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Himeur H, Tliba S, Djoulane K, Benyahia M. Cranioplastie de réduction pour macrocranie extrême sur hydrocéphalie majeure évolutive : techniques et indications. Neurochirurgie 2020. [DOI: 10.1016/j.neuchi.2020.06.061] [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: 10/23/2022]
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Himeur H, Tliba S, Khechfoud H, Chenna R, Dehmeche O, Benyahia M. Anastomose hypoglosso faciale latéro-terminale versus termino-terminale dans le traitement de la paralysie faciale périphérique définitive. Neurochirurgie 2020. [DOI: 10.1016/j.neuchi.2020.04.006] [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: 10/23/2022]
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Uwingabiye J, Zahid H, El Amrani M, Labrini F, Elkhazraji A, El Kabbaj D, Benyahia M, Yahyaoui A, Hadef R, Messaoudi N. Rare and unusual case of anti-factor XI antibodies in patient with plasma cell leukemia. BMC Hematol 2018; 18:18. [PMID: 30116534 PMCID: PMC6086047 DOI: 10.1186/s12878-018-0100-9] [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] [Subscribe] [Scholar Register] [Received: 07/25/2017] [Accepted: 03/01/2018] [Indexed: 11/22/2022]
Abstract
Background The acquired inhibitors of coagulation have been observed in very rare cases of monoclonal gammopathies. We report a very rare case of anti-factor XI antibodies in patient with plasma cell leukemia (PCL). Case presentation This is a 59-year-old male patient without pathological history, admitted to the nephrology department for management of renal insufficiency and anemia syndrome. The history and physical examination revealed stigmata of hemorrhagic syndrome including hemothorax and hemoptysis. The hemostasis assessment showed an isolated prolonged activated partial thromboplastin time (APTT) with APTT ratio = 2.0.The index of circulating anticoagulant (37.2%) revealed the presence of circulating anticoagulants. The normalized dilute Russell viper venom time ratio of 0.99 has highlighted the absence of lupus anticoagulants. The coagulation factors assay objectified the decrease of the factor XI activity corrected by the addition of the control plasma confirming the presence of anti-factor XI autoantibodies. In addition, the blood count showed bicytopenia with non-regenerative normocytic normochromic anemia and thrombocytopenia. The blood smear demonstrated a plasma cell count of 49% (2842/mm3) evoking PCL. The bone marrow was invaded up to 90% by dystrophic plasma cells. The biochemical assessment suggested downstream renal and electrolyte disturbances from exuberant light chain production with abnormalities including hyperuricemia, hypercalcemia, elevated lactate dehydrogenase, non nephrotic-range proteinuria and high level of C reactive protein. The serum protein electrophoresis showed the presence of a monoclonal peak. The serum immunofixation test detects the presence of monoclonal free lambda light chains. He was treated with velcade, thalidomide and dexamethasone. The patient died after 2 weeks despite treatment. Conclusion Both PCL and anti-factor XI inhibitors are two very rare entities. To the best of our knowledge, this is the first reported case of a factor XI inhibitor arising in the setting of PCL. Factor inhibitors should be suspected in patients whose monoclonal gammopathies are accompanied by bleeding manifestations.
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Affiliation(s)
- Jean Uwingabiye
- 1Laboratory of Hematology and Immunohematology, Mohammed V Military Teaching Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
| | - Hafid Zahid
- 1Laboratory of Hematology and Immunohematology, Mohammed V Military Teaching Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
| | - Mohamed El Amrani
- 2Nephrology Department, Mohammed V Military Teaching Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
| | - Fayçal Labrini
- 1Laboratory of Hematology and Immunohematology, Mohammed V Military Teaching Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
| | - Abdelhak Elkhazraji
- 1Laboratory of Hematology and Immunohematology, Mohammed V Military Teaching Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
| | - Driss El Kabbaj
- 2Nephrology Department, Mohammed V Military Teaching Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
| | - Mohammed Benyahia
- 2Nephrology Department, Mohammed V Military Teaching Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
| | - Anass Yahyaoui
- 1Laboratory of Hematology and Immunohematology, Mohammed V Military Teaching Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
| | - Rachid Hadef
- 1Laboratory of Hematology and Immunohematology, Mohammed V Military Teaching Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
| | - Nezha Messaoudi
- 1Laboratory of Hematology and Immunohematology, Mohammed V Military Teaching Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
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Elyajouri A, Benyahia M, Abilkassem R, Agadr A. Pycnodysostose: à propos d’un cas. Pan Afr Med J 2018; 31:93. [PMID: 31011394 PMCID: PMC6462148 DOI: 10.11604/pamj.2018.31.93.8388] [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: 11/08/2015] [Accepted: 04/03/2016] [Indexed: 11/18/2022] Open
Abstract
La pycnodysostose est une maladie osseuse génétique très rare associant une ostéocondensation, un syndrome dysmorphique et un retard de croissance. Rappeler les anomalies phénotypiques, les signes radiologiques, la prise en charge thérapeutiques et évolutifs de la Pycnodysostose chez un enfant de 11 ans. Enfant de 11 ans, a été réferé par son dentiste pour évaluation de son état clinique. Il est de parents consanguin de premier degré, qui présentait depuis l'âge de 3 ans des fractures spontanées à répétition. L'examen trouvait un syndrome dysmorphique fait de bosse frontale, fontanelle antérieure persistante, micrognathie, malformations des doigts, malposition dentaire, ongles incurvées, thorax asymétrique, attitude scoliotique du rachis dorsal, avec retard statural important (-4DS). Les radiographies du squelette montraient une densification des os de la base du crâne, une persistance de la fontanelle antérieure, une malposition dentaire, une densification diaphysaire et métaphysaire des os longs prédominants au niveau des membres inférieurs avec présence des cals vicieux et des phalanges grêles des mains. L'ostéodensitométrie était normale. Devant les signes cliniques et les manifestations radiologiques, le diagnostic retenu est une pycnodysostose. Un conseil génétique a été proposé pour la famille ainsi qu'une prise en charge dentaire et orthopédiques. La pycnodysostose est une entité rare de diagnostic parfois difficile et tardif, elle pose un problème du diagnostic avec l'ostéoporose. Le traitement est essentiellement préventif des fractures et des caries dentaires.
