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Zaouak A, Karray M, Brahim EB, Fenniche S, Hammami H. Clitoromegaly Revealing Neurofibromatosis. Skinmed 2023; 21:348-349. [PMID: 37945362] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2023]
Affiliation(s)
- Anissa Zaouak
- Dermatology Department, Habib Thameur Hospital, Tunis, Tunisia;
| | - Manel Karray
- Dermatology Department, Habib Thameur Hospital, Tunis, Tunisia
| | - Ehsen Ben Brahim
- Anatomopathology Department, Habib Thameur Hospital, Tunis, Tunisia
| | - Samy Fenniche
- Dermatology Department, Habib Thameur Hospital, Tunis, Tunisia
| | - Houda Hammami
- Dermatology Department, Habib Thameur Hospital, Tunis, Tunisia
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Litaiem N, Hayder F, Benlagha I, Karray M, Dziri C, Zeglaoui F. The Use of Dermoscopy in the Delineation of Basal Cell Carcinoma for Mohs Micrographic Surgery: a Systematic Review With Meta-Analysis. Dermatol Pract Concept 2022; 12:e2022176. [PMID: 36534540 PMCID: PMC9681184 DOI: 10.5826/dpc.1204a176] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/18/2022] [Indexed: 11/30/2023] Open
Abstract
INTRODUCTION Several studies investigated the use of dermoscopy in the delineation of basal cell carcinoma (BCC) for Mohs micrographic surgery (MMS) with conflicting results. OBJECTIVES The purpose of this systematic review with meta-analysis was to evaluate the effectiveness of the use of dermoscopy-guided MMS in the treatment of BCC. METHODS We included all comparative studies. Cases of BCC treated using dermoscopy-guided MMS (or slow MMS) were compared to those treated with curettage-guided MMS or "standard" MMS. RESULTS A total of 6 studies including 508 BCCs were reviewed. There was no statistically significant difference in the proportion of total margin clearance on the first MMS stage between BCCs removed using dermoscopy-guided MMS and those that had curettage or visual inspection. However, lateral margin involvement was significantly lower in BCCs that had dermoscopy-guided MMS. CONCLUSIONS Dermoscopy allows visualization of structures up to 1mm into the dermis. Therefore, it is rational to use it for lateral margin evaluation. Currently, there are two comparative studies showing the efficacy of dermoscopy for lateral margin evaluation during MMS. Future studies are required to develop an evidence-based recommendation regarding the utility of dermoscopy in MMS.
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Affiliation(s)
- Noureddine Litaiem
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
- University of Tunis El Manar, Faculté de Médecine de Tunis, Tunis, Tunisia
| | - Faten Hayder
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
- University of Tunis El Manar, Faculté de Médecine de Tunis, Tunis, Tunisia
| | - Imene Benlagha
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
- University of Tunis El Manar, Faculté de Médecine de Tunis, Tunis, Tunisia
| | - Manel Karray
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
- University of Tunis El Manar, Faculté de Médecine de Tunis, Tunis, Tunisia
| | - Chadli Dziri
- University of Tunis El Manar, Faculté de Médecine de Tunis, Tunis, Tunisia
- Director of Honoris Medical Simulation Center, Tunisia
| | - Faten Zeglaoui
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
- University of Tunis El Manar, Faculté de Médecine de Tunis, Tunis, Tunisia
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Chamli A, Litaiem N, Khammouma F, Karray M, Bacha T, Jones M, Zeglaoui F. Pustulose exanthématique aiguë généralisée : une série de 8 cas. Rev Med Interne 2021. [DOI: 10.1016/j.revmed.2021.03.210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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4
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Daadaa N, Litaiem N, Karray M, Bacha T, Jones M, Belajouza Noueiri C, Goucha S, Zeglaoui F. Intradermal tranexamic acid microinjections: a novel treatment option for erythematotelangiectatic rosacea. J Cosmet Dermatol 2021; 20:3324-3329. [PMID: 33973361 DOI: 10.1111/jocd.14209] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2021] [Revised: 04/16/2021] [Accepted: 04/26/2021] [Indexed: 11/27/2022]
Abstract
BACKGROUND Treatment options for erythematotelangiectatic rosacea (ETR) are still scarce. Tranexamic acid (TXA) is an antifibrinolytic drug that was recently used for the treatment of ETR. AIMS To evaluate the efficacy and safety of intradermal microinjections of TXA for ETR. PATIENTS/METHODS This was a retrospective study enrolling patients, treated with TXA intradermal microinjections for ETR, from January 2019 to February 2020. Response to treatment was assessed based on subjective symptoms, clinical photographs, and the Investigator Global Assessment of Rosacea Severity Score (IGA-RSS). RESULTS Six patients were included. The mean number of monthly intradermal TXA microinjections was 5.1 ± 1.3. The mean decrease of IGA-RSS was 2.4 ± 0.5. Local side effects, mainly transient erythema and swelling, were noticed in three cases. No systemic effects were noted. Clinical improvement, in respondent patients, lasted after 3 months of follow-up. CONCLUSION Intradermal TXA microinjections are a safe and effective treatment option for ETR. The optimal number of monthly sessions has yet to be determined.
