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Charfeddine C, Ktaifi C, Laroussi N, Hammami H, Jmel H, Landoulsi Z, Badri T, Benmously R, Bchetnia M, Boubaker M, Fenniche S, Abdelhak S, Mokni M. Clinical and molecular investigation of Buschke-Fischer-Brauer in consanguineous Tunisian families. J Eur Acad Dermatol Venereol 2016; 30:2122-2130. [DOI: 10.1111/jdv.13787] [Citation(s) in RCA: 4] [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: 01/01/2016] [Accepted: 04/11/2016] [Indexed: 01/03/2023]
Affiliation(s)
- C. Charfeddine
- Laboratory of Biomedical Genomics and Oncogenetics (LR11IPT05); University of Tunis El Manar; Pasteur Institut of Tunis; Tunis Tunisia
- High Institut of Biotechnology of Sidi Thabet; University of Manouba; Biotechpole of SidiThabet; Ariana Tunisia
| | - C. Ktaifi
- Laboratory of Biomedical Genomics and Oncogenetics (LR11IPT05); University of Tunis El Manar; Pasteur Institut of Tunis; Tunis Tunisia
| | - N. Laroussi
- Laboratory of Biomedical Genomics and Oncogenetics (LR11IPT05); University of Tunis El Manar; Pasteur Institut of Tunis; Tunis Tunisia
| | - H. Hammami
- Department of Dermatology; Habib Thameur Hospital; Tunis Tunisia
- Laboratory of Genodermatosis and Cancer (LR12SP03); University of Tunis El Manar; Faculty of Medecine Tunis; Tunis Tunisia
| | - H. Jmel
- Laboratory of Biomedical Genomics and Oncogenetics (LR11IPT05); University of Tunis El Manar; Pasteur Institut of Tunis; Tunis Tunisia
| | - Z. Landoulsi
- Laboratory of Biomedical Genomics and Oncogenetics (LR11IPT05); University of Tunis El Manar; Pasteur Institut of Tunis; Tunis Tunisia
| | - T. Badri
- Department of Dermatology; Habib Thameur Hospital; Tunis Tunisia
| | - R. Benmously
- Department of Dermatology; Habib Thameur Hospital; Tunis Tunisia
| | - M. Bchetnia
- Laboratory of Biomedical Genomics and Oncogenetics (LR11IPT05); University of Tunis El Manar; Pasteur Institut of Tunis; Tunis Tunisia
| | - M.S. Boubaker
- Department of Human and Experimental Pathology; Pasteur Institute of Tunis; Tunis Tunisia
| | - S. Fenniche
- Department of Dermatology; Habib Thameur Hospital; Tunis Tunisia
- Laboratory of Genodermatosis and Cancer (LR12SP03); University of Tunis El Manar; Faculty of Medecine Tunis; Tunis Tunisia
| | - S. Abdelhak
- Laboratory of Biomedical Genomics and Oncogenetics (LR11IPT05); University of Tunis El Manar; Pasteur Institut of Tunis; Tunis Tunisia
| | - M. Mokni
- Department of Dermatology; CHU La Rabta Tunis; Tunis Tunisia
- CHU La Rabta Tunis; Research Unit on Hereditary Keratinizaton Disorders UR12SP07; Tunis Tunisia
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Badri T, Akkari H, Loussaief S, Hammami H, Ben Jennet S, Marrak H, Benmously R, Fenniche S, Mokhtar I. Intérêt de l’épilation au laser Nd : YAG 1064nm après chirurgie répératrice utilisant une peau pileuse. Ann Dermatol Venereol 2014. [DOI: 10.1016/j.annder.2014.04.092] [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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Hafsi W, Hammami H, Bouchouicha S, Loussaief M, El Khalifa J, Badri T, Benmously R, Fenniche S, Mokhtar I. Traitement de la maladie de Darier par laser CO2 fractionné : un cas. Ann Dermatol Venereol 2014. [DOI: 10.1016/j.annder.2014.04.097] [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: 10/25/2022]
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Badri T, Bouchouicha S, Hammami H, El Khalifa J, Ben Jennet S, Fenniche S, Benmously R, Mokhtar I. Traitement des angiokératomes génitaux par laser Nd : YAG long pulse : étude de 12 cas. Ann Dermatol Venereol 2014. [DOI: 10.1016/j.annder.2014.04.095] [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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Badri T, Litaiem N, Hammami H, Bouchouicha S, Loussaief S, Benmously R, Fenniche S, Mokhtar I. Varicosités nasales post-plastie par un lambeau frontal traitées par laser Nd : YAG. Ann Dermatol Venereol 2014. [DOI: 10.1016/j.annder.2014.04.093] [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: 10/25/2022]
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Badri T, Sliti N, Benmously R, Hammami H, Ben Jennet S, Mokhtar I, Fenniche S. [Erythrasma: study of 16 cases]. Tunis Med 2014; 92:245-248. [PMID: 25224418] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
BACKGROUND Erythrasma is a chronic bacterial infection due to Corynebacterium minutissimum, affecting the interspaces of the toes, the axillary folds and the groin. Its impact is underestimated as it is often misdiagnosed ad wrongly taken as a dermatophytic infection. AIM Through a hospital series, we report the epidemiologic and clinical features of erythrasma, as well as the therapeutic ways. methods: A retrospective study over a 20 year period and including the patients diagnosed as having erythrasma after a Wood's light examination. results: There were 16 patients (6 males and 10 females) with an average age of 44.6 years-old. The majority of our patients consulted on hot season. Clinical examination showed macular plaques with clear limits, erythematous in 6 cases and yellowish in the remaining cases. The lesions were located at the axillary folds in 13 cases; the groin in 2 cases and at all folds in one case. Treatment with erythromycin (topical or general administration) was the most prescribed. Outcome was generally favourable, but recurrences have been noticed. CONCLUSION Erythrasma is a frequent misdiagnosed infection and often confused with a mycosis (especially in the interspaces of the toes); knowing that antimycotic agents are efficient in erythrasma. This is probably the reason of the small number of patients in our series.
