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Mankai R, Skouri W, Tounsi H, Garbouj W, Ben Ammou B, Sammouda T, Sinda B, Zbiba W, Alaya Z, Amri R. Lupus érythémateux systémique : une présentation clinique atypique. Rev Med Interne 2022. [DOI: 10.1016/j.revmed.2022.10.261] [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: 12/12/2022]
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Bouzidi M, Tounsi H, Skouri W, Ben Ammou B, Chaabene I, Garbouj W, Ben Ahmed I, Abid N, Lajmi M, Wali J, Chelbi E, Bouzeidi K, Alaya Z, Amri R. Sarcoïdose révélée par une masse bourgeonnante endo-buccale. Rev Med Interne 2022. [DOI: 10.1016/j.revmed.2022.10.221] [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: 12/12/2022]
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Mankai R, Skouri W, Tounsi H, Ben Ammou B, Garbouj W, Chaabene I, Lajmi M, Alaya Z, Amri R. Atteinte pseudo-méningiomateuse au cours de la maladie de Rosai-Dorfman. Rev Med Interne 2022. [DOI: 10.1016/j.revmed.2022.10.155] [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: 12/12/2022]
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Dghaies A, Tounsi H, Skouri W, Ben Ammou B, Bachrouch S, Chaabene I, Garbouj W, Lajmi M, Abid N, Wali J, Ben O, Bouzaidi K, Alaya Z, Amri R. Une alvéolite hémorragique révélant une maladie de Behçet. Rev Med Interne 2022. [DOI: 10.1016/j.revmed.2022.03.210] [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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El Aoud S, Tounsi H, Ben Ammou B, Chelbi E, Chaabène I, Ben Ahmed I, Amri R, Garbouj W, Bouzaidi K. [An unusual cause of hypertension]. Ann Cardiol Angeiol (Paris) 2018; 68:56-60. [PMID: 30290908 DOI: 10.1016/j.ancard.2018.08.022] [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: 05/23/2018] [Accepted: 08/23/2018] [Indexed: 11/30/2022]
Abstract
Secondary hypertension is relatively rare. Its etiologies are essentially renal or endocrine. The adrenocortical carcinoma, a rare malignant tumor, is one of the most exceptional causes of hypertension. We report the case of a young woman presenting with hypertension and ascites of great abundance. She had hypokalemia, hepatic cytolysis and cholestasis. Thoracic, abdominal and pelvic CT scans showed adrenal mass, liver and lung nodules, osteolytic lesions of the sacrum. The biopsy of liver nodules confirmed the diagnosis of a metastatic malignant adrenocortical carcinoma. The hormonal investigations revealed cortisol and testosterone hypersecretion. The evolution was quickly fatal, the patient passed out a few days after her hospitalization.
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Affiliation(s)
- S El Aoud
- Service de médecine interne, hôpital universitaire Mohamed-Taher-Maamouri, Mrazka, 8000 Nabeul, Tunisie.
| | - H Tounsi
- Service de médecine interne, hôpital universitaire Mohamed-Taher-Maamouri, Mrazka, 8000 Nabeul, Tunisie
| | - B Ben Ammou
- Service de médecine interne, hôpital universitaire Mohamed-Taher-Maamouri, Mrazka, 8000 Nabeul, Tunisie
| | - E Chelbi
- Service d'anatomopathologie, hôpital universitaire Mohamed-Taher-Maamouri, Mrazka, 8000 Nabeul, Tunisie
| | - I Chaabène
- Service de médecine interne, hôpital universitaire Mohamed-Taher-Maamouri, Mrazka, 8000 Nabeul, Tunisie
| | - I Ben Ahmed
- Service de médecine interne, hôpital universitaire Mohamed-Taher-Maamouri, Mrazka, 8000 Nabeul, Tunisie
| | - R Amri
- Service de médecine interne, hôpital universitaire Mohamed-Taher-Maamouri, Mrazka, 8000 Nabeul, Tunisie
| | - W Garbouj
- Service de médecine interne, hôpital universitaire Mohamed-Taher-Maamouri, Mrazka, 8000 Nabeul, Tunisie
| | - K Bouzaidi
- Service de radiologie, hôpital universitaire Mohamed-Taher-Maamouri, Mrazka, 8000 Nabeul, Tunisie
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El Aoud S, Tounsi H, Chaabène I, Ben Ammou B, Ben Ahmed I, Garbouj W, Bouzeidi K, Amri R. [Bilateral pulmonary embolism revealing granulomatosis with polyangiitis]. J Med Vasc 2018; 43:316-319. [PMID: 30217346 DOI: 10.1016/j.jdmv.2018.06.001] [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] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/11/2018] [Accepted: 05/25/2018] [Indexed: 06/08/2023]
Abstract
Granulomatosis with polyangiitis is a systemic small-vessels vasculitis. It is characterized by a granulomatous inflammatory reaction around the arterial wall and is, in most cases, accompanied by the presence of cytoplasmic - type anti-neutrophil cytoplasmic antibodies (ANCA) with anti-proteinase 3 specificity. The predominant clinical presentation is frequent involvement of the upper and lower respiratory tract and the kidneys. This vasculitis is rarely revealed by pulmonary embolism. We report the observation of a 47-year-old male who presented with acute dyspnea. Chest X-ray disclosed an excavated opacity. Pulmonary angioscan revealed bilateral pulmonary embolism. The absence of clinical improvement after anticoagulant therapy with antibiotics and the presence of extra-respiratory signs led to the suspicion of a systemic inflammatory disease. The etiological investigations concluded with the diagnosis of granulomatosis with polyangiitis.
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Affiliation(s)
- S El Aoud
- Service de médecine interne, hôpital universitaire Mohamed Taher Maamouri, Mrazka, 8000 Nabeul, Tunisie.
| | - H Tounsi
- Service de médecine interne, hôpital universitaire Mohamed Taher Maamouri, Mrazka, 8000 Nabeul, Tunisie
| | - I Chaabène
- Service de médecine interne, hôpital universitaire Mohamed Taher Maamouri, Mrazka, 8000 Nabeul, Tunisie
| | - B Ben Ammou
- Service de médecine interne, hôpital universitaire Mohamed Taher Maamouri, Mrazka, 8000 Nabeul, Tunisie
| | - I Ben Ahmed
- Service de médecine interne, hôpital universitaire Mohamed Taher Maamouri, Mrazka, 8000 Nabeul, Tunisie
| | - W Garbouj
- Service de médecine interne, hôpital universitaire Mohamed Taher Maamouri, Mrazka, 8000 Nabeul, Tunisie
| | - K Bouzeidi
- Service de radiologie, hôpital universitaire Mohamed Taher Maamouri, Mrazka, 8000 Nabeul, Tunisie
| | - R Amri
- Service de médecine interne, hôpital universitaire Mohamed Taher Maamouri, Mrazka, 8000 Nabeul, Tunisie
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Mejri I, Sahli H, Tekaya R, Ben Ammou B, Tounsi H, Ben Ahmed I, Jazi R, Bouzaidi K, Ghrairi H. Le poumon rhumatoïde : à propos de 10 cas. Rev Mal Respir 2017. [DOI: 10.1016/j.rmr.2016.10.281] [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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Mejri I, Sahli H, Mahfoudh A, Amri R, Ben Ammou B, Tounsi H, Ben Ahmed I, Jazi R, Bouzaidi K, Ghrairi H, Tekaya R. L’effet du tabagisme sur l’activité et la gêne fonctionnelle au cours de la polyarthrite rhumatoïde. Rev Mal Respir 2017. [DOI: 10.1016/j.rmr.2016.10.427] [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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