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Ikrou H, Salek M, Boustani S, Bouissar W, Wakrim S, Abdala S, Serhane H. Methotrexate toxicity complicating a case of rheumatoid arthritis associated Interstitial Lung Disease: Lessons to learn. Radiol Case Rep 2024; 19:2218-2223. [PMID: 38523723 PMCID: PMC10959648 DOI: 10.1016/j.radcr.2024.02.036] [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: 01/23/2024] [Revised: 02/05/2024] [Accepted: 02/12/2024] [Indexed: 03/26/2024] Open
Abstract
Rheumatoid arthritis (RA) is one of the most common types of autoimmune arthritis. It can also involve other organs, including vascular structures, and lungs which are affected in 60% to 80% of cases. Other complications may present as airway infections and drug related pulmonary toxicity. We present the case of 75-year-old male patient of North African decent that was hospitalized initially for chronic dyspnea associated with other systemic manifestations, and in whom we confirmed the diagnosis of Rheumatoid arthritis associated interstitial lung disease. The patient was treated with methotrexate (MTX) and later on, he developed a fatal case of methotrexate related pulmonary toxicity.
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Affiliation(s)
- H. Ikrou
- Pulmonology Department, CHR HASSAN II, CHU Souss-Massa, Laboratory LARISS, FMPA, UIZ - Agadir, Morocco
| | - M. Salek
- Radiology Department, CHR HASSAN 2, CHU SOUSS MASSA, FMPA, Agadir, Morocco
| | - S. Boustani
- Internal Medicine Department, CHR HASSAN 2, CHU SOUSS MASSA, FMPA, Agadir, Morocco
| | - W. Bouissar
- Internal Medicine Department, CHR HASSAN 2, CHU SOUSS MASSA, FMPA, Agadir, Morocco
| | - S. Wakrim
- Radiology Department, CHR HASSAN 2, CHU SOUSS MASSA, FMPA, Agadir, Morocco
| | - S. Abdala
- Pulmonology Department, CHR HASSAN II, CHU Souss-Massa, Laboratory LARISS, FMPA, UIZ - Agadir, Morocco
| | - H. Serhane
- Pulmonology Department, CHR HASSAN II, CHU Souss-Massa, Laboratory LARISS, FMPA, UIZ - Agadir, Morocco
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Vafadar M, Rakhshankhah N, Salek M, Zarei E. Torsion of epididymal Cyst as a cause of acute Scrotum in a child. Urol Case Rep 2023; 48:102417. [PMID: 37215055 PMCID: PMC10192393 DOI: 10.1016/j.eucr.2023.102417] [Citation(s) in RCA: 1] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Accepted: 05/02/2023] [Indexed: 05/24/2023] Open
Abstract
Epididymal cyst is commonly seen in adults and sometimes in children. In most cases of the epididymal cyst, there are no symptoms and the diagnosis is made incidentally during ultrasonography. However, in rare circumstances, such as infection, trauma, or torsion, an epididymal cyst could become painful and require surgical or medical intervention. We report the case of an 11-year-old boy admitted to our hospital with acute right scrotal pain and treated surgically for epidydimal cyst torsion. Torsed epididymal cysts may cause symptoms exactly like testicular torsion. Therefore, It should be considered a differential diagnosis of testicular torsion in pediatrics.
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Affiliation(s)
- Mehdi Vafadar
- Pediatric Endocrinology Department, Ali Asghar Children Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Nima Rakhshankhah
- Department of Diagnostic Radiology, Iran University of Medical Science, Tehran, Iran
| | - Mahmoud Salek
- Pediatric Surgery Department, Ali Asghar Children Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Elham Zarei
- Radiology Department, Ali Asghar Children Hospital, School of Medicine, Iran University of Medical Sciences (IUMS), Tehran, Iran
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Jahangiri F, Salek M, Nassiri SJ, Samadi F, Koohian Mohammadabadi M. Results of Port-A-Cath Implantation: A Cross-Sectional Study about a Single Tertiary Cancer Center Experience. Med J Islam Repub Iran 2022; 36:64. [PMID: 36128276 PMCID: PMC9448478 DOI: 10.47176/mjiri.36.64] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Accepted: 06/15/2022] [Indexed: 11/12/2022] Open
Abstract
Background: Identifying possible complications accompanying central venous catheterization may improve the results. The current study was conducted to clarify the complication rate among port-a-cath implantation in children referred to Ali-Asghar hospital from 2011 to 2015. This study was designed to determine complication rates among the pediatric population who underwent port-a-cath implantation for chemotherapy. Methods: The current observational study reviewed the medical documents of children who were referred to Ali-Asghar hospital from 2011 to 2015. Factors such as underlying disease, demographic characteristics, complications and their management were considered. We analyzed the results of this study using multivariate logistic regression. Results: A total number of 100 patients met the eligibility criteria. In Thirty-two cases, chemoport catheters were removed due to complication management or termination of adjuvant chemotherapeutic treatment. Fifty-one boys and forty-nine girls enrolled in the study. The mean duration of catheter preservation defined per patient was 693 days ±1 year SD. 14 catheters were removed followed by planned treatment termination, while 18 catheters were complicated due to port dysfunction, infection, skin necrosis, and extravasation, hematoma in order of decreasing. Conclusion: Chemo port utilization is mandatory in pediatric patients with cancers demanding adjuvant treatment. The possible complications would be managed by a variety of protocols. Respecting anti-septic principles by trained personnel will prevent the majority of associated complications.
