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Litaiem N, Chabbouh A, Chabchoub I, Ben Naceur R, Mokni M, Zeglaoui F. Becker Nevus Syndrome: A Rare Entity but Important to Recognize. J Clin Aesthet Dermatol 2024; 17:21-23. [PMID: 38495548 PMCID: PMC10941854] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 03/19/2024]
Abstract
Becker's nevus syndrome is defined by the association of a Becker nevus with homolateral breast hypoplasia or more rarely skeletal cutaneous or muscle deformities. Early diagnosis is important, especially in female patients to prevent and treat breast hypoplasia. We report two cases of Becker nevus syndrome with serious functional impairment and discuss possible treatment options.
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Affiliation(s)
- Noureddine Litaiem
- Drs. Litaiem, Chabbouh, Chabchoub, and Zeglaoui are with the Department of Dermatology at Charles Nicolle Hospital in Tunis, Tunisia. Additionally, Drs. Litaiem, Chabbouh, Chabchoub, and Zeglaoui are with the Faculty of Medicine of Tunis at the University of Tunis El Manar in Tunis, Tunisia
| | - Amel Chabbouh
- Drs. Litaiem, Chabbouh, Chabchoub, and Zeglaoui are with the Department of Dermatology at Charles Nicolle Hospital in Tunis, Tunisia. Additionally, Drs. Litaiem, Chabbouh, Chabchoub, and Zeglaoui are with the Faculty of Medicine of Tunis at the University of Tunis El Manar in Tunis, Tunisia
| | - Ines Chabchoub
- Drs. Litaiem, Chabbouh, Chabchoub, and Zeglaoui are with the Department of Dermatology at Charles Nicolle Hospital in Tunis, Tunisia. Additionally, Drs. Litaiem, Chabbouh, Chabchoub, and Zeglaoui are with the Faculty of Medicine of Tunis at the University of Tunis El Manar in Tunis, Tunisia
| | | | - Mourad Mokni
- Dr. Mokni is with the Faculty of Medicine of Tunis at University of Tunis El Manar in Tunis, Tunisia. Additionally, Dr. Mokni is with the Department of Dermatology at La Rabta Hospital in Tunis, Tunisia
| | - Faten Zeglaoui
- Drs. Litaiem, Chabbouh, Chabchoub, and Zeglaoui are with the Department of Dermatology at Charles Nicolle Hospital in Tunis, Tunisia. Additionally, Drs. Litaiem, Chabbouh, Chabchoub, and Zeglaoui are with the Faculty of Medicine of Tunis at the University of Tunis El Manar in Tunis, Tunisia
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Litaiem N, Cherif M, Zeglaoui F. Efficacy and Safety of Intralesional Tranexamic Acid Injections in the Treatment of Postoperative Scars: A Split-Scar Comparative Study. Dermatol Surg 2024; 50:116-117. [PMID: 37792644 DOI: 10.1097/dss.0000000000003959] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/06/2023]
Affiliation(s)
- Noureddine Litaiem
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Meriem Cherif
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Faten Zeglaoui
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
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Litaiem N, Chabbouh A, Chabchoub I, Gara S, Belhadj Kacem L, Jones M, Zeglaoui F. A tale of chronic diffuse nodular lesions with acral verrucous keratotic plaques. Int J Dermatol 2023; 62:1347-1348. [PMID: 37655631 DOI: 10.1111/ijd.16814] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/05/2023] [Revised: 04/24/2023] [Accepted: 08/09/2023] [Indexed: 09/02/2023]
Affiliation(s)
- Noureddine Litaiem
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Amel Chabbouh
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Ines Chabchoub
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Soumaya Gara
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Linda Belhadj Kacem
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
- Department of Pathology, Charles Nicolle Hospital, Tunis, Tunisia
| | - Meriem Jones
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Faten Zeglaoui
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
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Litaiem N, Fazzani M, Zeglaoui F. A need for a clear definition of mycosis fungoides flares to evaluate disease course during pregnancy. J Am Acad Dermatol 2023; 89:e65-e66. [PMID: 36940796 DOI: 10.1016/j.jaad.2023.01.052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2022] [Revised: 01/01/2023] [Accepted: 01/18/2023] [Indexed: 03/22/2023]
Affiliation(s)
- Noureddine Litaiem
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.
| | - Meriem Fazzani
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Faten Zeglaoui
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
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Jones M, Ghannem A, Gara S, Boukari M, Bel Hadj Kacem L, Rammeh S, Zeglaoui F. Cutaneous and ocular persistent yellowish plaques: clinicopathological challenge. Clin Exp Dermatol 2023:7127232. [PMID: 37070389 DOI: 10.1093/ced/llad143] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2022] [Revised: 04/10/2023] [Accepted: 04/11/2023] [Indexed: 04/19/2023]
Affiliation(s)
- Meriem Jones
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
- Faculty of Medicine of Tunis, University of Tunis El Manar
| | - Azza Ghannem
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
- Faculty of Medicine of Tunis, University of Tunis El Manar
| | - Soumaya Gara
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
- Faculty of Medicine of Tunis, University of Tunis El Manar
| | - Mejdi Boukari
- Faculty of Medicine of Tunis, University of Tunis El Manar
- Department of Ophthalmology, Charles Nicolle Hospital, Tunis, Tunisia
| | - Linda Bel Hadj Kacem
- Faculty of Medicine of Tunis, University of Tunis El Manar
- Department of Pathology, Charles Nicolle Hospital, Tunis, Tunisia
| | - Soumaya Rammeh
- Faculty of Medicine of Tunis, University of Tunis El Manar
- Department of Pathology, Charles Nicolle Hospital, Tunis, Tunisia
| | - Faten Zeglaoui
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
- Faculty of Medicine of Tunis, University of Tunis El Manar
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Litaiem N, Mnif E, Zeglaoui F. Dermoscopy of Onychomycosis: A Systematic Review. Dermatol Pract Concept 2023; 13:dpc.1301a72. [PMID: 36892372 PMCID: PMC9946122 DOI: 10.5826/dpc.1301a72] [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] [Accepted: 08/22/2022] [Indexed: 02/04/2023] Open
Abstract
INTRODUCTION Onychomycosis represents a global burden accounting for about 50% of nail consultations. Several studies have tried to assess the dermoscopic features of onychomycosis. With the multiplication of papers, several "new" dermoscopic signs keep being added leading to some inconsistency in onychoscopic terminology. OBJECTIVE This study aimed to summarize the existing literature on the dermoscopic features of onychomycosis and propose a unified onychoscopic terminology. METHODS The literature search was performed using PubMed and Scopus databases up to October 30, 2021 to identify eligible contributions. In total, 33 records (2111 patients) were included. RESULTS The main dermoscopic signs of onychomycosis are "ruin appearance", "longitudinal striae" and "spikes" on the proximal margin of onycholytic areas, with a specificity of 99.38%, 83.78%, and 85.64% respectively. The "aurora borealis" sign had the highest sensitivity and specificity. CONCLUSIONS The current review provides a framework for issues related to the onychoscopic terminology of onychomycosis and is intended to serve as an aid for students, teachers, and researchers. We proposed a unifying terminology to describe dermoscopic signs of onychomycosis. Dermoscopic signs of onychomycosis show good specificity and are useful in distinguishing nail psoriasis, trauma, and onychomycosis. It helps differentiate fungal melanonychia from nail melanoma, nevi, and melanocytic activation.