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Affiliation(s)
- Abdelhakim Elyajouri
- Service de Pédiatrie, Hôpital Militaire d'Instructions Mohamed V, CHU Ibn Sina, Rabat, Maroc
| | - Mohammed Benyahia
- Service de Pédiatrie, Hôpital Militaire d'Instructions Mohamed V, CHU Ibn Sina, Rabat, Maroc
| | - Rachid Abilkassem
- Service de Pédiatrie, Hôpital Militaire d'Instructions Mohamed V, CHU Ibn Sina, Rabat, Maroc
| | - Aomar Agadr
- Service de Pédiatrie, Hôpital Militaire d'Instructions Mohamed V, CHU Ibn Sina, Rabat, Maroc
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Zajjari Y, Tamzaourte M, Montasser D, Hassani K, Aatif T, El Kabbaj D, Benyahia M. Gastrointestinal bleeding due to angiodysplasia in patients on hemodialysis: A single-center study. Saudi J Kidney Dis Transpl 2017; 27:748-51. [PMID: 27424692 DOI: 10.4103/1319-2442.185237] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
Abstract
Gastrointestinal (GI) bleeding due to angiodysplastic lesions is a common problem among patients receiving hemodialysis (HD). We studied 22 HD patients (5 females and 17 males) who had GI bleeding due to angiodysplasia; the mean age of whom was 54 ± 10 years. All patients had upper and lower GI endoscopy. The most common site for the lesion was the right colon in seven cases (31.8%), followed by stomach in 4 cases (18.1%). In eight (36.3%) patients, there were multiple lesions located in the stomach, duodenum, and the right colon. All patients were treated with coagulation; with argon plasma in 14 (63.6%) patients, bipolar coagulation in five (22.7%) patients, and hot clip in three (13.6%) patients. One patient who presented with persistent bleeding despite endoscopic therapy was well-benefited of a complementary treatment, thalidomide. Hemostasis was obtained in all patients after an average of 6.8 sessions of endoscopic coagulation procedure. We conclude that angiodysplasia is a frequent cause of hemorrhage in chronic renal failure that can be managed in most patients by argon plasma and bipolar coagulation.
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Affiliation(s)
- Yassir Zajjari
- Department of Nephrology-Dialysis, Military Hospital Mohammed V, Rabat, Morocco
| | - Mouna Tamzaourte
- Department of Gastroenterology, Military Hospital Mohammed V, Rabat, Morocco
| | - Dina Montasser
- Department of Nephrology-Dialysis, Military Hospital Mohammed V, Rabat, Morocco
| | - Kawtar Hassani
- Department of Nephrology-Dialysis, Military Hospital Mohammed V, Rabat, Morocco
| | - Taoufiq Aatif
- Department of Nephrology-Dialysis, Military Hospital Mohammed V, Rabat, Morocco
| | - Driss El Kabbaj
- Department of Nephrology-Dialysis, Military Hospital Mohammed V, Rabat, Morocco
| | - Mohammed Benyahia
- Department of Nephrology-Dialysis, Military Hospital Mohammed V, Rabat, Morocco
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Aatif T, El Farouki MR, Benyahia M. Posterior reversible encephalopathy syndrome in a hypertensive patient with renal failure. Saudi J Kidney Dis Transpl 2016; 27:411-4. [PMID: 26997402 DOI: 10.4103/1319-2442.178586] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Posterior reversible encephalopathy syndrome (PRES) is a clinical and neuroimaging entity characterized by headache, visual field deficits, changes in mentation and seizures, and by typical neuro-imaging features such as areas of sub-cortical edema, occasionally cortical, involving predominantly the occipital and parietal lobes of both hemispheres. Hypertension, uremia, immunosuppressive drugs neurotoxicity, preeclampsia or eclampsia, renal disease, and sepsis are the most common etiologies of PRES. Less common, it has been described in the setting of autoimmune disease. We report a case of PRES which was associated with hypertensive crisis in a patient with renal failure. Antihypertensive therapy and hemodialysis resulted in complete recovery.
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Affiliation(s)
- T Aatif
- Department of Nephrology, Dialysis and Renal Transplantation, Military Hospital Mohammed V, Hay Riad, Rabat, Morocco
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Rafik H, Azizi M, El Kabbaj D, Benyahia M. Angio-embolization of a renal pseudoaneurysm complicating a percutaneous renal biopsy: a case report. Pan Afr Med J 2015; 22:278. [PMID: 26958141 PMCID: PMC4765335 DOI: 10.11604/pamj.2015.22.278.7976] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [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: 09/15/2015] [Accepted: 10/17/2015] [Indexed: 01/20/2023] Open
Abstract
We report the treatment of a bleeding renal pseudoaneurysm by angio-embolization. A 21 years old woman developed macroscopic haematuria following renal biopsy. Renal angio-scan showed a 1.4 cm renal pseudoaneurysm in the left kidney. The presence of pseudoaneurysm was confirmed by selective renal angiography. Successful embolization was performed using gelatine sponge particles.
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Affiliation(s)
- Hicham Rafik
- Department of Nephrology, Mohammed V Military Hospital, Faculty of Medicine and Pharmacy University Mohammed V-Souissi, Rabat, Morocco
| | - Mounia Azizi
- Department of Nephrology, Mohammed V Military Hospital, Faculty of Medicine and Pharmacy University Mohammed V-Souissi, Rabat, Morocco
| | - Driss El Kabbaj
- Department of Nephrology, Mohammed V Military Hospital, Faculty of Medicine and Pharmacy University Mohammed V-Souissi, Rabat, Morocco
| | - Mohammed Benyahia
- Department of Nephrology, Mohammed V Military Hospital, Faculty of Medicine and Pharmacy University Mohammed V-Souissi, Rabat, Morocco
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Amrani ME, Asserraji M, Benyahia M. Cœur de pierre en hémodialyse. Nephrol Ther 2015. [DOI: 10.1016/j.nephro.2015.07.135] [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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9
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Amrani ME, Benyahia M. Calcifications vasculaires de l’hémodialysé : bien dépister à faible coût. Nephrol Ther 2015. [DOI: 10.1016/j.nephro.2015.07.134] [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: 10/23/2022]
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Eljaoudi R, Elkabbaj D, Bahadi A, Ibrahimi A, Benyahia M, Errasfa M. Consumption of Argan Oil Improves Anti-Oxidant and Lipid Status in Hemodialysis Patients. Phytother Res 2015; 29:1595-9. [DOI: 10.1002/ptr.5405] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2014] [Revised: 05/18/2015] [Accepted: 06/01/2015] [Indexed: 12/14/2022]
Affiliation(s)
- Rachid Eljaoudi
- Pharmacology and Toxicology Department, Faculty of Medicine and Pharmacy; University Mohammed V; 10000 Rabat Morocco
| | - Driss Elkabbaj
- Nephrology Department; Military Hospital Mohammed V; 10000 Rabat Morocco
| | - Abdelali Bahadi
- Nephrology Department; Military Hospital Mohammed V; 10000 Rabat Morocco
| | - Azeddine Ibrahimi
- Medical Biotechnologie lab (MedBiotech), Faculty of Medicine and Pharmacy; University Mohammed V; 10000 Rabat Morocco
| | - Mohammed Benyahia
- Nephrology Department; Military Hospital Mohammed V; 10000 Rabat Morocco