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Affiliation(s)
- Najla Daadaa
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
| | | | - Manel Karray
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
| | - Takwa Bacha
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
| | - Meriem Jones
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
| | | | - Samia Goucha
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
| | - Faten Zeglaoui
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia
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Karray M, Litaiem N, Charfi O, Bacha T, Jones M, Zeglaoui F. La chirurgie micrographique type slow-Mohs des carcinomes basocellulaires : intérêt de la dermoscopie. Ann Dermatol Venereol 2020. [DOI: 10.1016/j.annder.2020.09.211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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6
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Charfi O, Litaiem N, Karray M, Becha T, Jones M, Zeglaoui F. Tempérament affectif chez les patients atteints de vitiligo : étude cas-témoins. Ann Dermatol Venereol 2020. [DOI: 10.1016/j.annder.2020.09.317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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7
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Karray M, Litaiem N, Khammouma F, Bouaziz R, Bacha T, Jones M, Zeglaoui F. Caractéristiques cliniques et dermoscopiques du lupus pernio. Rev Med Interne 2020. [DOI: 10.1016/j.revmed.2020.10.358] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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8
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Tabka M, Litaiem N, Amina A, Karray M, Rammeh S, Sriha B, Belaajouza C, Zeglaoui F, Denguezli M. Maladie de Rosai–Dorfman cutanée pure : étude bicentrique de 10 cas. Rev Med Interne 2020. [DOI: 10.1016/j.revmed.2020.10.210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Litaiem N, Karray M, Jones M, Rammeh S, Zeglaoui F. Effectiveness of dermoscopy in the demarcation of surgical margins in slow Mohs surgery. Dermatol Ther 2020; 33:e14196. [PMID: 32798257 DOI: 10.1111/dth.14196] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2020] [Revised: 07/17/2020] [Accepted: 08/04/2020] [Indexed: 11/29/2022]
Abstract
There is a need for adjuvant imaging techniques that would allow reducing the number of slow Mohs stages. This study aimed to evaluate the use of dermoscopy in the demarcation of basal cell carcinoma (BCC) surgical margins for slow Mohs surgery. This was a retrospective study over 3 years (2016-2019), including patients with BCC excised using slow Mohs surgery. On the basis of the treatment received, the patients were divided into 2 groups: group 1 (28 BCC) and group 2 (26 BCC). In group 2, BCC margins were demarcated using dermoscopy. A total of 54 patients were enrolled in the study. The number of positive lateral margins was significantly lower in the group where BCC margins were demarcated using dermoscopy (19% vs 53%, P = .012). In this group, the number of Mohs stages needed to achieve complete clearance was significantly lower. However, the mean interval between the first Mohs excision and Mohs clearance was not significantly different between the 2 groups (9 ± 4 vs 12 ± 7 days). In conclusion, preoperative dermoscopy is useful for reducing the number of positive lateral margins and the number of slow Mohs stages in treating BCC especially pigmented tumors.