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Affiliation(s)
- Noureddine Litaiem
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia.,University of Tunis El Manar, Faculté de Médecine de Tunis, Tunisia
| | - Emna Mnif
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
| | - Faten Zeglaoui
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia.,University of Tunis El Manar, Faculté de Médecine de Tunis, Tunisia
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Litaiem N, Ghannem A, Kacem LBH, Rammeh S, Zeglaoui F. Cutaneous Pseudolymphoma Appearing Two Decades After Immunotherapy for Allergic Asthma. J Clin Aesthet Dermatol 2022; 15:16-18. [PMID: 36569526 PMCID: PMC9762631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Affiliation(s)
- Noureddine Litaiem
- All authors are with the Faculty of Medicine of Tunis at University of Tunis El Manar in Tunis, Tunisia.,Drs. Litaiem, Ghannem, and Zeglaoui are also with the Department of Dermatology at Charles Nicolle Hospital in Tunis, Tunisia
| | - Azza Ghannem
- All authors are with the Faculty of Medicine of Tunis at University of Tunis El Manar in Tunis, Tunisia.,Drs. Litaiem, Ghannem, and Zeglaoui are also with the Department of Dermatology at Charles Nicolle Hospital in Tunis, Tunisia
| | - Linda Bel Hadj Kacem
- All authors are with the Faculty of Medicine of Tunis at University of Tunis El Manar in Tunis, Tunisia.,Drs. Kacem and Rammeh are additionally with the Department of Pathology at Charles Nicolle Hospital in Tunis, Tunisia
| | - Soumaya Rammeh
- All authors are with the Faculty of Medicine of Tunis at University of Tunis El Manar in Tunis, Tunisia.,Drs. Kacem and Rammeh are additionally with the Department of Pathology at Charles Nicolle Hospital in Tunis, Tunisia
| | - Faten Zeglaoui
- All authors are with the Faculty of Medicine of Tunis at University of Tunis El Manar in Tunis, Tunisia.,Drs. Litaiem, Ghannem, and Zeglaoui are also with the Department of Dermatology at Charles Nicolle Hospital in Tunis, Tunisia
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Litaiem N, Rouai M, Slouma M, Rammeh S, Zeglaoui F. Melanotic lupus erythematosus: A review of a newly described clinical form of chronic cutaneous lupus erythematosus. Clin Dermatol 2022; 40:716-727. [PMID: 35907577 DOI: 10.1016/j.clindermatol.2022.07.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Melanotic lupus erythematosus (LE) is a rare and newly described form of chronic cutaneous LE. In this review, we have synthesized existing data on the epidemiologic, clinical, histologic, and immunologic features of melanotic LE. We performed a systematic review using PubMed to identify eligible publications. Eight contributions fulfilled the eligibility criteria and were included in the qualitative synthesis. Twenty-eight patients with a mean age of 57.7 years were included. All patients had medium to dark skin phototypes. The lesions presented either as solitary and localized, poorly limited, round, or oval patches (50%) or as a more diffuse or generalized, sometimes reticulated, hyperpigmentation (50%). Patients diagnosed with systemic LE accounted for 14% of included cases. Antinuclear antibodies were positive in 10.7% of cases. Hydroxychloroquine and topical steroids were the most commonly used treatments. Complete resolution of the lesions was noted in 27.27% of cases. No patient experienced atrophy, destruction, or deformity of the skin. Melanotic LE appears to affect mainly patients with dark phototypes. It is characterized by late age at the onset of disease and an overall good prognosis.
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Affiliation(s)
- Noureddine Litaiem
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia; Faculté de Médecine de Tunis, University of Tunis El Manar, Tunis, Tunisia.
| | - Meriem Rouai
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia; Faculté de Médecine de Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Maroua Slouma
- Faculté de Médecine de Tunis, University of Tunis El Manar, Tunis, Tunisia; Department of Rheumatology, Military Hospital, Tunis, Tunisia
| | - Soumaya Rammeh
- Faculté de Médecine de Tunis, University of Tunis El Manar, Tunis, Tunisia; Department of Pathology, Charles Nicolle Hospital, Tunis, Tunisia
| | - Faten Zeglaoui
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia; Faculté de Médecine de Tunis, University of Tunis El Manar, Tunis, Tunisia
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Litaiem N, Hayder F, Benlagha I, Karray M, Dziri C, Zeglaoui F. The Use of Dermoscopy in the Delineation of Basal Cell Carcinoma for Mohs Micrographic Surgery: a Systematic Review With Meta-Analysis. Dermatol Pract Concept 2022; 12:e2022176. [PMID: 36534540 PMCID: PMC9681184 DOI: 10.5826/dpc.1204a176] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/18/2022] [Indexed: 11/30/2023] Open
Abstract
INTRODUCTION Several studies investigated the use of dermoscopy in the delineation of basal cell carcinoma (BCC) for Mohs micrographic surgery (MMS) with conflicting results. OBJECTIVES The purpose of this systematic review with meta-analysis was to evaluate the effectiveness of the use of dermoscopy-guided MMS in the treatment of BCC. METHODS We included all comparative studies. Cases of BCC treated using dermoscopy-guided MMS (or slow MMS) were compared to those treated with curettage-guided MMS or "standard" MMS. RESULTS A total of 6 studies including 508 BCCs were reviewed. There was no statistically significant difference in the proportion of total margin clearance on the first MMS stage between BCCs removed using dermoscopy-guided MMS and those that had curettage or visual inspection. However, lateral margin involvement was significantly lower in BCCs that had dermoscopy-guided MMS. CONCLUSIONS Dermoscopy allows visualization of structures up to 1mm into the dermis. Therefore, it is rational to use it for lateral margin evaluation. Currently, there are two comparative studies showing the efficacy of dermoscopy for lateral margin evaluation during MMS. Future studies are required to develop an evidence-based recommendation regarding the utility of dermoscopy in MMS.
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Affiliation(s)
- Noureddine Litaiem
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
- University of Tunis El Manar, Faculté de Médecine de Tunis, Tunis, Tunisia
| | - Faten Hayder
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
- University of Tunis El Manar, Faculté de Médecine de Tunis, Tunis, Tunisia
| | - Imene Benlagha
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
- University of Tunis El Manar, Faculté de Médecine de Tunis, Tunis, Tunisia
| | - Manel Karray
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
- University of Tunis El Manar, Faculté de Médecine de Tunis, Tunis, Tunisia
| | - Chadli Dziri
- University of Tunis El Manar, Faculté de Médecine de Tunis, Tunis, Tunisia
- Director of Honoris Medical Simulation Center, Tunisia
| | - Faten Zeglaoui
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
- University of Tunis El Manar, Faculté de Médecine de Tunis, Tunis, Tunisia
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Abstract
Gel nail polish (GNP) has recently gained worldwide popularity. We have conducted a comprehensive summary of the complications of GNP through a literature search using the PubMed, Scopus, and Google Scholar databases to identify eligible contributions. Complications were divided into mechanical and traumatic nail disorders, allergic contact dermatitis (ACD), and ultraviolet (UV)-induced lesions. A total of 12 contributions were included, identifying 88 patients, all of whom were women. Six of the reports described ACD (62 cases, 70.5%), 3 concerned mechanical nail damage (23 cases, 26.1%), and 3 reported UV-induced skin lesions (3 cases, 3.4%). ACD developed an average of 30 months after GNP initiation. The most frequent culprit allergens were 2-hydroxypropyl methacrylate and 2-hydroxyethyl methacrylate. Pterygium inversum unguis was the most frequent mechanical lesion (n = 17). Squamous cell carcinoma was reported in 3 cases. The delay between UV exposure and the diagnosis of squamous cell carcinoma ranged from 11 to 15 years. Scant literature and a lack of education among consumers and beauticians have led to the uncontrolled use of GNP. The principle of managing nail cosmetic problems is prevention through education. There is a need for understanding the processes involved and the associated complications to facilitate appropriate treatment and safe use.
