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Labidi J, Harzallah A, Kaab BB, Mami I, Agrebi S, Azzabi A, Chargui S, Hadj-Brahim M, Hammouda M, Azaiez S, Tlili S, Lajili O, Antit H, Hasni Y, Chenik S, Chelbi F, Rais L, Skhiri H. Prevalence of chronic kidney disease in Tunisian diabetics: the TUN-CKDD survey. BMC Nephrol 2024; 25:67. [PMID: 38403649 PMCID: PMC10895808 DOI: 10.1186/s12882-024-03501-5] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2023] [Accepted: 02/14/2024] [Indexed: 02/27/2024] Open
Abstract
BACKGROUND In Tunisia, the prevalence of diabetes mellitus increased from 15.5% on 2016 to 23% by 2023. While Chronic Kidney Disease (CKD) stills the most dreaded complications of diabetes, studies on the prevalence of chronic kidney disease non-dialysis diet are scarce. The aim of this study was to assess the prevalence of chronic kidney disease among the Tunisian diabetic population based on investigators' specialty, demographic criteria (gender, age, duration of diabetes and geographic distribution) and diagnosis criteria (albuminuria and/or eGFR). METHODS This observational, multicentric, and cross-sectional study enrolled all diabetic subjects from all regions of Tunisia with at least 3 months of follow-up before the inclusion date, from 09 January to 08 February 2023. CKD diagnosis was established based on the KDIGO guidelines. The study was carried out at medical departments and ambulatory clinics of different healthcare providers. Baseline data were collected by investigators using an electronic case report form (eCRF). Continuous variables were described by means, median, standard deviation, and quartiles. Categorical data were tabulated in frequencies and percentages. RESULTS The overall prevalence of CKD among the 10,145 enrolled patients with diabetes mellitus was 38.7% with a 95%CI [37.8-39.6%]. 50.9% were male, with a mean age of 67.5 (± 11.3) years. The mean diabetes duration was 16.1 years (± 8.9). The highest CKD prevalence was noted among nephrologists (82.2%), while it was similar between the cardiologists and the primary care physicians (30.0%). CKD prevalence was highest among males (43.0% versus 35.1%) and increased proportionally with patients' age and diabetes duration. CKD was more frequent in the Mid-East Area when compared to other regions (49.9% versus 25.3 to 40.1% in other regions). Albuminuria was present within 6.6% of subjects with CKD, and it was found an estimated glomerular filtration rate (eGFR) < 60 ml/min/1.73 m² within 13.3% of subjects wit h CKD. 18.9% had both criteria. CONCLUSIONS In Tunisia, CKD among diabetics had a prevalence of 38.7%, approaching European prevalence. The prevalence discrepancy worldwide of CKD can be improved with a larger population size and by implementing standardized practices.
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Affiliation(s)
- Jannet Labidi
- Department of Nephrology, Military Hospital of Instruction of Tunis, Tunis, Tunisia.
| | - Amel Harzallah
- Department of Nephrology, Charles Nicolle Hospital of Tunis, Tunis, Tunisia
| | - Badereddine Ben Kaab
- Department of Nephrology, Internal Security Force Hospital of La Marsa, Tunis, Tunisia
| | - Ikram Mami
- Department of Nephrology, La Rabta Hospital of Tunis, Tunis, Tunisia
| | - Sahar Agrebi
- Department of Nephrology, Charles Nicolle Hospital of Tunis, Tunis, Tunisia
| | - Awatef Azzabi
- Department of Nephrology, Sahloul Hospital of Sousse, Sousse, Tunisia
| | - Soumaya Chargui
- Department of Nephrology, Charles Nicolle Hospital of Tunis, Tunis, Tunisia
| | - Mayssa Hadj-Brahim
- Department of Nephrology, Tahar Sfar Hospital of Mahdia, Mahdia, Tunisia
| | - Mouna Hammouda
- Department of Nephrology, Fattouma Bourguiba Hospital of Monastir, Monastir, Tunisia
| | | | - Syrine Tlili