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Zaouak A, Badri T, Fenniche S, Hammami H, Koubaa W, Debbiche A, Benmously R, Mokhtar I. Éruption cutanée pityriasis rubra pilaire-like induite par l’insuline. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.10.002] [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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Hammami Ghorbel H, Benmously R, Mokni S, Kassar MS, Badri T, Zouari B, Mokhtar I, Fenniche S. Facteurs de gravité liés à l’hirsutisme : étude cas-témoins à propos de 84 cas. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.09.566] [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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Hammami H, Mokni S, Ben Jennet S, Koubaa W, Debbiche A, Fenniche S, Benmously R, Mokhtar I. Érythrœdème infiltré du visage : la maladie de Morbihan, diagnostic à ne pas méconnaître. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.421] [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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Hammami H, Benmously R, Badri T, Koubaa W, Fenniche S, Mokhtar I. Bande noire unguéale : lichen étiologie rare. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.084] [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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Zaouak A, Benmously R, Mrad R, Laaroussi N, Hovnanian A, Abdelhak S, Mokhtar I. L’ichtyose en maillot de bain : première observation tunisienne : nouvelle mutation. Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.10.566] [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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Zaouak A, Benmously R, Badri T, Hammami H, Ben Jennet S, Marrak H, Fenniche S, Mokhtar I. Pyoderma gangrenosum : étude de 12 observations. Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.10.268] [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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Laroussi N, Brik A, Messai H, Zaouak A, Daoued L, Bchetnia M, Kacem M, Mokni M, Boubaker MS, Benmously R, Abdelhak S. Investigation moléculaire préliminaire des ichtyoses non syndromiques autosomiques récessives en Tunisie. Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.10.288] [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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Aoun K, Ben Abda I, Bousslimi N, Bettaieb J, Siala E, Ben Abdallah R, Benmously R, Bouratbine A. [Comparative characterization of skin lesions observed in the three endemic varieties of cutaneous leishmaniasis in Tunisia]. Ann Dermatol Venereol 2012; 139:452-8. [PMID: 22721477 DOI: 10.1016/j.annder.2012.04.154] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2012] [Revised: 03/05/2012] [Accepted: 04/16/2012] [Indexed: 10/28/2022]
Abstract
BACKGROUND The recent spread in the geographical distribution of the three forms of cutaneous leishmaniasis (CL) endemic in Tunisia has resulted in the coexistence of more than one species of Leishmania (L.) in some foci, rendering characterization on the basis of geographical criteria alone more difficult. The aim of the study was to establish clinical criteria associated with these noso-geographic forms, namely sporadic CL (SCL) due to L. infantum, zoonotic CL (ZCL) due to L. major and chronic CL (CCL) due to L. tropica. PATIENTS AND METHODS One hundred and twelve patients with biologically confirmed CL were involved in the study. Leishmania species was systematically identified by iso-enzyme analysis and/or PCR-RFLP. Details of the number, the location, the morphological aspect and the month of outbreak of the lesions were noted for each patient. RESULTS SCL lesions appeared later than ZCL lesions (53.8% of cases appeared from December onwards vs. 23.6%, P<0.001). ZCL lesions were often multiple (75%) and situated on the limbs (84.7%, P<0.001), whereas SCL lesions were single (92.3%, P<0.001) and located on the face (84.6%, P<0.001). CCL lesions were also single (78.6%) and located on the face (71.4%). The classical ulcerous presentation with scabs was mainly observed in ZCL patients (69.4%) and the erythematous presentation was described more frequently in SCL patients (75%; P<0.001). CONCLUSION The number, site, morphological aspect and month of outbreak of lesions could be considered as useful criteria that help differentiate between the three noso-geographical forms of CL prevailing in Tunisia. Such characterization is useful for the individual management of patients and for optimizing the combat against the disease.