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Affiliation(s)
- Noureddine Litaiem
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia; Faculté de Médecine de Tunis, University of Tunis El Manar, Tunis, Tunisia.
| | - Massara Baklouti
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia; Faculté de Médecine de Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Faten Zeglaoui
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia; Faculté de Médecine de Tunis, University of Tunis El Manar, Tunis, Tunisia
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Litaiem N, Khammouma F, Mrad M, Bacha T, Belhadj Kacem L, Zeglaoui F. Multiple keratoacanthomas of Ferguson-Smith type. Clin Case Rep 2022; 10:e06429. [PMID: 36245454 PMCID: PMC9552544 DOI: 10.1002/ccr3.6429] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Revised: 08/29/2022] [Accepted: 09/21/2022] [Indexed: 11/09/2022] Open
Abstract
We report a case of a 41-year-old male patient with no family history, presented with extensive multiple keratoacanthomas with disfiguring scars. The diagnosis of a sporadic form of Ferguson-Smith syndrome was made. Treatment with acitretin showed a marked response. Recognizing this syndrome is crucial. Early treatment helps avoid scar formation.
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Affiliation(s)
- Noureddine Litaiem
- Department of DermatologyCharles Nicolle HospitalTunisTunisia,Faculty of Medicine of TunisUniversity of Tunis El ManarTunisTunisia
| | - Ferdaous Khammouma
- Department of DermatologyCharles Nicolle HospitalTunisTunisia,Faculty of Medicine of TunisUniversity of Tunis El ManarTunisTunisia
| | - Malek Mrad
- Department of DermatologyCharles Nicolle HospitalTunisTunisia
| | - Takwa Bacha
- Department of DermatologyCharles Nicolle HospitalTunisTunisia,Faculty of Medicine of TunisUniversity of Tunis El ManarTunisTunisia
| | - Linda Belhadj Kacem
- Faculty of Medicine of TunisUniversity of Tunis El ManarTunisTunisia,Department of PathologyCharles Nicolle HospitalTunisTunisia
| | - Faten Zeglaoui
- Department of DermatologyCharles Nicolle HospitalTunisTunisia,Faculty of Medicine of TunisUniversity of Tunis El ManarTunisTunisia
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Jouini W, Litaiem N, Zaimi Y, Mouelhi L, Debbeche R, Zeglaoui F. Omphalolith: An underdiagnosed entity. Clin Case Rep 2022; 10:e6443. [PMID: 36245467 PMCID: PMC9552982 DOI: 10.1002/ccr3.6443] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2022] [Revised: 09/02/2022] [Accepted: 09/26/2022] [Indexed: 11/06/2022] Open
Abstract
Omphalolith is a rare and underdiagnosed entity due to the accumulation of sebum and keratin in the umbilicus. It usually occurs in the elderly with deep and narrow umbilicus. Early recognition of omphalolith is important to prevent complications, unnecessary investigations, and anxiety. We report herein two new cases of omphalolith.
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Affiliation(s)
- Wafa Jouini
- Department of DermatologyCharles Nicolle HospitalTunisTunisia,Faculté de Médecine de TunisUniversity of Tunis El ManarTunisTunisia
| | - Noureddine Litaiem
- Department of DermatologyCharles Nicolle HospitalTunisTunisia,Faculté de Médecine de TunisUniversity of Tunis El ManarTunisTunisia
| | - Yosra Zaimi
- Faculté de Médecine de TunisUniversity of Tunis El ManarTunisTunisia,Department of GastroenterologyCharles Nicolle HospitalTunisTunisia
| | - Leila Mouelhi
- Faculté de Médecine de TunisUniversity of Tunis El ManarTunisTunisia,Department of GastroenterologyCharles Nicolle HospitalTunisTunisia
| | - Radhouane Debbeche
- Faculté de Médecine de TunisUniversity of Tunis El ManarTunisTunisia,Department of GastroenterologyCharles Nicolle HospitalTunisTunisia
| | - Faten Zeglaoui
- Department of DermatologyCharles Nicolle HospitalTunisTunisia,Faculté de Médecine de TunisUniversity of Tunis El ManarTunisTunisia
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Litaiem N, Charfi O, Ouanes S, Gara S, Zeglaoui F. Patients with vitiligo have a distinct affective temperament profile: A cross-sectional study using Temperament Evaluation of Memphis, Paris, and San Diego Auto-Questionnaire. Skin Health Dis 2022; 3:e157. [PMID: 36751331 PMCID: PMC9892478 DOI: 10.1002/ski2.157] [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] [Figures] [Subscribe] [Scholar Register] [Received: 04/07/2022] [Revised: 07/22/2022] [Accepted: 08/03/2022] [Indexed: 11/06/2022]
Abstract
Background Vitiligo is a skin disease associated with significant psychiatric comorbidities. Affective temperaments represent the inherited foundation of personality and represent the biologically stable part of emotional reactivity. Studies assessing the temperament profile of patients with vitiligo are still scarce. Method This was a cross-sectional study enrolling 34 patients with vitiligo and 34 age and sex-matched healthy controls. Affective temperament profile was investigated using the Temperament Evaluation of Memphis, Paris, and San Diego Auto-questionnaire. Dermatology life quality index was used to evaluate disease impact on patients' quality of life. Results We found significant differences with vitiligo patients scoring higher in anxious (11.5 ± 4.76 vs. 9.06 ± 6.22; p = 0.036) and lower in hyperthymic (5.79 ± 3.82 vs. 7.5 ± 3.64; p = 0.027) temperaments. Vitiligo worsening reported by patients was associated with recent psychological stressors in 18 cases (52.9%) and Koebner phenomenon in 20 cases (58.8%). Koebner phenomenon was more frequently associated with the hyperthymic temperament (p = 0.035). Cyclothymic temperament was positively correlated with Dermatology life quality index (rho = 0.417, p = 0.014). Conclusions This study demonstrated that patients with vitiligo have a distinct premorbid temperament profile. Having low hyperthymic and high anxious temperament traits seem to predispose patients to be less resilient to psychological stressors. A better understanding of the affective traits of vitiligo patients would be vital in personalising and adapting the management of this chronic skin disease.
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Affiliation(s)
- Noureddine Litaiem
- Department of DermatologyCharles Nicolle HospitalTunisTunisia,Faculty of Medicine of TunisUniversity of Tunis el ManarTunisTunisia
| | - Olfa Charfi
- Department of DermatologyCharles Nicolle HospitalTunisTunisia,Faculty of Medicine of TunisUniversity of Tunis el ManarTunisTunisia
| | - Sami Ouanes
- Department of PsychiatryHamad Medical CorporationDohaQatar
| | - Soumaya Gara
- Department of DermatologyCharles Nicolle HospitalTunisTunisia,Faculty of Medicine of TunisUniversity of Tunis el ManarTunisTunisia
| | - Faten Zeglaoui
- Department of DermatologyCharles Nicolle HospitalTunisTunisia,Faculty of Medicine of TunisUniversity of Tunis el ManarTunisTunisia
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14
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Chabchoub I, Gara S, Litaiem N, Bacha T, Jones M, Zeglaoui F. La leishmaniose cutanée à type de macrochéilite : une série de 22 cas. Rev Med Interne 2022. [DOI: 10.1016/j.revmed.2022.03.071] [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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15
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Chamli A, Jones M, Bacha T, Litaiem N, Zeglaoui F. Cutis verticis gyrata: Three cases illustrating three different etiologies. Clin Case Rep 2022; 10:e05889. [PMID: 35600033 PMCID: PMC9117709 DOI: 10.1002/ccr3.5889] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2021] [Revised: 05/06/2022] [Accepted: 05/09/2022] [Indexed: 11/16/2022] Open
Abstract
Cutis Vertcis gyrata is an uncommon neurocutaneous syndrome characterized by excessive growth of the skin of the scalp or the face, forming folds of similar aspect to cerebral cortex gyri. Three categories have been individualized: the primary form, essential or non‐essential, and the secondary form.
