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Baati R, Hammi Y, Ferjani M, Jallouli M, Gargah T. Apport du bilan urodynamique dans la prise en charge des valves de l’urètre postérieur de l’enfant. Prog Urol 2018. [DOI: 10.1016/j.purol.2018.07.091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Baati R, Ferjani M, Hammi Y, Jallouli M, Gargah T. Vessie neurogène non neurogène de l’enfant : facteurs prédictifs de complications uronéphrologiques. Prog Urol 2018. [DOI: 10.1016/j.purol.2018.07.087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Rekik F, Ayedi W, Jallouli M. A Trainable System for Underwater Pipe Detection. PATTERN RECOGNITION AND IMAGE ANALYSIS 2018. [DOI: 10.1134/s1054661818030185] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Turki C, Snoussi M, Damak C, Frikha F, Garbaa S, Hanen L, Ben Salah R, Jallouli M, Bouattour Y, Sahnoun R, Marzouk S, Bahloul Z. Le syndrome de Dorfman Chanarin : à propos d’une observation rare associant une atteinte cutanée et une myopathie. Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.03.245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Turki C, Damak C, Sahnoun R, Frikha F, Snoussi M, Bouattour Y, Ben Salah R, Hanen L, Ghariani R, Jallouli M, Marzouk S, Bahloul Z. La pneumopathie organisée en milieu de médecine interne : à propos de 6 observations. Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.03.051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Turki C, Snoussi M, Frikha F, Garbaa S, Ben Salah R, Hanen L, Rekik F, Ghribi M, Jallouli M, Ghariani R, Marzouk S, Bahloul Z. Atteinte cardiaque au cours des dermatomyosites et polymyosites : à propos de 10 cas. Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.03.228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Gargouri M, Frikha F, Ben Salah R, Ghariani R, Bouattour Y, Ghribi M, Loukil H, Jallouli M, Snoussi M, Damak C, Marzouk S, Bahloul Z. La tuberculose et les maladies systémiques : un train peut cacher un autre. Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.03.068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Bouattour Y, Marzouk S, Garbaa S, Jallouli M, Frikha F, Loukil H, Ghariani R, Damak C, Ben Salah R, Snoussi M, Turki C, Bahloul Z. La Brucellose en milieu de médecine interne : étude de 12 observations. Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.03.064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Bouattour Y, Snoussi M, Damak C, Frikha F, Garbaa S, Marzouk S, Ben Salah R, Loukil H, Turki C, Jallouli M, Ghariani R, Bahloul Z. Manifestation rare de la maladie de Behçet : l’orchi-épididymite. Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.03.132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Turki C, Ben Salah R, Frikha F, Bouattour Y, Damak C, Snoussi M, Hanen L, Ghribi M, Ghariani R, Jallouli M, Marzouk S, Bahloul Z. Atteinte oculaire au cours de la granulomatose avec polyangéite : à propos de 5 observations. Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.03.219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Abid I, Zouari M, Jallouli M, Sahli S, Bouden A, Ben Abdallah R, Trabelsi F, Jabloun A, Charieg A, Mrad C, Marzouki M, Mosbahi S, Ezzi A, Mootamri R, Hamzaoui M, Kaabar N, Jlidi S, Nouri A, Mhiri R. Ovarian masses in pediatric patients: a multicenter study of 98 surgical cases in Tunisia. Gynecol Endocrinol 2018; 34:243-247. [PMID: 28942697 DOI: 10.1080/09513590.2017.1381839] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Abstract
Ovarian masses requiring surgical intervention are uncommon in the pediatric population. Our aim is to report results of a multicentric Tunisian study concerning the clinical practice and the management of pediatric ovarian masses and to identify the factors that are associated with ovarian preservation. Between January 2000 and December 2015, 98 pediatric patients (<14 years) were surgically treated for ovarian masses at the five pediatric surgery departments in Tunisia. Ninety-eight patients were included in this study. The mean age of the patients at time of surgery was 8.46 ± 4.87 years. Sixty-three ovarian masses (64.3%) were non-neoplastic lesions, 24 (24.5%) were benign tumors, and 11 (11.2%) were malignant neoplasms. Conservative surgery (ovarian-preserving surgery) was successfully performed in 72.4% of the benign lesions, whereas only three patients (27.3%) with malignant tumors underwent ovary-sparing tumor resection (p < .001). The mean diameter of the tumors in the patients who underwent oophorectomy was significantly larger than that in the patients who underwent conservative surgery (7.8 ± 3.9 cm vs. 5.7 ± 2.9 cm, respectively, p = .001). In our study, the risk factors for oophorectomy were a malignant pathology and large tumor size. In accordance with the Gynecologic Cancer Intergroup consensus, we recommend that surgical management of ovarian masses in children should be based on ovarian-preserving surgery.
