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Hammani A, Doghmi O, Allaoui M, Ababou M, Mahtat EM, El Maaroufi H, Doghmi K. A Rare Coexistence of Smoldering Multiple Myeloma and JAK2-Positive Myeloproliferative Neoplasm: A Case of Dual Synchronous Hematological Malignancy. Cureus 2024; 16:e52622. [PMID: 38374866 PMCID: PMC10876019 DOI: 10.7759/cureus.52622] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/20/2024] [Indexed: 02/21/2024] Open
Abstract
This article explores the rare case of an 82-year-old man diagnosed concurrently with essential thrombocythemia and smoldering multiple myeloma (SMM). The limited existing literature on individuals harboring both myeloproliferative neoplasm (MPN) and monoclonal gammopathy (MG) is of significant interest due to the distinct origins of these malignancies. The etiology of MG in MPN patients remains elusive, leading to speculation about a potential relationship or interplay between the two conditions. This unique case prompts a deeper exploration of the mechanisms underlying the coexistence of JAK2-positive MPN and SMM. It underscores the importance of tailored therapeutic strategies that carefully consider the inherent risks and potential adverse outcomes associated with these specific malignancies, thereby warranting further clinical research.
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Affiliation(s)
- Adnane Hammani
- Hematology, Mohammed V Military Training Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, MAR
| | - Othman Doghmi
- Hematology, Ibn Sina University Hospital Center, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, MAR
| | - Mohammed Allaoui
- Pathology, Mohammed V Military Training Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, MAR
| | - Mounir Ababou
- Hematology, Mohammed V Military Training Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, MAR
| | - El Mehdi Mahtat
- Hematology, Mohammed V Military Training Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, MAR
| | - Hicham El Maaroufi
- Hematology, Mohammed V Military Training Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, MAR
| | - Kamal Doghmi
- Hematology, Mohammed V Military Training Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, MAR
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Biaz A, Laamara L, Mahtat E, Bouhsain S, Doghmi K, Dami A, Elmachtani-Idrissi S. Atypical Migration in Serum Immunofixation of Immunoglobulin A with Masked kappa Light Chains: a Case Report and Review of the Literature. Clin Lab 2023; 69. [PMID: 37057941 DOI: 10.7754/clin.lab.2022.220714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/15/2023]
Abstract
BACKGROUND We report a case of a patient with immunoglobulin A multiple myeloma associated with a masked kappa light chain. Serum immunofixation showed a monoclonal band in the IgA heavy chain lane without corre-spondence with the light chain and a monoclonal band in total kappa light chain lane without correspondence with the heavy chain. METHODS To distinguish between heavy chain disease and immunoglobulin with "masked" light chains, two tubes containing the patient's serum were incubated with a very high concentration of anti-total kappa and anti-total lambda antisera for 48 hours at 4°C in order to facilitate immunoprecipitation of the involved light chain. After centrifugation, the supernatant was analyzed by using the IFs method on the Hydrasys 2 Scan Focusing Sebia® without dilution. Then we applied the anti-IgA, anti-total kappa and anti-total lambda antisera. RESULTS The serum immunofixation test of the sample treated with a high concentration of anti-total kappa showed the disappearance of the monoclonal bands corresponding to IgA heavy chain lane and kappa light chain lane, indicating that precipitation had occurred and that the IgA did have kappa light chains that could not be detected by the standard immunofixation protocol. The serum immunofixation test of the sample treated with anti-total lambda showed the disappearance of the polyclonal background in lambda light chain lane, confirming that the precipitation with lambda light chains according to the previously mentioned protocol has done well. CONCLUSIONS This case illustrates some of the difficulties encountered and the corrective actions that can be taken for the detection of immunoglobulins with masked light chains.
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Oumayma H, Mahtat EM, Moussa Bouh H, Elmaaroufi H, Doghmi K. Fatal Cryptococcal Meningitis in a Patient With Chronic Lymphocytic Leukemia Treated With Ibrutinib. Cureus 2023; 15:e37891. [PMID: 37213990 PMCID: PMC10199734 DOI: 10.7759/cureus.37891] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/20/2023] [Indexed: 05/23/2023] Open
Abstract
According to the latest World Health Organization classification published in 2022, chronic lymphocytic leukemia (CLL) is classified as a low-grade proliferation of clonal B-cells. The Bruton tyrosine kinase (BTK) pathway plays a crucial role in B-cell receptor signaling. Ibrutinib, the first irreversible BTK inhibitor, has been shown to improve the survival of CLL patients with lower toxicity than traditional chemotherapy. Cryptococcosis is an invasive fungal infection that primarily affects individuals with compromised immune systems. We present a case of a 69-year-old male with relapsed CLL who received treatment with ibrutinib and subsequently developed meningeal cryptococcosis, presenting with seizures and fever. A physical exam showed bilateral hypoacusis, but no focal deficits. Cerebral imaging was normal and laboratory results showed a low gamma globulin level and leucopenia with lymphopenia but without neutropenia. The cerebrospinal fluid profile was not inflammatory, opening pressure was normal, the classic India ink test was positive, and fungal cultures grew Cryptococcus neoformans. To complete investigations, HIV testing was negative, and sinus and chest tomography scans showed no anomalies. Treatment consisted of discontinuing ibrutinib and administering anti-fungal therapy with liposomal amphotericin (4 mg/kg/day) in combination with flucytosine (25 mg/kg/day). However, the patient's neurological status declined, and he passed away. This case highlights the potential risk of developing opportunistic infections such as cryptococcal meningitis in CLL patients treated with ibrutinib. It is crucial to consider the patient's immune status when administering ibrutinib and to closely monitor for signs of infection.
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Affiliation(s)
- Hari Oumayma
- Hematology Department, Military Hospital, Rabat, MAR
| | | | | | | | - Kamal Doghmi
- Hematology Department, Military Hospital, Rabat, MAR
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Ouzzif Z, Doghmi K, Messaoudi N, Bouhsain S, El Machtani S, Biaz A, Rachid A, Dami A, Bezza A, El Maataoui A. Epidemiology of monoclonal gammopathy in Morocco - A hospital-based study. Cancer Rep (Hoboken) 2023; 6:e1814. [PMID: 36999311 PMCID: PMC10172167 DOI: 10.1002/cnr2.1814] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2022] [Revised: 03/12/2023] [Accepted: 03/17/2023] [Indexed: 04/01/2023] Open
Abstract
BACKGROUND Monoclonal gammopathies are a group of disorders associated with clonal proliferation of plasma cells that produces a monoclonal protein. AIMS The main objective of this study was to describe the epidemiological and immunochemical characteristics of monoclonal gammopathies diagnosed during 19 years in a Moroccan teaching hospital. MATERIALS AND RESULTS This retrospective study enrolled 443 Moroccan patients with monoclonal gammopathy, patients meeting the inclusion and exclusion criteria in at the biochemistry department of Military Hospital in Rabat, the capital of Morocco, from January 2000 to August 2019. Of the 443 enrolled patients, 320 (72.23%) were men and 123 (27.77%) were women. All patients were of Caucasian origin, from 12 Moroccan regions. The patient's samples were collected and subjected to serum protein electrophoresis and serum immunofixation electrophoresis to further characterize the monoclonal protein. The mean ± SD age of the 443 participants was 62.24 ± 13.14 years. Reasons for being admitted to the hospital were as follows, bone pain (41.60%), renal failure (19.08%), alteration of the general condition (12.21%), and anemia (10.69). Plasma cell proliferative disorders in our study were as follows, multiple myeloma (MM) (45.65%), Monoclonal gammopathies of undetermined significance (MGUS) (39.05%), Waldenstrom's macroglobulinemia (5.58%), Lymphoma (2.27% + 1.2%), Chronic Lymphocytic Leukemia (2.48%), Plasma cell leukemia (1.86%), Plasmacytoma (0.62%), POEMS syndrome (0.41%), and Amyloidosis (0.84%). The most frequent isotypes in MM were the IgGκ (62) 36.5%, IgGλ (52) 30.6%, IgAκ (27) 15.9%, and the IgAλ (19) 11.2%. It is also worth noting that Free light chain MM represents 20% of all cases of MM. CONCLUSIONS We found that monoclonal gammopathies are age-related and affects men more than women, also the results of this study point to the delayed diagnosis of monoclonal gammopathies, since most of our patients were diagnosed at the MM stage. The most frequent isotypes were the IgGκ and IgGλ in MM and MGUS, in Waldenström macroglobulinemia were IgMκ and IgMλ and the oligoclonal profile represented only 3.70%.
