51
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Ramli I, Tbatou F, Srifi N, Marc S, Benhiba H, Rachadi H, Rimani M, Senouci K, Benzekri L, Hassam B. Pyoderma gangrenosum chez l’enfant : une nouvelle observation. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.023] [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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52
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Raffas W, Hajji Ouafi F, Abil S, Marc S, Ait Ourhroui M, Senouci K, Hassam B. Ulcère de Lipschütz : une cause rare et sous diagnostiquée d’ulcération génitale. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.308] [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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53
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Lemtibbet S, Khoudri I, Bourra H, Methqal A, Ait Ourhroui M, Senouci K, Hassam B. Carcinome épidermoïde compliquant la maladie de Verneuil. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.185] [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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54
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Raffas W, Tbatou F, Amrani LE, Rimani M, Bouhllab J, Ourhrouil MA, Hassam B, Senouci K. Papules des bords latéraux des mains. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.316] [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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55
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Tbatou F, Ramli I, Bourra H, Raffas W, Rimani M, Benkhraba F, Senouci K, Hassam B. Efficacité des cyclines dans la papillomatose confluente et réticulée de Gougerot et Carteaud : deux cas. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.141] [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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56
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Tbatou F, Raffas F, Elamrani F, Al Bouzidi A, Senouci K, Benzekri L, Hassam B. Syndrome de Melkersson-Rosenthal complet à propos d’un cas pédiatrique. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.390] [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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57
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EL Morabite K, Mael Ainin M, El Ouazzani A, enzekri A, Saidi A, Benzekri L, Senouci K, Hassam B. Pemphigoïde bulleuse de l’enfant. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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58
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Lemtibbet S, Bourra H, El Amrani F, Bouhhlab J, Zouidia F, Senouci K, Hassam B. Nodule de l’orteil : une étiologie méconnue. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.278] [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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59
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El Morabite K, EL Meknassi I, Bouaddi M, Senouci K, Hassam B. Syndrome d’Ehlers-Danlos vasculaire : forme acrogérique. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.396] [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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60
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El Ouazzani A, Abil S, Ait Oughroui M, Senouci K, Hassam B. Lésion nodulaire hyperpigmentée sous-mammaire. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.204] [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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61
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El Amrani F, Tbatou F, Lemtibbet S, Raffas W, Mansouri F, Senouci K, Ait Ourhroui M, Hassam B. Mycosis fongoïde bulleux : à propos d’une nouvelle observation. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.189] [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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62
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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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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63
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Mael-Ainin M, Bouaddi M, El Morabite K, Abil S, Abdou A, Benzekri A, Senouci K, Hassam B, El Meknassi I. Nodule du palais inaugural d’une sarcoïdose systémique. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.033] [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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64
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Boudhir H, Mael Ainin M, Hajji F, Hassam B, Senouci K. Lupus bulleux : à propos d’un cas. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.062] [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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65
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Jouid K, Lamchahab FZ, Bouaddi M, Abdou A, EL Moussaoui N, Aitourhroui M, Senouci K, Hassam B. Lupus systémique vésiculo-bulleux en poussée rénale. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.036] [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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66
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Bourra H, Lamchahab F, Rais G, Khatibi B, Senouci K, Hassam B, Benzekri L. Acné induite par l’erlotinib. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.153] [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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67
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Mael-Ainin M, Boudhir H, Saidi A, Hassam B, Senouci K. Macrochéilite : une nouvelle étiologie ! Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.319] [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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68
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Raffas W, Elouazzani A, El Amrani L, Afifi Y, Senouci K, Hassam B. Toxidermie à type d’érythrodermie induite par la rifampicine : une observation rare. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.162] [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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69
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Elouazzani A, Ouidan Y, El Morabite K, Saidi A, Senouci K, Hassam B, Aitourhroui M. Manifestation rare d’une lèpre borderline tuberculoïde. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.098] [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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70
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Guerouaz N, Benhiba H, Senouci K, Hassam B. Lymphomes T cutanés et secondes néoplasies primitives. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.253] [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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71
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Abdou A, El Moussaoui N, Bourra H, Senouci K, Hassam B. Un troisième mamelon ? Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.229] [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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72
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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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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73
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Abdou A, El Moussaoui, Jouid K, Senouci K, Hassam B. Ulcérations multiples fessières. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.293] [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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74
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Bourra H, Lemtibbet S, Lamchahab F, Saidi A, Senouci K, Hassam B. Plaque scléreuse du cuir chevelu : apport de la dermoscopie. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.046] [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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75
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Benhiba H, Hamada S, Guerouaz N, Saidi A, Senouci K, Hassam B. [Pemphigus vulgaris: an unusual clinical presentation]. Ann Dermatol Venereol 2013; 140:116-9. [PMID: 23395493 DOI: 10.1016/j.annder.2012.11.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2012] [Revised: 10/10/2012] [Accepted: 11/13/2012] [Indexed: 11/26/2022]
Abstract
BACKGROUND Pemphigus vulgaris is a bullous auto-immune disease affecting the skin and mucosa. It is characterised by acantholysis that results in the formation of intraepithelial bullous lesions. Herein we report a case distinguished by its unusual clinical presentation. PATIENTS AND METHODS A 45-year-old man, a chronic smoker, consulted for hyperkeratotic lesions of the toes on the right foot present for 5 months. Examination revealed a violet colour of the toes associated with localised yellowish keratoderma on the sole of the foot and impaired toe nails, as well as impairment on the nails of the first, third and fourth fingers on the right hand. In addition, two hyperkeratotic plaques with crusts were noted on the patient's forehead. Histological examination of a biopsy sample taken from the nail bed of the fourth toe on the right foot showed suprabasal acantholysis with a characteristic tombstone appearance. Direct immunofluorescence confirmed the diagnosis of pemphigus. Oral corticosteroid therapy was initiated consisting of prednisone 1.5mg/kg per day. Improvement of the nail lesions and subsidence of the lesions on the patient's forehead occurred after three months of treatment. DISCUSSION During the course of pemphigus, the nail findings most commonly reported in the literature are paronychia, onychomadesis and onycholysis. However, these signs are generally seen in patients with known pemphigus vulgaris and only rarely indicate bullous disease. The case we report illustrates a special situation in which pemphigus vulgaris was revealed by unusual skin and nail lesions.
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