose congénitale et retard de croissance : pensez au syndrome de Netherton ! Arch Pediatr 2010. [DOI: 10.1016/j.arcped.2010.09.020] [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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28
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Chabchoub I, Ayadi L, Mejdoub I, Maalej B, Kamoun T, Boudawara T, Hachicha M. [Alopecia, congenital ichthyosis, and growth delay, what is the diagnosis?]. Arch Pediatr 2010; 17:1685-6, 1725-7. [PMID: 21036561 DOI: 10.1016/j.arcped.2010.09.019] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2009] [Revised: 05/11/2010] [Accepted: 09/16/2010] [Indexed: 11/29/2022]
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29
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Sfaihi L, Damak F, Gargouri L, Majdoub I, Kamoun T, Hachicha M. P296 - Aspects évolutifs et thérapeutiques du syndrome néphrotique de l’enfant. Arch Pediatr 2010. [DOI: 10.1016/s0929-693x(10)70694-1] [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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30
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Sfaihi L, Majdoub I, Gargouri L, Kalamoun I, Kamoun T, Hachicha M. P399 - Aspects étiologiques et évolutifs des cardiomyopathies dilatées de l’enfant. Arch Pediatr 2010. [DOI: 10.1016/s0929-693x(10)70793-4] [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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31
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Chabchoub I, Maalej B, Turki H, Aloulou H, Aissa K, Ben Mansour L, Kamoun T, Hachicha M. [Cholelithiasis associated with portal cavernoma in children: 2 case reports]. Arch Pediatr 2010; 17:507-10. [PMID: 20303244 DOI: 10.1016/j.arcped.2010.01.023] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2009] [Revised: 04/23/2009] [Accepted: 01/24/2010] [Indexed: 11/16/2022]
Abstract
The association of cholelithiasis and portal cavernoma is rarely described in adult or pediatric patients. We report 2 cases of gallstone associated with portal cavernoma in 2 girls. The first one suffered from Evans syndrome associated with congenital immune deficiency. The portal cavernoma was discovered with gallstone after splenectomy indicated because of high steroid dependence. In the second case, the cavernoma complicated neonatal umbilical catheterism. The gallstone was asymptomatic and discovered on annual ultrasonography. Septicemia, profound thrombocytopenia, and acute anaemia led to rapid death in the first case. However, the progression was favourable under celioscopic treatment in the second one. Our original observations suggest systematically searching for gallstone in children with portal cavernoma.
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Affiliation(s)
- I Chabchoub
- Service de pédiatrie générale, hôpital Hédi Chaker, Sfax, Tunisie.
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Kamoun T, Marouane M, Ben Thabet A, Ghanmi O, Aloulou H, Hachicha M. SFP-P069 – Pédiatrie générale et sociale – Les pubertés précoses périphériques expérience du service de pédiatrie de SFAX. Arch Pediatr 2008. [DOI: 10.1016/s0929-693x(08)72202-4] [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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33
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Kamoun T, Ben Thabet A, Marouane M, Ayedi A, Ben Mansour L, Aloulou H, Hachicha M. SFP-P053 – Pédiatrie générale et sociale – Histiocytose langerhansienne chez l’enfant hétérogénéité clinique et évolutive. Arch Pediatr 2008. [DOI: 10.1016/s0929-693x(08)72186-9] [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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Fakhfakh R, Haddouk S, Hadj Hamida YB, Kamoun T, Ayed MB, Hachicha M, Masmoudi H. Pancreatic autoantibodies in Tunisian children with newly diagnosed type 1 diabetes. ACTA ACUST UNITED AC 2008; 56:130-2. [PMID: 18178035 DOI: 10.1016/j.patbio.2007.09.019] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2007] [Accepted: 09/19/2007] [Indexed: 12/07/2022]
Abstract
We analyzed 86 children with newly diagnosed type 1 diabetes for antibodies to islet cells (ICA), glutamic acid decarboxylase (GADA), second-islet antigen (IA-2A), and insulin (IAA) in order to evaluate the prevalence of immune-mediated type 1 diabetes, as well as to recognize which autoantibody combination is more frequently associated with the disease. A positive result for one or more diabetes-related antibodies evaluated was found in 78 children (90.7%). With regard to single autoantibody testing, ICA were found to be positive in 49 patients (57%), GADA in 56 (65.1%), IA-2A in 37 (43%), and IAA in 43 (50%) patients. Combining the determination of at least two autoantibodies, GADA and/or IAA were better detectable than other antibody combination, being positive in 70 patients (81.4%). GADA and IA-2A represent also a useful screening combination; being positive in 65 patients (75.6%). Our data indicate that the vast majority of cases of type 1 diabetes in children may be considered as immune-mediated and that multiple autoantibody analysis improves identification of the disease.
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Affiliation(s)
- R Fakhfakh
- Immunology Department, Habib Bourguiba Hospital, 3029 Sfax, Tunisia.
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Laadhar L, Gassara A, Mahfoudh N, Ben Hadj hmida Y, Kamoun T, Ben Ayed M, Rekik N, Mahfoudh A, Rebai A, Makni H, Abid M, Hachicha M, Masmoudi H. [Susceptibility markers in Tunisian first-degree relatives of patients with type 1 diabetes]. Ann Endocrinol (Paris) 2007; 68:181-5. [PMID: 17512892 DOI: 10.1016/j.ando.2007.01.021] [Citation(s) in RCA: 3] [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] [Subscribe] [Scholar Register] [Received: 08/02/2006] [Revised: 01/04/2007] [Accepted: 01/05/2007] [Indexed: 10/22/2022]
Abstract
To identify the profile of anti-pancreas autoantibodies and elucidate the HLA DRB1, DQB1 polymorphism in Tunisian first-degree relatives of patients with type 1 diabetes, we recruited 96 relatives from 21 families with at least one diabetic child. Islet cell antibodies (ICA) were detected by immunofluorescence on monkey pancreas; glutamate decarboxylase (GADA), IA2 (IA2-A) and insulin (IAA) antibodies were measured by RIA. HLA class II DRB1 and DQB1 alleles were typed by PCR-SSP. ICA, GADA, IA2-A and IAA were found in respectively 11.5, 4.2, 5.2 and 8.3% of relatives. Twenty-two out of 96 had at least one antibody and 20 out of these 22 had a susceptibility allele (DRB1*03, DRB1*04, DQB1*02 or DQB1*0302) with or without protective allele (DRB1*11, DRB1*13, DRB1*15 or DQB1*06). All of the 5 relatives having 2 autoantibodies or more carried the DRB1*04-DQB1*0302 susceptible haplotype. In conclusion, this observational study confirms in a Tunisian population known epidemiological data and demonstrates the usefulness of follow-up to determine the predictive value of studied markers.
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Affiliation(s)
- L Laadhar
- Laboratoire d'immunologie, EPS Habib-Bourguiba, Sfax, Tunisie
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Chaabouni M, Kamoun T, Mekki N, Mahfoudh A, Karray A, Daoud M, Triki A. [Epidemiologic and developmental aspects of congenital cardiopathies in the Sfax pediatric service: 123 cases]. Tunis Med 1999; 77:264-71. [PMID: 10516811] [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] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
Affiliation(s)
- M Chaabouni
- Service de Pédiatrie, C.H.U. Hédi Chaker, Sfax, Tunisie
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