- Department of Nephrology, La Rabta Hospital of Tunis, Tunis, Tunisia
| | - Olfa Lajili
- National Institute of Nutrition, Tunis, Tunisia
| | - Hela Antit
- Basic Care Center of Ezzahra, Ben Arous, Tunisia
| | - Yosra Hasni
- Department of Endocrinology, Farhat Hached Hospital of Sousse, Sousse, Tunisia
| | - Sarra Chenik
- Department of Cardiology, Military Hospital of Tunis, Tunis, Tunisia
| | - Farhat Chelbi
- Department of Internal Medicine, Regional Hospital of Gafsa, Gafsa, Tunisia
| | - Lamia Rais
- Department of Nephrology, La Rabta Hospital of Tunis, Tunis, Tunisia
| | - Habib Skhiri
- Tunisian Association of Nephrology, Dialysis, and Transplantation, Tunis, Tunisia
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Laouani A, Nasrallah H, Sassi A, Ferdousi F, Kalai FZ, Hasni Y, Isoda H, Saguem S. Antiobesity and Hypolipidemic Potential of Nitraria retusa Extract in Overweight/Obese Women: A Randomized, Double-Blind, Placebo-Controlled Pilot Study. Nutrients 2024; 16:317. [PMID: 38276555 PMCID: PMC10818277 DOI: 10.3390/nu16020317] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2023] [Revised: 01/12/2024] [Accepted: 01/17/2024] [Indexed: 01/27/2024] Open
Abstract
This study aimed to assess the efficacy of Nitraria retusa extract (NRE) in reducing weight, body mass index (BMI), body fat composition (BF), and anthropometric parameters among overweight/obese women, comparing the results with those of a placebo group. Overweight/obese individuals participated in a 12-week, double-blind, randomized, placebo-controlled trial. Body weight, BMI, body composition, and anthropometric parameters were assessed. Additionally, lipid profile and safety evaluation parameters were evaluated. Compared to the placebo group, the NRE group exhibited a mean weight loss difference of 2.27 kg (p < 0.001) at the trial's conclusion. Interestingly, the most significant weight reduction, amounting to 3.34 kg ± 0.93, was observed in younger participants with a BMI > 30.0. Similarly, BMI and BF% significantly decreased in the NRE group, contrary to the placebo group (p = 0.008 and p = 0.005, respectively). The percentage of body water (BW) (p = 0.006) as well as the ratio of LBM/BF (p = 0.039) showed a significant increase after the NRE intervention compared to the placebo. After age adjustment, all variables, except LBM/BF, retained statistical significance. Additionally, all anthropometric parameters were significantly reduced only in the NRE group. Most importantly, a significant reduction in Triglyceride (TG) levels in the NRE group was revealed, in contrast to the placebo group (p = 0.011), and the significance was still observed after age adjustment (p = 0.016). No side effects or adverse changes in kidney and liver function tests were observed in both groups. In conclusion, NRE demonstrated potent antiobesity effects, suggesting that NRE supplementation may represent an effective alternative for treating obesity compared to antiobesity synthetic drugs.
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Affiliation(s)
- Aicha Laouani
- Laboratory of Metabolic Biophysics and Applied Pharmacology, Faculty of Medicine, University of Sousse, Sousse 4002, Tunisia; (A.L.); (H.N.); (A.S.)
- USCR Analytical Platform UHPLC-MS & Research in Medicine and Biology, Faculty of Medicine, University of Sousse, Sousse 4023, Tunisia
| | - Hana Nasrallah
- Laboratory of Metabolic Biophysics and Applied Pharmacology, Faculty of Medicine, University of Sousse, Sousse 4002, Tunisia; (A.L.); (H.N.); (A.S.)
- USCR Analytical Platform UHPLC-MS & Research in Medicine and Biology, Faculty of Medicine, University of Sousse, Sousse 4023, Tunisia
| | - Awatef Sassi
- Laboratory of Metabolic Biophysics and Applied Pharmacology, Faculty of Medicine, University of Sousse, Sousse 4002, Tunisia; (A.L.); (H.N.); (A.S.)
