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Soussi G, Racil H, Hedhli A, Cheikh Rouhou S, Bacha S, Chaouch N, Chabbou A. Carcinome bronchique non à petites cellules aux stades précoces : à propos de 60 cas. Rev Mal Respir 2015. [DOI: 10.1016/j.rmr.2014.10.672] [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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Ayari A, Racil H, Soussi G, Rouhou SC, Bacha S, Chaouch N, Slim L, Chabbou A. La pleurésie purulente : profil clinique et évolutif. Rev Mal Respir 2015. [DOI: 10.1016/j.rmr.2014.10.175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Ayari A, Racil H, Soussi G, Rouhou SC, Bacha S, Chaouch N, Zidi A, Chabbou A. L’embolie pulmonaire de découverte fortuite : particularités cliniques et pronostiques. Rev Mal Respir 2015. [DOI: 10.1016/j.rmr.2014.10.209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Blibech H, Bacha S, Chaouch N, Ayari A, Racil H, Cheikh Rouhou S, Zarrouk M, Chabbou A. Cancer du poumon et chimiothérapie : quels effets indésirables ? Rev Mal Respir 2015. [DOI: 10.1016/j.rmr.2014.10.647] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Soussi G, Racil H, Laaribi G, Cheikh Rouhou S, Ben Alaya N, Bacha S, Chaouch N, Chabbou A. Intérêt de l’utilisation d’un index pronostique dans le carcinome bronchique non à petites cellules. Rev Mal Respir 2015. [DOI: 10.1016/j.rmr.2014.10.658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Bacha S, Hedhli A, Skandaji W, Chaouch N, Racil H, Cheikhrouhou S, Chabbou A. Évaluation du comportement alimentaire au cours du sevrage tabagique. Rev Mal Respir 2015. [DOI: 10.1016/j.rmr.2014.10.694] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Blibech H, Bacha S, Chaouch N, Ayari A, Cheikh Rouhou S, Racil H, Zarrouk M, Chabbou A. Consultation antitabac : une expérience tunisienne. Rev Mal Respir 2015. [DOI: 10.1016/j.rmr.2014.10.693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Chaouch N, Ouahrani M, Laouini S. Adsorption of Lead (II) from aqueous solutions onto activated carbon prepared from Algerian dates stones of Phoenix dactylifera.L (Ghars variety) by H3PO4 activation. ACTA ACUST UNITED AC 2014. [DOI: 10.13005/ojc/300349] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Ben Salah E, Racil H, Chikhrouhou S, Chaouch N, Bacha S, Chabbou A. La maladie veineuse thromboembolique en cas de cancer bronchopulmonaire. Rev Mal Respir 2014. [DOI: 10.1016/j.rmr.2013.10.275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Sahnoun I, Racil H, Hfayedh S, Cheikh Rouhou S, Bacha S, Chaouch N, Chabbou A. Les dilatations des bronches diffuses : profil étiologique et fonctionnel. Rev Mal Respir 2014. [DOI: 10.1016/j.rmr.2013.10.241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Ben Salem N, Racil H, Ghorbel D, Cheikhrouhou S, Bacha S, Chaouch N, Chabbou A. Intérêt pronostique des exacerbations chez les BPCO : étude rétrospective de 53 cas. Rev Mal Respir 2013. [DOI: 10.1016/j.rmr.2012.10.248] [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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Salem NB, Racil H, Cheikhrouhou S, Ghorbel D, Chaouch N, Bacha S, Chabbou A. Intérêt pronostique de l’index BODE chez les patients présentant une BPCO : à propos de 53 cas. Rev Mal Respir 2013. [DOI: 10.1016/j.rmr.2012.10.249] [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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Chaouch N, Mjid M, Brahem E, Zarrouk M, Racil H, Cheikh Rouhou S, Boudaya S, Hantous S, Zakhama B, Chabbou A. [Granulosa cell tracheal tumour: bronchoscopic treatment]. Rev Mal Respir 2012. [PMID: 23200596 DOI: 10.1016/j.rmr.2012.09.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Racil H, Ben Salem N, Chaouch N, Ismail O, Cheikh Rouhou S, Hantous S, Chabbou A. [Silicoproteinosis: a specific clinical and radiological entity]. Rev Mal Respir 2012. [PMID: 23200588 DOI: 10.1016/j.rmr.2012.05.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
INTRODUCTION Silicoproteinosis is a rare disease, which can cause the rapid onset of respiratory failure following massive exposure to silica dust. CASE REPORT A 25-year-old patient presented with altered state and dyspnea. The diagnosis of military pulmonary tuberculosis was first considered and antituberculous treatment was started. The diagnosis was reconsidered due to a lack of improvement and the discovery of an 18-month history of exposure to silica. The patient had stopped work 6 months prior to hospitalization. High-resolution CT showed air space condensation associated to centrilobular nodules throughout the lungs and multiple mediastinal lymph nodes, suggesting sarcoidosis. Bronchoalveolar lavage (BAL) suggested the diagnosis of lipoproteinosis. Because of discordance between the bacteriological, radiological and the BAL results, a surgical lung biopsy was performed which led to the diagnoses of a secondary lipoproteinosis. The diagnosis of silicoproteinosis was then considered. Over a one-year follow up, the patient's respiratory failure has progressed markedly despite treatment with corticosteroids. CONCLUSION Silicoproteinosis is a distinct pathological entity, the diagnosis of which depends on clinical and radiological features as well as BAL findings, which may avoid the need for more invasive investigations.