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Affiliation(s)
- Zohra Ouzzif
- Faculty of Medicine and Pharmacy, The Military Hospital Instruction Mohamed V/Mohamed V University, Rabat, Morocco
| | - Kamal Doghmi
- Faculty of Medicine and Pharmacy, The Military Hospital Instruction Mohamed V/Mohamed V University, Rabat, Morocco
| | - Nezha Messaoudi
- Faculty of Medicine and Pharmacy, The Military Hospital Instruction Mohamed V/Mohamed V University, Rabat, Morocco
| | - Sanae Bouhsain
- Faculty of Medicine and Pharmacy, The Military Hospital Instruction Mohamed V/Mohamed V University, Rabat, Morocco
| | - Samira El Machtani
- Faculty of Medicine and Pharmacy, The Military Hospital Instruction Mohamed V/Mohamed V University, Rabat, Morocco
| | - Asmae Biaz
- Faculty of Medicine and Pharmacy, The Military Hospital Instruction Mohamed V/Mohamed V University, Rabat, Morocco
| | - Achraf Rachid
- Faculty of Medicine and Pharmacy, The Military Hospital Instruction Mohamed V/Mohamed V University, Rabat, Morocco
| | - Abdallah Dami
- Faculty of Medicine and Pharmacy, The Military Hospital Instruction Mohamed V/Mohamed V University, Rabat, Morocco
| | - Ahmed Bezza
- Faculty of Medicine and Pharmacy, The Military Hospital Instruction Mohamed V/Mohamed V University, Rabat, Morocco
| | - Aissam El Maataoui
- Clinical Chemistry Department, Faculty of Medicine and Pharmacy, Ibn Zohr University, Agadir Teaching Hospital, Agadir, Morocco
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Jamal O, Dami A, El Kabbaj D, Doghmi K, Sekkach Y. L’hyperphosphorémie, un facteur du risque infectieux chez les patients présentant une hypogammaglobulinémie secondaire ? Rev Med Interne 2022. [DOI: 10.1016/j.revmed.2022.10.104] [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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Ababou M, Meziane M, Chouikh C, Ababou M, Laoutid J, Doghmi K. PB2253: NEUTROPHIL TO LYMPHOCYTE RATIO (NLR) AS A PREDICTOR OF SEVERE COVID-19 ON ADMISSION. Hemasphere 2022. [PMCID: PMC9431631 DOI: 10.1097/01.hs9.0000851840.25343.7b] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Jennane S, Mahtat EM, Ababou M, El Maaroufi H, Doghmi K. Posterior Reversible Encephalopathy Syndrome Secondary to R-CHOP Chemotherapy Regimen. Cureus 2022; 14:e24988. [PMID: 35719806 PMCID: PMC9191265 DOI: 10.7759/cureus.24988] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/11/2022] [Indexed: 11/05/2022] Open
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Jennane S, Ababou M, El Haddad M, Ait Sahel O, Mahtat EM, El Maaroufi H, Doudouh A, Doghmi K. Bleomycin-Induced Lung Toxicity in Hodgkin's Lymphoma: Risk Factors in the Positron Emission Tomography Era. Cureus 2022; 14:e23993. [PMID: 35419251 PMCID: PMC8994685 DOI: 10.7759/cureus.23993] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/09/2022] [Indexed: 12/01/2022] Open
Abstract
Introduction Bleomycin is a major antimitotic agent in the first-line treatment for Hodgkin's lymphoma. The main limitation of its use is its pulmonary toxicity. The objectives of this study are to find out the risk factors for the occurrence of bleomycin-induced lung toxicity in patients with Hodgkin's lymphoma and, on the other hand, to determine if positron emission tomography scan is a reliable means of early detection of this toxicity. Methods This is a retrospective study conducted in the clinical Hematology Department of Mohammed V Military Instruction Hospital, Rabat, Morocco. All patients with Hodgkin's lymphoma and treated with a bleomycin-based chemotherapy were included. The impact of different clinical and biological factors on the risk of bleomycin-induced lung toxicity occurrence was assessed using univariate and multivariate logistic regression. The benefit of positron emission tomography, usually performed as part of the re-assessment of Hodgkin’s lymphoma after two and four cycles, has been evaluated in the detection of bleomycin-induced lung toxicity. Results Among 124 patients included in the study, 18 (14.5%) patients experienced bleomycin-induced lung toxicity. On multivariate analysis, smoking (p = 0.038) and the use of the ABVD regimen (doxorubicin, bleomycin, vinblastine, and dacarbazine) compared to the escalated BEACOPPe regimen (bleomycin, etoposide, doxorubicin, cyclophosphamide, vincristine, procarbazine, and prednisone) (p = 0.018) were statistically significant risk factors. After two and four courses of therapy, the positron emission tomography was able to predict the occurrence of bleomycin-induced lung toxicity before the appearance of clinical symptoms only in 36.4 % and 12.5% of patients, respectively. Conclusion Studies to identify risk factors for the development of bleomycin-induced lung toxicity are crucial to reduce toxicity in the treatment of Hodgkin's lymphoma. However, two- and four-cycle positron emission tomography scans cannot be considered as a reliable means of early detection of this toxicity.
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Laktib N, Mahtat EM, Lahlafi Z, Mouine N, Asfalou I, Aghoutane N, Chaib A, Lakhal Z, Doghmi K, Benyass A. Essential thrombocythemia and aortic dissection,causal or incidental association? J Med Vasc 2022; 47:39-42. [PMID: 35393092 DOI: 10.1016/j.jdmv.2022.01.136] [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: 07/26/2021] [Accepted: 01/12/2022] [Indexed: 06/14/2023]
Abstract
Only few cases of vascular dissection and essential thrombocythemia association have been reported. To the best of our knowledge, we reported the second case of aortic dissection and essential thrombocythemia association in a 60-year-old man with positive JAK2V617F mutation who had no history of hypertension or connective tissue disorders. Through this case, we discussed the eventual existence of a causal relationship between the two conditions. We also suggested the use of hydroxyurea as a prevention treatment of thrombosis in myeloproliferative neoplasms.
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Affiliation(s)
- Nabil Laktib
- Department of Cardiology Intensive Care Unit, Cardiology Center of Mohammed V Military Training Hospital, Rabat, Morocco.
| | - El Mehdi Mahtat
- Department of Hematology, Mohammed V Military Training Hospital, Rabat, Morocco
| | - Zakaria Lahlafi
- Catheterization laboratory, Cardiology Center of Mohammed V Military Training Hospital, Rabat, Morocco
| | - Najat Mouine
- Department of Clinical Cardiology, Cardiology Center of Mohammed V Military Training Hospital, Rabat, Morocco
| | - Iliyasse Asfalou
- Department of non-Invasive Cardiac Explorations, Cardiology Center of Mohammed V Military Training Hospital, Rabat, Morocco
| | - Nabil Aghoutane
- Department of Vascular Surgery, Mohammed V Military Training Hospital, Rabat, Morocco
| | - Ali Chaib
- Department of Rhythmology, Cardiology Center of Mohammed V Military Training Hospital, Rabat, Morocco
| | - Zouhair Lakhal
- Department of Cardiology Intensive Care Unit, Cardiology Center of Mohammed V Military Training Hospital, Rabat, Morocco
| | - Kamal Doghmi
- Department of Hematology, Mohammed V Military Training Hospital, Rabat, Morocco
| | - Aatif Benyass
- Cardiology Center of Mohammed V Military Training Hospital, Rabat, Morocco
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EL Maachi N, El Mehdi M, Filali IA, Jennane S, El Maaroufi H, Doghmi K. L’érythroblastopénie et la myélofibrose primitive : association très rare: à propos d’un cas. Pan Afr Med J 2022; 42:201. [PMID: 36284568 PMCID: PMC9547022 DOI: 10.11604/pamj.2022.42.201.32754] [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] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2021] [Accepted: 06/02/2022] [Indexed: 11/18/2022] Open
Abstract
L´association de l´érythroblastopénie et la myélofibrose primitive est très rare. Nous présentons dans ce papier un cas inhabituel d´un patient âgé de 76 ans d´origine marocaine suivi depuis 2018 pour une érythroblastopénie idiopathique traitée initialement par la corticothérapie puis la ciclosporine. Deux ans plus tard, le patient rapporte l´installation de douleurs osseuses avec une splénomégalie. Un bilan comprenant le myélogramme, la biopsie ostéo-médullaire et la biologie moléculaire a révélé une myélofibrose. Le bilan étiologique de la myélofibrose est revenu négatif concluant à la nature primitive. Le patient est mis sous ruxolitinib avec un support transfusionnel. L´évolution était favorable marquée par une amélioration de son état général, sa splénomégalie et du rythme transfusionnel. L´association de l´érythroblastopénie et d´un syndrome myéloprolifératif reste exceptionnelle et jusqu´à présent seulement quelques cas sont rapportés dans la littérature.
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Affiliation(s)
- Nora EL Maachi
- Service d’Hématologie Clinique, Hôpital Militaire d´Instruction Mohamed V, Rabat, Maroc
- Corresponding author: Nora El Maachi, Service d’Hématologie Clinique, Hôpital Militaire d´Instruction Mohamed V, Rabat, Maroc.
| | - Mahtat El Mehdi
- Service d’Hématologie Clinique, Hôpital Militaire d´Instruction Mohamed V, Rabat, Maroc
| | - Imane Ait Filali
- Service d’Hématologie Clinique, Hôpital Militaire d´Instruction Mohamed V, Rabat, Maroc
| | - Selim Jennane
- Service d’Hématologie Clinique, Hôpital Militaire d´Instruction Mohamed V, Rabat, Maroc
| | - Hicham El Maaroufi
- Service d’Hématologie Clinique, Hôpital Militaire d´Instruction Mohamed V, Rabat, Maroc
| | - Kamal Doghmi
- Service d’Hématologie Clinique, Hôpital Militaire d´Instruction Mohamed V, Rabat, Maroc
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Biaz A, Konzi K, Mahtat E, Elmachtaniidrissi S, Doghmi K, Dami A, Bouhsain S. Monoclonal Immunoglobulin Associated with Monoclonal Free Light Chains Invisible on Capillary Electrophoresis. Clin Lab 2022; 68. [DOI: 10.7754/clin.lab.2021.211011] [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: 11/03/2022]
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Jamal O, Sekkach Y, Messaoudi N, Doghmi K. Profil clinique et étiologique du syndrome des agglutinines froides. Rev Med Interne 2021. [DOI: 10.1016/j.revmed.2021.10.264] [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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Bendari M, Delsa H, Bouanani N, Jabouri R, Darouich S, Nejjari S, Guessous F, Doghmi K. Hemophagocytic lymphohistiocytosis associated with HBV-HCV coinfection in adult: Case report. Clin Case Rep 2021; 9:e04328. [PMID: 34401150 PMCID: PMC8346598 DOI: 10.1002/ccr3.4328] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [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: 05/18/2020] [Revised: 04/21/2021] [Accepted: 04/29/2021] [Indexed: 11/12/2022] Open
Abstract
The case reported is the first case in Morocco to our knowledge. The reason for sharing this case is to facilitate knowledge transfer between physicians, caring for adult patients with HLH, with the aim to improve the outcome of these patients.