- USCR Analytical Platform UHPLC-MS & Research in Medicine and Biology, Faculty of Medicine, University of Sousse, Sousse 4023, Tunisia
| | - Farhana Ferdousi
- Faculty of Life and Environmental Sciences, University of Tsukuba, Tsukuba 305-8572, Japan;
- Alliance for Research on the Mediterranean and North Africa (ARENA), University of Tsukuba, Tsukuba 305-8572, Japan;
| | - Feten Zar Kalai
- Alliance for Research on the Mediterranean and North Africa (ARENA), University of Tsukuba, Tsukuba 305-8572, Japan;
- Japan Laboratory of Aromatic and Medicinal Plants, Center of Biotechnology, Technopark of Borj Cedria, BP 901, Hammam-Lif, Tunis 2050, Tunisia
| | - Yosra Hasni
- Endocrinology-Diabetology Department, Farhat Hached Hospital, Sousse 4003, Tunisia;
| | - Hiroko Isoda
- Faculty of Life and Environmental Sciences, University of Tsukuba, Tsukuba 305-8572, Japan;
- Alliance for Research on the Mediterranean and North Africa (ARENA), University of Tsukuba, Tsukuba 305-8572, Japan;
- Open Innovation Laboratory for Food and Medicinal Resource Engineering (FoodMed-OIL), National Institute of Advanced Industrial Science and Technology (AIST), Tsukuba 305-8577, Japan
| | - Saad Saguem
- Laboratory of Metabolic Biophysics and Applied Pharmacology, Faculty of Medicine, University of Sousse, Sousse 4002, Tunisia; (A.L.); (H.N.); (A.S.)
- USCR Analytical Platform UHPLC-MS & Research in Medicine and Biology, Faculty of Medicine, University of Sousse, Sousse 4023, Tunisia
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Nouir S, Laouani A, Loghmari A, Bouassida K, Slim R, Bouhajeb R, Hasni Y, Saguem K, Ouni B, Zaïri A. HPLC-DAD Analysis and Investigation of Biological Properties of the Leaves of Globularia alypum (L.), Infusion Extract. Pharmaceuticals (Basel) 2023; 16:1726. [PMID: 38139852 PMCID: PMC10748358 DOI: 10.3390/ph16121726] [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: 10/23/2023] [Revised: 11/27/2023] [Accepted: 11/29/2023] [Indexed: 12/24/2023] Open
Abstract
Globularia alypum L. (GA) belonging to the Globulariaceae family is a Mediterranean plant which is widely used in traditional Tunisian medicine. The aim of this study was to investigate the phytochemical composition, antioxidant, anti-arthritic, antiproliferative, antibacterial and antibiofilm potential of aqueous GA leaf extracts (AGAL). Quantitative analyses of the different constituents of extracts were evaluated by high-performance liquid chromatography with photodiode-array detection (HPLC-DAD). Spectrophotometric methods and chemical tests were used for antioxidant and anti-arthritic activities. The antiproliferative study was evaluated using colorectal cancer SW620 cells, while the antibacterial assessment and analysis of the antibiofilm effects were determined by the microdilution method and the crystal violet assay, respectively. AGAL extracts presented several components, mainly Nepetin-7-Glucoside and trans-ferrulic acid. The results showed that they had an important antioxidant (IC50 = 0.34; 0.38 and 1.20 mg/mL) and anti-arthritic (IC50 = 2.94 mg/mL) properties, and these effects are displayed in a dose-dependent manner. In addition, this extract demonstrated significant antiproliferative (IC50 = 50 µg/mL), antibacterial (MIC = 6.25 mg/mL and MBC = 6.25 mg/mL), and antibiofilm (59.70% at 25 mg/mL) properties especially against S. aureus. The results achieved confirm the important role of this plant as a source of therapeutic activities.
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Affiliation(s)
- Sahar Nouir
- Laboratory of Biochemistry, Faculty of Medicine of Sousse, University of Sousse, Sousse 4023, Tunisia;
| | - Aicha Laouani
- Laboratory of Metabolic Biophysics and Applied Pharmacology (LR12/ES02), Faculty of Medicine of Sousse, University of Sousse, Sousse 4023, Tunisia; (A.L.); (K.S.)