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Affiliation(s)
- Amal Chamli
- Department of Dermatology Charles Nicolle Hospital Tunis Tunisia
- Faculty of Medicine of Tunis University of Tunis El Manar Tunis Tunisia
| | - Meriem Jones
- Department of Dermatology Charles Nicolle Hospital Tunis Tunisia
- Faculty of Medicine of Tunis University of Tunis El Manar Tunis Tunisia
| | - Takwa Bacha
- Department of Dermatology Charles Nicolle Hospital Tunis Tunisia
- Faculty of Medicine of Tunis University of Tunis El Manar Tunis Tunisia
| | - Noureddine Litaiem
- Department of Dermatology Charles Nicolle Hospital Tunis Tunisia
- Faculty of Medicine of Tunis University of Tunis El Manar Tunis Tunisia
| | - Faten Zeglaoui
- Department of Dermatology Charles Nicolle Hospital Tunis Tunisia
- Faculty of Medicine of Tunis University of Tunis El Manar Tunis Tunisia
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16
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Imen Y, Mechergui N, Litaiem N, Youssef I, Gara S, Zeglaoui F, Rammeh S, Ladhari N. Cutaneous manifestations of COVID‐19 among healthcare workers: A Case report and literature review. Clin Case Rep 2022; 10:e05571. [PMID: 35317059 PMCID: PMC8925274 DOI: 10.1002/ccr3.5571] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2021] [Revised: 12/31/2021] [Accepted: 02/17/2022] [Indexed: 11/12/2022] Open
Abstract
Common clinical features of COVID‐19 are increasingly known but cutaneous manifestations are rarely described among healthcare workers. A review of cutaneous manifestations of COVID‐19 especially among healthcare workers (HCW) is thus required. The aim of our current study was to provide a comprehensive review of cutaneous manifestations of COVID‐19 among HCW through six case reports and a literature review. We conducted a literature search for cases reports, original and review articles using PubMed and the Google search engines. We included the written English studies that mentioned cutaneous symptoms during COVID‐19 infection. In addition to the review, 6 cases were collected among the HCW working at the Charles Nicolle Hospital of Tunis from September 2020 to January 2021. In our review, we included 17 articles in addition to our six cases. The type of papers was case series and case reports in respectively 8 and 9 studies. Skin manifestations were reported in two studies including two HCW, in addition to our series of six HCW. Skin manifestations were chilblain‐like lesions (44.5%), a generalized macular or maculopapular exanthem (32.1%), a papulovesicular rash and chicken pox‐like vesicles (11.5%), painful acral red–purple papules (4.6%), urticaria (2.8%), purpuric or petechial lesions (2.3%), and livedo reticularis lesions (0.45%). Of the 218 cases, 203 cases have reported the location of lesions. The very great majority of lesions were found on the trunk, hands, and feet. Fifty‐one patients (23.4%) experienced lesions on the trunk. The time of onset of cutaneous lesions was variable. At the diagnosis or the onset of COVID‐19 symptoms, 8.3% (18/218) of patients presented with cutaneous lesions. After the onset of respiratory symptoms or COVID‐19 diagnosis, 36.7% (80/218) of patients presented with cutaneous lesions. Of the 197 cases with reported healing times, healing times were up to 24 days. COVID‐19 has been associated with different cutaneous manifestations, likely of varying pathophysiology and severity, some preceding COVID‐19 symptomatology and others occurring during active disease or later in the course. Thus, heightened awareness and timely recognition of cutaneous manifestations in COVID‐19 are important for occupational physicians treating HCW with COVID‐19.
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Affiliation(s)
- Youssfi Imen
- Department of Occupational Health Charles Nicolle Hospital Tunis Tunisia
| | - Najla Mechergui
- Department of Occupational Health Charles Nicolle Hospital Tunis Tunisia
- Faculty of Medicine of Tunis University of Tunis El Manar Tunisia
| | - Noureddine Litaiem
- Faculty of Medicine of Tunis University of Tunis El Manar Tunisia
- Department of Dermatology Charles Nicolle Hospital Tunis Tunisia
| | - Imen Youssef
- Department of Occupational Health Charles Nicolle Hospital Tunis Tunisia
- Faculty of Medicine of Tunis University of Tunis El Manar Tunisia
| | - Soumaya Gara
- Department of Dermatology Charles Nicolle Hospital Tunis Tunisia
| | - Faten Zeglaoui
- Faculty of Medicine of Tunis University of Tunis El Manar Tunisia
- Department of Dermatology Charles Nicolle Hospital Tunis Tunisia
| | - Soumaya Rammeh
- Faculty of Medicine of Tunis University of Tunis El Manar Tunisia
- Department of Pathology Charles Nicolle Hospital Tunis Tunisia
| | - Nizar Ladhari
- Department of Occupational Health Charles Nicolle Hospital Tunis Tunisia
- Faculty of Medicine of Tunis University of Tunis El Manar Tunisia
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17
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Litaiem N, Jaziri A, Zeglaoui F. Prevalence and Risk Factors of Nosocomial Infections in Dermatology Patients. Skinmed 2022; 20:77-79. [PMID: 35435832] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Affiliation(s)
| | - Ameni Jaziri
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
| | - Faten Zeglaoui
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
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18
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Sahli F, Litaiem N, Gara S, Charfi O, Rammeh S, Zeglaoui F. Blastomycosis‐like pyoderma in an immunocompetent patient. Clin Case Rep 2022; 10:e05479. [PMID: 35237437 PMCID: PMC8877711 DOI: 10.1002/ccr3.5479] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2021] [Revised: 07/19/2021] [Accepted: 07/24/2021] [Indexed: 11/10/2022] Open
Abstract
Blastomycosis‐like pyoderma is a rare skin disorder most commonly caused by bacterial infection. It is usually diagnosed in immunocompromised patients. We report a case of BLP in an immunocompetent woman, who presented with a 6‐week history of verrucous cutaneous plaque of the left wrist.
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Affiliation(s)
- Fatma Sahli
- Department of Dermatology Charles Nicolle Hospital Tunis Tunisia
- Faculty of Medicine of Tunis University of Tunis El Manar Tunis Tunisia
| | - Noureddine Litaiem
- Department of Dermatology Charles Nicolle Hospital Tunis Tunisia
- Faculty of Medicine of Tunis University of Tunis El Manar Tunis Tunisia
| | - Soumaya Gara
- Department of Dermatology Charles Nicolle Hospital Tunis Tunisia
- Faculty of Medicine of Tunis University of Tunis El Manar Tunis Tunisia
| | - Olfa Charfi
- Department of Dermatology Charles Nicolle Hospital Tunis Tunisia
- Faculty of Medicine of Tunis University of Tunis El Manar Tunis Tunisia
| | - Soumaya Rammeh
- Faculty of Medicine of Tunis University of Tunis El Manar Tunis Tunisia
- Department of Pathology Charles Nicolle Hospital Tunis Tunisia
| | - Faten Zeglaoui
- Department of Dermatology Charles Nicolle Hospital Tunis Tunisia
- Faculty of Medicine of Tunis University of Tunis El Manar Tunis Tunisia
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19
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Chabchoub I, Litaiem N, Gara S, Jaber K, Dhaoui MA, Zeglaoui F. Assessing the validity and interpretability of the Simplified Psoriasis Index in Tunisian patients. Tunis Med 2022; 100:49-55. [PMID: 35822332 PMCID: PMC9002850] [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] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
INTRODUCTION Multiple scores have been developed to assess the severity of psoriasis, but these scores have many limitations. The Simplified Psoriasis Index (SPI) is a summary score with separate components for current severity (SPI-s), psychosocial impact (SPI-p), and past history and interventions (SPI-i). It is available in two similar versions: proSPI and saSPI. AIM To assess the validity of the SPI by studying its correlation to the benchmark scores in Tunisian patients. METHODS It was a prospective bicentric study including 80 patients with plaque psoriasis. RESULTS The median PASI was 7.6 and the median DLQI was 9. The median proSPI-s was 6 and the median saSPI-s was 8. The median SPI-p was 7. The median SPI-i was 2. There was a strong correlation between the proSPI-s and PASI (r=0.87) and between the proSPI-s and saSPI-s (r=0.82). There was a medium correlation between saSPI-s and PASI (r=0.70) and between SPI-p and DLQI (r=0.67). The threshold value for proSPI-s and saSPI-s was 7.25. The threshold value for SPI-p was 6.5. CONCLUSION The SPI aims to provide a concise but global measure of the severity and impact of psoriasis on quality of life. The use of SPI has several advantages: the simplicity of use, the additional weight given to critical locations of psoriasis, the possibility for the patient to self-assess his own disease, and the possibility of evaluating all the dimensions of psoriasis at the same time.