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Chaouch N, Ferchiou F, Mejid M, Racil H, Zarrouk M, Cheikh-Rouhou S, Ridène I, Chabbou A. [Pain and primary lung cancer in the elderly]. Rev Mal Respir 2012; 29:650-5. [PMID: 22682590 DOI: 10.1016/j.rmr.2012.02.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2010] [Accepted: 10/24/2011] [Indexed: 11/16/2022]
Abstract
The study of pain in elderly patients with a primary lung cancer (PLC) deserves special attention particularly because this symptom is frequently associated with the condition and influences the management and prognosis. To study the characteristics of pain due to PLC in the elderly, we prospectively evaluated pain in all patients aged over 65 years admitted for PLC. Thirty-nine elderly patients were enrolled in 15 months (62% of all PLC). The average age was 72 years. The cancer was advanced NSCLC in most cases. Pain was present in 74.3%. It was significantly less common among those over 75 years (50% versus 85.1%; P<0.05). The pain, mild in most cases, worsened during follow-up in 55.5%. The last mean visual analogue scale score was significantly lower than the first (1.3 versus 3.6; P=0.001). The pain treatment required was based on level I in 20.6%, level II in 48.2% and level III in 31% of cases. Pain management in the elderly should be early, adequate and continued in order to preserve to a maximum the quality of life of these patients with PLC.
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Zarrouk M, Chaouch N, Cheikhrouhou S, Ayadi A, Smadhi H, Racil H, Marnich K, Chabbou A. [Solitary fibrous tumour of the pleura: about five cases]. Rev Mal Respir 2012; 29:664-72. [PMID: 22682592 DOI: 10.1016/j.rmr.2012.02.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2011] [Accepted: 10/08/2011] [Indexed: 11/30/2022]
Abstract
BACKGROUND Pleural solitary fibrous tumour (PSFT) is a rare, usually benign tumour, with unpredictable behaviour. PATIENTS AND METHODS Five cases of PSFT were diagnosed in our department over a 12-year period from January 1999 to December 2010. Clinical, radiological, histological, therapeutic and follow-up information were provided in all cases. RESULTS Our series comprised four men and one woman. The mean age of the patients at presentation was 55 years. All patients were symptomatic. Radiologic investigations showed a pleural lesion with a mean size of 10.6cm ranging from 3 to 17cm. Histologic diagnosis was made from resected parietal pleura in three cases and visceral pleura in two cases. The histologic features were suggestive of malignancy in two cases and benign in three cases. Immunohistochemical study showed that the tumour cells expressed vimentin, CD34, CD99 and Bcl2. Complete resection was obtained in all patients. The evolution was marked in the two patients with malignant PSFT by the recurrence of the tumour after 6 and 21 months respectively. Both died from the condition. The three patients with a benign form are disease-free after 3, 11 and 2 and half years of follow-up. CONCLUSIONS PSFT is rare tumour, the diagnosis of which is based on histologic investigations. These tumours require long-term monitoring due to the possibility of local recurrence and malignant transformation.