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Affiliation(s)
- K Aoun
- Laboratoire de recherche parasitoses médicales, biotechnologie & biomolécules, LR 11 IPT 06, institut Pasteur de Tunis, 13, place Pasteur, BP 74, 1002 Tunis Belvédère, Tunisie.
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Badri T, Ben Hamida M, Hammami H, Akkari H, Ben Jennet S, Benmously R, Fenniche S, Mokhtar I. Traitement des angiokératomes scrotaux par laser Nd :YAG long pulse : étude prospective de six cas. Ann Dermatol Venereol 2011. [DOI: 10.1016/j.annder.2011.10.154] [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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Karoui S, Badri T, Benmously R, Ben Brahim E, Chadli-Debbiche A, Mokhtar I, Fenniche S. Adenolipoma of the skin. Pathologica 2011; 103:343-345. [PMID: 22558893] [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
Adenolipoma of the skin (ALS) is an uncommon histological variant of lipoma, characterized by the presence of normal eccrine sweat glands inside the fat proliferation. A 32-year-old woman presented to our department with a slow-growing, painless subcutaneous soft tumour located on the upper part of the right thigh. Microscopically, there was lobulated adipose tissue proliferation with well-differentiated eccrine glands and ducts in the periphery and centre of the nodule. These features were suggestive of ALS. ALS is a rare microscopic variant of cutaneous lipoma having similar clinical features to lipoma. The most frequent locations of this tumour are thighs (as in our patient), shoulders, chest and arms. Histologically, the tumour is composed of lobulated adipose tissue with larger and more prominent lobules than those in normal subcutaneous adipose tissue. A well-developed capsule may also be identified. Eccrine glands and ducts, without proliferative changes, are well-differentiated within the adipose tissue. Differential diagnosis of adenolipoma includes the common lipoma and its variants, skin tag and other hamartomatous lesions, such as nevus lipomatosus superficialis, and the lipomatous variant of eccrine angiomatous hamartoma.
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Affiliation(s)
- S Karoui
- Department of Dermatology, Habib Thameur Hospital, Faculty of Medicine, University of Tunis El Manar, Tunisia
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Benmously R, Ben Hamida M, Hammami H, Fenniche S, Mokhtar I. Doit-on continuer à indiquer le Glucantime®en première intention pour le traitement des leishmanioses cutanées en Tunisie ? Ann Dermatol Venereol 2011. [DOI: 10.1016/j.annder.2011.10.301] [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: 10/15/2022]
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Benmously R, Mokni S, Hammami H, Belghith I, Zghal M, Mahfoudh A, Fenniche S, Mokhtar I. Efficacité et tolérance de la cryochirurgie dans le traitement des chéloïdes. Ann Dermatol Venereol 2011. [DOI: 10.1016/j.annder.2011.10.173] [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: 11/28/2022]
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Affiliation(s)
- R Benmously
- Service de dermatologie, hôpital Habib Thameur, Montfleury, Tunis, Tunisie.
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Badri T, Kenani N, Benmously R, Debbiche A, Mokhtar I, Fenniche S. Isolated genital annular lichen planus. Acta Dermatovenerol Alp Pannonica Adriat 2011; 20:31-33. [PMID: 21879203] [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]
Abstract
Annular lichen planus is a rarely reported variant of lichen planus (LP). Although genital lesions are frequent in patients with LP, isolated genital LP is rarely reported. We present a case of a 29-year- -old circumcised man with an asymptomatic annular lesion of the penis. Histopathological features were consistent with LP. Topical clobetasol was prescribed, with clinical improvement. It is important to consider annular LP among the possible diagnoses of individual annular genital lesions.