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Zouari M, Louati H, Abid I, Ben Abdallah AK, Ben Dhaou M, Jallouli M, Mhiri R. C-reactive protein value is a strong predictor of acute appendicitis in young children. Am J Emerg Med 2017; 36:1319-1320. [PMID: 29217177 DOI: 10.1016/j.ajem.2017.11.067] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2017] [Accepted: 11/29/2017] [Indexed: 11/15/2022] Open
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Bouattour Y, Marzouk S, Tlijani A, Jallouli M, Garbaa S, Ben Salah R, Snoussi M, Bahloul Z. Malformations congénitales de la veine vave inférieure révélées par des thromboses veineuses : à propos de 3 cas. Rev Med Interne 2017. [DOI: 10.1016/j.revmed.2017.10.214] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Snoussi M, Frikha F, Garbaa S, Bouattour Y, Loukil H, Jallouli M, Ben Salah R, Rekik F, Turki C, Marzouk S, Bahloul Z. Une cause rare de granulomatose nasale : le carcinome lympho-épithélial. Rev Med Interne 2017. [DOI: 10.1016/j.revmed.2017.10.058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Frikha F, Garbaa S, Loukil H, Snoussi M, Marzouk S, Ben Salah R, Chebbi D, Rekik F, Turki C, Jallouli M, Bahloul Z. Efficacité et tolérance du tocilizumab au cours d’une artérite de Takayasu réfractaire. Rev Med Interne 2017. [DOI: 10.1016/j.revmed.2017.10.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Salah RB, Chabchoub I, Frikha F, Chebbi D, Rekik F, Turki C, Snoussi M, Jallouli M, Loukil H, Marzouk S, Bahloul Z. Atteinte digestive au cours de la sclérodermie systémique : une série de 77 cas. Rev Med Interne 2017. [DOI: 10.1016/j.revmed.2017.10.177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Zouari M, Abid I, Ben Dhaou M, Louati H, Jallouli M, Mhiri R. Predictive factors of negative appendectomy in children. Am J Emerg Med 2017; 36:335-336. [PMID: 28760379 DOI: 10.1016/j.ajem.2017.07.075] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2017] [Accepted: 07/21/2017] [Indexed: 11/17/2022] Open
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Zouari M, Abid I, Sallami S, Guitouni A, Ben Dhaou M, Jallouli M, Mhiri R. Predictive factors of complicated appendicitis in children. Am J Emerg Med 2017; 35:1982-1983. [PMID: 28668176 DOI: 10.1016/j.ajem.2017.06.049] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2017] [Accepted: 06/23/2017] [Indexed: 11/15/2022] Open
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Ben Salah R, Frikha F, Chabchoub I, Chebbi D, Turki C, Snoussi M, Garbaa S, Loukil H, Gheriani R, Jallouli M, Marzouk S, Bahloul Z. Pneumopathie interstitielle au cours de la sclérodermie systémique. Rev Med Interne 2017. [DOI: 10.1016/j.revmed.2017.03.233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Bahloul E, Jallouli M, Garbaa S, Marzouk S, Masmoudi A, Turki H, Bahloul Z. Hydroxychloroquine-induced hyperpigmentation in systemic diseases: prevalence, clinical features and risk factors: a cross-sectional study of 41 cases. Lupus 2017; 26:1304-1308. [PMID: 28355984 DOI: 10.1177/0961203317700486] [Citation(s) in RCA: 53] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Introduction Hydroxychloroquine is an antimalarial agent widely prescribed in internal medicine, rheumatology and dermatology. Its use can be complicated by various side effects including skin