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Affiliation(s)
- Mounia Bendari
- Hematology DepartmentCheikh Khalifa International University HospitalCasablancaMorocco
- Mohammed VI University of Health SciencesCasablancaMorocco
| | - Hanane Delsa
- Mohammed VI University of Health SciencesCasablancaMorocco
- Gastroenterology and Hepatology DepartmentCheikh Khalifa International University HospitalCasablancaMorocco
| | - Nouama Bouanani
- Hematology DepartmentCheikh Khalifa International University HospitalCasablancaMorocco
- Mohammed VI University of Health SciencesCasablancaMorocco
| | - Rajaa Jabouri
- Mohammed VI University of Health SciencesCasablancaMorocco
- Internal Medicine DepartmentCheikh Khalifa International University HospitalCasablancaMorocco
| | - Safaa Darouich
- Hematology DepartmentCheikh Khalifa International University HospitalCasablancaMorocco
- Mohammed VI University of Health SciencesCasablancaMorocco
| | - Sara Nejjari
- Hematology DepartmentCheikh Khalifa International University HospitalCasablancaMorocco
- Mohammed VI University of Health SciencesCasablancaMorocco
| | - Fadila Guessous
- Mohammed VI University of Health SciencesCasablancaMorocco
- Department of Biological SciencesFaculty of MedicineCasablancaMorocco
| | - Kamal Doghmi
- Hematology DepartmentCheikh Khalifa International University HospitalCasablancaMorocco
- Mohammed VI University of Health SciencesCasablancaMorocco
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Ahnach M, Bouanani N, Nejjari S, Bendari M, Doghmi K, El Kettani C. The critical role of complete blood count in the management of patients with COVID-19. Pan Afr Med J 2021; 35:63. [PMID: 33623587 PMCID: PMC7875780 DOI: 10.11604/pamj.supp.2020.35.2.23764] [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] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2020] [Accepted: 05/28/2020] [Indexed: 12/15/2022] Open
Affiliation(s)
- Maryame Ahnach
- Department of Hematology, Cheikh khalifa International University Hospital, Mohammed VI University of Health Sciences Casablanca, Morocco
| | - Nouama Bouanani
- Department of Hematology, Cheikh khalifa International University Hospital, Mohammed VI University of Health Sciences Casablanca, Morocco
| | - Sara Nejjari
- Department of Hematology, Cheikh khalifa International University Hospital, Mohammed VI University of Health Sciences Casablanca, Morocco
| | - Mounia Bendari
- Department of Hematology, Cheikh khalifa International University Hospital, Mohammed VI University of Health Sciences Casablanca, Morocco
| | - Kamal Doghmi
- Department of Hematology, Military Hospital Mohammed V, Mohammed V University Faculty of medicine and Pharmacy, Rabat, Morocco
| | - Chafik El Kettani
- Department of Anesthesiology and Reanimation, Cheikh khalifa International University Hospital, Hassan II VI University Faculty of Medicine and Pharmacy, Casablanca, Morocco
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Benameur Y, Hammani A, Doghmi K, Doudouh A. Bilateral renal involvement in diffuse large B-cell lymphoma on fluorodeoxyglucose positron emission tomography/computed tomography. World J Nucl Med 2021; 20:195-197. [PMID: 34321975 PMCID: PMC8285998 DOI: 10.4103/wjnm.wjnm_111_20] [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: 08/04/2020] [Revised: 09/16/2020] [Accepted: 10/04/2020] [Indexed: 11/21/2022] Open
Abstract
Secondary renal involvement in patients with diffuse large B-cell lymphoma (DLBCL) is rare and associated with poor prognosis. We, hereby, described a case of a patient diagnosed with DLBCL, in whom bilateral renal involvement was detected on 18F-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT). The patient received 4 courses of chemotherapy, and follow-up 18F-FDG PET/ CT revealed the complete resolution of the diffuse increased renal 18F-FDG uptake. Renal lymphoma is uncommon and 18F-FDG PET/CT is particularly useful for detecting extranodal involvement in DLBLC.
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Affiliation(s)
- Yassir Benameur
- Department of Nuclear Medicine, Mohammed V Military Teaching Hospital, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University in Rabat, Morocco
| | - Adnane Hammani
- Department of Clinical Hematology, Mohammed V Military Teaching Hospital, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University in Rabat, Morocco
| | - Kamal Doghmi
- Department of Clinical Hematology, Mohammed V Military Teaching Hospital, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University in Rabat, Morocco
| | - Abderrahim Doudouh
- Department of Nuclear Medicine, Mohammed V Military Teaching Hospital, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University in Rabat, Morocco
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Maaroufi HE, Ababou M, Hammani A, Ahchouch S, Jennane S, Mahtat M, Mikdmae M, Messaoudi N, Doghmi K. [A monocentric study on the management of patients with myelodysplastic syndromes in Morocco]. Pan Afr Med J 2020; 37:300. [PMID: 33654519 PMCID: PMC7881929 DOI: 10.11604/pamj.2020.37.300.20972] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2019] [Accepted: 07/10/2020] [Indexed: 11/25/2022] Open
Abstract
We conducted a retrospective descriptive analytical study in the Department of Clinical Haematology at the Mohammed V Military Training Hospital in Rabat over a period of 10 years. This study included 76 patients diagnosed with myelodysplastic syndrome (MDS) between 2008 and 2018. The average number of cases per year was 7.6. Out of 76 patients, 57% were men and 43% were women. The average age of our study population was 65.75 ± 12.55. The average age was 66.88 ± 13.10. No cases of profession exposed to disease was reported. Ninety-seven point three percent of patients had primary myelodysplastic syndrome and only 2 or 2.7% had myelodysplastic syndrome secondary to chemotherapy. The average time between the first visit and the diagnosis of myelodysplastic syndrome was, on average, 33.6 days ± 51, with a median of 19 days. The IPSS prognostic score was: low risk in 37.4% of cases, intermediate risk 1 in 46.6% of cases, intermediate risk in 12% of cases and high risk in 4% of cases. Thus, 84% of patients had low-risk MDS and 16% had high-risk MDS. Regular monitoring of patients showed many complications such as bleeding in 13% of patients, infections in 8% of cases, secondary hemochromatosis as a result of iterative transfusions in 6.6% of patients and transformation to acute myeloid leukemia in 2.7% of patients. In our study, abstention was the therapeutic choice in 42.1% of patients, transfusion was recommended in 35.5% of patients: red cells in 70% of cases, platelet concentrates in 40% of cases, iron chelators in 25% of transfused patients and EPO in 27% of patients. azacitidine was prescribed in 18% of patients, 50% had low-risk MDS and 50% had high-risk MDS. Bone marrow transplant was the only curative treatment for MDS. It was performed in a single patient with high risk MDS.
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Affiliation(s)
- Hicham El Maaroufi
- Service d´Hématologie Clinique, Hôpital Militaire d´Instruction Mohammed V, Rabat, Maroc
| | - Mounir Ababou
- Service d´Hématologie Clinique, Hôpital Militaire d´Instruction Mohammed V, Rabat, Maroc
| | - Adnane Hammani
- Service d´Hématologie Clinique, Hôpital Militaire d´Instruction Mohammed V, Rabat, Maroc
| | - Siham Ahchouch
- Service d´Hématologie Clinique, Hôpital Militaire d´Instruction Mohammed V, Rabat, Maroc
| | - Salim Jennane
- Service d´Hématologie Clinique, Hôpital Militaire d´Instruction Mohammed V, Rabat, Maroc
| | - Mehdi Mahtat
- Service d´Hématologie Clinique, Hôpital Militaire d´Instruction Mohammed V, Rabat, Maroc
| | - Mohamed Mikdmae
- Service d´Hématologie Clinique, Hôpital Militaire d´Instruction Mohammed V, Rabat, Maroc
| | - Nezha Messaoudi
- Laboratoire d´Hématologie, Hôpital Militaire d´Instruction Mohammed V, Rabat, Maroc
| | - Kamal Doghmi
- Service d´Hématologie Clinique, Hôpital Militaire d´Instruction Mohammed V, Rabat, Maroc
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Jennane S, El Maaroufi H, Mahtat EM, Mikdame M, Doghmi K. Bing-Neel syndrome revealing Waldenström's macroglobulinemia: a case report. Tunis Med 2020; 98:750-753. [PMID: 33479948] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
INTRODUCTION Bing-Neel syndrome is a lympho-plasmocytic infiltration of the central nervous system. The Bing-Neel syndrome is a rare entity, which often occurs during the evolution of a Waldenström's macroglobulinemia but can in some cases be the revealing mode of it. OBSERVATION We report the case of a 56-year-old patient with tumoral form of Bing-Neel syndrome revealing Waldentrom's macroglobulinemia. CONCLUSION This observation describes a rare entity whose diagnosis and therapeutic management is complex.