- USCR Analytical Platform UHPLC-MS & Research in Medicine and Biology, Faculty of Medicine of Sousse, University of Sousse, Sousse 4023, Tunisia
| | - Ahmed Loghmari
- Urology Department, Sahloul Hospital, Sousse 4054, Tunisia; (A.L.); (K.B.)
| | | | - Raoudha Slim
- Laboratory of Bioactive Natural Substances and Biotechnology Research, Faculty of Dental Medicine of Monastir, University of Monastir, Sousse 4023, Tunisia; (R.S.); (B.O.)
| | - Rim Bouhajeb
- Department of Pharmacology, Faculty of Medicine of Sousse, University of Sousse, Sousse 4023, Tunisia;
| | - Yosra Hasni
- Department of Endocrinology, Farhat Hached Hospital of Sousse, Sousse 4000, Tunisia;
| | - Khaled Saguem
- Laboratory of Metabolic Biophysics and Applied Pharmacology (LR12/ES02), Faculty of Medicine of Sousse, University of Sousse, Sousse 4023, Tunisia; (A.L.); (K.S.)
- USCR Analytical Platform UHPLC-MS & Research in Medicine and Biology, Faculty of Medicine of Sousse, University of Sousse, Sousse 4023, Tunisia
| | - Bouraoui Ouni
- Laboratory of Bioactive Natural Substances and Biotechnology Research, Faculty of Dental Medicine of Monastir, University of Monastir, Sousse 4023, Tunisia; (R.S.); (B.O.)
| | - Amira Zaïri
- Laboratory of Biochemistry, Faculty of Medicine of Sousse, University of Sousse, Sousse 4023, Tunisia;
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Laouani A, Nasrallah H, Sassi A, Ferdousi F, Kalai FZ, Hasni Y, Limem K, Isoda H, Saguem S. Exploring the Effects of Short-Term Daily Intake of Nitraria retusa Tea on Lipid Profile: A Pre-Post, Uncontrolled Pilot Study in Both Healthy and Overweight/Obese Adults. Nutrients 2023; 15:3649. [PMID: 37630839 PMCID: PMC10459123 DOI: 10.3390/nu15163649] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2023] [Revised: 08/11/2023] [Accepted: 08/18/2023] [Indexed: 08/27/2023] Open
Abstract
In the present study, we aimed to explore the feasibility, compliance, and potential benefits of Nitraria retusa extract (NRE) intervention in both healthy (BMI ≤ 24.9 Kg/m2) and overweight/obese adults (BMI > 25 Kg/m2). A total of 98 participants, including 37 healthy individuals and 61 overweight/obese adults, were randomly assigned to either a low-dose (500 mg/day) or a high-dose (2000 mg/day) NRE intervention group. Plasma lipid biomarkers, liver and kidney functions, general hematology, and blood glucose levels were measured at the baseline and 10 days after intervention. While the lipid profile of the healthy participants did not show any statistically significant changes, the obese participants in the high-dose group experienced a significant decrease in triglyceride levels (within-group difference p value = 0.004) and an increase in HDL levels (within-group p value < 0.001). No significant differences were observed in other parameters, indicating that NRE at the given doses was safe. Furthermore, the study had impressive compliance and acceptability, with over 90% of participants completing the intervention and diligently following the study protocol. This pilot study represents the first investigation into the feasibility, acceptability, and potential benefits of NRE intervention on lipid profiles in human volunteers.
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Affiliation(s)
- Aicha Laouani
- Laboratory of Metabolic Biophysics and Applied Pharmacology, Faculty of Medicine, University of Sousse, Sousse 4002, Tunisia or (A.L.)
- USCR Analytical Platform UHPLC-MS & Research in Medicine and Biology, Faculty of Medicine, University of Sousse, Sousse 4002, Tunisia
| | - Hana Nasrallah
- Laboratory of Metabolic Biophysics and Applied Pharmacology, Faculty of Medicine, University of Sousse, Sousse 4002, Tunisia or (A.L.)
- USCR Analytical Platform UHPLC-MS & Research in Medicine and Biology, Faculty of Medicine, University of Sousse, Sousse 4002, Tunisia
| | - Awatef Sassi
- Laboratory of Metabolic Biophysics and Applied Pharmacology, Faculty of Medicine, University of Sousse, Sousse 4002, Tunisia or (A.L.)