| | - Mourad Errasfa
- Pharmacology Department, Faculty of Medicine and Pharmacy; University Sidi Mohamed Ben Abdellah; 30000 Fes Morocco
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El Amrani M, Asserraji M, Rbaibi A, El Kharras A, Benyahia M. 20 Coronary calcification does not affect the systolic function of the left ventricle in chronic hemodialysis. Archives of Cardiovascular Diseases Supplements 2015. [DOI: 10.1016/s1878-6480(15)30258-5] [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: 11/17/2022]
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El Amrani M, Maoujoud O, Belarbi M, El Farouki MR, Zajjari Y, Boukili Y, Bouzelmate H, Rbaibi A, El Kharras A, Salahedine T, Asserraji M, Benyahia M. [Screening and risk factors of cardiac calcification in hemodialysis: contribution of ultra-fast multi-slice scanner and transthoracic echocardiography]. Ann Cardiol Angeiol (Paris) 2015; 64:87-93. [PMID: 25702239 DOI: 10.1016/j.ancard.2015.01.010] [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] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2014] [Accepted: 01/08/2015] [Indexed: 06/04/2023]
Abstract
INTRODUCTION Cardiovascular disease is the first leading cause of death in hemodialysis patients. In this population, cardiovascular calcifications occur at an earlier age and progress faster than in general population. PATIENTS AND METHODS In order to determine the prevalence and risk factors of cardiac calcifications, 49 patients on chronic hemodialysis were screened in the coronary arteries and cardiac valves by the 64 multi-slice ultra-fast CT and the transthoracic echocardiography. Different clinical and biological parameters were studied by the SPSS 10.0 statistical software to determine risk factors. RESULT Cardiac calcifications were identified in 81.6% of cases in at least one of the two studied sites. The coronary artery involvement was more common than valvular and concerned 69.4% of cases. The mean Agatston coronary artery calcium score (ACACS) was 331.1 and 522.2 in coronary patients and was correlated to alteration of systolic function of LV (r=-0.287, P=0.045). The severity of CACS was positively correlated with age (r=0.332, P=0.02). Coronary calcifications were associated with cardiovascular risk common to those of the general population (age, male sex, systolic blood pressure, diabetes, history of ischemic heart disease), but also to a lesser quality of dialysis. Valvular calcifications were present in 49% of cases and were correlated with left ventricular hypertrophy (P=0.006). The exclusive involvement of the aortic valve was the most common valvular abnormality. Phosphocalcic and lipid parameters, levels of hemoglobin, CRP and uric acid did not predisposed to cardiac calcifications in our patients. DISCUSSION In hemodialysis patients, the pathogenesis of cardiovascular calcification is complex and cannot be attributed to a passive process. This process involves several factors that can promote or inhibit calcification. The new multi-slice ultra-fast scanner is a very sensitive method for topographic and quantitative assessment of coronary calcification and is a better alternative to invasive techniques. CONCLUSION Our study confirms the high prevalence of cardiac calcification in hemodialysis, and highlights the importance of early screening and treatment of predisposing factors.
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Affiliation(s)
- M El Amrani
- Unité de dialyse, service de néphrologie, dialyse et transplantation rénale, hôpital militaire d'instruction Mohammed V, Hay Riad, 10100 Rabat, Maroc.
| | - O Maoujoud
- Service de néphrologie, dialyse, premier centre médico-chirurgical, Agadir, Maroc
| | - M Belarbi
- Service de néphrologie, dialyse, premier centre médico-chirurgical, Agadir, Maroc
| | - M R El Farouki
- Unité de dialyse, service de néphrologie, dialyse et transplantation rénale, hôpital militaire d'instruction Mohammed V, Hay Riad, 10100 Rabat, Maroc
| | - Y Zajjari
- Unité de dialyse, service de néphrologie, dialyse et transplantation rénale, hôpital militaire d'instruction Mohammed V, Hay Riad, 10100 Rabat, Maroc
| | - Y Boukili
- Service de cardiologie, premier centre médico-chirurgical, Agadir, Maroc
| | - H Bouzelmate
- Service de cardiologie, premier centre médico-chirurgical, Agadir, Maroc
| | - A Rbaibi
- Service de cardiologie, premier centre médico-chirurgical, Agadir, Maroc
| | - A El Kharras
- Service de radiologie, premier centre médico-chirurgical, Agadir, Maroc
| | - T Salahedine
- Service de radiologie, premier centre médico-chirurgical, Agadir, Maroc
| | - M Asserraji
- Service de néphrologie, dialyse, premier centre médico-chirurgical, Agadir, Maroc
| | - M Benyahia
- Unité de dialyse, service de néphrologie, dialyse et transplantation rénale, hôpital militaire d'instruction Mohammed V, Hay Riad, 10100 Rabat, Maroc
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Alayoud A, El Kabbaj D, Benyahia M, Asseraji M, Zemraoui N. Effects of lowering dialysate calcium concentration on mineral metabolism and hemodynamic parameters in hemodialysis patients. Iran J Kidney Dis 2015; 9:132-137. [PMID: 25851292] [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] [Received: 03/04/2014] [Accepted: 07/27/2014] [Indexed: 06/04/2023]
Abstract
INTRODUCTION It has been suggested that a dialysate calcium concentration of 1.5 mmol/L is a compromise between bone protection and cardiovascular risk. This study aimed to investigate the effect of reducing dialysate calcium concentration to 1.5 mmol/L on mineral metabolism and hemodynamic parameters. MATERIALS AND METHODS Dialysate calcium concentration was changed from 1.75 mmol/L to 1.5 mmol/L for 9 months and observed the effects on mineral metabolism and dialysis outcome parameters in 52 hemodialysis patients. RESULTS The results at 9 months demonstrated that postdialytic serum calcium level decreased significantly from 109 ± 7 mg/L to 102 ± 6 mg/L, intact parathyroid hormone (PTH) increased from 372 ± 52 pg/mL to 606 ± 80 pg/mL, and the oral alfacalcidol increased from 1.4 ± 0.3 µg/w to 3.3 ± 0.4 µg/w. In patients with low PTH levels, continuous increase of PTH was observed. There were no significant variation in the oral calcium carbonate dose and serum levels of alkaline phosphatase, predialytic calcium, and pre- and postdialytic phosphorus. The ultrafiltration rate and postdialysis systolic blood pressure were significantly lower after reducing the dialysate calcium concentration to 1.5 mmol/L. Intradialytic hypotension and cramps were more frequent with this dialysate calcium concentration. CONCLUSIONS These findings demonstrated that a decrease in dialysate calcium concentration from 1.75 mmol/L to 1.5 mmol/L improved mineral metabolism by prevention of postdialytic hypercalcemia and releasing oversuppression of PTH, but it was associated with more use of oral alfacalcidol and more hemodynamic impairment.
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Affiliation(s)
- Ahmed Alayoud
- Service of Nephrology, Dialysis and Kidney Transplantation, Military Hospital Avicenne, Marrakech, Morocco.