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Bouanani* N, Bendari M, Naim* A, Ahnach M, Darouich S, Ismaili N, Doghmi K. Managing Cancer Center During the SARS-COVID-19 Pandemic: Moroccan Experience. Asian Pac J Cancer Care 2020. [DOI: 10.31557/apjcc.2020.5.s1.219-223] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Objective: The principal aim of this work is to describe the different measures taken by three departments involved in treatment of patients followed for cancer during the SARS pandemic COVID-19. Method: A prospective study, using anonymous questionnaire, among the medical and paramedical team of hematology, medical oncology and radiotherapy during the pandemic. Results: The staff nursing was mainly constituted by a paramedical team (71,5%), with female predominance at 77,8%, sex ratio F/M=3,5, the high majority range age of the team was 30-45 years, living as a couple (52,4%). During the Covid pandemic, all our staff used bib, normal bib (76,2%), FPP2 (20,6%) combined bib (FFP2/normal) in 28,6% with visor in 6,3%. The duration of using of the same bib was variable, it has been used for 12h and more in 52, 5% and during 4h, 6h and 8h in 12,5%, 7, 5% and 27,5% respectively. For the out work management, more than half of our team return home without confinement to their family or children and only 8% have been confined on hotel. Our staff expressed a very important professional impact in 87,3% as well as in their personal lives in 85,7%.Conclusion: The vulnerability of the patients followed for cancer had obliged heath professional in this field to be even more rigorous and more vigilant on protective measures while ensuring continuity of care during the COVID pandemic. Our study illustrates that, despite the staff’s efforts of adaptation, the impact in personal and professional lives has been not negligible.
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Jennane S, Hasnaoui N, Mehdi ME, Maaroufi HE, Messaoudi N, Mikdame M, Doghmi K. [Chronic paraneoplastic inflammatory demyelinating polyradiculoneuritis secondary to nasal natural killer lymphoma]. Pan Afr Med J 2020; 36:303. [PMID: 33282086 PMCID: PMC7687485 DOI: 10.11604/pamj.2020.36.303.17772] [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: 11/25/2018] [Accepted: 07/24/2020] [Indexed: 12/04/2022] Open
Abstract
Nous rapportons un cas unique d´une polyradiculonévrite inflammatoire démyélinisante chronique paranéoplasique secondaire à un lymphome non hodgkinien T de type natural killer nasal.
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Affiliation(s)
- Selim Jennane
- Service d´Hématologie Clinique, Hôpital Militaire d´Instruction Mohammed V, Université Mohammed V, Rabat, Maroc
| | - Nawal Hasnaoui
- Service d´Hématologie Clinique, Hôpital Militaire d´Instruction Mohammed V, Université Mohammed V, Rabat, Maroc
| | - Mahtat El Mehdi
- Service d´Hématologie Clinique, Hôpital Militaire d´Instruction Mohammed V, Université Mohammed V, Rabat, Maroc
| | - Hicham El Maaroufi
- Service d´Hématologie Clinique, Hôpital Militaire d´Instruction Mohammed V, Université Mohammed V, Rabat, Maroc
| | - Nezha Messaoudi
- Laboratoire d´Hématologie, Hôpital Militaire d´Instruction Mohammed V, Université Mohammed V, Rabat, Maroc
| | - Mohamed Mikdame
- Service d´Hématologie Clinique, Hôpital Militaire d´Instruction Mohammed V, Université Mohammed V, Rabat, Maroc
| | - Kamal Doghmi
- Service d´Hématologie Clinique, Hôpital Militaire d´Instruction Mohammed V, Université Mohammed V, Rabat, Maroc
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Benlachgar N, Doghmi K, Masrar A, Mahtat EM, Harmouche H, Tazi Mezalek Z. Immature platelets: a review of the available evidence. Thromb Res 2020; 195:43-50. [PMID: 32652352 DOI: 10.1016/j.thromres.2020.06.048] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [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: 12/27/2019] [Revised: 05/12/2020] [Accepted: 06/30/2020] [Indexed: 12/28/2022]
Abstract
Immature platelets or reticulated platelets are newly released thrombocytes. They can be identified by their large size and high RNA cytoplasm concentration. Immature platelet fraction (IPF) represents the percentage of immature circulative platelets to the total number of platelets. The development of analytical standardization of this hematological parameter by new automated devices allowed a better exploration of its contribution in a context of thrombocytopenia. In fact, several studies had confirmed its clinical utility to differentiate immune thrombocytopenia from other causes of thrombocytopenia. IPF can also predict platelets recovery after chemotherapy and successful engraftment. In addition, immature platelets have shown utility in other diseases such as coronary artery diseases, bacterial infections and liver diseases. Despite all these advantages, immature platelet fraction can be increased in some cases of thrombocytopenia characterized by platelets hypoproduction. The aim of this review is to present the immature platelet fraction contribution in clinical practice.
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Affiliation(s)
- Naoufal Benlachgar
- Department of Clinical Haematology, Military Hospital of Instruction Mohamed V, Rabat, Morocco.
| | - Kamal Doghmi
- Department of Clinical Haematology, Military Hospital of Instruction Mohamed V, Rabat, Morocco
| | - Azlarab Masrar
- Central laboratory of hematology, Ibn Sina Hospital, University Mohamed V of Medicine, Rue Lamfadel Cherkaoui, BP 6527 Rabat, Morocco
| | - El Mehdi Mahtat
- Department of Clinical Haematology, Military Hospital of Instruction Mohamed V, Rabat, Morocco
| | - Hicham Harmouche
- Internal Medicine Department, Ibn Sina Hospital, University Mohamed V of Medicine, Rue Lamfadel Cherkaoui, BP 6527 Rabat, Morocco
| | - Zoubida Tazi Mezalek
- Internal Medicine Department, Ibn Sina Hospital, University Mohamed V of Medicine, Rue Lamfadel Cherkaoui, BP 6527 Rabat, Morocco
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Affiliation(s)
- Maryame Ahnach
- Department of Hematology, International University Hospital Cheikh Khalifa Ibn Zayd, Casablanca, Morocco
| | - Kamal Doghmi
- Mohammed VI University of Health Sciences, Casablanca, Morocco
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Jennane S, Hasnaoui N, Mahtat EM, Merimi F, Bougar S, El Maaroufi H, Belmekki A, Zafad S, Essakalli M, Mikdame M, Doghmi K. Non-cryopreserved peripheral blood stem cells autologous transplantation in multiple myeloma: Bicentric study. Transfus Clin Biol 2020; 27:152-156. [PMID: 32334934 DOI: 10.1016/j.tracli.2020.03.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [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: 01/26/2020] [Revised: 03/28/2020] [Accepted: 03/30/2020] [Indexed: 10/24/2022]
Abstract
OBJECTIVES The objective of this study is to evaluate the toxicity of autologous transplantation of non-frozen peripheral blood stem cells in Moroccan patients with multiple myeloma. MATERIAL AND METHODS This was a bicentric retrospective study conducted in the Clinical Haematology Department of Mohammed V Military Teaching Hospital and at the Al Madina Clinic in Casablanca. The study period was from January 2015 to June 2019. All patients with multiple myeloma who had undergone an autologous peripheral stem cell transplant without freezing were included. Mobilisation was performed with lenograstim alone and the collected stem cells were stored for 24-48hours in a blood bank refrigerator at a temperature of 4°C. After standard conditioning with high-dose melphalan, the peripheral blood stem cells were reinjected 24 h following conditioning. RESULTS Over the study period, 55 patients received an autologous transplant using non-frozen peripheral blood stem cells. The median richness of the CD34 cells collected was 4.5×106 CD34/kg (range: 2-12.2). The time required for neutrophil recovery was 12 days (range: 7-19). The time required for platelet recovery was 14 days (range: 9-32). The mortality rate within 100 days post-transplant was 3.6%. We did not observe any cases of graft failure. CONCLUSION Our study finds good feasibility and low toxicity of autologous peripheral stem cell transplantation without freezing in patients with multiple myeloma.
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Affiliation(s)
- S Jennane
- Service d'Hématologie Clinique, Hôpital Militaire d'Instruction Mohammed V de Rabat, Faculté de Médecine et de Pharmacie de Rabat, Université Mohammed V de Rabat, Rabat, Maroc.