- USCR Analytical Platform UHPLC-MS & Research in Medicine and Biology, Faculty of Medicine, University of Sousse, Sousse 4002, Tunisia
| | - Farhana Ferdousi
- Faculty of Life and Environmental Sciences, University of Tsukuba, Tsukuba 305-8572, Japan
- Alliance for Research on the Mediterranean and North Africa (ARENA), University of Tsukuba, Tsukuba 305-8572, Japan
| | - Feten Zar Kalai
- Alliance for Research on the Mediterranean and North Africa (ARENA), University of Tsukuba, Tsukuba 305-8572, Japan
- Laboratory of Aromatic and Medicinal Plants, Center of Biotechnology, Technopark of Borj Cedria, BP 901, Hammam-Lif 2050, Tunisia
| | - Yosra Hasni
- Endocrinology-Diabetology Department, Farhat Hached Hospital, Sousse 4003, Tunisia
| | - Khalifa Limem
- Department of Biochemistry, Faulty of Medicine, University of Sousse, Sousse 4002, Tunisia
| | - Hiroko Isoda
- Faculty of Life and Environmental Sciences, University of Tsukuba, Tsukuba 305-8572, Japan
- Alliance for Research on the Mediterranean and North Africa (ARENA), University of Tsukuba, Tsukuba 305-8572, Japan
- Open Innovation Laboratory for Food and Medicinal Resource Engineering (FoodMed-OIL), National Institute of Advanced Industrial Science and Technology (AIST), Tsukuba 305-8577, Japan
| | - Saad Saguem
- Laboratory of Metabolic Biophysics and Applied Pharmacology, Faculty of Medicine, University of Sousse, Sousse 4002, Tunisia or (A.L.)
- USCR Analytical Platform UHPLC-MS & Research in Medicine and Biology, Faculty of Medicine, University of Sousse, Sousse 4002, Tunisia
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Haoues M, Zedini C, Hasni Y, Chadli-Chaieb M. Risk factors for impaired quality of life in diabetic patients in Tunisia. Tunis Med 2023; 101:410-418. [PMID: 38372535] [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] [Subscribe] [Scholar Register] [Received: 06/20/2023] [Accepted: 07/16/2023] [Indexed: 02/20/2024]
Abstract
INTRODUCTION Quality of life preservation is crucial in the management of chronic diseases, in particular diabetes. AIM To identify risk factors for the impaired quality of life of Tunisian diabetic patients. METHODS A cross-sectional study that collected type 1 and type 2 diabetic patients, selected by convenience sampling was conducted. Diabetic patients received a self-administered questionnaire in Arabic containing general and clinical data and a validated Arabic version of the "Diabetes Health Profile -18". RESULTS Three hundred and thirty-three type 1 and type 2 diabetic patients, whose age was ≥ 40 years in 78.1% of cases with a sex ratio of 0.94, were collected. The answers to the questionnaire highlighted a globally impaired quality of life for the diabetic patients with an average of 30.21 (7.06). Binary regression analysis presented globally significant models reflecting impairment risk factors for diabetic patients' quality of life. Female gender (AOR= 1.7; p= 0.036), comorbidities associated with diabetes (AOR = 1.23; p<10-3), diabetes complications (AOR= 1.45; p=0.041) and irregular medical follow-up (AOR=4.19; p<10-3) were risk factors for impaired diabetic patients' quality of life. CONCLUSION This study underlines the major role of a holistic diabetic patient care for better identification and management of risk factors of impaired quality of life.