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Affiliation(s)
- Fariba Jahangiri
- Department of Pediatric Surgery, School of Medicine, Iran University of Medical Sciences, Tehran, Iran,Corresponding author: Dr Fariba Jahangiri,
| | - Mahmoud Salek
- Department of Pediatric Surgery, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Seyed Javad Nassiri
- Department of Pediatric Surgery, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Fariborz Samadi
- Department of Pediatric Surgery, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
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Salek M, Nasiri SJ, Amoli HA, Moradi M, Jahangiri F. Retraction notice to Promising results for hypospadias repair using alloderm® (Regen): A randomized controlled trial [Journal of Pediatric Surgery 56/9 (2021) 1623-1627]. J Pediatr Surg 2022; 57:953. [PMID: 35430026 DOI: 10.1016/j.jpedsurg.2022.02.018] [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] [Indexed: 11/19/2022]
Affiliation(s)
- Mahmoud Salek
- Fellowship of Pediatric Surgery, Iran University of Medical Sciences (IUMS), Tehran, Iran
| | - Seyyed Javad Nasiri
- Department of Pediatric Surgery, Ali-Asghar Children Hospital, Iran University of Medical Sciences, Tehran, Iran
| | - Hadi Ahmadi Amoli
- Department of Surgery, Sina hospital Tehran University of medical Sciences Tehran Iran
| | - Mohammad Moradi
- Resident of General Surgery, Firoozgar Clinical Research Development Center (FCRDC), Iran University of Medical Sciences (IUMS), Tehran, Iran
| | - Fariba Jahangiri
- Department of Pediatric Surgery, Ali-Asghar Children Hospital, Iran University of Medical Sciences, Tehran, Iran
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Salek M, Nasiri SJ, Amoli HA, Moradi M, Jahangiri F. Promising results for hypospadias repair using alloderm® (Regen): A randomized controlled trial. J Pediatr Surg 2021; 56:1623-1627. [PMID: 34039476 DOI: 10.1016/j.jpedsurg.2021.04.005] [Citation(s) in RCA: 3] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2020] [Revised: 04/01/2021] [Accepted: 04/10/2021] [Indexed: 10/21/2022]
Abstract
UNLABELLED INTRODUCTION;: Hypospadias is a congenital disorder of urethra in which meatus is not at its correct place and occurs in 1 of 250 live male birth. Many techniques have been used for the repair of hypospadias and to decrease the incidence of fistula. Alloderm has been recently used for the repair of urologic congenital defects, and reconstructive surgeries, but not used in hypospadias in a randomized controlled trial. Therefore, the aim of this study was to assess the efficacy of Alloderm® (Regen) to reduce fistula rate in hypospadias repair. METHODS & MATERIALS This was a randomized controlled trial. Sixty patients were divided into two groups, 30 children underwent surgery using Alloderm® (Regen) as the Alloderm group and 30 without using it as controls. In the Alloderm group, 21 underwent primary surgery (12 mid-shaft hypospadias who underwent concurrent chordee correction and urethroplasty, and 9 penoscrotal who underwent 2 stage surgery, chordee was first corrected and then 6 months later TIP was performed), and 9 underwent fistula repair due to previous surgeries. In the control group, 24 patients underwent primary surgery (15 mid-shaft, and 9 penoscrotal) and 6 fistula repair the same as the Alloderm group but without using Alloderm. RESULTS There was no meaningful difference between the two groups regarding age (P = 0.634). There was no meaningful difference regarding the operation type between the two groups (P = 0.371). There was no meaningful difference regarding the meatal location between the two groups (P = 0.781). There were no significant post-operative complications in the both groups. No bleeding or diverticulum occurred. Recurrence of fistula occurred in one patient in the Alloderm group after fistula repair and in 2 in the control group. Overall, In the Alloderm group, 3 (2 after TIP and 1 after fistula repair) patients and in the control group 8 (6 after TIP, 2 after fistula repair) patients developed fistulas after surgery (10% vs 26.7%). There was a statistically meaningful difference regarding fistula formation between the two groups using Chi-square test (P = 0.014). CONCLUSION Alloderm® (Regen) can be used for hypospadias and fistula repair with very few complications and good results. Fistula was less probably occurred in the Alloderm group compared to the standard repair of hypospadias.