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Affiliation(s)
- Noureddine Litaiem
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Manel Karray
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Meriem Jones
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Soumaya Rammeh
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.,Department of Pathology, UR17ES15, Charles Nicolle Hospital, Tunis, Tunisia
| | - Faten Zeglaoui
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
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Litaiem N, Daadaa N, Karray M, Chamli A, Zeglaoui F. Hypopigmentation as a side effect of melasma treatment with tranexamic acid intradermal microinjections. Dermatol Ther 2020; 33:e13503. [DOI: 10.1111/dth.13503] [Citation(s) in RCA: 2] [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] [Received: 03/31/2020] [Revised: 04/23/2020] [Accepted: 04/24/2020] [Indexed: 01/19/2023]
Affiliation(s)
- Noureddine Litaiem
- Department of Dermatology Charles Nicolle Hospital Tunis Tunisia
- Faculty of Medicine of Tunis University of Tunis El Manar Tunis Tunisia
| | - Najla Daadaa
- Department of Dermatology Charles Nicolle Hospital Tunis Tunisia
- Faculty of Medicine of Tunis University of Tunis El Manar Tunis Tunisia
| | - Manel Karray
- Department of Dermatology Charles Nicolle Hospital Tunis Tunisia
- Faculty of Medicine of Tunis University of Tunis El Manar Tunis Tunisia
| | - Amal Chamli
- Department of Dermatology Charles Nicolle Hospital Tunis Tunisia
- Faculty of Medicine of Tunis University of Tunis El Manar Tunis Tunisia
| | - Faten Zeglaoui
- Department of Dermatology Charles Nicolle Hospital Tunis Tunisia
- Faculty of Medicine of Tunis University of Tunis El Manar Tunis Tunisia
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11
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Litaiem N, Hajlaoui K, Karray M, Slouma M, Zeglaoui F. Acute generalized exanthematous pustulosis after COVID-19 treatment with hydroxychloroquine. Dermatol Ther 2020; 33:e13565. [PMID: 32401410 PMCID: PMC7261985 DOI: 10.1111/dth.13565] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2020] [Revised: 05/07/2020] [Accepted: 05/09/2020] [Indexed: 12/18/2022]
Affiliation(s)
- Noureddine Litaiem
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Khaoula Hajlaoui
- Dermatology Clinic, Golden Towers Centre Urbain Nord, Tunis, Tunisia
| | - Manel Karray
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Maroua Slouma
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.,Department of Internal Medicine, Military Hospital, Tunis, Tunisia
| | - Faten Zeglaoui
- Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
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12
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Charfi O, Litaiem N, Karray M, Toumi A, Jaziri F, Hariz A, Jones M, Rammeh S, Zeglaoui F. Atrophodermie linéaire de Moulin de la face : une localisation exceptionnelle. Rev Med Interne 2019. [DOI: 10.1016/j.revmed.2019.03.112] [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: 10/26/2022]
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13
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Litaiem N, Karray M, Bouhlel S, Bacha T, Zeglaoui F. End of the road for terbinafine? Think of compliance to treatment. Indian J Dermatol Venereol Leprol 2019; 85:83-84. [DOI: 10.4103/ijdvl.ijdvl_844_18] [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: 11/04/2022]
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14
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Ben Younes K, Karray M, Khammouma F, Charfi O, Sahli F, Rabhi F, Youssef S, Dhaoui A, Jaber K, Doss N. La gale en milieu militaire : profil épidémio-clinique sur dix ans. Ann Dermatol Venereol 2018. [DOI: 10.1016/j.annder.2018.09.443] [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: 10/27/2022]
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15
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Bouaziz R, El Ouni A, Karray M, Abdelkefi C, Toujeni S, Saloua H, Thara L. Une présentation cutanée atypique de la maladie de Still de l’adulte : la dermatose flagellée. Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.03.126] [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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16