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Affiliation(s)
- T Badri
- Dermatology Department, Habib Thameur Hospital 8 Rue Ali Ben Ayed, 1008 Montfleury, Tunis, Tunisia.
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Badri T, Hammami H, Benmously R, Mokhtar I, Fenniche S. Dermoscopic diagnosis of pediculosis capitis. Acta Dermatovenerol Alp Pannonica Adriat 2010; 19:45-46. [PMID: 20976423] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Affiliation(s)
- T Badri
- Dermatology Department, Habib Thameur Hospital, Ali Ben Ayed Street No. 8, Montfleury, Tunis, Tunisia.
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Zghal M, Triki S, Elloumi-Jellouli A, Jbali A, Gargouri H, Benmously R, Souissi R, Chedly I, Brahim EB, Ayed MB, Fenniche S, Mokhtar I. [Contribution of the cryosurgery in the management of xeroderma pigmentosum]. Ann Dermatol Venereol 2010; 137:605-9. [PMID: 20932439 DOI: 10.1016/j.annder.2010.06.029] [Citation(s) in RCA: 6] [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] [Received: 02/26/2010] [Revised: 06/01/2010] [Accepted: 06/29/2010] [Indexed: 11/26/2022]
Abstract
BACKGROUND Basal cell carcinoma (BCC) occurs frequently in young patients with xeroderma pigmentosum (XP). Because tumours are multiple and usually found on the face, alternatives to surgery are proposed. The purpose of this study was to evaluate the efficacy of cryosurgery for BCC in XP patients. PATIENTS AND METHODS This was a retrospective study that included all instances of BCC occurring in XP patients treated by cryosurgery between January 2002 and October 2008. RESULTS Forty-five cases of primary facial BCC and one case of relapsing BCC (16 on the cheeks, 11 on the nose, six on the face and five on the inner edge of the eye area) were treated by cryosurgery in 18 XP patients (average age: 18.7 years; sex ratio: 0.5). Mean carcinoma size was 10mm. Thirty-six tumours were nodular and 10 were nodular and ulcerated. Follow-up ranged from 16 to 60 months (mean: 30 months). Complications were rare. Cosmetic results were satisfactory. We noted 10 cases of hypopigmentation (21.7%) and one notch on the nose following treatment for recurrent BCC on a radiotherapy scar. Relapse occurred in one case (2.17%). CONCLUSION Because of its simplicity, its good safety, its sparing of skin and its reliability of oncological outcome, cryosurgery is the treatment of choice for CBC in XP patients.
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Affiliation(s)
- M Zghal
- Hôpital Habib Thameur, Tunis, Tunisie
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Hammami H, Badri T, Benmously R, Kenani N, Sliti N, Mokhtar I, Fenniche S. [Pseudoxanthoma elasticum: a study of 22 cases]. Rev Med Liege 2009; 64:629-632. [PMID: 20143747] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
Pseudoxanthoma elasticum is a heritable connective-tissue disorder affecting the eye, skin, and vascular system. The aim of our study was to specify the epidemiological and clinical characteristics of this disease in a hospital series. A total of 22 patients were included during a period of 19 years. There were 15 women and 7 men. Patient's mean age was of 36,1 years. Parental inbreeding was reported in 10 cases. However, the parents were apparently healty. All patients exhibited cutaneous signs. The association between pseudoxanthoma elasticum and elastosis perforans serpiginosa was reported in two cases. The histological features were characteristic in all cases. The ophthalmologic examination realized on 13 patients revealed angioid streaks in 6 cases and a orange peel aspect in one case. Cardiac evaluation performed in 11 patients did not reveal specific PXE abnormalities. A follow-up was recommended in the majority of the cases. In conclusion, a family history of PXE was frequently reported in our study mainly among brothers and sisters. The disease was probably of autosomal recessive transmission. Cutaneous lesions were often the first signs. A list of laboratory investigations is useful to search for asymptomatic visceral localizations and specify their frequency.
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Affiliation(s)
- H Hammami
- Service de Dermatologie, Hôpital Habib Thameur, Tunis, Tunisie.
