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Frikha F, Garbaa S, Bouattour Y, Snoussi M, Loukil H, Ben Salah R, Bahloul Z. [Tocilizumab for refractory Takayasu arteritis with aortic aneurysm]. J Med Vasc 2019; 44:237-239. [PMID: 31029281 DOI: 10.1016/j.jdmv.2019.02.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/08/2018] [Accepted: 01/27/2019] [Indexed: 06/09/2023]
Abstract
Takayasu arteritis (TA) is a form of large vessel vasculitis (LVV) which affects the aorta and the main arteries. Many reports showed efficacy of biologic drugs (TNF α inhibitors and interleukin 6 inhibitors) in refractory TA cases. We report the case of a 46-year-old woman with refractory TA complicated by giant aortic aneurysm (AA) and severe hypertension, treated efficacy with tocilizumab (anti-interleukin 6 receptor monoclonal antibody).
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Affiliation(s)
- F Frikha
- Service de médecine interne, CHU Hédi Chaker, 3029 Sfax, Tunisie.
| | - S Garbaa
- Service de médecine interne, CHU Hédi Chaker, 3029 Sfax, Tunisie
| | - Y Bouattour
- Service de médecine interne, CHU Hédi Chaker, 3029 Sfax, Tunisie
| | - M Snoussi
- Service de médecine interne, CHU Hédi Chaker, 3029 Sfax, Tunisie
| | - H Loukil
- Service de médecine interne, CHU Hédi Chaker, 3029 Sfax, Tunisie
| | - R Ben Salah
- Service de médecine interne, CHU Hédi Chaker, 3029 Sfax, Tunisie
| | - Z Bahloul
- Service de médecine interne, CHU Hédi Chaker, 3029 Sfax, Tunisie
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Turki C, Snoussi M, Damak C, Frikha F, Garbaa S, Hanen L, Ben Salah R, Jallouli M, Bouattour Y, Sahnoun R, Marzouk S, Bahloul Z. Le syndrome de Dorfman Chanarin : à propos d’une observation rare associant une atteinte cutanée et une myopathie. Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.03.245] [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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Damak C, Moez J, Chebbi D, Garbaa S, Frikha F, Turki C, Marzouk S, Bahloul Z. Lupus érythémateux systémique révélé par une vascularite rétinienne. Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.03.097] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Turki C, Snoussi M, Frikha F, Garbaa S, Ben Salah R, Hanen L, Rekik F, Ghribi M, Jallouli M, Ghariani R, Marzouk S, Bahloul Z. Atteinte cardiaque au cours des dermatomyosites et polymyosites : à propos de 10 cas. Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.03.228] [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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Bouattour Y, Marzouk S, Garbaa S, Jallouli M, Frikha F, Loukil H, Ghariani R, Damak C, Ben Salah R, Snoussi M, Turki C, Bahloul Z. La Brucellose en milieu de médecine interne : étude de 12 observations. Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.03.064] [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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Bouattour Y, Snoussi M, Moez J, Frikha F, Garbaa S, Turki C, Ben Salah R, Marzouk S, Ghariani R, Damak C, Ghribi M, Bahloul Z. L’hémorragie intra-alvéolaire au cours du lupus érythémateux systémique : à propos de 2 cas. Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.03.104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Bouattour Y, Snoussi M, Damak C, Frikha F, Garbaa S, Marzouk S, Ben Salah R, Loukil H, Turki C, Jallouli M, Ghariani R, Bahloul Z. Manifestation rare de la maladie de Behçet : l’orchi-épididymite. Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.03.132] [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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Rekik F, Ben Salah R, Frikha F, Hadj Kacem F, Chebbi D, Turki C, Garbaa S, Snoussi M, Marzouk S, Abid M, Bahloul Z. Vascularite à ANCA : une complication rare et grave du Benzylthiouracile. Rev Med Interne 2017. [DOI: 10.1016/j.revmed.2017.10.029] [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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Bouattour Y, Marzouk S, Tlijani A, Jallouli M, Garbaa S, Ben Salah R, Snoussi M, Bahloul Z. Malformations congénitales de la veine vave inférieure révélées par des thromboses veineuses : à propos de 3 cas. Rev Med Interne 2017. [DOI: 10.1016/j.revmed.2017.10.214] [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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Snoussi M, Frikha F, Garbaa S, Bouattour Y, Loukil H, Jallouli M, Ben Salah R, Rekik F, Turki C, Marzouk S, Bahloul Z. Une cause rare de granulomatose nasale : le carcinome lympho-épithélial. Rev Med Interne 2017. [DOI: 10.1016/j.revmed.2017.10.058] [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: 10/18/2022]