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Affiliation(s)
- Ines Chabchoub
- 1.Service de Dermatologie, Hôpital Charles Nicolle de Tunis, Faculté de Médecine de Tunis, Université Tunis el Manar
| | - Noureddine Litaiem
- 1.Service de Dermatologie, Hôpital Charles Nicolle de Tunis, Faculté de Médecine de Tunis, Université Tunis el Manar
| | - Soumaya Gara
- 1.Service de Dermatologie, Hôpital Charles Nicolle de Tunis, Faculté de Médecine de Tunis, Université Tunis el Manar
| | - Kahena Jaber
- 2.Service de Dermatologie, Hôpital Militaire de Tunis / Faculté de Médecine de Tunis, Université Tunis el Manar
| | - Mohamed Abderraouf Dhaoui
- 2.Service de Dermatologie, Hôpital Militaire de Tunis / Faculté de Médecine de Tunis, Université Tunis el Manar
| | - Faten Zeglaoui
- 1.Service de Dermatologie, Hôpital Charles Nicolle de Tunis, Faculté de Médecine de Tunis, Université Tunis el Manar
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20
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Gara S, Litaiem N, Bacha T, Jmour Y, Zeglaoui F. Maintenance Phototherapy for the Treatment of Early-stage Mycosis Fungoides. J Clin Aesthet Dermatol 2021; 14:25-26. [PMID: 34976285 PMCID: PMC8711619] [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] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Mycosis fungoides (MF) is the most common type of cutaneous T cell lymphoma. Phototherapy is a first-line treatment option of early stages MF. The present study aimed at assessing the efficacy of phototherapy in Tunisian patients with MF treated with phototherapy and evaluate the efficacy of maintenance phase.
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Affiliation(s)
- Soumaya Gara
- All authors are with the Department of Dermatology, Charles Nicolle Hospital in Tunis, Tunisia
| | - Noureddine Litaiem
- All authors are with the Department of Dermatology, Charles Nicolle Hospital in Tunis, Tunisia
| | - Takwa Bacha
- All authors are with the Department of Dermatology, Charles Nicolle Hospital in Tunis, Tunisia
| | - Yosra Jmour
- All authors are with the Department of Dermatology, Charles Nicolle Hospital in Tunis, Tunisia
| | - Faten Zeglaoui
- All authors are with the Department of Dermatology, Charles Nicolle Hospital in Tunis, Tunisia
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21
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Litaiem N, Mrad M, Gara S, Chabchoub I, Bacha T, Jones M, Rammeh S, Kallel Sellami M, Zeglaoui F. Repeated bullae formation at fungal infected skin sites in a patient with epidermolysis bullosa acquisita: an unusual expression of koebnerization. Int J Dermatol 2021; 61:e136-e139. [PMID: 34590722 DOI: 10.1111/ijd.15923] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/11/2021] [Revised: 08/30/2021] [Accepted: 09/16/2021] [Indexed: 11/29/2022]
Affiliation(s)
- Noureddine Litaiem
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Malek Mrad
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
| | - Soumaya Gara
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Ines Chabchoub
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Takwa Bacha
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Meriem Jones
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Soumaya Rammeh
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.,Department of Pathology, Charles Nicolle Hospital, Tunis, Tunisia
| | - Maryam Kallel Sellami
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.,Department of Immunology, La Rabta Hospital, Tunis, Tunisia
| | - Faten Zeglaoui
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
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22
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Litaiem N, Chabchoub I, Gara S, Slouma M, Hamdi MS, Zeglaoui F. Nail changes in systemic amyloidosis. Clin Case Rep 2021; 9:e04685. [PMID: 34457298 PMCID: PMC8380092 DOI: 10.1002/ccr3.4685] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2021] [Revised: 07/12/2021] [Accepted: 07/18/2021] [Indexed: 11/06/2022] Open
Abstract
Nail examination must be an essential part of physical examination in our daily clinical practice, as nail changes may be the revealing sign of systemic diseases in the absence of other alarming signs.
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Affiliation(s)
- Noureddine Litaiem
- Department of DermatologyCharles Nicolle HospitalTunisTunisia
- Faculty of Medicine of TunisUniversity of Tunis El ManarTunisTunisia
| | - Ines Chabchoub
- Department of DermatologyCharles Nicolle HospitalTunisTunisia
- Faculty of Medicine of TunisUniversity of Tunis El ManarTunisTunisia
| | - Soumaya Gara
- Department of DermatologyCharles Nicolle HospitalTunisTunisia
- Faculty of Medicine of TunisUniversity of Tunis El ManarTunisTunisia
| | - Maroua Slouma
- Faculty of Medicine of TunisUniversity of Tunis El ManarTunisTunisia
- Department of Internal MedicineMilitary Hospital of InstructionTunisTunisia
| | - Mohamed Salah Hamdi
- Faculty of Medicine of TunisUniversity of Tunis El ManarTunisTunisia
- Department of Internal MedicineCharles Nicolle HospitalTunisTunisia
| | - Faten Zeglaoui
- Department of DermatologyCharles Nicolle HospitalTunisTunisia
- Faculty of Medicine of TunisUniversity of Tunis El ManarTunisTunisia
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23
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Ferjani M, Ben Slimane M, Sayari T, Hammi Y, Litaiem N, Naija O, Zeglaoui F, Gargah T. Infectious-mononucleosis-like exanthema associated with COVID-19 in a child. Clin Case Rep 2021; 9:e04481. [PMID: 34322248 PMCID: PMC8299092 DOI: 10.1002/ccr3.4481] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2021] [Revised: 04/30/2021] [Accepted: 05/06/2021] [Indexed: 11/30/2022] Open
Abstract
Cutaneous manifestations of childhood COVID-19 differ from those of adults. Maculopapular rash is not specific and could be mistaken with other viral exanthema. A nasopharyngeal swab is strongly recommended to confirm the possible COVID-19 diagnosis.