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Hammami H, Benmously R, Badri T, Debbiche A, Ben Ayed M, Mokhtar I, Fenniche S. Atypical clinical appearance and localization of trichilemmoma. a case report. Pathologica 2009; 101:133-134. [PMID: 19886550] [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: 05/28/2023] Open
Abstract
Trichilemmoma is a benign cutaneous tumor that shows characteristics of differentiation similar to the outer hair sheath. We report the case of a woman presenting with a nodular tender mass of the back that was diagnosed as an isolated trichilemmoma. Several lines of evidence suggest that trichilemmoma should be considered in the differential diagnosis of any indistinct facial papule. This report documents a non-facial example of trichilemmoma. Atypical clinical appearance and localization of this neoplasm in our patient suggest that only histological findings are specific of this tumor.
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Affiliation(s)
- H Hammami
- Dermatology Department, Habib Thameur Hospital, Tunis, Tunisia
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Benmously R, Souissi A, Badri T, Ben Jannet S, Marrak H, Mokhtar I, Fenniche S. Cutaneous metastases from internal cancers. Acta Dermatovenerol Alp Pannonica Adriat 2008; 17:167-170. [PMID: 19104741] [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: 05/27/2023]
Abstract
BACKGROUND Cutaneous metastases (CMs) from carcinoma are relatively uncommon, being usually late events in the course of internal malignancies. CMs from internal tumors seen at a secondary dermatological centre in Tunis are reported. METHODS A retrospective review of the available clinical records and histological material of all patients with CMs from internal malignancies was performed over a 14-year period. RESULTS Fourteen cases of CMs were recorded: 8 males and 6 females. The age range was 53 to 96 years, with a mean of 63.5 years for males and 76.5 years for females. CMs represented the first indication of an internal malignancy in 64% of cases. Firm solitary or multiple nodules were the most relevant clinical presentation (93%). Preferred sites were the thorax (50%), the abdomen (29%), and the head and neck region (21%). The common sites of primary malignancy were the lungs (38%) in males and breast (33%) in females. Four out of 14 patients died within a short follow-up period (mean 9.5 months). DISCUSSION CMs are relatively rare in patients with internal cancers, but they may be a presenting sign of such cancers.
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Affiliation(s)
- R Benmously
- Habib Thameur Dermatology Department, 8 Ali Ben Ayed Street, 1008 Montfleury, Tunis, Tunisia.
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Fenniche S, Benmously R, Sfia M, Daoud L, Debbiche A, Ben Ayed M, Mokhtar I. [Late-occurring cutaneous vasculitis after successful treatment of diffuse lepromatous leprosy: Lucio's phenomenon]. Med Trop (Mars) 2007; 67:65-8. [PMID: 17506277] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/15/2023]
Abstract
O Lucio's phenomenon is an uncommon type 2 reactional state occurring exclusively in patients with diffuse lepromatous leprosy (Lucio-Latapi leprosy). Previous case reports have been most frequent in Central America and rare in Asia and Africa. Lucio's phenomenon is characterized by necrotic ulcerations of the skin preferentially on the lower extremities usually in association with ongoing Lucio lepromatosis. The purpose of this report is to describe an unusual case of Lucio's phenomenon occurring four years after successful treatment of diffuse lepromatous leprosy. The patient was a 51-year-old man who had presented diffuse lepromatous leprosy ongoing since 1998. Diagnosis was documented based on histological and bacteriologic evidence. After successful treatment using dapsone (100 mg/d), rifadine (600 mg/month) and ethionamide (250 mg/d), the patient was lost from follow-up for 4 years. In January 2005, he consulted again for alteration of general status. Clinical examination showed inflammatory livedo on the lower extremities in association with several infiltrating maculo-papular lesions and painful erythemato-pupuric lesions on the legs and buttocks. The patient's skin was dry, shiny and galabrous with alopecia of the eyelashes and eyebrows. Examination of smear samples (skin and nasal) to identify mycobacterium leprae was negative. Histological study demonstrated epidermic necrosis with aspects of leucocytoclastic vasculitis. No Virchow cells were detected and Ziehl staining was negative. Search for circulating immune complexes and antiphospholipid antibodies was negative. Diagnosis of Lucio's phenomenon was made and the patient was treated using prednisone at a dose of 1 mg/kg/d in association with rifampicine (600 mg/month) and dapsone (100 mg/d). Outcome was favorable after one month of treatment. Lucio's phenomenon has rarely been observed in Tunisia. To our knowledge this is the third case reported from Tunisia and only 13 cases have been reported in the world since 1983. In all cases including the two from Tunisia, Lucio's phenomenon occurred during the course of treatment of ongoing Lucio-Latapi lepromatous leprosy (2). The remarkable features of our case are that Lucio's phenomenon occurred a long time after successful treatment of lepromatous leprosy and that the patient responded promptly to treatment. The pathogenesis of Lucio's phenomenon is often compared with that of erythema nodosum leprosum. Discussion focuses on pathophysiologic features and natural course of Lucio's phenomenon.