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Eljaoudi R, Errasfa M, Benyahia M, Bahadi A, Cherrah Y, Ibrahimi A, Elkabbaj D. Copper, zinc and selenium imbalance in Moroccan haemodialysis patients and its correlation to lipid peroxidation. ACTA ACUST UNITED AC 2015. [DOI: 10.18203/2320-6012.ijrms20150330] [Citation(s) in RCA: 2] [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] [Indexed: 11/19/2022]
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El Amrani M, Benyahia M. [Digital necrosis of a diabetic on hemodialysis]. Pan Afr Med J 2014; 18:49. [PMID: 25368738 PMCID: PMC4215366 DOI: 10.11604/pamj.2014.18.49.4473] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2014] [Accepted: 05/10/2014] [Indexed: 11/11/2022] Open
Affiliation(s)
- Mohamed El Amrani
- Service de Néphrologie, Dialyse et Transplantation Rénale, Hôpital Militaire d'Instruction Mohammed V, Rabat, Maroc
| | - Mohammed Benyahia
- Service de Néphrologie, Dialyse et Transplantation Rénale, Hôpital Militaire d'Instruction Mohammed V, Rabat, Maroc
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El Amrani M, Asserraji M, Benyahia M. Les calcifications de l’aorte abdominale sont des prédicteurs des calcifications des artères coronaires chez l’hémodialysé. Nephrol Ther 2014. [DOI: 10.1016/j.nephro.2014.07.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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El Amrani M, Kabbaj D, Benyahia M. [Acute steroid-induced psychosis in active microscopic polyangiitis]. Tunis Med 2014; 92:581. [PMID: 25815547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
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Wheeler DC, Abdalla S, Chertow G, Parfrey P, Herzog C, Mikolasevic I, Racki S, Lukenda V, Milic S, Devcic B, Orlic L, Suttorp MM, Hoekstra T, Ocak G, Van Diepen ATN, Ott I, Mittelman M, Rabelink TJ, Krediet RT, Dekker FW, Simone S, Dell'Oglio MPS, Ciccone M, Corciulo R, Castellano G, Balestra C, Grandaliano G, Gesualdo L, Pertosa G, Nishida M, Ando M, Karasawa K, Iwamoto Y, Tsuchiya K, Nitta K, Krzanowski M, Janda K, Gajda M, Dumnicka P, Fedak D, Lis G, Ja kowski P, Litwin JA, Su owicz W, Freitas GR, Silva VB, Abensur H, Luders C, Pereira BJ, Castro MC, Oliverira RB, Moyses RM, Elias RM, Silva BC, Tekce H, Ozturk S, Aktas G, Kin Tekce B, Erdem A, Ozyasar M, Taslamacioglu Duman T, Yazici M, Kirkpantur A, Balci MM, Turkvatan A, Afsar B, Alkis M, Mandiroglu F, Voroneanu L, Siriopol D, Nistor I, Apetrii M, Hogas S, Onofriescu M, Covic A, An WS, Kim SE, Son YK, Oh YJ, Gelev S, Toshev S, Trajceska L, Selim G, Dzekova P, Shikole A, Park J, Lee JS, Shin ES, Ann SH, Kim SJ, Chung HC, Janda K, Krzanowski M, Gajda M, Dumnicka P, Fedak D, Lis G, Litwin JA, Sulowicz W, Elewa U, Bichari W, Abo-Seif K, Seferi S, Rroji M, Likaj E, Spahia N, Barbullushi M, Thereska N, Kopecky CM, Genser B, Maerz W, Wanner C, Saemann MD, Weichhart T, Sezer S, Gurlek Demirci B, Tutal E, Bal Z, Erkmen Uyar M, Ozdemir Acar FN, Macunluoglu B, Atakan A, Ari Bakir E, Georgianos P, Sarafidis PA, Stamatiadis DN, Liakopoulos V, Zebekakis PE, Papagianni A, Lasaridis AN, Eftimovska - Otovic N, Babalj-Banskolieva E, Kostadinska-Bogdanoska S, Grozdanovski R, Aono M, Sato Y, El Amrani M, Asserraji M, Benyahia M, Lee YK, Choi SR, Cho A, Kim JK, Choi MJ, Kim SJ, Yoon JW, Koo JR, Kim HJ, Noh JW, Inagaki H, Yokota N, Sato Y, Chiyotanda S, Fukami K, Fujimoto S, Kendi Celebi Z, Kutlay S, Sengul S, Nergizoglu G, Erturk S, Ates K, Vishnevskii KA, Rumyantsev AS, Zemchenkov AY, Smirnov AV, Reinhardt B, Knaup R, Esteve Simo V, Carneiro Oliveira J, Moreno Guzman F, Fulquet Nicolas M, Pou Potau M, Saurina Sole A, Duarte Gallego V, Ramirez De Arellano Serna M, Turkmen K, Demirtas L, Akbas EM, Bakirci EM, Buyuklu M, Timuroglu A, Georgianos PI, Sarafidis PA, Karpetas A, Liakopoulos V, Stamatiadis DN, Papagianni A, Lasaridis AN, Taira T, Nohtomi K, Takemura T, Chiba T, Hirano T, Chang CT, Huang CC, Chen CJ, El Amrani M, Mohamed A, Benyahia M, Kanai H, Tamura Y, Kaizu Y, Kali A, Yayar O, Erdogan B, Eser B, Ercan Z, Buyukbakkal M, Merhametsiz O, Haspulat A, Yildirim T, Bozkurt B, Ayli MD, Bal Z, Erkmen Uyar M, Gokustun D, Gurlek Demirci B, Tutal E, Sezer S, Markaki A, Grammatikopoulou M, Fragkiadakis G, Stylianou K, Venyhaki M, Chatzi V, Selim G, Stojceva-Taneva O, Tozija L, Dzekova-Vidimliski P, Trajceska L, Gelev S, Petronievic Z, Sikole A, Moyseyenko V, Nykula T, Fernandes RT, Barreto DV, Rodrigues GGC, Misael A, Branco-Martins CT, Barreto FC, Yayar O, Ercan Z, Eser B, Merhametsiz O, Haspulat A, Buyukbakkal M, Erdogan B, Yildirim T, Bozkurt B, Ayli MD. DIALYSIS CARDIOVASCULAR COMPLICATIONS 1. Nephrol Dial Transplant 2014. [DOI: 10.1093/ndt/gfu155] [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: 11/13/2022] Open
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Rothuizen TC, Ocak G, Verschuren JJ, Dekker FW, Rabelink TJ, Jukema JW, Rotmans JI, Silva V, Raimann JG, Grassmann A, Marcelli D, Usvyat L, Canaud B, Kotanko P, Pecoits-Filho R, Consortium M, Strippoli GF, Sue YM, Tang CH, Chen TH, Hong CY, Ochi A, Ishimura E, Masuda M, Tsujimoto Y, Okuno S, Tabata T, Nishizawa Y, Inaba M, Moon Ki H, Do Hyoung K, Min Jee H, Hyun K, Wang Soo L, Su-Hyun K, Selim G, Stojceva-Taneva O, Tozija L, Dzekova-Vidimliski P, Trajceska L, Gelev S, Amitov V, Petronievic Z, Sikole A, Kee YK, Kim YL, Han JH, Oh HJ, Park JT, Han SH, Yoo TH, Kang SW, Okute Y, Shoji T, Sonoda M, Kuwamura Y, Tsujimoto Y, Tabata T, Shioi A, Tahara H, Emoto M, Inaba M, El Amrani M, Asserraji M, Benyahia M, Galloway PA, Yiu V, Hiemstra TF, Nilssen C, Zannad F, Jardine A, Schmieder R, Fellstrom B, Holdaas H, Mjoen G, Eftimovska - Otovic N, Babalj - Banskolieva E, Bogdanoska - Kostadinoska S, Grozdanovski R, Silva BC, Freitas GR, Silva VB, Abensur H, Luders C, Pereira BJ, Castro MC, Oliveira RB, Moyses RM, Elias RM, Perez De Jose A, Abad S, Vega A, Reque J, Quiroga B, Lopez-Gomez JM, Sasaki K, Yamguchi K, Hesaka A, Iwahashi E, Sakai S, Fujimoto T, Minami S, Fujita Y, Yokoyama K, Kidir V, Ersoy I, Altuntas A, Inal S, Do an A, Sezer MT, Azar H, Chacra D, Dabar G, Chelala D, Zhao L, Huang S, Liang T, Tang H, Turkmen K, Demirtas L, Akbas EM, Buyuklu M, Bakirci E, Kocyigit I, Ozcelik O, Guney I, Mumajesi S, Velaj A, Idrizi A, Pasko N, Cadri V, Barbullushi M, Bolleku E, Strakosh A, Cenaj A, Kacori V, Zekollari E, Rista E, Dusha D, Belba A, Thereska N, Gelev S, Toshev S, Trajceska L, Pavleska S, Selim G, Dzekova P, Shikole A, Naess H, Fellstrom B, Jardine AG, Schmieder RE, Zannad F, Holdaas H, Mjoen G, Sasaki K, Yamguchi S, Hesaka A, Iwahashi E, Sakai S, Fujimoto T, Minami S, Fujita Y, Yokoyama K, Bilevich O, Bunova S, Semchenko S, Schwermer K, Hoppe K, Klysz P, Baum E, Sikorska D, Radziszewska D, Sawatiuk P, Olejniczak P, Pawlaczyk K, Lindholm B, Oko A, El Amrani M, Asserraji M, Rbaibi A, El Kharass A, Benyahia M, Rroji ( Molla) M, Seferi S, Cafka M, Spahia N, Likaj E, Thereska N, Barbullushi M, Pelletier CC, Jolivot A, Kalbacher E, Panaye M, Bureau Du Colombier P, Juillard L, Burmeister JE, Mosmann CB, Bastos JP, Burmeister BO, Munaro G, Pereira JD, Youssef DW, Rosito GA. DIALYSIS CARDIOVASCULAR COMPLICATIONS 2. Nephrol Dial Transplant 2014. [DOI: 10.1093/ndt/gfu175] [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: 11/13/2022] Open