| | - N Hasnaoui
- Service d'Hématologie Clinique, Hôpital Militaire d'Instruction Mohammed V de Rabat, Faculté de Médecine et de Pharmacie de Rabat, Université Mohammed V de Rabat, Rabat, Maroc
| | - E M Mahtat
- Service d'Hématologie Clinique, Hôpital Militaire d'Instruction Mohammed V de Rabat, Faculté de Médecine et de Pharmacie de Rabat, Université Mohammed V de Rabat, Rabat, Maroc
| | - F Merimi
- Clinique privée Al Madina, Casablanca, Maroc
| | - S Bougar
- Service de Transfusion et d'Immunologie, Banque de Tissus et Cellules, Centre Hospitalier Universitaire Ibn Sina, Université Mohammed V de Rabat, Rabat, Maroc
| | - H El Maaroufi
- Service d'Hématologie Clinique, Hôpital Militaire d'Instruction Mohammed V de Rabat, Faculté de Médecine et de Pharmacie de Rabat, Université Mohammed V de Rabat, Rabat, Maroc
| | - A Belmekki
- Centre de Transfusion Sanguine Hôpital Militaire d'Instruction Mohammed V de Rabat, Faculté de Médecine et de Pharmacie de Rabat, Université Mohammed V de Rabat, Rabat, Maroc
| | - S Zafad
- Clinique privée Al Madina, Casablanca, Maroc
| | - M Essakalli
- Service de Transfusion et d'Immunologie, Banque de Tissus et Cellules, Centre Hospitalier Universitaire Ibn Sina, Université Mohammed V de Rabat, Rabat, Maroc
| | - M Mikdame
- Faculté de Médecine et de Pharmacie de Rabat, Université Mohammed V de Rabat, Rabat, Maroc
| | - K Doghmi
- Service d'Hématologie Clinique, Hôpital Militaire d'Instruction Mohammed V de Rabat, Faculté de Médecine et de Pharmacie de Rabat, Université Mohammed V de Rabat, Rabat, Maroc
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Mahtat EM, Filali KZ, Haidouri S, Jennane S, ElMaaroufi H, Mikdame M, Doghmi K. PB2157 CHARACTERISTICS AND REAL-WORLD TREATMENT OUTCOMES IN MULTIPLE MYELOMA YOUNG PATIENTS: A SINGLE CENTER MOROCCAN EXPERIENCE. Hemasphere 2019. [DOI: 10.1097/01.hs9.0000567112.63344.8b] [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] Open
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25
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Eddou H, Zinebi A, Khalloufi A, Mahtat EM, El Khadir SE, Moudden MK, Doghmi K, Mikdame M, El Baaj M. [Thrombo-haemorrhagic disease-related hypoprothrombinemia-lupus anticoagulant syndrome revealing a light chains multiple myeloma]. J Med Vasc 2018; 43:325-328. [PMID: 30217348 DOI: 10.1016/j.jdmv.2018.07.008] [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: 03/06/2018] [Accepted: 07/08/2018] [Indexed: 06/08/2023]
Abstract
Thrombosis and hemorrhage are two opposing manifestations of multiple myeloma. These hemostatic disorders are present in less than 12% of patients at diagnosis and involve various pathophysiological mechanisms. We report the case of a 39-year-old patient with multiple myeloma revealed by the association of a hemorrhagic syndrome and deep vein thrombosis related to a hypoprothrombinemia-anticoagulant lupus syndrome.
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Affiliation(s)
- H Eddou
- Service de médecine A, hôpital Militaire Moulay Ismail Meknès, Maroc; Faculté de médecine et de pharmacie de Fès, Maroc.
| | - A Zinebi
- Service de médecine A, hôpital Militaire Moulay Ismail Meknès, Maroc
| | - A Khalloufi
- Service d'hématologie biologique, hôpital Militaire Moulay Ismail Meknès, Maroc
| | - E M Mahtat
- Service d'hématologie clinique, hôpital Militaire d'instruction Mohammed V Rabat, Maroc
| | - S E El Khadir
- Service de médecine A, hôpital Militaire Moulay Ismail Meknès, Maroc
| | - M K Moudden
- Service de médecine A, hôpital Militaire Moulay Ismail Meknès, Maroc
| | - K Doghmi
- Service d'hématologie clinique, hôpital Militaire d'instruction Mohammed V Rabat, Maroc
| | - M Mikdame
- Service d'hématologie clinique, hôpital Militaire d'instruction Mohammed V Rabat, Maroc
| | - M El Baaj
- Service de médecine A, hôpital Militaire Moulay Ismail Meknès, Maroc
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Eddou H, Ennouhi A, Sina M, Zinebi A, El Benaye J, Moudden M, Doghmi K, Malfuson JV, Mikdame M, El Baaj M. Pyoderma gangrenosum après allogreffe de cellules souches hématopoïétiques. Ann Dermatol Venereol 2018; 145:445-450. [DOI: 10.1016/j.annder.2018.02.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2017] [Revised: 09/17/2017] [Accepted: 02/15/2018] [Indexed: 12/18/2022]
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Mehdi ME, Regragui S, Eddou H, Jennane S, Maaroufi HE, Doghmi K, Mikdame M. Erdheim-Chester disease: a rare histiocytosis (case report and review of the literature). Pan Afr Med J 2018; 29:62. [PMID: 29875943 PMCID: PMC5987095 DOI: 10.11604/pamj.2018.29.62.4088] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2014] [Accepted: 11/25/2014] [Indexed: 11/25/2022] Open
Abstract
We report a case of Erdheim-chester disease, a rare non-langerhans histiocytosis revealed by polydipsia-polyuria syndrome in a 26 years old woman, trated by interferon with a good response.
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Affiliation(s)
- Mahtat El Mehdi
- Department of Clinical Haematology, Military Hospital of Instruction Mohamed V, Rabat, Morocco
| | - Safae Regragui
- Department of Clinical Haematology, Military Hospital of Instruction Mohamed V, Rabat, Morocco
| | - Hicham Eddou
- Department of Clinical Haematology, Military Hospital of Instruction Mohamed V, Rabat, Morocco
| | - Selim Jennane
- Department of Clinical Haematology, Military Hospital of Instruction Mohamed V, Rabat, Morocco
| | - Hicham El Maaroufi
- Department of Clinical Haematology, Military Hospital of Instruction Mohamed V, Rabat, Morocco
| | - Kamal Doghmi
- Department of Clinical Haematology, Military Hospital of Instruction Mohamed V, Rabat, Morocco
| | - Mohamed Mikdame
- Department of Clinical Haematology, Military Hospital of Instruction Mohamed V, Rabat, Morocco
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Mehdi ME, Alayoude A, Hamzi MA, Arache W, Hassani K, Jennane S, Eddou H, Doghmi K, Mikdame M. Glomérulonéphrite extra-membraneuse et syndrome myélodysplasique: une association rare. Pan Afr Med J 2018; 29:85. [PMID: 29875966 PMCID: PMC5987118 DOI: 10.11604/pamj.2018.29.85.3486] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2013] [Accepted: 08/26/2014] [Indexed: 11/11/2022] Open
Abstract
Les syndromes myélodysplasiques peuvent s’accompagner de maladies auto-immunes. L’atteinte rénale au cours de ces syndromes est rare. Dans ce cas, les glomérulopathies prédominent cette atteinte. La glomérulonéphrite extra-membraneuse est exceptionnellement reportée en association avec un syndrome myélodysplasique. Nous rapportons dans ce papier le cas d’une patiente présentant une glomérulonéphrite associée à une anémie révélant un syndrome myélodysplasique de faible risque. Dans la lumière de ce cas, nous faisons une courte revue de la littérature des cas précédemment publiés et nous discutons le lien pathogénique entre ces deux entités.
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Affiliation(s)
- Mahtat El Mehdi
- Service d'Hématologie Clinique, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
| | - Ahmed Alayoude
- Service de Néphrologie et de Transplantation Rénale, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
| | - Mohamed Amine Hamzi
- Service de Néphrologie et de Transplantation Rénale, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
| | - Wafe Arache
- Service de Néphrologie et de Transplantation Rénale, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
| | - Kawtar Hassani
- Service de Néphrologie et de Transplantation Rénale, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
| | - Selim Jennane
- Service d'Hématologie Clinique, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
| | - Hicham Eddou
- Service d'Hématologie Clinique, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
| | - Kamal Doghmi
- Service d'Hématologie Clinique, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
| | - Mohamed Mikdame
- Service d'Hématologie Clinique, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
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Ouzzif Z, El Maataoui A, Oukhedda N, Messaoudi N, Mikdam M, Abdellatifi M, Doghmi K. Hemoglobinosis C in Morocco : A report of 111 cas. Tunis Med 2017; 95:229-233. [PMID: 29878289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
BACKGROUND - Hemoglobin C is a hemoglobin variant encountered worldwide. The regionswith high prevalence are West Africa and South-East Asia.The objective of this study is to report cases of hemoglobin C disease brought together during these last twelve years in the Laboratory of Biochemistry and Toxicology of RabatMilitary Hospital Mohammed V (MHIMV). METHODS - This was a retrospective study including111 cases of hemoglobin C disease collected in the Laboratory of Biochemistry of the MHIMVover the past 12 years. A questionnairewasfulfilledwith the epidemiological data,clinical data and the results of the biological explorations. The screening of the hemoglobin variant in this study included several biochemical (hemoglobin electrophoresis at acid and alkalinepH) and hematological tests. RESULTS - Sex-ratio was equal to 1,22. The age at the time of diagnosis ranges between 4 and 80years old, with the mean of 38. North-West regions of Morocco seem most affected. The most frequent reasons for prescription of the hemoglobin's studywere: biological abnormalities, splenomegaly and anemic syndrome. Blood smear reveals frequently anisopoikilocytosis and red blood target. The biochemical tests contribute to the diagnosis and reveal various and varied etiological groups: heterozygous A/C (75%),homozygous C/C (8%), double heterozygous S/C (9%),C/β+-thal (6%) andC/O-Arab (2%). Conclusion - The results of the present descriptive study are in line with the literature data. The importance of genetic counseling and the installation of a national card of systematic neonatal tracking seemto be unavoidable.