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Rahmouni N, Chaouch N, Ben Amar A, Zarrouk M, Bacha S, Racil H, Cheikh Rouhou S, Chabbou A. Aspects cliniques de la bronchiolite oblitérante avec pneumonie organisée. Rev Mal Respir 2012. [DOI: 10.1016/j.rmr.2011.10.338] [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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Cheikh Rouhou S, Bachouch I, Racil H, Chaouch N, Zarrouk M, Salmi L, Chabbou A. [Anaphylaxis due to chicken meat]. Rev Mal Respir 2011; 29:98-100. [PMID: 22240229 DOI: 10.1016/j.rmr.2011.11.009] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2011] [Accepted: 09/21/2011] [Indexed: 11/28/2022]
Abstract
Acute anaphylaxis due to chicken meat is very rare; only a few cases have been reported in the literature. We report the case of a 13-year-old girl, with a past history of allergic urticaria due to eggs, who presented immediately after ingestion of lightly grilled chicken meat with facial edema, dysphonia, acute dyspnoea and a feeling of suffocation. A few months later, the patient developed asthma in the vicinity of poultry and after contact with chicken feathers.
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Chaouch N, Mejid M, Zarrouk M, Racil H, Rouhou SC, El Euch G, Chabbou A. [Isoniazid-induced myopathy]. REVUE DE PNEUMOLOGIE CLINIQUE 2011; 67:354-358. [PMID: 22137279 DOI: 10.1016/j.pneumo.2010.05.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/15/2009] [Revised: 05/04/2010] [Accepted: 05/06/2010] [Indexed: 05/31/2023]
Abstract
Drug-induced muscle disorders are now well known and vary from a simple isolated increase in muscle enzymes to severe drug-induced myopathy. The list of drugs inducing myopathy is very long and continues to grow. The onset of muscle disorders under isoniazid often falls within a drug-induced neuropathy or a drug-induced lupus. However, the occurrence of isolated isoniazid-induced drug myopathy without neuropathy is an extremely rare condition especially with non-toxic doses. The authors report the case of a 28-year-old man, without a previous medical history, hospitalized for pulmonary tuberculosis. After initiating tuberculosis treatment for five days, he presented muscle pain, fasciculation and weakness initially involving the lower left limb that quickly propagated to all four limbs. The physical examination noted a left ankle flush, a swollen left calf and fasciculation of both calves while the neurological examination was normal. The CPK was normal. Electromyography confirmed the myopathy without neuropathic findings. Isoniazid withdrawal was marked by the rapid disappearance of the symptoms. The reintroduction of a half-dose of isoniazid only induced a few transitional muscular fasciculations. The onset of the symptoms under tuberculosis treatment, the absence of later muscle disorders, the absence of any other cause of myopathy and the total disappearance of the symptoms after isoniazid withdrawal confirmed the diagnosis of isoniazid-induced myopathy.
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Chaouch N, Mjid M, Zarrouk M, Rouhou SC, Ammous I, Hantous S, Racil H, Chabbou A. [Erasmus' syndrome with pseudo-tumour masses]. Rev Mal Respir 2011; 28:924-7. [PMID: 21943540 DOI: 10.1016/j.rmr.2011.06.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2010] [Accepted: 02/09/2011] [Indexed: 01/09/2023]
Abstract
INTRODUCTION Erasmus' syndrome involves the association of systemic scleroderma (SS) and exposure to silica. Silicosis may precede the SS but the latter may be the presentation, in which case a history of exposure to silica should be sought as part of the diagnosis. CASE REPORT A 46-year-old man with history of pulmonary tuberculosis presented with dyspnoea and dysphagea. Clinical examination revealed thickening of the facial skin with a pointed nose, erythema and telangiectasia, Raynaud's syndrome and sclerodactyly. A thoracic CT scan revealed bilateral, fibrotic, pseudo-tumoural masses. Antinuclear antibodies, anti-topoisomerase 1 and antihistone were positive. CONCLUSION The clinical presentation of Erasmus' syndrome associating systemic scleroderma and pulmonary pseudo-tumours may pose a problem of differential diagnosis from lung cancer. This condition requires regular clinical and radiological monitoring, particularly as both scleroderma and silicosis increase the risk of lung cancer.
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Chaouch N, Alimi F, Kortas C, Limayem F, Braham A, Mlika S, Jerbi S, Ennabli K. [Bilateral popliteal artery complications of multiple hereditary exostosis]. Ann Cardiol Angeiol (Paris) 2011; 60:109-112. [PMID: 21277562 DOI: 10.1016/j.ancard.2010.12.028] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2010] [Accepted: 12/24/2010] [Indexed: 05/30/2023]
Abstract
The osseous exostose is a rare benign tumor of the bone from which the vascular complications can be of venous or arterial order, are translated in various boards. We report the case of a young adult who presents a forgery aneurysm of the right popliteal artery with the popliteal artery booby-trapped to the left. The patient benefited from surgical treatment with good clinical and radiological evolution.