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Affiliation(s)
- Maali Haoues
- Faculty of Medicine Ibn El Jazzar of Sousse- University of Sousse- Tunisia
| | - Chekib Zedini
- Department of Community Medicine, Farhat Hached Hospital - Sousse - Tunisia
- Faculty of Medicine Ibn El Jazzar of Sousse- University of Sousse- Tunisia
| | - Yosra Hasni
- Department of Endocrinology and Metabolic Diseases, Farhat Hached hospital, Sousse -Tunisia
- Faculty of Medicine Ibn El Jazzar of Sousse- University of Sousse- Tunisia
| | - Molka Chadli-Chaieb
- Department of Endocrinology and Metabolic Diseases, Farhat Hached hospital, Sousse -Tunisia
- Faculty of Medicine Ibn El Jazzar of Sousse- University of Sousse- Tunisia
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Hasni Y, Nouira S, Elfekih H, Allegue S, Maaroufi A, Kacem M, Chaieb M, Ach K. Le passage à l’insuline humaine chez les diabétiques type 2 : serait-t-il le garant d’un meilleur équilibre des chiffres glycémiques ? Annales d'Endocrinologie 2023. [DOI: 10.1016/j.ando.2022.12.349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
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Ben Belgacem W, Ben Fredj S, Ghammem R, Zammit N, Ach T, Hasni Y, Maatouk A, Nouira S, Ouertani M, Guesmi N, Ghannem H. Association entre l’obésité et l’activité physique chez les adolescents scolarisés à Sousse (Tunisie). Annales d'Endocrinologie 2023. [DOI: 10.1016/j.ando.2022.12.400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
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Ben Soltane H, Hasni Y, Hicheri Y, Zemzmi M, Younes S, Khrouf M, Mezgar Z. La Gestion des décompensations diabétiques par télémédecine à l’ère du Covid 19. Annales d'Endocrinologie 2023. [DOI: 10.1016/j.ando.2022.12.286] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
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Ghammam M, Houas J, Belhadj Miled H, Chouchane L, Bellakhdher M, Omri M, Hasni Y, Kermani W, Abdelkefi M. Difficultés diagnostiques et thérapeutiques de tumeurs thyroïdiennes exceptionnelles. Annales d'Endocrinologie 2023. [DOI: 10.1016/j.ando.2022.12.228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
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Houas J, Chouchane L, Ghammam M, Belhadj Miled H, Omri M, Bellakhdher M, Hasni Y, Meherzi A, Kermani W, Abdelkefi M. Apport de l’imagerie en coupe dans les otites externes nécrosantes compliquées du sujet diabétique. Annales d'Endocrinologie 2023. [DOI: 10.1016/j.ando.2022.12.252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
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Ben Soltane H, Hasni Y, Hicheri Y, Sghaier E, Younes S, Khrouf M, Mezgar Z. Diabète et Covid-19 : quelle relation? Annales d'Endocrinologie 2023. [DOI: 10.1016/j.ando.2022.12.287] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
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Ben Belgacem W, Ben Fredj S, Ghammem R, Zammit N, Ach T, Hasni Y, Maatouk A, Nouira S, Ouertani M, Guesmi N, Ghannem H. L’effet de certains facteurs sociodémographiques sur l’obésité chez les adolescents. Annales d'Endocrinologie 2023. [DOI: 10.1016/j.ando.2022.12.407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
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Haoues M, Zedini C, Hasni Y, Chadli-Chaieb M. Connaissances, attitudes et qualité de vie des diabétiques de type 1 et de type 2 tunisiens : à propos de 1007 cas. Annales d'Endocrinologie 2023. [DOI: 10.1016/j.ando.2022.12.269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
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Halloul I, Saad G, Dimassi S, Ach T, Fekih H, Ben Abdelkerim A, Hasni Y, Maaroufi A, Kacem M, Chadli M, Saad A, Ach K. Corrélation génotype-phénotype des comorbidités endocriniennes dans le syndrome de Turner. Annales d'Endocrinologie 2023. [DOI: 10.1016/j.ando.2022.12.213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
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Hasni Y, Nouira S, Elfekih H, Saad G, Maaroufi A, Kacem M, Chaieb M, Ach K. L’association HTA-diabète sucré : quel lien avec les complications dégénératives ? Annales d'Endocrinologie 2023. [DOI: 10.1016/j.ando.2022.12.358] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