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Jennane S, Haidouri S, Zine Filali K, Ahchouch S, Mahtat EM, Doghmi K, Mikdame M. [Fatal bleomycin induced pneumomediastinum and bilateral pneumothorax]. Rev Pneumol Clin 2017; 73:153-156. [PMID: 28365047 DOI: 10.1016/j.pneumo.2017.02.002] [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] [Subscribe] [Scholar Register] [Received: 11/03/2016] [Accepted: 02/03/2017] [Indexed: 06/07/2023]
Affiliation(s)
- S Jennane
- Service d'hématologie clinique, hôpital militaire d'instruction Mohammed V, Hay Riad BP 10100, Rabat, Maroc.
| | - S Haidouri
- Service d'hématologie clinique, hôpital militaire d'instruction Mohammed V, Hay Riad BP 10100, Rabat, Maroc
| | - K Zine Filali
- Service d'hématologie clinique, hôpital militaire d'instruction Mohammed V, Hay Riad BP 10100, Rabat, Maroc
| | - S Ahchouch
- Service d'hématologie clinique, hôpital militaire d'instruction Mohammed V, Hay Riad BP 10100, Rabat, Maroc
| | - E M Mahtat
- Service d'hématologie clinique, hôpital militaire d'instruction Mohammed V, Hay Riad BP 10100, Rabat, Maroc
| | - K Doghmi
- Service d'hématologie clinique, hôpital militaire d'instruction Mohammed V, Hay Riad BP 10100, Rabat, Maroc
| | - M Mikdame
- Service d'hématologie clinique, hôpital militaire d'instruction Mohammed V, Hay Riad BP 10100, Rabat, Maroc
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Eddou H, Zinebi A, Khalloufi A, Sina M, Mahtat M, Doghmi K, Mikdame M, Moudden MK, Baaj ME. [Acquired amegacaryocytic thrombocytopenic purpura hiding acute myeloid leukemia]. Pan Afr Med J 2017; 26:32. [PMID: 28451010 PMCID: PMC5398219 DOI: 10.11604/pamj.2017.26.32.9215] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [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: 02/27/2016] [Accepted: 01/09/2017] [Indexed: 11/16/2022] Open
Abstract
Le purpura thrombopénique amégacaryocytaire acquis est une pathologie très rare caractérisé par une thrombopénie sévère liée une réduction ou une disparition des mégacaryocytes au niveau de la moelle osseuse. Il peut être primaire idiopathique ou secondaire à de nombreux états pathologique dont des hémopathies. Nous rapportons le cas d'un patient de 24 ans admis pour prise en charge d'un syndrome hémorragique mis sur le compte d'un purpura thrombopénique immunologique. Le diagnostic a été redressé en une amégacaryocytose aquise après un échec de la corticothérapie et la réalisation d'un myélogramme. Le patient a été mis sous traitement par ciclosporine avec une évolution rapide vers une leucémie aigue myéloblastique. La progression d'une amégacaryocytose acquise vers une leucémie aigue est rapporté mais généralement pas aussi rapidement et surtout précéder par un syndrome myélodysplasique ou une aplasie médullaire. Cette observation impose un suivi strict et rapproché de ces pathologies d'apparence bénigne.
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Affiliation(s)
- Hicham Eddou
- Service de Médecine Interne, Hôpital Militaire Moulay Ismail, Meknès, Maroc.,Faculté de Médecine et de Pharmacie de Fès, Maroc
| | - Ali Zinebi
- Service de Médecine Interne, Hôpital Militaire Moulay Ismail, Meknès, Maroc
| | - Abdelaziz Khalloufi
- Service d'Hématologie Biologique, Hôpital Militaire Moulay Ismail, Meknès, Maroc
| | - Mohammed Sina
- Service d'Anatomopathologie, Hôpital Militaire Moulay Ismail, Meknès, Maroc
| | - Mehdi Mahtat
- Service d'Hématologie Clinique, Hôpital Militaire d'instruction Mohammed V, Rabat, Maroc
| | - Kamal Doghmi
- Service d'Hématologie Clinique, Hôpital Militaire d'instruction Mohammed V, Rabat, Maroc
| | - Mohammed Mikdame
- Service d'Hématologie Clinique, Hôpital Militaire d'instruction Mohammed V, Rabat, Maroc
| | | | - Mohammed El Baaj
- Service de Médecine Interne, Hôpital Militaire Moulay Ismail, Meknès, Maroc
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Eddou H, Zinebi A, Maaroufi HE, Moudden MK, Doghmi K, Mikdame M, Baaj ME. Traitement des amyloses AL systémiques: à propos de 25 cas. Pan Afr Med J 2017. [PMID: 29541306 PMCID: PMC5847059 DOI: 10.11604/pamj.2017.28.160.11885] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
L'amylose AL systémique primitive est un désordre hématologique rare. La plupart des recommandations thérapeutiques sont basées sur des études de phase II ou des comparaisons rétrospectives et des séries de cas. Le but de cette étude était de décrire les cas d'amylose primitive AL et de faire une comparaison entre le protocole standard Melphlan-Dexamethasone et les nouveaux agents dans le traitement de première ligne de ces patients. Il s'agissait d'une étude rétrospective, descriptive et multicentrique, portant sur l'ensemble des cas d'amyloses AL colligées durant une période s'étalant de juillet 2009 à juin 2016 au sein de 2 centres hospitaliers militaires. Vingt cinq patients ont été colligés dans notre série (12 traités par le Melphalan-Dexamethasone et 13 par des protocoles contenant au moins du Bortézomib ou du Lénalidomide). Il n'y avait pas de différence significative entre les 2 groupes en termes de caractéristiques épidémiologiques, cliniques ou pronostiques. Après un suivi médian de 40 mois, la survie globale médiane était de 54 mois dans le groupe melphalan-Dexamethasone et de 60 mois dans le groupe nouvelles thérapeutiques (P = 0,98). Concernant la survie sans progression, elle était de 18 mois pour le groupe traitement standard contre 11 mois pour le 2ème groupe (P = 0,08). Dans notre petite série nous n'avons pas trouvé une supériorité des nouvelles thérapeutiques par rapport au protocole classique. Ce résultat doit être confirmé par la réalisation d'une vraie étude prospective surtout en raison du coûtde ces nouvelles molécules qui ne sont pas toujours accessibles surtout dans les pays en voie de développement.
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Affiliation(s)
- Hicham Eddou
- Service de Médecine Interne, Hôpital Militaire Moulay Ismail Méknes, Maroc
| | - Ali Zinebi
- Service de Médecine Interne, Hôpital Militaire Moulay Ismail Méknes, Maroc
| | - Hicham El Maaroufi
- Service d'Hématologie Clinique, Hôpital Militaire d'Instruction Mohammed V, Rabat, Maroc
| | | | - Kamal Doghmi
- Service d'Hématologie Clinique, Hôpital Militaire d'Instruction Mohammed V, Rabat, Maroc
| | - Mohammed Mikdame
- Service d'Hématologie Clinique, Hôpital Militaire d'Instruction Mohammed V, Rabat, Maroc
| | - Mohammed El Baaj
- Service de Médecine Interne, Hôpital Militaire Moulay Ismail Méknes, Maroc
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Mahtat EM, Zine M, Allaoui M, Kerbout M, Messaoudi N, Doghmi K, Mikdame M. Hemophagocytic lymphohistiocytosis complicating a T-cell rich B-cell lymphoma. BMC Hematol 2016; 16:28. [PMID: 27904750 PMCID: PMC5122011 DOI: 10.1186/s12878-016-0065-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/29/2016] [Accepted: 10/07/2016] [Indexed: 01/16/2023]
Abstract
Background Hemophagocytic lymphohistiocytosis in adults is often secundary to an infection or a neoplasm. In this last case, T cell lymphomas are the most frequent causes. Hemophagocytic lymphohistiocytosis secundary to a B cell lymphoma has been rarely reported. Case presentation We describe a case of a hemophagocytic lymphohistiocytosis complicating a T-cell rich B-cell lymphoma treated with conventionnal chemotherapy leading to a complete remission. Conclusion Prompt etiologic diagnosis and treatment of hemophagocytic lymphohistiocytosis leads to satisfactory outcome.
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Affiliation(s)
- El Mehdi Mahtat
- Service d'Hématologie Clinique, Hôpital Militaire d'Instruction Mohamed V, Rabat, Morocco
| | - Maryem Zine
- Service d'Hématologie Clinique, Hôpital Militaire d'Instruction Mohamed V, Rabat, Morocco
| | - Mohamed Allaoui
- Laboratoire d'Anatomie Pathologique, Hôpital Militaire d'Instruction Mohamed V, Rabat, Morocco
| | - Malika Kerbout
- Service d'Hématologie Clinique, Hôpital Militaire d'Instruction Mohamed V, Rabat, Morocco
| | - Nezha Messaoudi
- Service d'Hématologie Clinique, Hôpital Militaire d'Instruction Mohamed V, Rabat, Morocco
| | - Kamal Doghmi
- Service d'Hématologie Clinique, Hôpital Militaire d'Instruction Mohamed V, Rabat, Morocco
| | - Mohamed Mikdame
- Service d'Hématologie Clinique, Hôpital Militaire d'Instruction Mohamed V, Rabat, Morocco
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Jennane S, Amelal S, El Mehdi M, Ahid S, Messaoudi N, Doghmi K, Mikdame M. Prognostic factors predicting overall survival in Moroccan patients with myelodysplastic syndrome. Tunis Med 2016; 94:541-545. [PMID: 28603827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
BACKGROUND Prognostic scores are an indispensable tool in the management of myelodysplastic syndromes. AIM Identify prognostic factors influencing overall survival of patients with myelodysplastic syndromes. METHODS We included all patients with myelodysplastic syndromes treated in the clinical hematology department of the military hospital of Rabat (Morocco). RESULTS Seventy-four patients were included. The sex ratio [M / F] was 1.8. The median age was 65.5 years. The median follow-up was 45 months. The karyotype prognostic was good in 74%. In univariate analysis, prognostic factors influencing overall survival are: Age (p = 0.024), karyotype (p = 0.033), rate of bone marrow blasts (p = 0.002), transfusion dependence (p = 0.002), number of cytopenias (p = 0.001), hemoglobin (p = 0.009) and neutrophil count (p = 0.003). In multivariate analysis the only prognostic factor that influenced overall survival was the karyotype (p = 0.036). Transfusion dependence (p = 0.072) and the rate of marrow blasts (p = 0.107) was close to significance. The WHO Prognostic Scoring System (WPSS), the International Prognostic Scoring System (IPSS) and the Revised International Prognostic Scoring System (RIPSS) influence overall survival with a statistical significance (p <0.001). CONCLUSION Our study confirms the prognostic value of the karyotype and validated the WPSS, the IPSS and the RIPSS scores as significant predictors of overall survival in Moroccan patients with myelodysplastic syndromes.