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Affiliation(s)
- S Fenniche
- Service de dermatologie, Hôpital Habib Thameur, 1008 Tunis, Tunisie.
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Sliti N, Benmously R, Fenniche S, Megdiche M, Fenniche T, Mokhtar I. CA48 - Scrofuloderme inguinal révélant une tuberculose ganglionnaire. Ann Dermatol Venereol 2007. [DOI: 10.1016/s0151-9638(07)89146-0] [Citation(s) in RCA: 2] [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: 11/16/2022]
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Sioud Dhrif A, Benmously R, Fenniche S, Marrak H, Mokhtar I. CA42 - Pemphigoïde bulleuse de l’enfant : trois observations. Ann Dermatol Venereol 2007. [DOI: 10.1016/s0151-9638(07)89140-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: 12/01/2022]
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Khelifa E, Benmously R, Fenniche S, Jannet SB, Mokhtar I. [Nodular plaque on the chin]. Ann Dermatol Venereol 2006; 133:811-2. [PMID: 17072206 DOI: 10.1016/s0151-9638(06)71052-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Affiliation(s)
- E Khelifa
- Service de Dermatologie, Hôpital Habib Thameur, Tunis, Tunisie.
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Fenniche S, Souissi A, Benmously R, Ben Jannet S, Marrak H, Mokhtar I. [Childhood cutaneous leishmaniasis in Tunisia: retrospective study of 60 cases]. Med Trop (Mars) 2006; 66:456-60. [PMID: 17201289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/13/2023]
Abstract
Cutaneous leishmaniasis (CL) is a widespread parasitic disease that represents a major public health problem in several countries including Tunisia. The aim of this study was to determine the characteristics of childhood CL in a university hospital center in Tunis. The files of all children treated for of CL in the Dermatology Department of Habib Thameur Hospital over a 23-year period were reviewed. A total of 60 children were included. The mean age was 9.2 years and the sex ratio was 0.93. All patients lived or had stayed in an endemic area. Infectious risk was highest in autumn (41.6%). The most frequent clinical finding consisted of crusty nodules (53.3%) that were most often the only manifestation (63.3%) and usually located on the face (65%). Clinical diagnosis was confirmed by either peripheral blood smear (56.6%) or histological examination (35%). The treatment of choice was Glucantime administered by the intralesional route in 70% of patients or by intramuscular route in 30%. The outcome was favorable in all cases within 2 weeks to 6 months. Sequels were noted in 9 cases (18%) in the form of pigmented (7 cases) or atrophic (2 cases) residual scars. The frequency of childhood CL is relatively high especially during the second decade of life. Childhood CL is characterized by a generally favorable outcome and lack of distinguishing clinical characteristics form adult CL. If possible, therapeutic abstention is more widely in the children due to the high risk of adverse reactions.
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Affiliation(s)
- S Fenniche
- Service de dermatologie, Hôpital Habib Thameur, Tunis, Tunisie
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Souissi A, Ezzine Sebai N, Benmously R, Mokhtar I, Fazaa B, Chaker E, Kamoun MR. [Dermatophytic disease in a Tunisian family]. Med Trop (Mars) 2005; 65:482-6. [PMID: 16465820] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
Abstract
Dermatophytic disease is a rare chronic infection caused by common dermatophytes and characterized by cutaneous and subcutaneous invasion. It is observed mainly in North Africa where it is presumably inherited via an autosomal recessive trait. Cellular immunodeficiency could account for the chronic nature of the disease and for its refractoriness to drug treatment. The purpose of this report is to describe the occurrence of dermatophytic disease in three sisters of consanguineous parents in a rural region of northern Tunisia. To our knowledge, this is the first familial case reported in Tunisia. The most salient features in these patients were early age of disease onset in three females, isolation of Microsporum canis at the beginning of the disease, relatively favorable course with long remissions in two cases, and absence of visceral involvement. Various drugs including antifungal agents and immunostimulants were used for treatment with disappointing results. Surgical excision associated with antifungal agents appeared to be effective in our patients. Dermatophytic disease remains a severe disease due to the possibility of potentially life-threatening visceral involvement.