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Affiliation(s)
- Meryam Ferjani
- Pediatry DepartmentCharles Nicolle HospitalTunisTunisia
- Faculty of Medicine of TunisUniversity of Tunis El ManarTunisTunisia
| | - Malek Ben Slimane
- Faculty of Medicine of TunisUniversity of Tunis El ManarTunisTunisia
- Dermatology DepartmentCharles Nicolle hospitalTunisTunisia
| | - Taha Sayari
- Pediatry DepartmentCharles Nicolle HospitalTunisTunisia
- Faculty of Medicine of TunisUniversity of Tunis El ManarTunisTunisia
| | - Yosra Hammi
- Pediatry DepartmentCharles Nicolle HospitalTunisTunisia
- Faculty of Medicine of TunisUniversity of Tunis El ManarTunisTunisia
| | - Noureddine Litaiem
- Faculty of Medicine of TunisUniversity of Tunis El ManarTunisTunisia
- Dermatology DepartmentCharles Nicolle hospitalTunisTunisia
| | - Ouns Naija
- Pediatry DepartmentCharles Nicolle HospitalTunisTunisia
- Faculty of Medicine of TunisUniversity of Tunis El ManarTunisTunisia
| | - Faten Zeglaoui
- Faculty of Medicine of TunisUniversity of Tunis El ManarTunisTunisia
- Dermatology DepartmentCharles Nicolle hospitalTunisTunisia
| | - Tahar Gargah
- Pediatry DepartmentCharles Nicolle HospitalTunisTunisia
- Faculty of Medicine of TunisUniversity of Tunis El ManarTunisTunisia
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24
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Rouai M, Litaiem N, Hammami H, Bacha T, Jones M, Ksontini M, Rammeh S, Mokni M, Zeglaoui F. Dermoscopic features of mucosal lichen planus. Int J Dermatol 2021; 60:1368-1372. [PMID: 34081330 DOI: 10.1111/ijd.15683] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/15/2021] [Revised: 04/19/2021] [Accepted: 05/03/2021] [Indexed: 11/26/2022]
Abstract
BACKGROUND Lichen planus (LP) is a chronic inflammatory dermatosis that affects the skin and the mucous membranes. The literature on the dermoscopic aspects of mucosal LP is still scarce. This study aimed to describe the dermoscopic aspects of mucosal LP and to provide a comprehensive updated summary of the literature. METHODS This was a cross-sectional, multicenter study conducted in Charles Nicolle, La Rabta, and Habib Thameur hospitals from December 2019 to October 2020. We included patients with histologically confirmed mucosal LP for whom a dermoscopic examination was performed. RESULTS Twenty-seven patients were enrolled. The main dermoscopic structures observed were as follows: Wickham's striae (WS) (91%), vessels (88%), pigmentated structures (41%), erosions (63%), scales (34%), and blunting of lingual papillae (3.1%). WS patterns were as follows: reticular (67%), radial (48%), annular (30%), globular (15%), dotted/starry sky (15%), and veil-like blue or grey-white homogenous pattern (19%). Vascular structures were as follows: linear (85%), dotted (70%), looped (22%), and peripheral sea anemone-like vessels (37%). These vessels were distributed in a radial arrangement at the periphery of the lesions in 67% of the cases. Pigmented structures included brown/blue globules (33%), grey-blue dots (30%), and brown dots (26%). CONCLUSION Dermoscopic features of mucosal LP are varied. WS is the hallmark of LP. The distribution and aspects of WS in mucosal LP were slightly different from those described in cutaneous LP. Physicians should be aware of these dermoscopic features that could help differentiate LP from other mucosal inflammatory diseases.
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Affiliation(s)
- Meriem Rouai
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Noureddine Litaiem
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Houda Hammami
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.,Department of Dermatology, Habib Thameur Hospital, Tunis, Tunisia
| | - Takwa Bacha
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Meriem Jones
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Meriem Ksontini
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.,Department of Pathology, Charles Nicolle Hospital, Tunis, Tunisia
| | - Soumaya Rammeh
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.,Department of Pathology, Charles Nicolle Hospital, Tunis, Tunisia
| | - Mourad Mokni
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.,Department of Dermatology, La Rabta Hospital, Tunis, Tunisia
| | - Faten Zeglaoui
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
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25
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Toumi A, Litaiem N, Gara S, Chabchoub I, Bacha T, Slouma M, Ben Hassine L, Rammeh S, Jones M, Zeglaoui F. Chronic macrocheilia: a clinico-etiological series of 47 cases. Int J Dermatol 2021; 60:1497-1503. [PMID: 34081329 DOI: 10.1111/ijd.15685] [Citation(s) in RCA: 1] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/15/2021] [Revised: 04/27/2021] [Accepted: 05/03/2021] [Indexed: 11/26/2022]
Abstract
BACKGROUND Macrocheilia is an inflammatory disfiguring condition responsible for the swelling of the lips. This multi-etiological entity represents a diagnostic and therapeutic challenge. Published data on macrocheilia is scarce, often limited to granulomatous cheilitis. METHODS We conducted a retrospective study, including all patients presenting with chronic macrocheilia (CM) for nineteen years. CM was defined as a persistent enlargement of one or both lips for at least eight weeks. Both descriptive and analytical analyses were performed. RESULTS Of the 47 patients identified, 20 (43%) had cutaneous leishmaniasis, 10 (21%) had Miescher's cheilitis, five (11%) had Melkersson-Rosenthal syndrome, five (11%) had sarcoidosis, one (2%) had lepromatous leprosy, one (2%) had systemic amyloidosis, and one (2%) had Crohn's disease. In four cases, the CM was unlabeled. Ulcerations were significantly associated with leishmaniasis (P < 0.05). Histological study showed a granulomatous infiltrate in 72% of cases. Medical treatment was adapted to the etiology of CM. Surgery was performed in two cases. Improvement of CM secondary to leishmaniasis was seen in all cases. In patients with idiopathic orofacial granulomatosis, partial improvement was noted in four cases and a total improvement in one case. Recurrences were noted in three cases after complete regression. CONCLUSIONS Macrocheilia is a rare and disfiguring condition that requires an etiological investigation, considering that it can reveal a serious underlying systemic disease. We identified several factors that could help recognize the cause of CM, including age, history of intermittent swelling, the extent of lip enlargement, the existence of ulceration, and systemic symptoms.
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Affiliation(s)
- Asma Toumi
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Noureddine Litaiem
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Soumaya Gara
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Ines Chabchoub
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Takwa Bacha
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Maroua Slouma
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.,Department of Internal Medicine, Military Hospital, Tunis, Tunisia
| | - Lamia Ben Hassine
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.,Department of Internal Medicine, Charles Nicolle Hospital, Tunis, Tunisia
| | - Soumaya Rammeh
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.,Department of Pathology, Charles Nicolle Hospital, Tunis, Tunisia
| | - Meriem Jones
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Faten Zeglaoui
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
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26
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Chamli A, Litaiem N, Khammouma F, Karray M, Bacha T, Jones M, Zeglaoui F. Pustulose exanthématique aiguë généralisée : une série de 8 cas. Rev Med Interne 2021. [DOI: 10.1016/j.revmed.2021.03.210] [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: 10/21/2022]
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27
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Daadaa N, Litaiem N, Amal C, Khammouma F, Becha T, Jones M, Zeglaoui F. Pustuloses amicrobiennes : dermatoses ou maladies systémiques ? Rev Med Interne 2021. [DOI: 10.1016/j.revmed.2021.03.218] [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]
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28
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Daadaa N, Jones M, Allouche E, Khammouma F, Becha T, Litaiem N, Hamdi M, Zeglaoui F. Érythème réticulé télangiectasique associé au défibrillateur cardiaque implantable. Rev Med Interne 2021. [DOI: 10.1016/j.revmed.2021.03.219] [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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29
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Daadaa N, Litaiem N, Karray M, Bacha T, Jones M, Belajouza Noueiri C, Goucha S, Zeglaoui F. Intradermal tranexamic acid microinjections: a novel treatment option for erythematotelangiectatic rosacea. J Cosmet Dermatol 2021; 20:3324-3329. [PMID: 33973361 DOI: 10.1111/jocd.14209] [Citation(s) in RCA: 4] [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: 02/23/2021] [Revised: 04/16/2021] [Accepted: 04/26/2021] [Indexed: 11/27/2022]
Abstract
BACKGROUND Treatment options for erythematotelangiectatic rosacea (ETR) are still scarce. Tranexamic acid (TXA) is an antifibrinolytic drug that was recently used for the treatment of ETR. AIMS To evaluate the efficacy and safety of intradermal microinjections of TXA for ETR. PATIENTS/METHODS This was a retrospective study enrolling patients, treated with TXA intradermal microinjections for ETR, from January 2019 to February 2020. Response to treatment was assessed based on subjective symptoms, clinical photographs, and the Investigator Global Assessment of Rosacea Severity Score (IGA-RSS). RESULTS Six patients were included. The mean number of monthly intradermal TXA microinjections was 5.1 ± 1.3. The mean decrease of IGA-RSS was 2.4 ± 0.5. Local side effects, mainly transient erythema and swelling, were noticed in three cases. No systemic effects were noted. Clinical improvement, in respondent patients, lasted after 3 months of follow-up. CONCLUSION Intradermal TXA microinjections are a safe and effective treatment option for ETR. The optimal number of monthly sessions has yet to be determined.