pigmentation. Objectives The aim of the study is to review epidemiological, clinical features and risk factors of hydroxychloroquine-induced pigmentation. Materials and methods We performed a cross-sectional study conducted over a period of 5 months. During this period, patients who had been treated with hydroxychloroquine for over 6 months, in the internal medicine department, underwent a complete dermatological examination. All patients completed a structured questionnaire to collect demographic data, dosage and treatment duration of hydroxychloroquine, other drug intake, hydroxychloroquine indication, and presence of pigmentary changes on the skin, nail, hair, and mucosa. Results A total of 41 patients (38 women and 3 men) were included in the study. The mean age was 39.2 ± 15.4 years. The hydroxychloroquine was indicated for systemic lupus erythematosus in 73.2%, dermatomyositis in 12.2%, rheumatoid arthritis in 9.8%, actinic lichen and sarcoidosis each in 2.4%. Cutaneous pigmented lesions were found in 21 cases (51%), mucous pigmentation in 5 cases (12%) and nail pigmentation in 1 case (2.5%). In 12 of 41 (29%) of the hydroxychloroquine users, we conclude a hydroxychloroquine-induced pigmentation. There were 11 women and one man with a mean age of 43 years and all of them were systemic lupus erythematosus patients. Pigmented lesions were located on the lower limbs in seven cases, the face in two cases, lips in two cases and the gum in two cases. Pigmentation appeared after a median duration of hydroxychloroquine treatment of 32 months with a median cumulative dose of 361 g. Overall, two patients reported that the appearance of pigmented lesions was preceded by the occurrence of ecchymotic areas following microtrauma. Significant association was found between hydroxychloroquine-induced pigmentation and treatment with oral anticoagulants and/or antiplatelet agents ( p = 0.03). Conclusion Our systematic examination of patients demonstrated that hydroxychloroquine-induced pigmentation is not rare. The imputability of hydroxychloroquine in the genesis of this discoloration is difficult to establish. Our study supports the hypothesis that ecchymosis, platelet antiaggregants and oral anticoagulants may be the main predisposing factors to hydroxychloroquine-induced pigmentation.
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Loukil H, Snoussi M, Fourati H, Frikha F, Salah RB, Jallouli M, Marzouk S, Mnif Z, Bahloul Z. [Liver involvement in Rendu-Osler disease: a case report and review of literature]. Pan Afr Med J 2017; 24:326. [PMID: 28154681 PMCID: PMC5267911 DOI: 10.11604/pamj.2016.24.326.9816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2016] [Accepted: 06/10/2016] [Indexed: 11/11/2022] Open
Abstract
A 48 years-old-woman was admitted for anectric cholestasis. A history of recurrent personal and familial epistaxis was noted. Biologic findings revealed iron deficiency anemia and moderate cholestasis. Viral serologic tests, antimitochondrie and anti smooth muscle antibodies were negative. Abdominal tomography showed multiple arterio-venous shunts of the liver. The diagnosis of liver involvement due to Rendu Osler disease was made. Treatment with oral ferrous iron of 150 mg/day was administered and regular biological and morphologic controls of liver was decided.