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Affiliation(s)
- A Souissi
- Service de dermatologie, Hopital Charles Nicolle, Tunis, Tunisie.
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Marrak H, Deghaïs S, Benmously R, Khelifa E, Fenniche S, Zghal M, Mokhtar I. P263 Onychomycoses : analyse d’une série hospitalière de 435 cas. Ann Dermatol Venereol 2005. [DOI: 10.1016/s0151-9638(05)79992-0] [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: 10/15/2022]
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Khelifa E, Benmously R, Fenniche S, Marrak H, Debbiche A, Ben Ayed M, Mokhtar I. P135 - Tumeur médiane du cuir chevelu : penser au méningiome. Ann Dermatol Venereol 2005. [DOI: 10.1016/s0151-9638(05)79864-1] [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: 11/28/2022]
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Fenniche S, Dhaoui A, Ammar FB, Benmously R, Marrak H, Mokhtar I. Acebutolol-Induced Subacute Cutaneous Lupus Erythematosus. Skin Pharmacol Physiol 2005; 18:230-3. [PMID: 16015021 DOI: 10.1159/000086668] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2004] [Accepted: 01/06/2005] [Indexed: 11/19/2022]
Abstract
Beta-blocking medications are rarely associated with drug-induced lupus erythematosus syndrome and have never been incriminated as a cause of subacute lupus erythematosus (SCLE). We present herein the first case of SCLE induced by acebutolol. A 57-year-old woman presented with a 1-month history of a cutaneous eruption of the photo-exposed areas. One month ago, the patient had started a treatment with oral acebutolol to cure a hypertension of 1-year evolution. Physical examination revealed erythematous scaly annular plaques, involving the face, arms and trunk. Immunologic serology findings revealed a positive titer of antinuclear antibodies up to 1/1,280 with positivity of antihistone and Ro/SSA antibodies. Acebutolol was stopped, and the lesions cleared completely 4 months later. Literature data, along with our case, suggest a link between acebutolol therapy and the onset of a lupus syndrome. Although this is the first report of acebutolol-induced SCLE, we should be aware of this occurrence, and avoidance of acebutolol is recommended in patients with stigmata of lupus erythematosus.
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Affiliation(s)
- S Fenniche
- Dermatology Department, Habib Thameur Hospital, Tunis, Tunisia.
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Ezzine-Sebaï N, Benmously R, Fazaa B, Chaker E, Zermani R, Kamoun MR. Chromomycosis arising in a Tunisian man. Dermatol Online J 2005; 11:14. [PMID: 16150222] [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: 05/04/2023] Open
Abstract
Chromomycosis is a chronic fungal infection quite prevalent in tropical countries. In such areas, it has a chronic evolutional course that may cause several problems. In our country, this disorder is quite rare. Herein we report the second case of Tunisian chromoblastomycosis. A-28-year-old man from north Tunisia (Bizerte) presented to our dermatology department with a skin lesion of 1 1/2 years duration. He was a butcher leaving in a rural area. The lesion gradually expanded to form a 3.5-cm violet-colored tumor with a verrucous surface. The tumor was located in the patient's left buttock. Scraping from the border of the lesion was negative. Cultures grew Fonsecaea pedrosoi. The lesion was surgically removed and the patient was treated with oral terbinafine (500 mg/day) for 2 months. There was no recurrence within a followup period of 3 years. Chromomycosis is a slowly progressive cutaneous mycosis caused by various dematiceous fungi prevalent in tropical countries. In Tunisia, this disease is rarely encountered. Dermatologists should be aware of this diagnosis. For limited lesions, we recommend excision followed by oral terbinafine.
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Affiliation(s)
- N Ezzine-Sebaï
- Dermatology Department, Charles Nicolle Hospital, Tunis, Tunisia
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Ben Ammar F, Fenniche S, Benmously R, Ben Jannet S, Debbiche A, Ben Ayed M, Mokhtar I. [Linear plantar erythematous-squamous plaque]. Ann Dermatol Venereol 2005; 132:59-61. [PMID: 15746614 DOI: 10.1016/s0151-9638(05)79202-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- F Ben Ammar
- Service de Dermatologie, 1008, Hôpital Habib Thameur, Tunis, Tunisie
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Fenniche S, Daoud L, Benmously R, Ben Ammar F, Khelifa I, Chaabane S, Mokhtar I. Subcutaneous fat necrosis: report of two cases. Dermatol Online J 2004; 10:12. [PMID: 15530302] [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: 05/01/2023] Open
Abstract
Subcutaneous fat necrosis of the newborn is an uncommon, benign process in full-term infants or postmature neonates who experienced a perinatal distress. It is a transient condition of unknown origin; however, hypercalcemia may be a potentially life-threatening complication of this otherwise self-healing process. We report two cases of subcutaneous fat necrosis and discuss the clinical features, etiology, and complications of the disease.