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Nouira S, Ben Fredj S, Ghammem R, Zammit N, Ach T, Maatouk A, Ouertani M, Benbelgacem W, Guesmi N, Hasni Y, Ghannem H. Obésité et santé mentale : y’a-t-il un lien ? Annales d'Endocrinologie 2023. [DOI: 10.1016/j.ando.2022.12.398] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
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Hasni Y, Ben Yamna H, Elfekih H, Dridi M, Maaroufi A, Kacem M, Chaieb M, Ach K. Syndrome d’interruption de la tige pituitaire : aspects clinique et radiologique à propos de 13 cas. Annales d'Endocrinologie 2023. [DOI: 10.1016/j.ando.2022.12.049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
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Haoues M, Zedini C, Hasni Y, Chadli-Chaieb M. Version arabe du « Simplified Diabetes Knowledge Scale » : validation psychométrique et linguistique. Annales d'Endocrinologie 2023. [DOI: 10.1016/j.ando.2022.12.299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
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Hasni Y, Zarrouk O, Elfekih H, Farid H, Allegue S, Maaroufi A, Kacem M, Chaieb M, Ach K. Aspects podologiques et statiques chez les acromégales. Annales d'Endocrinologie 2023. [DOI: 10.1016/j.ando.2022.12.045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
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Nouira S, Ben Fredj S, Ghammem R, Zammit N, Ach T, Maatouk A, Ouertani M, Benbelgacem W, Guesmi N, Hasni Y, Ghannem H. Image du corps et estime de soi chez des adolescents obèses dans le gouvernorat de Sousse, Tunisie. Annales d'Endocrinologie 2023. [DOI: 10.1016/j.ando.2022.12.396] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
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Halloul I, Ach T, Ben Abdelkerim A, Saad G, Ghachem A, Fekih H, Hasni Y, Maaroufi A, Kacem M, Chadli M, Ach K. Prévalence de l’hypercholestérolémie chez les patients porteurs d’un signe de Frank. Annales d'Endocrinologie 2023. [DOI: 10.1016/j.ando.2022.12.377] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
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Ben Soltane H, Hasni Y, Hicheri Y, Bouzidi A, Younes S, Khrouf M, Mezgar Z. Hyperglycémie et pronostic des infarctus du myocarde avec élévation du segment ST du sujet jeune. Annales d'Endocrinologie 2023. [DOI: 10.1016/j.ando.2022.12.284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
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Gorchane A, Saad G, Kahloun S, Ach T, Halloul I, Ben Abdelkrim A, Hachfi W, El Fekih H, Hasni Y, Maaroufi A, Chaieb M, Letaief A, Kacem M, Ach K. Tuberculose hypophysaire, un diagnostic non attendu d’une masse hypophysaire. Annales d'Endocrinologie 2023. [DOI: 10.1016/j.ando.2022.12.048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
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Houas J, Belhadj Miled H, Ghammam M, Chouchane L, El Omri M, Bellakhdher M, Hasni Y, Meherzi A, Kermani W, Abdelkefi M. Difficultés de prise en charge thérapeutique d’un abcès thyroïdien à Klebsiella pneumoniae. Annales d'Endocrinologie 2023. [DOI: 10.1016/j.ando.2022.12.060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
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Nouira S, Ben Fredj S, Ghammem R, Zammit N, Ach T, Maatouk A, Ouertani M, Benbelgacem W, Guesmi N, Hasni Y, Ghannem H. La prévalence de l’obésité des adolescents dans le gouvernorat de Sousse, Tunisie. Annales d'Endocrinologie 2023. [DOI: 10.1016/j.ando.2022.12.397] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
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Ben Belgacem W, Ben Fredj S, Ghammem R, Zammit N, Ach T, Hasni Y, Maatouk A, Nouira S, Ouertani M, Guesmi N, Ghannem H. Relations entre l’activité physique, la dépression et l’anxiété chez les adolescents scolarisés à Sousse (Tunisie). Annales d'Endocrinologie 2023. [DOI: 10.1016/j.ando.2022.12.402] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
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Saâfi W, Bouslema E, Ben Abdelkrim A, Ach T, Slama N, Elfekih H, Saad G, Guermazi M, Hasni Y, Kmira Z, Maaroufi A, Kacem M, Chaieb M, Ach K, Khelif A. L’hypogonadisme dans la bêtathalassémie majeure. Annales d'Endocrinologie 2023. [DOI: 10.1016/j.ando.2022.12.052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