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Racil H, Ben Amar J, Rouhou SC, Laaribi G, Ayadi A, Zarrouk M, Chaouch N, Chabbou A. [Haemoptysis revealing tracheobronchial amyloidosis]. REVUE DE PNEUMOLOGIE CLINIQUE 2011; 67:109-112. [PMID: 21497726 DOI: 10.1016/j.pneumo.2010.02.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/26/2009] [Revised: 01/10/2010] [Accepted: 02/08/2010] [Indexed: 05/30/2023]
Abstract
The authors report the case of a 68-year-old man complaining of haemoptysis and breathlessness. Bronchoscopy revealed a budding formation in tracheal bifurcation. Multiple biopsies were performed and concluded as to AL type amyloidosis. Tracheobronchial amyloidosis is an uncommon localised form of amyloidosis that can simulate lung cancer.
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Racil H, Saad S, Ben Amar J, Cheikh Rouhou S, Chaouch N, Zarrouk M, Chabbou A. [Invasive inflammatory pseudotumor of the lung]. Rev Med Interne 2011; 32:e55-8. [PMID: 21396752 DOI: 10.1016/j.revmed.2010.02.015] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2009] [Revised: 12/22/2009] [Accepted: 02/06/2010] [Indexed: 10/18/2022]
Abstract
Inflammatory pseudotumor of the lung is an uncommon nonneoplastic tumor of unknown origin. It can mimic lung carcinoma. We report a 65-year-old man who presented with productive cough, weight loss, and a heterogeneous right apical lung condensation. This clinical and radiographic presentation suggested a malignant lung tumor. Surgery was performed and the histological examination of the surgical specimen concluded to an inflammatory pseudotumor. A pneumonectomy was performed because of the tumor extension towards the lower lobe and the mediastinum. No recurrence was observed after a 2-year follow-up. Surgery is essential to confirm the diagnosis of inflammatory pseudotumor. Complete resection is the only guarantee to prevent recurrence.
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Chaouch N, Saad S, Zarrouk M, Racil H, Cheikh Rouhou S, Nefzi K, Ridene I, Ayadi A, Chabbou A. [Diagnostic difficulty in bronchopulmonary tuberculous pseudotumor]. Rev Mal Respir 2011; 28:9-13. [PMID: 21277469 DOI: 10.1016/j.rmr.2010.05.014] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2009] [Accepted: 05/19/2010] [Indexed: 11/16/2022]
Abstract
Pseudotumour is a rare presentation of bronchopulmonary tuberculosis, occurring in immunocompetent patients, which simulates lung cancer and may thus cause diagnostic difficulty. To assess the frequency and clinical features of tuberculous pseudotumour in immunocompetent patients, we analyzed all cases of pulmonary tuberculosis hospitalized in our department. Tuberculous pseudotumour was defined by the presence of a bronchial or pulmonary lesion suggestive of lung cancer. Over a period of 11 years, 12 cases of tuberculous pseudotumour were collected among 341 cases of pulmonary tuberculosis (3.5%). Mean age was 45 years. All patients were smokers. Symptoms were not specific and were dominated by cough and chest pain. Radiological investigations showed consolidation in five cases and a mass lesion in five cases. Fibreoptic bronchoscopy visualized a tumour in four cases and stenosing bronchial wall infiltration in one case. Mean delay to diagnosis was 47 days. The confirmation of tuberculosis was bacteriologic in only three cases but histological in the others (four bronchial biopsies, two transbronchial biopsies, one pleural biopsy, four surgical specimen). The positive diagnosis of tuberculous pseudotumour is difficult because the clinical and radiological presentation may closely mimic lung cancer, especially as the cases are usually smear negative, leading to a very late diagnosis.
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Racil H, Ben Amar J, Cheikh Rouhou S, Ridene I, Zarrok M, Chaouch N, Yalaoui S, Chabbou A. Syndrome de Caplan et Collinet : approche immunologique. REVUE FRANCAISE D ALLERGOLOGIE 2010. [DOI: 10.1016/j.reval.2009.03.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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