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El Amrani M, El Kabbaj D, Benyahia M. [Late pneumomediastinum revealed by acute pulmonary edema in hemodialysis]. Nephrol Ther 2014; 10:118-9. [PMID: 24656891 DOI: 10.1016/j.nephro.2013.12.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2013] [Revised: 12/02/2013] [Accepted: 12/26/2013] [Indexed: 11/15/2022]
Abstract
Central venous catheterization occupies an important place in the treatment of end stage renal disease pending the creation of an arteriovenous fistula. However, this procedure is not devoid of complications. We report a case of late pneumomediastinum revealed by an acute pulmonary edema in a young patient on hemodialysis, and we discuss its characteristics.
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Affiliation(s)
- Mohamed El Amrani
- Service de néphrologie, dialyse et transplantation rénale, unité de dialyse, hôpital militaire d'instruction Mohammed V, Hay Riad, 10100 Rabat, Maroc.
| | - Driss El Kabbaj
- Service de néphrologie, dialyse et transplantation rénale, unité de dialyse, hôpital militaire d'instruction Mohammed V, Hay Riad, 10100 Rabat, Maroc
| | - Mohammed Benyahia
- Service de néphrologie, dialyse et transplantation rénale, unité de dialyse, hôpital militaire d'instruction Mohammed V, Hay Riad, 10100 Rabat, Maroc
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Alayoud A, Hamzi MA, Razkaoui A, Benyahia M. Experience in using thermal disinfection to remove viable bacteria and endotoxins in centraly distributed reverse osmosis water. Arab J Nephrol Transplant 2014; 7:27-31. [PMID: 24702531] [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: 06/03/2023]
Abstract
INTRODUCTION The water used for dilution of hemodialysis concentrates has to meet official quality recommendations regarding microbiology and chemical parameters. To avoid chemical use and to simplify treatments, hot water has been used to control microbial contamination of water distribution systems. In this study we evaluated the efficacy of heat disinfection in maintaining the quality of dialysis water generated by reverse osmosis (RO). METHODS During the first part of the study, we consecutively used (1) continuous water circulation, (2) daily heat disinfection and (3) a combination of daily heat disinfection and weekly chemical disinfection while checking bacterial count and endotoxin level every 4-5 weeks. During the second part of the study, we continued using daily heat disinfection while checking bacterial count and endotoxin level on weekly basis. RESULTS The endotoxin levels at all sampling points of the water treatment system were lower than 0.005/ ml throughout the study. The application of heat disinfection alone reduced bacterial levels but an escape phenomenon occurred. After an interval of 21 days, an exponential increase of bacterial count was noted and cultures from the RO unit revealed growth of Pseudomonas fluorescence. The addition of chemical disinfection was successful in eliminating micro-organisms. Throughout this study, micro-organisms and endotoxins were not detectable in dialysate fluid and substitution fluid in dialysis monitors. CONCLUSION The isolation of a thermo-sensitive organism from the RO unit after a period of relying on thermal disinfection suggests the existence of dead space in the RO unit that is not adequately exposed to heat but is accessible to chemical disinfection. .
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Affiliation(s)
- Ahmed Alayoud
- Service of Nephrology, Hemodialysis and Kidney Transplantation, Military Hospital, Mohammed V. Rabat, Morocco
| | - Mohamed Amine Hamzi
- Service of Nephrology, Hemodialysis and Kidney Transplantation, Military Hospital, Mohammed V. Rabat, Morocco
| | | | - Mohammed Benyahia
- Service of Nephrology, Hemodialysis and Kidney Transplantation, Military Hospital, Mohammed V. Rabat, Morocco
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El Amrani M, Aziz R, Benyahia M, El Kharrass A, Asserraji M. Anévrisme de l’aorte abdominale sous-rénale : une cause rare du syndrome inflammatoire chronique en hémodialyse. Nephrol Ther 2013. [DOI: 10.1016/j.nephro.2013.07.256] [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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El Farouki MR, Bahadi A, Hamzi MA, Kabbaj D, Benyahia M. [Profile of chronic renal failure in diabetes at initiation of hemodialysis in the nephrology and dialysis service of the military hospital in Rabat, Morocco]. Pan Afr Med J 2013; 15:124. [PMID: 24255730 PMCID: PMC3830459 DOI: 10.11604/pamj.2013.15.124.2252] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [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: 12/05/2012] [Accepted: 03/23/2013] [Indexed: 11/30/2022] Open
Abstract
Le diabète constitue une cause fréquente d'insuffisance rénale chronique terminale (IRCT) dans le monde. Ce travail présente une étude clinique rétrospective dont le but est de décrire le profil clinico-biologique des patients diabétiques en IRCT, de le comparer aux patients non-diabétiques au stade d'IRCT, et de suivre l’évolution de leurs abords vasculaires, afin d'en déduire des conclusions sur une prise en charge particulière des patients diabétiques. Les paramètres cliniques et biologiques concernant les patients mis en hémodialyse dans notre formation entre le 01 janvier 2006 et le 31 décembre 2011, ont été recueilli et analysés. Nous avons procédé à l’étude comparative des patients en fonction de l'existence ou non d'une néphropathie diabétique, et nous nous sommes intéressés à l’évolution de leurs abords vasculaires. Il s'agit de 207 patients insuffisants rénaux chroniques, dont 86 diabétiques. Le groupe des patients diabétiques était moins suivi avant la mise en hémodialyse (3,66 mois vs. 6,32 mois), avec une prise beaucoup plus importante d'antihypertenseurs (1,87 vs. 1,14, p<0,001). L’échec des abords vasculaires était plus important chez les patients diabétiques (45% vs. 27%, p=0,006), avec une survie moyenne plus faible de leurs abords vasculaires (509 vs 753 jours, p=0,003). L’étude comparative des taux d'hémoglobine, de parathormone intacte, d'albuminémie et de C-réactive protéine, entre le groupe de patients diabétiques et non diabétiques était non significative. Notre étude soulève le problème du suivi néphrologique chez les diabétiques, pourtant censés être mieux suivis, et son retentissement sur l'avenir de leurs abords vasculaires.