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Affiliation(s)
- Najla Daadaa
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
| | | | - Manel Karray
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
| | - Takwa Bacha
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
| | - Meriem Jones
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
| | | | - Samia Goucha
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
| | - Faten Zeglaoui
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
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Gara S, Litaiem N, Zeglaoui F. [Eumycetoma]. Rev Prat 2021; 71:287. [PMID: 34161030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Affiliation(s)
- Soumaya Gara
- "Service de dermatologie, hôpital Charles-Nicolle, université Tunis El Manar, Tunis, Tunisie"
| | - Noureddine Litaiem
- "Service de dermatologie, hôpital Charles-Nicolle, université Tunis El Manar, Tunis, Tunisie"
| | - Faten Zeglaoui
- "Service de dermatologie, hôpital Charles-Nicolle, université Tunis El Manar, Tunis, Tunisie"
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31
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Litaiem N, Charfi O, Bacha T, Zeglaoui F. Koilonychia in a Patient with Alopecia Areata. J Clin Aesthet Dermatol 2021; 14:42-43. [PMID: 34221226 PMCID: PMC8211338] [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] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Alopecia areata (AA) is an autoimmune disease that affects the hair follicles and leads to nonscarring alopecia. Nails changes are a common manifestation in AA, with an average prevalence of 30 percent. Both nail changes and hair loss in AA are associated with lymphocytic inflammation and are thought to be a result of a loss of immune privilege in both hair follicle and nail apparatus. Koilonychia, or "spoon nails," is a nail dystrophy where the nail plate is depressed centrally and everted laterally. Causes of nail spooning are various, but koilonychia is usually associated with iron deficiency and inflammatory dermatoses, such as psoriasis and lichen planus. Koilonychia is very rarely reported in association with AA in the English literature and its prognostic significance is still unknown. We report a case of a 25-year-old female patient who presented with AA focalis and koilonychia that regressed almost completely after oral corticosteroids, with an accompanying discussion of the pathogenesis and prognostic value of koilonychia.
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Affiliation(s)
- Noureddine Litaiem
- All authors are with the Department of Dermatology at Charles Nicolle Hospital in Tunis, Tunisia
| | - Olfa Charfi
- All authors are with the Department of Dermatology at Charles Nicolle Hospital in Tunis, Tunisia
| | - Takwa Bacha
- All authors are with the Department of Dermatology at Charles Nicolle Hospital in Tunis, Tunisia
| | - Faten Zeglaoui
- All authors are with the Department of Dermatology at Charles Nicolle Hospital in Tunis, Tunisia
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32
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Boumaiza S, Jones M, Chaker H, Litaiem N, Bacha T, Rameh S, Zeglaoui F. Érythromélanose folliculaire de la face et du cou (erythromelanosis follicularis faciei et colli) et acide tranexamique : vers une nouvelle voie thérapeutique ? Ann Dermatol Venereol 2020. [DOI: 10.1016/j.annder.2020.09.510] [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: 11/15/2022]
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33
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Karray M, Litaiem N, Charfi O, Bacha T, Jones M, Zeglaoui F. La chirurgie micrographique type slow-Mohs des carcinomes basocellulaires : intérêt de la dermoscopie. Ann Dermatol Venereol 2020. [DOI: 10.1016/j.annder.2020.09.211] [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: 11/29/2022]
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34
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Ben Younes K, Jones M, Chaker H, Litaiem N, Ksentini M, Rammeh S, Zeglaoui F. Association rare de nævus à cheveux laineux et de nævus épidermique. Ann Dermatol Venereol 2020. [DOI: 10.1016/j.annder.2020.09.372] [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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35
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Gara S, Jones M, Litaiem N, Ksentini M, Rammeh S, Zeglaoui F. Association de pyostomatite pyodermite végétante et lupus érythémateux systémique. Rev Med Interne 2020. [DOI: 10.1016/j.revmed.2020.10.238] [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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36
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Helali W, Bacha T, Daadaa N, Litaiem N, Jones M, Zeglaoui F. Lymphome T sous-cutané à type de panniculite associé à un œdème facial et à un syndrome lymphohistiocytaire : à propos d’un cas. Rev Med Interne 2020. [DOI: 10.1016/j.revmed.2020.10.220] [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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37
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Charfi O, Litaiem N, Karray M, Becha T, Jones M, Zeglaoui F. Tempérament affectif chez les patients atteints de vitiligo : étude cas-témoins. Ann Dermatol Venereol 2020. [DOI: 10.1016/j.annder.2020.09.317] [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: 11/25/2022]
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38
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Gara S, Bacha T, Litaiem N, Jones M, Rammeh S, Zeglaoui F. Hyalinose cutanéomuqueuse : à propos d’un cas. Rev Med Interne 2020. [DOI: 10.1016/j.revmed.2020.10.291] [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]
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39
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Litaiem N, Tabka M, Nefiss M, Slouma M, Ben Slama S, Zeglaoui F. Cutaneous leiomyosarcoma mimicking arteriovenous malformation. Clin Case Rep 2020; 8:2538-2540. [PMID: 33363774 PMCID: PMC7752489 DOI: 10.1002/ccr3.3222] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2020] [Accepted: 07/16/2020] [Indexed: 11/06/2022] Open
Abstract
There is a clinical overlap between hypervascularized sarcomas and arteriovenous malformations (AVM). MRI imaging should be interpreted with caution keeping in mind that some cancers could mimic AVM. A biopsy is mandatory in doubtful cases.
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Affiliation(s)
- Noureddine Litaiem
- Department of DermatologyCharles Nicolle HospitalTunisTunisia
- Faculty of Medicine of TunisUniversity of Tunis El ManarTunisTunisia
| | - Mariam Tabka
- Department of DermatologyCharles Nicolle HospitalTunisTunisia
- Faculty of Medicine of TunisUniversity of Tunis El ManarTunisTunisia
| | - Mouadh Nefiss
- Faculty of Medicine of TunisUniversity of Tunis El ManarTunisTunisia
- Department of OrthopedicsMongi Slim HospitalTunisTunisia
| | - Maroua Slouma
- Faculty of Medicine of TunisUniversity of Tunis El ManarTunisTunisia
- Department of Internal MedicineMilitary HospitalTunisTunisia
| | - Sana Ben Slama
- Faculty of Medicine of TunisUniversity of Tunis El ManarTunisTunisia
- Department of PathologyMongi Slim HospitalTunisTunisia
| | - Faten Zeglaoui
- Department of DermatologyCharles Nicolle HospitalTunisTunisia
- Faculty of Medicine of TunisUniversity of Tunis El ManarTunisTunisia
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40
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Karray M, Litaiem N, Khammouma F, Bouaziz R, Bacha T, Jones M, Zeglaoui F. Caractéristiques cliniques et dermoscopiques du lupus pernio. Rev Med Interne 2020. [DOI: 10.1016/j.revmed.2020.10.358] [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: 11/28/2022]
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41
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Gara S, Jones M, Litaiem N, Hedri H, Rammeh S, Zeglaoui F. Acquired epidermodysplasia verruciformis in renal-transplant recipients. Clin Case Rep 2020; 8:2678-2681. [PMID: 33363803 PMCID: PMC7752617 DOI: 10.1002/ccr3.3251] [Citation(s) in RCA: 3] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2020] [Revised: 07/08/2020] [Accepted: 07/16/2020] [Indexed: 12/28/2022] Open
Abstract
Acquired epidermodysplasia verruciformis in renal-transplant recipients is associated with a high risk for developing squamous cell carcinoma. An accurate diagnosis and a regular monitoring in this high-risk population must be stressed.