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Affiliation(s)
- Mahmoud Salek
- Fellowship of Pediatric Surgery, Iran University of Medical Sciences (IUMS), Tehran, Iran
| | - Seyyed Javad Nasiri
- Department of Pediatric Surgery, Ali-Asghar Children Hospital, Iran University of Medical Sciences, Tehran, Iran
| | - Hadi Ahmadi Amoli
- Department of Surgery, Sina hospital Tehran University of medical Sciences Tehran Iran
| | - Mohammad Moradi
- Resident of General Surgery, Firoozgar Clinical Research Development Center (FCRDC), Iran University of Medical Sciences (IUMS), Tehran, Iran
| | - Fariba Jahangiri
- Department of Pediatric Surgery, Ali-Asghar Children Hospital, Iran University of Medical Sciences, Tehran, Iran.
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Harun N, Finlay A, Salek M, Piguet V. The development and clinical evaluation of a ‘traffic-light’ design dermatology outpatient discharge information checklist. Br J Dermatol 2016; 175:572-82. [DOI: 10.1111/bjd.14650] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/24/2016] [Indexed: 12/18/2022]
Affiliation(s)
- N.A. Harun
- Department of Dermatology and Wound Healing; Division of Infection and Immunity; School of Medicine; Cardiff University; Cardiff CF14 4XN U.K
- Department of Dermatology; University Malaya Medical Centre; Kuala Lumpur 50603 Malaysia
| | - A.Y. Finlay
- Department of Dermatology and Wound Healing; Division of Infection and Immunity; School of Medicine; Cardiff University; Cardiff CF14 4XN U.K
| | - M. Salek
- School of Life and Medical Sciences; University of Hertfordshire; College Lane Hatfield AL10 9AB U.K
| | - V. Piguet
- Department of Dermatology and Wound Healing; Division of Infection and Immunity; School of Medicine; Cardiff University; Cardiff CF14 4XN U.K
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Salek M, Hashemipour M, Aminorroaya A, Gheiratmand A, Kelishadi R, Ardestani P, Nejadnik H, Amini M, Zolfaghari B. Vitamin D Deficiency among Pregnant Women and Their Newborns in Isfahan, Iran. Exp Clin Endocrinol Diabetes 2008; 116:352-6. [DOI: 10.1055/s-2008-1042403] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Hashemipour M, Amini M, Talaie M, Kelishadi R, Hovespian S, Iranpour R, Salek M, Haghigh S, Khatibi KH. Parental consanguinity among parents of neonates with congenital hypothyroidism in Isfahan. East Mediterr Health J 2007; 13:567-74. [PMID: 17687829] [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: 05/16/2023]
Abstract
We determined the prevalence of congenital hypothyroidism and the rate of consanguin-ity among parents of hypothyroid neonates among 93 381 neonates born in 17 hospitals in Isfahan from May 2002 to April 2005. Serum thyroxine (T4) and thyroid stimulating hormone (TSH) levels were measured on the 3rd-7th day of birth and neonates with abnormal levels were recalled and the levels reassessed. Those with TSH > or = 10 mlU/L and T4 < 6.5 microg/dL on the second assay were considered hypothyroid. In all, 1038 neonates were recalled and 274 were diagnosed as hypothyroid. There was a significant association between parental consanguinity and congenital hypothyroidism (P = 0.006); congenital hypothyroidism was commoner in neonates with 1st cousin parental consanguinity than 2nd cousin parental consanguinity (P = 0.008).
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Affiliation(s)
- M Hashemipour
- Isfahan Endocrine and Metabolism Research Centre, Isfahan, Islamic Republic of Iran.
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