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Affiliation(s)
- Mohamed Reda El Farouki
- Service de néphrologie et dialyse de l'hôpital militaire d'instruction Mohammed V, Rabat, Maroc
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Bahad A, El Kabbaj D, Benyahia M. Prevalence of Renal Osteodystrophy in African Hemodialysis Patients. Nephrourol Mon 2013; 5:852-3. [PMID: 24282802 PMCID: PMC3830918 DOI: 10.5812/numonthly.9398] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2012] [Revised: 12/11/2012] [Accepted: 12/16/2012] [Indexed: 11/16/2022] Open
Affiliation(s)
- Abdelaali Bahad
- Department of Nephrology, Dialysis and Kidney Transplantation, Military Teaching Hospital Mohammed V, Rabat, Morocco
- Corresponding author: Abdelaali Bahad, Department of Nephrology, Dialysis and Kidney Transplantation , Military Teaching Hospital Mohammed V, Rabat, Morocco. Tel: +212-537717776, Fax: +212-537717776, E-mail:
| | - Driss El Kabbaj
- Department of Nephrology, Dialysis and Kidney Transplantation, Military Teaching Hospital Mohammed V, Rabat, Morocco
| | - Mohammed Benyahia
- Department of Nephrology, Dialysis and Kidney Transplantation, Military Teaching Hospital Mohammed V, Rabat, Morocco
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El Amrani M, Kabbaj D, Benyahia M. Intérêt de l’Iloprost dans la prise en charge du CREST syndrome avec syndrome de Raynaud sévère. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.039] [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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El Amrani M, Kabbaj D, Benyahia M. L’angiœdème héréditaire de type I : à propos d’une famille et de place de l’acide tranexamique et du danazol. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.005] [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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El Amrani M, Montassir D, Kabbaj D, Benyahia M, Mimouni B. Les mycoses cutanées chez les insuffisants rénaux chroniques. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.096] [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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Bahadi A, Maoujoud O, Zejjari Y, Alayoud A, Hassani K, Elkabbaj D, Benyahia M. [Diagnosis and evaluation of hepatitis C virus among haemodialysis patients]. East Mediterr Health J 2013; 19:192-199. [PMID: 23516832] [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: 06/01/2023]
Abstract
Hepatitis C is a health problem worldwide. The World Health Organization estimates that 3% of world's population is infected with hepatitis C virus (HCV). In haemodialysis patients, the prevalence reaches 80% in some countries. In Morocco, HCV prevalence is 32% according to the Moroccan register of dialysis. The natural history of hepatitis C infection in chronic haemodialysis patients is characterized by a silent evolution. There are different methods to diagnose HCV and they are becoming increasingly sensitive. There are indirect tests for antibodies to HCV: these are reproducible but false negatives are common and there is direct testing of viral RNA: this is more sensitive but not always available and is more expensive. The use of these tests has been categorized through new recommendations from learned societies. However, the evaluation of liver disease is still controversial and liver biopsy remains the gold standard. This paper reviews the approaches for diagnosing and evaluating hepatitis C in haemodialysis patients.
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Affiliation(s)
- A Bahadi
- Service de Néphrologie, Dialyse et Transplantation rénale, Hôpital militaire d'instruction Mohammed V, Rabat.
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Bahadi A, Maoujoud O, Zejjari Y, Alayoud A, Hassani K, Elkabbaj D, Benyahia M. Diagnosis and evaluation of hepatitis C virus among haemodialysis patients. East Mediterr Health J 2013. [DOI: 10.26719/2013.19.2.192] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Alayoud A, Montassir D, Hamzi A, Zajjari Y, Bahadi A, Kabbaj DE, Maoujoud O, Aatif T, Hassani K, Benyahia M, Oualim Z. The Kt/V by ionic dialysance: Interpretation limits. Indian J Nephrol 2013; 22:333-9. [PMID: 23326042 PMCID: PMC3544053 DOI: 10.4103/0971-4065.103906] [Citation(s) in RCA: 6] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023] Open
Abstract
The availability of hemodialysis machines equipped with online clearance monitoring (OCM) allows frequent assessment of dialysis efficiency and adequacy without the need for blood samples. Accurate estimation of the urea distribution volume (V) is required for Kt/V calculated from OCM to be consistent with conventional blood sample-based methods. A total of 35 patients were studied. Ionic dialysance was measured by conductivity monitoring. The second-generation Daugirdas formula was used to calculate the Kt/V single-pool (Kt/VD). Values of V to allow comparison between OCM and blood-based Kt/V were determined using Watson formula (VWa), bioimpedance spectroscopy (Vimp), and blood-based kinetic data (Vukm). Comparison of Kt/Vw ocm calculated by the ionic dialysance and Vw (Kt/Vw ocm) with Kt/VD shows that using VW leads to significant systematic underestimation of dialysis dose by 24%. Better agreement between Kt/V ocm and Kt/VD was observed when using Vimp and Vukm. Bio-impedancemetry and the indirect method using the second-generation Daugirdas equation are two methods of clinical interest for estimating V to ensure greater agreement between OCM and blood-based Kt/V.