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Daadaa N, Souissi A, Karray M, Chelly I, Elleuch D, Haouet S, Mokni M. Les toxidermies sévères : une série de 74 cas. Rev Med Interne 2017. [DOI: 10.1016/j.revmed.2017.10.085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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17
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Souissi A, Karray M, Chelly I, Zehani A, Hafsi W, El Euch D, Kchir N, Mokni M. Profil épidémio-clinique et association pathologiques au cours du syndrome de Sweet. Rev Med Interne 2017. [DOI: 10.1016/j.revmed.2017.03.183] [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: 10/19/2022]
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18
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Souissi A, Karray M, Chelly I, Zehani A, Hafsi W, Euch DE, Kchir N, Mokni M. Maladie dermatophytique : à propos d’un cas. Rev Med Interne 2017. [DOI: 10.1016/j.revmed.2017.03.325] [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: 10/19/2022]
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19
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Karray M, Abdelhedi N, Moussa MB, Youssef S, Doss N. Dépistage du papillomavirus humain chez des femmes tunisiennes ayant des frottis normaux. Ann Dermatol Venereol 2016. [DOI: 10.1016/j.annder.2016.09.495] [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: 10/20/2022]
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Karray M, Souissi A, Bayoudh W, Souissi M, Derbel, Jellouli A, Dougui M. P 88 : Transformation maligne d’un hidradénome eccrine révélé par des métastases ganglionnaires. Ann Dermatol Venereol 2016. [DOI: 10.1016/s0151-9638(16)30263-0] [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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21
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Ben Saad R, Souissi A, Karray M, Derbel F, Jellouli A, Dougui H. P 31 : Erythème pigmenté fixe : une série de 10 cas. Ann Dermatol Venereol 2016. [DOI: 10.1016/s0151-9638(16)30206-x] [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: 11/30/2022]
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22
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Halouani S, Souissi A, Karray M, Abbes F, Zaraa I, Mebazaa A, Euch D, Mokni M. P 05 : Une tuberculose qui fait parler d’elle. Ann Dermatol Venereol 2016. [DOI: 10.1016/s0151-9638(16)30180-6] [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: 12/01/2022]
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Karray M, Souissi A, Jellouli A, Ben Ghachem D, Bayoudh W, Derbel F, Dougui M. P 91 : Trichoépithéliome desmoplastique. Ann Dermatol Venereol 2016. [DOI: 10.1016/s0151-9638(16)30266-6] [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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Karray M, Souissi A, Belakhal S, Jellouli A, Derbel F, Dougui M. P 89 : Syndrome main-pied secondaire aux médicaments anti-cancéreux. Ann Dermatol Venereol 2016. [DOI: 10.1016/s0151-9638(16)30264-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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25
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Halouani S, Karray M, Abbes F, El Euch D, Zaraa I, Mokni M. CO 38 : Pemphigus herpétiforme : à travers une série hospitalière. Ann Dermatol Venereol 2016. [DOI: 10.1016/s0151-9638(16)30165-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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26
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Karray M, Soussi A, Belakhal S, Mrouki M, Derbel F, Jellouli A, Dougui M. P 46 : Vascularite à Ig A chez l’adulte : à propos d’une série hospitalière. Ann Dermatol Venereol 2016. [DOI: 10.1016/s0151-9638(16)30221-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Mrouki M, Souissi A, Derbel F, Karray M, Jellouli A, Dougui M. P 07 : Caractéristiques épidémiologiques et cliniques de l’érysipèle dans la population des agents des forces de l’intérieur. Ann Dermatol Venereol 2016. [DOI: 10.1016/s0151-9638(16)30182-x] [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: 11/30/2022]
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Karray M. P 06 : Tuberculose sous anti TNF-alpha : deux nouvelles observations. Ann Dermatol Venereol 2016. [DOI: 10.1016/s0151-9638(16)30181-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Halouani S, Souissi A, Karray M, Abbes F, Zarra I, El euch D, Mokni M. P 04 : Blastomycose nord-américaine en Tunisie. Ann Dermatol Venereol 2016. [DOI: 10.1016/s0151-9638(16)30179-x] [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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30