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Affiliation(s)
- Soumaya Gara
- Department of DermatologyCharles Nicolle HospitalTunisTunisia
| | - Meriem Jones
- Department of DermatologyCharles Nicolle HospitalTunisTunisia
| | | | - Hafedh Hedri
- Department of NephrologyCharles Nicolle HospitalTunisTunisia
| | - Soumaya Rammeh
- Department of PathologyCharles Nicolle HospitalTunisTunisia
| | - Faten Zeglaoui
- Department of DermatologyCharles Nicolle HospitalTunisTunisia
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42
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Chabchoub I, Litaiem N, Zeglaoui F. Pediatric rosacea in a patient with a dark phototype: Clinical and dermoscopic features. Clin Case Rep 2020; 8:3257-3259. [PMID: 33363916 PMCID: PMC7752331 DOI: 10.1002/ccr3.3404] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Accepted: 09/07/2020] [Indexed: 11/30/2022] Open
Abstract
Rosacea is rare in children and patients with dark phototype. Dermoscopy helps make the correct diagnosis. Positive family history of rosacea is reported in affected children, which suggests a strong familial inheritance of the disorder.
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Affiliation(s)
- Ines Chabchoub
- Department of DermatologyCharles Nicolle HospitalTunisTunisia
- Faculty of Medicine of TunisUniversity of Tunis El ManarTunisTunisia
| | - Noureddine Litaiem
- Department of DermatologyCharles Nicolle HospitalTunisTunisia
- Faculty of Medicine of TunisUniversity of Tunis El ManarTunisTunisia
| | - Faten Zeglaoui
- Department of DermatologyCharles Nicolle HospitalTunisTunisia
- Faculty of Medicine of TunisUniversity of Tunis El ManarTunisTunisia
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43
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Ben Younes K, Litaiem N, Becha T, Chaker H, Lakhal M, Khelif I, Rammeh S, Jones M, Zeglaoui F. Efficacité des infiltrations intralésionnelles de méthotrexate dans le traitement du doigt de Bauer. Ann Dermatol Venereol 2020. [DOI: 10.1016/j.annder.2020.09.506] [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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44
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Chaker H, Litaiem N, Benyounes K, Daadaa N, Bacha T, Jones M, Zeglaoui F. Inflammascopie ou quand la dermoscopie s’adonne aux dermatoses inflammatoires : aspects dermoscopiques dans la sarcoïdose cutanée. Rev Med Interne 2020. [DOI: 10.1016/j.revmed.2020.10.297] [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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45
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Chaker H, Litaiem N, Jones M, Benyounes K, Lakhal M, Khlif I, Rammeh S, Zeglaoui F. Dermoscopie du lupus miliaire disséminé de la face à travers deux observations. Rev Med Interne 2020. [DOI: 10.1016/j.revmed.2020.10.249] [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: 11/15/2022]
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46
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Boumaiza S, Litaiem N, Gara S, Toumi A, Jones M, Zeglaoui F. Efficacité de l’acide tranexamique intradermique dans le mélasma : une étude de 20 cas. Ann Dermatol Venereol 2020. [DOI: 10.1016/j.annder.2020.09.509] [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: 11/28/2022]
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47
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Hmida L, Litaiem N, Ayadi M, Letaief F, Gargoura A, Bacha T, Alaoui FZ, Znazen R, Rammah S, Guermazi S, Zeglaoui F, Mezlini A. Subcutaneous Panniculitis-Like T-Cell Lymphoma Presenting with Full Facial Edema and Hemophagocytic Syndrome. Skinmed 2020; 18:386-389. [PMID: 33397572] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
A 42-year-old previously healthy woman presented with a 2-month history of recurrent fever and painful swelling on the left thigh. She was given a presumptive diagnosis of cellulitis and an antimicrobial. Because the response was not significant and fever remained moderate to high grade, with the appearance of gradually increasing periorbital edema (Figure 1), the diagnosis was reconsidered, and she was referred to a tertiary referral center for further study.
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Affiliation(s)
- Lina Hmida
- Department of Medical Oncology, Salah Azaiez Institute, Tunis, Tunisia;
| | | | - Mouna Ayadi
- Department of Medical Oncology, Salah Azaiez Institute, Tunis, Tunisia
| | - Feryel Letaief
- Department of Medical Oncology, Salah Azaiez Institute, Tunis, Tunisia
| | - Asma Gargoura
- Department of Medical Oncology, Salah Azaiez Institute, Tunis, Tunisia
| | - Takwa Bacha
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
| | | | - Raja Znazen
- Department of Hematology, Charles Nicolle Hospital, Tunis, Tunisia
| | - Soumaya Rammah
- Department of Pathology, Charles Nicolle Hospital, Tunis, Tunisia
| | - Sami Guermazi
- Department of Hematology, Charles Nicolle Hospital, Tunis, Tunisia
| | - Faten Zeglaoui
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
| | - Amel Mezlini
- Department of Medical Oncology, Salah Azaiez Institute, Tunis, Tunisia
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48
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Tabka M, Litaiem N, Amina A, Karray M, Rammeh S, Sriha B, Belaajouza C, Zeglaoui F, Denguezli M. Maladie de Rosai–Dorfman cutanée pure : étude bicentrique de 10 cas. Rev Med Interne 2020. [DOI: 10.1016/j.revmed.2020.10.210] [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: 10/22/2022]
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49
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Gara S, Litaiem N, Chabchoub I, Bacha T, Houas A, Belhadjali H, Jones M, Zeglaoui F. Eczéma de contact systémique au dispositif intra-utérin : étude d’un cas et revue systémique de la littérature. Ann Dermatol Venereol 2020. [DOI: 10.1016/j.annder.2020.09.172] [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: 11/24/2022]
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50
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Chaabani M, Litaiem N, Bacha T, Jones M, Badri T, Zeglaoui F. Eosinophilic annular erythema in adults: a new case of this rare entity. Int J Dermatol 2020; 59:e380-e381. [DOI: 10.1111/ijd.15115] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/29/2020] [Accepted: 07/16/2020] [Indexed: 11/29/2022]
Affiliation(s)
- Meryam Chaabani
- Department of Dermatology Charles Nicolle Hospital Tunis Tunisia
- Faculty of Medicine of Tunis University of Tunis El Manar Tunis Tunisia
| | - Noureddine Litaiem
- Department of Dermatology Charles Nicolle Hospital Tunis Tunisia
- Faculty of Medicine of Tunis University of Tunis El Manar Tunis Tunisia
| | - Takwa Bacha
- Department of Dermatology Charles Nicolle Hospital Tunis Tunisia
- Faculty of Medicine of Tunis University of Tunis El Manar Tunis Tunisia
| | - Meriem Jones
- Department of Dermatology Charles Nicolle Hospital Tunis Tunisia
- Faculty of Medicine of Tunis University of Tunis El Manar Tunis Tunisia
| | - Talel Badri
- Faculty of Medicine of Tunis University of Tunis El Manar Tunis Tunisia
- Department of Dermatology Habib Thameur Hospital Tunis Tunisia
| | - Faten Zeglaoui
- Department of Dermatology Charles Nicolle Hospital Tunis Tunisia
- Faculty of Medicine of Tunis University of Tunis El Manar Tunis Tunisia
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