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Affiliation(s)
- A Alayoud
- Service of Nephrology, Dialysis and Kidney Transplantation, Military Hospital of Instruction, Mohammed V Rabat, Morocco
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Aatif T, Maoujoud O, Montasser DI, Benyahia M, Oualim Z. Glomerular diseases in the Military Hospital of Morocco: Review of a single centre renal biopsy database on adults. Indian J Nephrol 2012; 22:257-63. [PMID: 23162268 PMCID: PMC3495346 DOI: 10.4103/0971-4065.101244] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023] Open
Abstract
Epidemiological studies provide useful information for clinical practice and investigations. This report aimed to determine glomerular diseases frequencies in a region of Morocco. All native renal biopsies (January 2000 to December 2007) on adults were reviewed, but only glomerular diseases were analyzed. The diagnosis of each case was based on histological, immunopathological and clinical features. We have performed 171 renal biopsies in 161 patients (101 males and 60 females), the mean age was (range) 40.4 ±15 years (16-72). Clinical indications that lead to renal biopsy were: nephrotic syndrome (60.3%), renal failure of unknown aetiology (31.6%), asymptomatic urinary abnormalities (6.2%) and nephritic syndrome(1.9%). Primary glomerular diseases were reported in 84 patients (52%). The most common histological lesion was minimal change disease (26%). Idiopathic membranous glomerulopathy was the second most common lesion (23%) followed by membranoproliferative glomerulonephritis (17%), IgA nephropathy (12%), focal and segmental glomerulosclerosis (9.4%) and crescentic glomerulonephritis (6%). Secondary glomerular diseases were reported in 53 patients (33%). Lupus nephritis was the secondary glomerular disease most frequent (45%) followed by amyloïdosis (19%), diabetic nephropathy (15%), and Good pasture's syndrome (7.6%). The most common complications of the procedure were pain at biopsy site in 4%, gross hematuria in 11.1%, perirenal hematoma in 5% and hematuria requiring nephrectomy in 0.6% patients. Minimal change disease was the most frequent primary glomerulopathy and lupus nephritis was the most frequent secondary glomerulopathy in our group. The reasons for these findings are unclear. This information is an important contribution to the understanding the prevalence of renal diseases in North Africa.
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Affiliation(s)
- T Aatif
- Department of Nephrology, Dialysis and Renal Transplantation, Military Hospital Mohammed V, Hay Riad, Rabat, Morocco
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Montasser DI, Benyahia M, Zajjari Y, Kabbaj D, Alayoud A, Allam M, Oualim Z. Acute renal failure in favism revealing familial glucose-6-phosphate dehydrogenase deficiency. Indian J Nephrol 2012; 22:67-8. [PMID: 22279353 PMCID: PMC3263074 DOI: 10.4103/0971-4065.91217] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Affiliation(s)
- D I Montasser
- Department of Nephrology-Dialysis-Kidney Transplantation, Military Hospital Mohammed, V-Rabat, Morocco
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El Farouki M, Bahadi A, El Amrani M, Hamzi M, Akhemouch I, Asserraji M, Kabbaj D, Benyahia M, Oualim Z. Profil des insuffisantes rénaux chroniques diabétiques à l’initiation de l’hémodialyse. Nephrol Ther 2012. [DOI: 10.1016/j.nephro.2012.07.055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Hassani K, Zajjari Y, Bahadi A, Arache W, Hamzi M, Maoujoud O, Kabbaj D, Benyahia M. Monitorage online de l’hémoglobine : un nouvel outil de surveillance en dialyse. Nephrol Ther 2012. [DOI: 10.1016/j.nephro.2012.07.246] [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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Alayoud A, Qamouss O, Hamzi A, Benyahia M, Oualim Z. Scleroderma renal crisis precipitated by steroid treatment in systemic lupus erythematosus and scleroderma overlap syndrome. Arab J Nephrol Transplant 2012; 5:153-157. [PMID: 22967254] [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: 06/01/2023]
Abstract
INTRODUCTION Connective tissue disorders can overlap in various ways. Patients may present with features of more than one specific disease without satisfying the diagnostic criteria and thereafter evolve into a specific disease entity. Occasionally, patients may fulfil simultaneously the diagnostic criteria of two or more diseases. Several cases of systemic sclerosis (SSc) and systemic lupus erythematosus (SLE) overlap syndrome have been reported. SLE patients often develop lupus nephritis, the treatment of which is based on immunosuppression with corticosteroids (CS) and cytotoxic drugs. However, the use of high dose of CS has been associated with scleroderma renal crisis (SRC) in patient with SSc. CASE REPORT a 43-year-old woman presented to the nephrology department of the Military hospital in Rabat, Morocco, in August 2011 with progressive dyspnea and oliguria. She was diagnosed as SLE and scleroderma overlap syndrome based on clinical and serological markers. Renal biopsy showed lupus nephritis. Immunosuppression consisting of high-dose steroid and cyclophosphamide pulses was given. There was response to treatment but 15 days later the course of the disease was complicated by scleroderma renal crisis evidenced by elevated blood pressure, deteriorating kidney function, hemolysis and thrombocytopenia. The patient was treated with perindopril and rapid reduction of steroid doses. This was followed by correction of hemolysis and thrombocytopenia. Two months later, the patient was off dialysis, but had chronic renal insufficiency with an estimated GFR of 25 ml/minute. CONCLUSION This report describes the occurrence of SRC in a patient with lupus nephritis and SSc/ SLE overlap syndrome who was treated by CS and cyclophosphamide.
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Affiliation(s)
- Ahmed Alayoud
- Department of Nephrology, Hemodialysis and Kidney Transplantation, Military Hospital of Instruction, Mohammed V. Rabat, Morocco
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Alayoud A, Benyahia M, Oualim Z. Modèle de prédiction d’une bonne adéquation entre débit de dialysat et débit sanguin. Nephrol Ther 2012. [DOI: 10.1016/j.nephro.2012.07.316] [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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Alayoud A, Hassani K, Benyahia M. A model to calculate cardiac output in hemodialysis patients by thermodilution. Theor Biol Med Model 2012; 9:24. [PMID: 22721356 PMCID: PMC3411408 DOI: 10.1186/1742-4682-9-24] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2012] [Accepted: 06/21/2012] [Indexed: 11/10/2022] Open
Abstract
The Blood Temperature Monitor module (BTM) is used to measure recirculation by thermodilution in dialysis. Numerous studies have confirmed its interest in the measuring of the vascular access flow. In this letter we describe a model to calculate cardiac output in dialysis by the BTM.
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Affiliation(s)
- Ahmed Alayoud
- Service of Nephrology, Hemodialysis and Kidney Transplantation, Military Hospital of Instruction, Mohammed V, Rabat 10000, Morocco.
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Zajjari Y, Benyahia M, Ibrahim DM, Kassouati J, Maoujoud O, El Guendouz F, Oualim Z. La néphropathie non diabétique chez les patients diabétiques de type 2 à l’hôpital militaire Mohammed V de Rabat (Maroc). East Mediterr Health J 2012. [DOI: 10.26719/2012.18.6.620] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Y Z, Benyahia M, Ibrahim DM, Kassouati J, Maoujoud O, El Guendouz F, Oualim Z. [Non-diabetic renal disease in type II diabetes mellitus patients in Mohammed V Military Hospital, Rabat, Morocco]. East Mediterr Health J 2012; 18:620-623. [PMID: 22888619] [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: 06/01/2023]
Abstract
The distinction between diabetic nephropathy lesions and non-diabetic renal lesions is not always obvious and is often based on renal biopsy. This study evaluated the prevalence and predictors of nondiabetic renal disease in people with type 2 diabetes. The study was conducted between January 2008 and October 2010 in the nephrology department of the military hospital in Rabat. The study included 16 patients with type 2 diabetes in whom renal biopsy was indicated. Non-diabetic renal disease was found in 6 of the patients (37.5%); IgA nephropathy was the most frequent non-diabetic renal disease (half of non-diabetic renal diseases). Hypertension was significantly less frequent in the non-diabetic renal disease group than the diabetic nephropathy group (16.7% versus 80.0%, P = 0024), duration of diabetes was a shorter (4.5 versus 15.5 years, P = 0.022) and diabetic retinopathy was absent (100% versus 40%, P = 0.026). There were no statistically significant differences between the 2 groups in relation to age, sex, creatinine level, 24-hour proteinuria, nephrotic syndrome and microscopic haematuria.