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Abbassi SE, Dahraoui S, Kabbage S, Iken M, Doghmi K, Miqdame M, Lmimouni B. Fongémie à Candida tropicalis à porte d’entrée une chambre implantable. J Mycol Med 2016. [DOI: 10.1016/j.mycmed.2016.04.062] [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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El Maaroufi H, Goubard A, Redjoul R, Legrand P, Pautas C, Mikdame M, Doghmi K, Toma A, Maury S, Schwarzinger M, Cordonnier C. Risk factors and scoring system for predicting bacterial resistance to cefepime as used empirically in haematology wards. Biomed Res Int 2015; 2015:945769. [PMID: 26075276 PMCID: PMC4436445 DOI: 10.1155/2015/945769] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/24/2015] [Accepted: 04/04/2015] [Indexed: 02/06/2023]
Abstract
OBJECTIVES Bacterial resistance is of growing concern in haematology wards. As the inappropriate administration of empirical antibacterial may alter survival, we studied risk factors for resistance to our usual empirical first-line antibacterial therapy, cefepime. METHODS We retrospectively studied 103 first episodes of bacteraemia recorded in our haematology department over 2.5 years. Risk factors for cefepime-resistance were identified by multivariate logistic regression with backward selection (P < 0.05). A scoring system for predicting cefepime-resistance was built on independent factor, with an internal validation by the bootstrap resampling technique. RESULTS 38 (37%) episodes were due to Gram-negative bacteria. Fifty (49%) were due to bacteria resistant to cefepime. Cefepime resistance was significantly associated with a decreased survival at day 30 (P < 0.05). Three risk factors were independently associated with cefepime-resistance: acute lymphoblastic leukaemia; ≥18 days since hospital admission; and receipt of any β-lactam in the last month. Patients with ≥2 of these risk factors had a probability of 86% (CI 95%, 25 to 100%) to carry a cefepime-resistant strain. CONCLUSION Using our scoring system should reduce the indication of very broad antibacterial regimens in the empirical, first-line treatment of febrile hematology patients in more than 80% of the cases.
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Affiliation(s)
- Hicham El Maaroufi
- Assistance Publique-Hôpitaux de Paris (APHP), Haematology Department, Henri Mondor Hospital and Paris-Est-Créteil University, 94000 Créteil, France
- Haematology Department, Hôpital Militaire d'Instruction Mohamed V, Rabat, Morocco
| | - Agathe Goubard
- Microbiology Laboratory, Henri Mondor Hospital, 94000 Créteil, France
| | - Rabah Redjoul
- Assistance Publique-Hôpitaux de Paris (APHP), Haematology Department, Henri Mondor Hospital and Paris-Est-Créteil University, 94000 Créteil, France
| | - Patrick Legrand
- Microbiology Laboratory, Henri Mondor Hospital, 94000 Créteil, France
| | - Cécile Pautas
- Assistance Publique-Hôpitaux de Paris (APHP), Haematology Department, Henri Mondor Hospital and Paris-Est-Créteil University, 94000 Créteil, France
| | - Mohamed Mikdame
- Haematology Department, Hôpital Militaire d'Instruction Mohamed V, Rabat, Morocco
| | - Kamal Doghmi
- Haematology Department, Hôpital Militaire d'Instruction Mohamed V, Rabat, Morocco
| | - Andréa Toma
- Assistance Publique-Hôpitaux de Paris (APHP), Haematology Department, Henri Mondor Hospital and Paris-Est-Créteil University, 94000 Créteil, France
| | - Sébastien Maury
- Assistance Publique-Hôpitaux de Paris (APHP), Haematology Department, Henri Mondor Hospital and Paris-Est-Créteil University, 94000 Créteil, France
| | - Michael Schwarzinger
- Equipe ATIP/AVENIR, INSERM, UMR 738, 75018 Paris, France
- University Paris Diderot, Sorbonne Paris Cité, UMR 738, 75018 Paris, France
| | - Catherine Cordonnier
- Assistance Publique-Hôpitaux de Paris (APHP), Haematology Department, Henri Mondor Hospital and Paris-Est-Créteil University, 94000 Créteil, France
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Jennane S, Hasnaoui N, Raissi A, Messaoudi N, Doghmi K, Mikdame M. Une convulsion fébrile révélant un purpura thrombotique thrombocytopénique. Rev Neurol (Paris) 2014; 170:556-7. [DOI: 10.1016/j.neurol.2014.03.004] [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] [Received: 02/15/2014] [Revised: 03/12/2014] [Accepted: 03/13/2014] [Indexed: 10/25/2022]
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Jennane S, Mahtat EM, Konopacki J, Malfuson JV, Doghmi K, Mikdame M, De Revel T. Cyclosporine-related posterior reversible encephalopathy syndrome after cord blood stem cell transplantation. Hematol Oncol Stem Cell Ther 2013; 6:71. [PMID: 23707936 DOI: 10.1016/j.hemonc.2013.05.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/18/2013] [Indexed: 11/25/2022] Open
Affiliation(s)
- Selim Jennane
- Service d'hématologie clinique, hôpital militaire d'instruction Mohammed V, Rabat, Morocco.
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El Maaroufi H, El Ouazzani Chahdi K, Doghmi K, Mikdame M. [Orbital mantle cell lymphoma]. J Fr Ophtalmol 2013; 36:e55-7. [PMID: 23433524 DOI: 10.1016/j.jfo.2012.06.024] [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] [Subscribe] [Scholar Register] [Received: 03/04/2012] [Revised: 05/24/2012] [Accepted: 06/11/2012] [Indexed: 11/17/2022]
Abstract
Ophthalmological involvement in mantle cell lymphoma is rare. An 84-year-old man presented with bilateral proptosis. Orbital biopsy established the diagnosis of mantle cell lymphoma. The diagnosis of mantle cell lymphoma is anatomopathological and immuno-histochemical. Orbital involvement is found most often in advanced stages of the disease, but may be the presenting sign as in the case of our patient. Treatment has improved with the use of rituximab, especially in elderly patients not eligible for autologous hematopoietic stem cell transplant.
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Affiliation(s)
- H El Maaroufi
- Service d'hématologie clinique, université Mohamed V-Souissi, hôpital militaire d'instruction Mohammed V, Hay Riad, 10100 Rabat, Maroc.
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Affiliation(s)
- Hicham El Maaroufi
- Clinical Hematology Department, Rabat Military Hospital Mohammed V, Souissi, Morocco.
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Ouzzif Z, Doghmi K, Bouhsain S, Dami A, El Machtani S, Tellal S, Messaoudi N, Mikdame M, El Maataoui A. Monoclonal gammopathies in a Moroccan military hospital. Rheumatol Int 2011; 32:3303-7. [PMID: 21881989 DOI: 10.1007/s00296-011-2093-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2011] [Accepted: 08/21/2011] [Indexed: 12/01/2022]
Abstract
The aim of this study was to describe biological features and aetiology of monoclonal gammopathy diagnosed during a 10-year period in the biochemistry department of the Moroccan Military Hospital Mohamed V in Rabat. The study was performed from 1 January 2000 to 31 December 2009. The records of 261 patients living in the Rabat area in which either serum protein electrophoresis and serum and/or urine immunofixation were performed at the biochemistry department of Military Instruction Hospital in Rabat were analysed. A cohort of 182 (70%) men and 79 (30%) women, the mean ± SD (range) ages were 60.21 ± 12.56 years. All patients were Caucasian. Electrophoresis found that 211 (80.84%) of the patients had a monoclonal gammopathy. Immunofixation confirmed that 251 (96.17%) patients had a monoclonal band in serum. In our cohort, MM was the most frequent diagnosis, our patients were late diagnosed.
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Affiliation(s)
- Z Ouzzif
- Biochemistry Department, Military Hospital Instruction Mohamed V, Hay Ryad, Rabat, Morocco.
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Elasri F, Iferkhass S, Souhail H, Doghmi K, Mouzari Y, Naoumi A, Chana H, Mikdam M, Therzaz A. Traitement médical exclusif d’un lymphome bilatéral du MALT du sac lacrymal: à propos d’un cas. ONCOLOGIE 2010. [DOI: 10.1007/s10269-009-1114-5] [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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Oukabli M, Jennane S, Chahdi H, Rharrassi I, Doghmi K, Mikdame M, Albouzidi A. [Rare cause of severe hypoplasia: gelatinous transformation of bone marrow ]. Pan Afr Med J 2010; 6:12. [PMID: 21436955 PMCID: PMC3063490] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2010] [Accepted: 08/20/2010] [Indexed: 12/04/2022] Open
Abstract
Nous rapportons chez une patiente de 17 ans un cas rare d’hypoplasie sévère avec transformation gélatineuse de la moelle osseuse dont l’étiologie spécifique reste mystérieuse malgré un bilan diagnostique et étiologique assez détaillé. La transformation gélatineuse (encore appelée atrophie séreuse, ou moelle de déprivation) est caractérisée par l’association d’une hypoplasie médullaire et d’une infiltration interstitielle par une substance gélatineuse amorphe formée de mucopolysaccharides acides. Elle s’accompagne d’anomalies sanguines périphériques qui sont variables, souvent modérées et non corrélées à la gravité de l’atteinte centrale. Sa pathogénie, encore mal connue, est très certainement liée à la dénutrition chronique et les pathologies associées à une cachexie.