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Frikha F, Garbaa S, Loukil H, Snoussi M, Marzouk S, Ben Salah R, Chebbi D, Rekik F, Turki C, Jallouli M, Bahloul Z. Efficacité et tolérance du tocilizumab au cours d’une artérite de Takayasu réfractaire. Rev Med Interne 2017. [DOI: 10.1016/j.revmed.2017.10.014] [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: 10/18/2022]
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Frikha F, Ben Salah R, Turki C, Kammoun S, Abid F, Ben Amor S, Snoussi M, Rekik F, Chebbi D, Garbaa S, Feki J, Bahloul Z. La maculopathie toxique aux antipaludéens de synthèse : à propos de 3 observations et revue de la littérature. Rev Med Interne 2017. [DOI: 10.1016/j.revmed.2017.10.128] [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: 10/18/2022]
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Ben Salah R, Frikha F, Chabchoub I, Chebbi D, Turki C, Snoussi M, Garbaa S, Loukil H, Gheriani R, Jallouli M, Marzouk S, Bahloul Z. Pneumopathie interstitielle au cours de la sclérodermie systémique. Rev Med Interne 2017. [DOI: 10.1016/j.revmed.2017.03.233] [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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Bahloul E, Jallouli M, Garbaa S, Marzouk S, Masmoudi A, Turki H, Bahloul Z. Hydroxychloroquine-induced hyperpigmentation in systemic diseases: prevalence, clinical features and risk factors: a cross-sectional study of 41 cases. Lupus 2017; 26:1304-1308. [PMID: 28355984 DOI: 10.1177/0961203317700486] [Citation(s) in RCA: 53] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Introduction Hydroxychloroquine is an antimalarial agent widely prescribed in internal medicine, rheumatology and dermatology. Its use can be complicated by various side effects including skin pigmentation. Objectives The aim of the study is to review epidemiological, clinical features and risk factors of hydroxychloroquine-induced pigmentation. Materials and methods We performed a cross-sectional study conducted over a period of 5 months. During this period, patients who had been treated with hydroxychloroquine for over 6 months, in the internal medicine department, underwent a complete dermatological examination. All patients completed a structured questionnaire to collect demographic data, dosage and treatment duration of hydroxychloroquine, other drug intake, hydroxychloroquine indication, and presence of pigmentary changes on the skin, nail, hair, and mucosa. Results A total of 41 patients (38 women and 3 men) were included in the study. The mean age was 39.2 ± 15.4 years. The hydroxychloroquine was indicated for systemic lupus erythematosus in 73.2%, dermatomyositis in 12.2%, rheumatoid arthritis in 9.8%, actinic lichen and sarcoidosis each in 2.4%. Cutaneous pigmented lesions were found in 21 cases (51%), mucous pigmentation in 5 cases (12%) and nail pigmentation in 1 case (2.5%). In 12 of 41 (29%) of the hydroxychloroquine users, we conclude a hydroxychloroquine-induced pigmentation. There were 11 women and one man with a mean age of 43 years and all of them were systemic lupus erythematosus patients. Pigmented lesions were located on the lower limbs in seven cases, the face in two cases, lips in two cases and the gum in two cases. Pigmentation appeared after a median duration of hydroxychloroquine treatment of 32 months with a median cumulative dose of 361 g. Overall, two patients reported that the appearance of pigmented lesions was preceded by the occurrence of ecchymotic areas following microtrauma. Significant association was found between hydroxychloroquine-induced pigmentation and treatment with oral anticoagulants and/or antiplatelet agents ( p = 0.03). Conclusion Our systematic examination of patients demonstrated that hydroxychloroquine-induced pigmentation is not rare. The imputability of hydroxychloroquine in the genesis of this discoloration is difficult to establish. Our study supports the hypothesis that ecchymosis, platelet antiaggregants and oral anticoagulants may be the main predisposing factors to hydroxychloroquine-induced pigmentation.