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Affiliation(s)
- Zajjari Y
- Service de Néphrologie, Dialyse et Transplantation rénale, Hôpital militaire d'instruction Mohammed V Robat, Maroc.
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Alayoud A, Benyahia M, Montassir D, Hamzi A, Zajjari Y, Bahadi A, El Kabbaj D, Maoujoud O, Aatif T, Hassani K, Oualim Z. A model to predict optimal dialysate flow. Ther Apher Dial 2012; 16:152-8. [PMID: 22458394 DOI: 10.1111/j.1744-9987.2011.01040.x] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Diffusive clearance depends on blood (Qb) and dialysate flow (Qd) rates and the overall mass transfer area coefficient (KoA) of the dialyzer. In this article we describe a model to predict an appropriated AutoFlow (AF) factor (AF factor = Ratio Qd/Qb), that is able to provide adequate Kt/V for hemodialysis patients (HDP), while consuming lower amounts of dialysate, water and energy during the treatment. We studied in vivo the effects of three various Qd on the delivered dose of dialysis in 33 stable HDP. Hemodialysis was performed at Qd of 700 mL/mn, 500 mL/mn, and with AF, whereas specific dialysis prescriptions (treatment time, blood flow rate [Qb], and type and size of dialyzer) were kept constant. The results showed that increasing the dialysate flow rate more than the model of AF predicted had a small effect on the delivered dose of dialysis. The Kt/V (mean ± SD) was 1.52 ± 0.16 at Qd 700, 1.50 ± 0.16 at Qd 500, and 1.49 ± 0.15 with AF. The use of the AF function leads to a significant saving of dialysate fluid. The model predicts the appropriate AF factor that automatically adjusts the dialysate flow rate according to the effective blood flow rate of the patient to achieve an appreciable increase in dialysis dose at the lowest additional cost.
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Affiliation(s)
- Ahmed Alayoud
- Service of Nephrology, Hemodialysis and Kidney Transplantation, Military Hospital of Instruction, Mohammed V, Rabat, Morocco.
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Alayoud A, Montassir D, Hamzi A, Zajjari Y, Bahadi A, El Kabbaj D, Maoujoud O, Aattif T, Hassani K, Benyahia M, Oualim Z. Ecchymosis and purpura associated with an arteriovenous fistula. Ther Apher Dial 2012; 16:107-8. [PMID: 22248206 DOI: 10.1111/j.1744-9987.2011.01000.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Bahadi A, Hamzi MA, Farouki MR, Montasser D, Zajjari Y, Arache W, Hassani K, El Amrani M, Alayoud A, Hassani M, Benyahia M, Elallam M, Elkabbaj D, Oualim Z. Predictors of early vascular-access failure in patients on hemodialysis. Saudi J Kidney Dis Transpl 2012; 23:83-87. [PMID: 22237224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023] Open
Abstract
Vascular access management is key and critical in the successful management of hemodialysis patients, and an arteriovenous fistula (AVF) is considered the access of choice. This study was conducted between January 2007 and October 2009 at the Military Hospital in Rabat. Data on 115 patients who underwent 138 AVFs were retrospectively studied. Wrist AVF was the most common site of use. The primary course was uncomplicated in 63% of the patients, while primary failure occurred in 23.9% of the patients. Presence of diabetes was the most important risk factor for primary failure.
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Affiliation(s)
- A Bahadi
- Department of Nephrology, Dialysis and Kidney Transplantation, Military Teaching Hospital Mohammed V, Rabat, Morocco.
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Hamzi MA, Mahtat EM, Hassani K, Asserraji M, Benyahia M, Oualim Z. Myelodysplastic syndrome and extracapillary glomerulonephritis: is there a link? AJN 2012. [DOI: 10.21804/15-1-750] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
Introduction: The association of myelodysplastic syndrome and extracapillary glomerulonephritis is exceptional. Only two other cases have been reported. Reported case: A 52-year-old patient with a history of myelodysplastic syndrome developed rapidly progressive glomerulonephritis. Renal biopsy identified extracapillary glomerulonephritis.Discussion: The association of myelodysplastic syndrome with glomerulopathy is rare and often regarded as fortuitous. Only a few cases are described in literature on the subject. A relationship between the two diseases is possible but the causal link between these two diseases remains unknown. Conclusion: The notion that myelodysplastic syndrome may be associated with various glomerular nephropathies involves looking for renal disease in this haematologic disorder.
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Ibrahim Montasser D, Alayoud A, Hamzi A, Zajjari Y, Kabbaj D, Benyahia M, El Allam M, Oualim Z. Syndrome néphrotique et hypothyroïdie. Nephrol Ther 2011. [DOI: 10.1016/j.nephro.2011.07.250] [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: 10/17/2022]
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El Amrani M, Arache W, El Farouki MR, Montasser D, Hassani K, Bahadi A, Hamzi A, Aatif T, El Allam M, Kabbaj D, Benyahia M, Oualim Z. Angiœdème héréditaire de type I et insuffisance rénale. Nephrol Ther 2011. [DOI: 10.1016/j.nephro.2011.07.373] [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: 10/17/2022]
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Ibrahim Montasser D, Benyahia M, Zajjari Y, El Allam M, Oualim Z. Traitement chirurgical de l’hyperparathyroïdie secondaire chez l’hémodialysé chronique. Nephrol Ther 2011. [DOI: 10.1016/j.nephro.2011.07.114] [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: 10/17/2022]
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Bahadi A, Montasser D, Salek G, Hafidi R, Hassani M, El Allam M, Benyahia M, Elkabbaj D, Oualim Z. La grossesse en hémodialyse : 11ans d’expérience. Nephrol Ther 2011. [DOI: 10.1016/j.nephro.2011.07.120] [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: 10/17/2022]
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Bahadi A, Maoujoud O, Hassani K, Akhmouch I, Doblali T, El Allam M, Benyahia M, El Kabbaj D, Mrani S, Oualim Z. L’hépatite virale C en hémodialyse : étude multicentrique ambispective de séroconversion et de prévalence. Nephrol Ther 2011. [DOI: 10.1016/j.nephro.2011.07.296] [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: 10/17/2022]
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Bahadi A, Maojoud O, Doblali T, Hassani K, Montasser D, Farouki R, El Allam M, Elamrani M, Benyahia M, El Kabbaj D, Mrani S, Oualim Z. La mortalité chez l’hémodialysé chronique : huitans de suivi. Nephrol Ther 2011. [DOI: 10.1016/j.nephro.2011.07.361] [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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Hassani K, Zajjari Y, Montasser D, Hamzi M, Bahadi A, Kabbaj D, Benyahia M, Oualim Z. Les anomalies échocardiographiques en situation d’insuffisance rénale chronique terminale. Nephrol Ther 2011. [DOI: 10.1016/j.nephro.2011.07.301] [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: 10/17/2022]
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