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Affiliation(s)
- Mohamad Oukabli
- Service d’anatomie pathologique, Hôpital militaire d’instruction Mohamed V Rabat, Maroc,Corresponding author: Dr Oukabli Mohamad, Service d’anatomie pathologique, Hôpital militaire d’instruction Mohamed V Rabat, Tel: 0021271858564, Maroc
| | - Selim Jennane
- Service d’Hématologie Clinique, Hôpital militaire d’instruction Mohamed V Rabat, Maroc
| | - Hafsa Chahdi
- Service d’anatomie pathologique, Hôpital militaire d’instruction Mohamed V Rabat, Maroc
| | - Issam Rharrassi
- Service d’anatomie pathologique, Hôpital militaire d’instruction Mohamed V Rabat, Maroc
| | - Kamal Doghmi
- Service d’Hématologie Clinique, Hôpital militaire d’instruction Mohamed V Rabat, Maroc
| | - Mohamed Mikdame
- Service d’Hématologie Clinique, Hôpital militaire d’instruction Mohamed V Rabat, Maroc
| | - Abderrahane Albouzidi
- Service d’anatomie pathologique, Hôpital militaire d’instruction Mohamed V Rabat, Maroc
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Harket A, Oukabli M, Al Bouzidi A, Zoubeir Y, Quamous O, Baba N, Doghmi K, Mikdame M, Rimani M, Sedrati O, Labraimi A. [Cutaneous blastomycosis revealing intravascular B-cell lymphoma: a case in Morocco]. Med Trop (Mars) 2007; 67:278-80. [PMID: 17784682] [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] [Subscribe] [Scholar Register] [Indexed: 05/17/2023]
Abstract
Blastomycosis is a systemic fungal infection caused by a thermally dimorphic fungus, Blastomyces dermatitidis. The incidence in immunocompromised patients has increased in the last two decades. A 55-year-old man consulted for inflammatory nodules on the forearm. Biopsy of one nodules showed a pseudoepitheliomatous hyperplastic epidermis overlaying a dense agranulomatous inflammatory infiltrate containing free-formed ovoid bodies enclosing giant macrophageous cells. These findings were consistent with blastomycosis. After a month of treatment cutaneous lesions regressed partially but the patient's general status continued to deteriorate with the appearance of an edematous-ascitic syndrome and icterus. Laboratory blood testing demonstrated cholestasia and abdominal ultrasound showed hepatosplenomegaly. Needle liver biopsy revealed giant B-cell lymphomatous infiltration of the hepatic ducts. The patient's condition worsened rapidly and he died five months after diagnosis despite four rounds of chemotherapy. Blastomycosis is rare in Morocco. Primary infection is usually a pneumonic process. Isolated cutaneous infection is possible but uncommon. To our knowledge the association of blastomycosis and intravascular lymphoma has not been previously reported. In immunocompromised patients, clinical findings can be alarming and the outcome can be rapidly fatal.
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Affiliation(s)
- A Harket
- Service d'anatomie pathologique, l'Hôpital militaire d'instruction Mohamed V, Rabat, Maroc.
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Ouzzif Z, Benyahia M, Doghmi K, Oualim Z, Derouiche M. [Non-secreting myeloma associated with nephrotic syndrome]. Ann Biol Clin (Paris) 2006; 64:478-82. [PMID: 17040880] [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] [Received: 03/07/2006] [Accepted: 06/20/2006] [Indexed: 05/12/2023]
Abstract
The non-secreting myeloma is a rare form of myeloma. Its association with a nephrotic syndrome is exceptional. The observation which we report below described the history of a 66 years old patient who presents a non-secreting myeloma revealed by a nephrotic syndrome. Various assumptions on the mechanism of no excretion were put forth. Nevertheless, several points are to be elucidated as for the pathogenesis of the association non-secreting myeloma and nephrotic syndrome.
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Affiliation(s)
- Z Ouzzif
- Laboratoire de Biochimie, Hôpital Militaire d'Instruction Mohamed V, Rabat.
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Abstract
INTRODUCTION Rituximab is an alternative treatment for hairy cell leukemia, when the standard treatments are unavailable. CASE An 82-year-old woman was diagnosed with hairy cell leukemia. The severity of her neutropenia ruled out purine analogs, while heart disease and age both contraindicated use of interferon. Rituximab, in four weekly treatments, was effective from the first treatment and the positive response was sustained thereafter. DISCUSSION Rituximab may be used to treat hairy cell leukemia, especially for patients refractory to purine analogs or after relapse or in the case of severe neutropenia, when interferon is contraindicated.
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Charlotte F, Doghmi K, Cassoux N, Ye H, Du MQ, Kujas M, Lesot A, Mansour G, Lehoang P, Vignot N, Capron F, Leblond V. Ocular adnexal marginal zone B cell lymphoma: a clinical and pathologic study of 23 cases. Virchows Arch 2005; 448:506-16. [PMID: 16323006 DOI: 10.1007/s00428-005-0122-0] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2005] [Accepted: 09/22/2005] [Indexed: 10/25/2022]
Abstract
To better characterize ocular adnexal marginal zone lymphoma of mucosa-associated lymphoid tissue (MZL-MALT), we analyzed the clinical and pathologic features of 23 patients (11 men, 12 women, median age 66 years). The tumor was confined to one ocular structure in 18 cases (conjunctiva, n=8; orbit, n=8; or lacrimal gland, n=2). Concurrent extraorbital disease was detected by the staging procedure in five patients, and preferentially involved other MALT sites. Histogenetic B cell marker studies, available in 13 cases, showed an early post-germinal center (GC) phenotype (BCL-6(-)/IRF4(+)/CD138(-)) (n=5) or a late post-GC phenotype (BCL-6(-)/IRF4(+)/CD138(+)) (n=8), which could be helpful for discrimination from other types of small-B cell lymphoma. BCL10 was positive in 12 of 13 patients tested, with nuclear (n=4) or cytoplasmic (n=8) immunoreactivity. These staining patterns ruled out t(1;14)(p22;q32) translocation. T(11;18)(q21;q21), another MZL-MALT-specific translocation, was detected by reverse transcriptase polymerase chain reaction in four of 15 patients tested. Clinical outcome was excellent but the overall relapse rate was 26.1% with a median follow-up of 39 months (range 6-132 months). Regardless of the disease stage at diagnosis, combined chemotherapy and radiotherapy seemed to be more effective than chemotherapy alone in ocular adnexal MZL-MALT, as persistent complete remission was achieved in nine patients receiving combination therapy, while six of 14 patients treated with chemotherapy alone relapsed.
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MESH Headings
- Adult
- Aged
- Aged, 80 and over
- Biomarkers, Tumor/analysis
- Cell Nucleus/chemistry
- Cell Nucleus/pathology
- Combined Modality Therapy
- Cytoplasm/chemistry
- Cytoplasm/pathology
- Diagnosis, Differential
- Eye Neoplasms/chemistry
- Eye Neoplasms/genetics
- Eye Neoplasms/pathology
- Eye Neoplasms/therapy
- Female
- Fluorescent Antibody Technique, Direct
- Germinal Center/chemistry
- Germinal Center/pathology
- Humans
- Lymphoma, B-Cell, Marginal Zone/chemistry
- Lymphoma, B-Cell, Marginal Zone/genetics
- Lymphoma, B-Cell, Marginal Zone/pathology
- Lymphoma, B-Cell, Marginal Zone/therapy
- Male
- Middle Aged
- Neoplasm Recurrence, Local
- Orbital Neoplasms/chemistry
- Orbital Neoplasms/genetics
- Orbital Neoplasms/pathology
- Orbital Neoplasms/therapy
- Remission Induction
- Reverse Transcriptase Polymerase Chain Reaction
- Translocation, Genetic
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Affiliation(s)
- Frédéric Charlotte
- Department of Pathology, Service d'Anatomie Pathologique, Hôpital Pitié-Salpêtrière, Boulevard de l'Hôpital, Paris, France.
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Elouennass M, Doghmi K, Fagot T, Soler C, Mac Nab C, Foissaud V, De Revel T, Hervé V. [Hepatosplenic and kidneys candidasis complicating an acute myeloblastic leukemia. A case treated with voriconazole and caspofungin]. Ann Biol Clin (Paris) 2005; 63:423-7. [PMID: 16061441] [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] [Received: 12/14/2004] [Accepted: 04/08/2005] [Indexed: 05/03/2023]
Abstract
We report the observation of hepato-splenic and kidneys candidiasis complicating the chemotherapy of a myeloblastic leukemia (LAM5b). Following the lack of effectiveness of a first line treatement, using amphotericine B liposomale and 5-fluorocytosine, implementation of an association of new molecules, a triazole of second generation (voriconazole) and an echinocandine (caspofungine) has allowed a successful result.
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Affiliation(s)
- M Elouennass
- Service de biologie médicale, hôpital d'instruction des armées Percy, Clamart.
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