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Affiliation(s)
- E Bahloul
- 1 Department of Internal Medicine, Hedi Chaker Hospital, Sfax, Tunisia
| | - M Jallouli
- 1 Department of Internal Medicine, Hedi Chaker Hospital, Sfax, Tunisia
| | - S Garbaa
- 1 Department of Internal Medicine, Hedi Chaker Hospital, Sfax, Tunisia
| | - S Marzouk
- 1 Department of Internal Medicine, Hedi Chaker Hospital, Sfax, Tunisia
| | - A Masmoudi
- 2 Department of Dermatology, Hedi Chaker Hospital, Sfax, Tunisia
| | - H Turki
- 2 Department of Dermatology, Hedi Chaker Hospital, Sfax, Tunisia
| | - Z Bahloul
- 1 Department of Internal Medicine, Hedi Chaker Hospital, Sfax, Tunisia
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Bahloul E, Jallouli M, Marzouk S, Garbaa S, Dammak C, Mesrati H, Snoussi M, Frikha F, Mseddi M, Turki H, Bahloul Z. Hyperpigmentation à l’hydroxychloroquine au cours des maladies systémiques : fréquence, aspect clinique et facteurs de risques. Ann Dermatol Venereol 2016. [DOI: 10.1016/j.annder.2016.09.391] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Frikha F, Boudaya S, Amouri M, Abid N, Garbaa S, Chaari I, Masmoudi A, Turki H. Lésions nécrotiques révélatrices d’une angiomatose dermique diffuse associée à une stéatonécrose des seins. Ann Dermatol Venereol 2016. [DOI: 10.1016/j.annder.2016.09.383] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Bouattour Y, Rekik F, Jallouli M, Garbaa S, Turki C, Frikha F, Snoussi M, Ben Jemaa T, Ben Salah R, Sallemi K, Marzouk S, Bahloul Z. Démodécidose faciale mimant une poussée d’un lupus érythémateux systémique. Rev Med Interne 2016. [DOI: 10.1016/j.revmed.2016.10.334] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Garbaa S, Snoussi M, Loukil H, Frikha F, Jallouli M, Ben Salah R, Damak C, Turki C, Smaoui F, Rekik K, Marzouk S, Bahloul Z. Les dermatomyosites et les poly myosites dans le sud tunisien : étude de 102 cas. Rev Med Interne 2015. [DOI: 10.1016/j.revmed.2015.10.149] [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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Mesrati H, Bahloul E, Amouri M, Garbaa S, Chaabane H, Masmoudi A, Boudaya S, Turki H, Mseddi M, Bahloul Z. Toxicité au méthotrexate : une attention particulière à la rédaction de l’ordonnance ! Rev Med Interne 2015. [DOI: 10.1016/j.revmed.2015.03.047] [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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El Aoud S, Jallouli M, Garbaa S, Bahloul E, Frikha F, Ben Salah R, Snoussi M, Turki C, Loukil H, Ayedi N, Marzouk S, Bahloul Z. L’association lymphome-sarcoïdose : à propos d’une nouvelle observation. Rev Med Interne 2015. [DOI: 10.1016/j.revmed.2015.03.159] [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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Damak C, Ben Salah R, Frikha F, Mesrati H, Garbaa S, Ouahba A, Loukil H, El Aoud S, Snoussi M, Jallouli M, Marzouk S, Bahloul Z. Maladie de Castelman au sud tunisien : à propos de 10 cas. Rev Med Interne 2015. [DOI: 10.1016/j.revmed.2015.03.168] [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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Mesrati H, Chaari I, Masmoudi A, Garbaa S, Amouri M, Mseddi M, Turki H, Bahloul Z. Toxidermie à l’hydroxychloroquine : à propos de 5 cas. Rev Med Interne 2015. [DOI: 10.1016/j.revmed.2015.03.044] [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: 11/26/2022]