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Ben Dhaou M, Zouari M, Ammar S, Zitouni H, Jallouli M, Mhiri R. Hybrid laparoendoscopic single-site (LESS) pyeloplasty: Initial experience in children. Prog Urol 2017; 27:87-92. [PMID: 28117236 DOI: 10.1016/j.purol.2016.12.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2016] [Revised: 10/18/2016] [Accepted: 12/17/2016] [Indexed: 11/19/2022]
Abstract
BACKGROUND AND OBJECTIVE Mini-invasive surgery is still evolving to get better surgical conditions for patients with ureteropelvic junction obstruction. We used technical modifications (hybrid pyeloplasty) that simplify surgical steps of laparoendoscopic single-site pyeloplasty in children. Our aim was to compare hybrid pyeloplasty to laparoendoscopic single-site pyeloplasty and to open pyeloplasty. PATIENTS AND METHODS We retrospectively reviewed records of patients with ureteropelvic junction obstruction aged<14years undergoing pyeloplasty at our institute from January 2011 to December 2015. Demographic data, laterality, operative time, length of hospital stay, drainage tubes, and postoperative complications were recorded. Surgical outcomes were evaluated based on renal sonography and Lasix diuretic renography. RESULTS Among 38 patients, 17 underwent open pyeloplasty (group I), 10 had laparoendoscopic single-site pyeloplasty (group II) and 11 had hybrid pyeloplasty (group III). The mean age at the time of operation was 55 months. The operative time in group III was significantly shorter than that in group I and group II (P<0.001). The shortest median hospital stay was noted in the group III. The mean follow-up period was 26 months (range: 6-52 months). CONCLUSION The hybrid pyeloplasty using LESS combine the successful outcomes of open surgery and advantages of minimally invasive surgery. It offers small incision surgery, good working space, short operation time, secure anastomosis and good cosmetic results. LEVEL OF EVIDENCE 5.
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Salah RB, Cherif Y, Frikha F, Chifaa D, Snoussi M, Jallouli M, Marzouk S, Chokri M, Bahloul Z. A challenging entity: multiple sclerosis or collagen tissue disorders: A case series of 6 patients. CASPIAN JOURNAL OF INTERNAL MEDICINE 2017; 8:321-328. [PMID: 29201326 PMCID: PMC5686314 DOI: 10.22088/cjim.8.4.321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
BACKGROUND Multiple sclerosis and other demyelinating processes are sometimes difficult to differentiate from the neurological involvement in autoimmune diseases. Distinguishing multiple sclerosis from other lesions due to autoimmune diseases is crucial to avoid unsuitable or delayed treatments. METHODS Charts of 6 patients diagnosed with mimicking multiple sclerosis between 1996 and 2014 were retrospectively assessed. RESULTS The mean age at diagnosis was 35±7 years. The most commonly neurological manifestation at onset was paraparesis due to transverse myelopathy and uni/bilateral optic neuropathy. All our patients suffered from recurrent episodes of optic neuritis with a mean lag time of 12 months. Other initial presenting neurological manifestations in our patients included ataxic gait and pyramidal syndrome. Systemic symptoms occurred a long time before or after their initial neurological presentation. All patients had numerous T2 hyperintense lesions in the periventricular white matter and spinal cord with contrast enhancement. The antibodies tests revealed the presence of significant amounts of anti-nuclear antibodies. The anti-phospholipid antibodies were negative in all patients. All patients were treated with corticosteroid therapy and neurological features were cleared in all cases. CONCLUSION Multiple sclerosis, other myelitis and optic neuritis, are sometimes difficult to differentiate from CNS involvement in autoimmune disease. Indeed, the clinical presentation, immunological profile and MRI lesions may be similar.
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Bahloul E, Jallouli M, Marzouk S, Garbaa S, Dammak C, Mesrati H, Snoussi M, Frikha F, Mseddi M, Turki H, Bahloul Z. Hyperpigmentation à l’hydroxychloroquine au cours des maladies systémiques : fréquence, aspect clinique et facteurs de risques. Ann Dermatol Venereol 2016. [DOI: 10.1016/j.annder.2016.09.391] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Salah RB, Frikha F, Karima S, Damak C, Jallouli M, Mona S, Marzouk S, Bahloul Z. Les thromboses veineuses profondes du sujet âgé : à propos de 102 cas. Rev Med Interne 2016. [DOI: 10.1016/j.revmed.2016.10.154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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