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Affiliation(s)
- S Fenniche
- Dermatology Department, Habib Thameur Hospital, Tunis, Tunisia.
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Abstract
INTRODUCTION Epithelioid hemangioendothelioma is a tumor of soft tissues arising from the vascular endothelium. It is considered as a low-grade malignant tumor. Cutaneous involvement is rare and often associated with multi-systemic localizations. CASE REPORT We report the case of a 34 year-old woman with a 6-month history of a 1.5 cm erythematous-violaceous, soft, painful cutaneous nodule involving the right forearm. An abdominal sonography had been performed 1 month before the onset of the nodule, because of epigastric pain and was normal. Histological and immunohistological examinations led to diagnosis of an epithelioid hemangioendothelioma. Assessment of the extension with radiology, sonography, tomodensitometry and magnetic resonance imaging, revealed nodules of the liver. Treatment consisted in the wide and complete excision of the tumor. There was no evidence of local recurrence after one year follow-up, and the hepatic lesions were stable. DISCUSSION Epithelioid hemangioendotheliomas belong to the epithelioid vascular tumor spectrum. They have in common the morphologic epithelioid aspect of endothelial tumor cells. Cutaneous localization is rare, and to the best of our knowledge, only 20 cases of epithelioid hemangioendothelioma with skin involvement have been reported in the literature. Epithelioid hemangioendothelioma can be isolated or associated with internal visceral involvement. The detection of skin lesions should lead to a complete assessment of the extension of the disease to detect any internal localization. Because of low-grade malignancy of the tumor, and the integrity of the liver observed one month before the onset of the disease in our patient, epithelioid hemangioendothelioma appears to be a multicentric disease rather than metastatic hepatic localizations of a primitive skin cancer.
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Affiliation(s)
- S Fenniche
- Service de Dermatologie, Hôpital Habib Thameur, 7 avenue Docteur Calmette, 1082 Cité Mahrajane, Tunis, Tunisia.
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Abstract
INTRODUCTION Chronic septic granulomatosis is a disease characterized by an impaired bactericidal potential of the neutrophilic polynuclear. The cutaneous manifestations rarely reveal the disease, but are of considerable interest in the diagnosis, notably during the late onset forms. We report such a case. CASE REPORT A 15 year-old girl, born of consanguine parents, had a history of visceral leishmaniasis and hepatic hydatidosis. For the past 3 years she had developed dermatitis lesion on the face and skin folds, chronic folliculitis and suppurating axillary and inguinal lymphoadenitis. The absence of a reduction in tetrazolium nitro blue led to the diagnosis of chronic septic granulomatosis. Prophylactic treatment stabilized the cutaneous lesions. DISCUSSION Chronic septic granulomatosis regroups various severe and recurrent manifestations. Its transmission is usually X-linked recessive or, on rare occasions, autosomal recessive. The clinical manifestations leading to the diagnosis are often of very early onset. They are principally pneumonia due to apergillus fumigatus and lymphoadenitis. Cutaneous involvement, although less common, must not be neglected because it can lead to the diagnosis of late onset forms, as in our patient.
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Affiliation(s)
- M Kharfi
- Service de Dermatologie, Hôpital Charles Nicolle, Tunis, Tunisie.
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Fenniche S, Daoud L, Benmously R, Ammar FB, Khelifa I, Chaabane S, Mokhtar I. Subcutaneous fat necrosis: Report of two cases. Dermatol Online J 2004. [DOI: 10.5070/d33nf7x9ch] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
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Kharfi M, Fazaa B, Benmously R, Bouden S, Elloumi L, Kamoun MR. [Localized pemphigus]. Ann Dermatol Venereol 2003; 130:645-7. [PMID: 13679705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/23/2023]
Affiliation(s)
- M Kharfi
- Service de Dermatologie, Hôpital Charles Nicolle, boulevard du 9 avril, 1006 Tunis, Tunisie.
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