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Mesrati H, Sellami K, Masmoudi A, Ammar M, Damak C, Garbaa S, Chaabane H, Turki H, Mseddi M, Bahloul Z. Syndrome de Sweet et hémopathies malignes : à propos de 6 cas. Rev Med Interne 2015. [DOI: 10.1016/j.revmed.2015.03.070] [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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Mesrati H, Bahloul E, Masmoudi A, Chaabane H, Garbaa S, Damak C, Jallouli M, Turki H, Mseddi M, Bahloul Z. L’atrophodermie de Pierini et Pasini : étude de 7 cas. Rev Med Interne 2015. [DOI: 10.1016/j.revmed.2015.03.069] [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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Garbaa S, Mesrati H, Chaari I, Damak C, Bahloul E, Masmoudi A, Chaabane H, Turki H, Mseddi M, Bahloul Z. Lupus néonatal : à propos de 2 cas. Rev Med Interne 2015. [DOI: 10.1016/j.revmed.2015.03.064] [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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Loukil H, Snoussi M, Frikha F, Ben Salah R, Jallouli M, Chérif Y, Elaoud S, Garbaa S, Damak C, Marzouk S, Bahloul Z. Atteinte digestive au cours du purpura rhumatoïde de l’adulte : une série de 12 cas. Rev Med Interne 2014. [DOI: 10.1016/j.revmed.2014.10.276] [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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Damak C, Ben Salah R, Frikha F, Cherif Y, Garbaa S, Fatma T, Hanen L, Elaoud S, Snoussi M, Jallouli M, Marzouk S, Bahloul Z. Hémorragie intra-alvéolaire d’origine immunitaire : à propos de 11 cas. Rev Med Interne 2014. [DOI: 10.1016/j.revmed.2014.10.158] [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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Cherif Y, Ben Salah R, Frikha F, Jallouli M, Dammak C, Garbaa S, Snoussi M, Elaoud S, Fatma T, Loukil H, Marzouk S, Bahloul Z. Défaillances viscérales au cours de la sclérodermie systémique. Rev Med Interne 2014. [DOI: 10.1016/j.revmed.2014.10.167] [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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Cherif Y, Ben Salah R, Frikha F, Dammak C, Jallouli M, Snoussi M, Garbaa S, Elaoud S, Loukil H, Marzouk S, Bahloul Z. Sclérodermie systémique : à propos de 77 cas. Rev Med Interne 2014. [DOI: 10.1016/j.revmed.2014.10.299] [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: 10/24/2022]
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Cherif Y, Ben Salah R, Frikha F, Dammak C, Jallouli M, Snoussi M, Garbaa S, Loukil H, Elaoud S, Marzouk S, Bahloul Z. Syndrome auto-immun multiple : à propos de 17 observations. Rev Med Interne 2014. [DOI: 10.1016/j.revmed.2014.10.242] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Loukil H, Snoussi M, Frikha F, Ben Salah R, Jallouli M, Cherif Y, Damak C, Garbaa S, Mesrati H, Marzouk S, Bahloul Z. Atteinte oculaire au cours de la maladie de Behçet dans le sud tunisien : à propos de 40 cas. Rev Med Interne 2014. [DOI: 10.1016/j.revmed.2014.03.222] [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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Loukil H, Snoussi M, Frikha F, Jallouli M, Ben Salah R, Cherif Y, Garbaa S, Damak C, Mesrati H, Marzouk S, Bahloul Z. À propos d’une association rare : vascularite urticarienne hypocomplémentémique de MacDuffie, une anémie hémolytique auto-immune et une cirrhose biliaire primitive. Rev Med Interne 2014. [DOI: 10.1016/j.revmed.2014.03.328] [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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