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Meddeb Z, Souissi A, Derbel F, Karray M, Jellouli A, Mestiri A, Dougui M. P 08 : Leishmaniose cutanée : une série de 33 cas. Ann Dermatol Venereol 2016. [DOI: 10.1016/s0151-9638(16)30183-1] [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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31
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Zarrouk A, Kamoun K, Karray M, Rajhi H, Zlitni M. [Traumatic lumbosacral fracture dislocation: a case report and review of the literature]. Rev Chir Orthop Reparatrice Appar Mot 2007; 93:730-735. [PMID: 18065885 DOI: 10.1016/s0035-1040(07)73259-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
Lumbosacral dislocation is uncommon. We report a case of traumatic lumbosacral dislocation which occurred in a 33-year-old pedestrian traffic accident victim. The posterior impact produced lumbar injury with diffuse pain exacerbated at the lumbosacral junction. Ecchymotic diffusion involving the entire lumbar region fluctuated due to the presence of a subcutaneous hematoma. The neurological examination revealed incomplete L5 paraplegia. Standard x-rays revealed L5-S1 spondylolisthesis and fracture of the L5 spinous process as well as fractures of the L3, L4, and L5 transverse processes. Computed tomography disclosed biarticular L5-S1 fracture dislocation and a voluminous herniation of the L5-S1 disc. Emergency surgery was performed and revealed subaponeurotic detachment from T4 to S1 and bald iliac pyramids. After L5 laminectomy and extraction of the voluminous herniation of the L5-S1 disc, a short L5-S1 posteriolateral fusion was achieved using pedicular screws and two rods on either side as well as a posterolateral iliac autograft. The clinical course was satisfactory with nearly complete neurological recovery (persistent levator ani paresis). This clinical case and a review of the literature illustrate the pathogenic, clinical, radiological and therapeutic aspects of lumbosacral fracture dislocation.
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Affiliation(s)
- A Zarrouk
- Service d'Orthopédie Traumatologie, Hôpital Charles-Nicolle, boulevard 9 Avril 1006 Tunis, Tunisia.
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Bettaieb I, Zermani R, Karray M, Bouzidi R, Farah F, Rammeh S, Kourda N, Zlitni M, Ben Jilani S. [Low-grade central chondrosarcoma: difficult diagnosis in an adolescent girl]. ACTA ACUST UNITED AC 2006; 92:68-72. [PMID: 16609621 DOI: 10.1016/s0035-1040(06)75678-1] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Central chondrosarcoma of the tibia is exceptional, particularly in young patients. Low-grade tumors raise difficult problems for histological distinction with enchondroma. We report a case of grade 1 chondrosarcoma located in the upper portion of the tibia in a 17-year-old girl. After radical surgery, outcome was favorable with no recurrence or metastasis at three years follow-up. The distinction between low-grade central chondrosarcoma and enchondroma is one of the most difficult challenges in bone pathology. Clinical, radiographic and pathological data must be considered together to reach certain diagnosis.
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Affiliation(s)
- I Bettaieb
- Service d'Anatomie et Cytologie Pathologique, Service d'Orthopédie, Hôpital Charles-Nicolle, boulevard du 9-Avril, 1006 Tunis, Tunisie
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Abstract
Transverse fractures of the sacrum with major displacement are rare and often misdiagnosed. A case of transverse fracture of the sacrum with cauda equina injury is reported. The diagnosis was not recognized initially. Conventional radiographs of the pelvis failed to demonstrate the fracture. True lateral sacral views and CT scan with reconstructions allowed analysis of the different sagittal fracture lines to facilitate surgical planning. These examinations should be considered in all patients with history of high energy trauma and clinical signs indicating lumbosacral injury.
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Affiliation(s)
- M Karray
- Service d'orthopédie et de traumatologie, Hôpital Charles Nicolle, Boulevard 9 Avril, 1006 Tunis Tunisie.
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34
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Abstract
We describe the case of a 38-year-old woman with breast tuberculosis associated with a second localization in the lumber spine. These features simulated breast cancer with vertebral metastasis. Clinical and imaging findings are described herein.
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Affiliation(s)
- A Salem
- EPS Charles-Nicolle, boulevard du 9-Avril, 1006 Tunis, Tunisie
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35
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Abstract
Osseous hydatidosis is a rare occurrence of hydatid disease. Anatomoclinical changes are, however, peculiar to this localization. From the anatomopathologic standpoint, this localization marks the torpid, insidious progression of the parasite into bone tissue, leading to an immediate diffuse, extensive, invasion process, so complete surgical eradication is rarely possible. From the clinical standpoint, whatever the localization may be, we are surprised by the latency of this affection, the patient being treated at an advanced stage, when radiologic lesions are already extensive, and the complications, especially in the spinal area, are severe. Owing to the poor biologic findings, the diagnosis of osseous hydatidosis is still primarily based on roentgenographic findings. Sometimes, however, the diagnosis is established only after surgery. Treatment of osseous hydatidosis is closer to oncologic therapy than to the usual surgical treatment of visceral hydatid cysts. Because of the poor results with medical treatment, osseous hydatidosis must be treated by a radical operation with wide excision, adapted to each localization. In the main, the prognosis of osseous hydatidosis remains poor, especially with spinal and pelvic localizations, which are the most frequent ones. The prognosis and treatment of osseous hydatidosis belong in the same category as a locally malignant lesion.
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Affiliation(s)
- M Zlitni
- Orthopedic Surgery Department, Charles Nicolle Hospital, Tunis, Tunisia
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36
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Ezzaouia K, Lebib H, Arroum A, Karray M, Mestiri M, Kooli M, Zlitni M. [Treatment of pelvic disruption by external fixation. Report of 13 cases]. Tunis Med 1998; 76:455-61. [PMID: 10093485] [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] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Affiliation(s)
- K Ezzaouia
- Service d'orthopédie-traumatologie, Hopital Charles Nicolle, Tunis
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37
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Baati S, Mahfoudh A, Sahnoun S, Karray A, Karray M, Hachicha M, Tahri N, Krichen MS, Triki A. [Caustic esophagitis in children: report of 34 cases]. Tunis Med 1994; 72:412-9. [PMID: 7871597] [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] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Affiliation(s)
- S Baati
- Service de Pédiatrie, C.H.U., Sfax
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38
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Karray S, Karray M, Ayadi K, Zouari M, Zlitni M, Douik M, Litaiem T, Slimane N. [Tuberculosis of the trochanter. Apropos of 17 cases]. Int Orthop 1993; 17:313-9. [PMID: 8125671 DOI: 10.1007/bf00181708] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
This paper presents a short study of 17 cases of tuberculosis of the greater trochanter seen during a period of 19 years at the National Orthopaedic Institute in Tunis. The onset of the infection is slow with patients presenting at a mean of 7 years after initial symptoms. The diagnosis is confirmed by biopsy and culture of the organism. Management is based on treatment with antituberculous drugs, although surgical excision of the lesion is sometimes required. Successful resolution of the symptoms is usually achieved unless the hip joint becomes involved. Our patients showed good results at a mean follow up of 5 1/2 years.
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Affiliation(s)
- S Karray
- Institut National d'Orthopédie Mohamed Kassab Mannouba, Tunis
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39
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Abstract
Osteoid osteoma of the acetabulum can be expected to cause nonspecific symptoms of hip inflammation. In a sixteen year old girl, investigation by routine radiographs and a bone scan suggested a focus of inflammation with a nidus and sclerosis of the acetabulum and overgrowth of the head and neck of the femur. Removal of the lesion by an anterior approach with dislocation of the hip gave excellent results when seen after three years with a normal gait and normal hip motion.
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Affiliation(s)
- S Karray
- National Orthopaedic Institute Mohamed Kassab, Tunis-Mannouba, Tunisia
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