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Hasni Y, Allegue S, Elfekih H, Zarrad C, Maaroufi A, Kacem M, Chaieb M, Ach K. Évaluation des connaissances du personnel soignant dans la prise en charge du pied diabétique. Annales d'Endocrinologie 2023. [DOI: 10.1016/j.ando.2022.12.420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
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Rjiba K, Mougou-Zerelli S, Hamida IH, Saad G, Khadija B, Jelloul A, Slimani W, Hasni Y, Dimassi S, Khelifa HB, Sallem A, Kammoun M, Abdallah HH, Gribaa M, Bignon-Topalovic J, Chelly S, Khairi H, Bibi M, Kacem M, Saad A, Bashamboo A, McElreavey K. Additional evidence for the role of chromosomal imbalances and SOX8, ZNRF3 and HHAT gene variants in early human testis development. Reprod Biol Endocrinol 2023; 21:2. [PMID: 36631813 PMCID: PMC9990451 DOI: 10.1186/s12958-022-01045-7] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/14/2022] [Accepted: 12/01/2022] [Indexed: 01/13/2023] Open
Abstract
BACKGROUND Forty-six ,XY Differences/Disorders of Sex Development (DSD) are characterized by a broad phenotypic spectrum ranging from typical female to male with undervirilized external genitalia, or more rarely testicular regression with a typical male phenotype. Despite progress in the genetic diagnosis of DSD, most 46,XY DSD cases remain idiopathic. METHODS To determine the genetic causes of 46,XY DSD, we studied 165 patients of Tunisian ancestry, who presented a wide range of DSD phenotypes. Karyotyping, candidate gene sequencing, and whole-exome sequencing (WES) were performed. RESULTS Cytogenetic abnormalities, including a high frequency of sex chromosomal anomalies (85.4%), explained the phenotype in 30.9% (51/165) of the cohort. Sanger sequencing of candidate genes identified a novel pathogenic variant in the SRY gene in a patient with 46,XY gonadal dysgenesis. An exome screen of a sub-group of 44 patients with 46,XY DSD revealed pathogenic or likely pathogenic variants in 38.6% (17/44) of patients. CONCLUSION Rare or novel pathogenic variants were identified in the AR, SRD5A2, ZNRF3, SOX8, SOX9 and HHAT genes. Overall our data indicate a genetic diagnosis rate of 41.2% (68/165) in the group of 46,XY DSD.
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Affiliation(s)
- Khouloud Rjiba
- Laboratory of Human Cytogenetics, Molecular Genetics and Biology of Human Reproduction, Farhat Hached University Teaching Hospital, Sousse, Tunisia
- Higher Institute of Biotechnology Monastir, University of Monastir, Monastir, Tunisia
- Unité de Services Communs en Génétique Humaine, Faculté de Médecine de Sousse, Université de Sousse, Sousse, Tunisia
- Human Developmental Genetics Unit, CNRS UMR 3738, Institut Pasteur, Paris, France
| | - Soumaya Mougou-Zerelli
- Laboratory of Human Cytogenetics, Molecular Genetics and Biology of Human Reproduction, Farhat Hached University Teaching Hospital, Sousse, Tunisia
- Unité de Services Communs en Génétique Humaine, Faculté de Médecine de Sousse, Université de Sousse, Sousse, Tunisia
| | - Imen Hadj Hamida
- Laboratory of Human Cytogenetics, Molecular Genetics and Biology of Human Reproduction, Farhat Hached University Teaching Hospital, Sousse, Tunisia
| | - Ghada Saad
- Department of Endocrinology, Farhat Hached University Teaching Hospital, Sousse, Tunisia
| | - Bochra Khadija
- Laboratory of Human Cytogenetics, Molecular Genetics and Biology of Human Reproduction, Farhat Hached University Teaching Hospital, Sousse, Tunisia
- Higher Institute of Biotechnology Monastir, University of Monastir, Monastir, Tunisia
- Unité de Services Communs en Génétique Humaine, Faculté de Médecine de Sousse, Université de Sousse, Sousse, Tunisia
| | - Afef Jelloul
- Laboratory of Human Cytogenetics, Molecular Genetics and Biology of Human Reproduction, Farhat Hached University Teaching Hospital, Sousse, Tunisia
| | - Wafa Slimani
- Laboratory of Human Cytogenetics, Molecular Genetics and Biology of Human Reproduction, Farhat Hached University Teaching Hospital, Sousse, Tunisia
- Unité de Services Communs en Génétique Humaine, Faculté de Médecine de Sousse, Université de Sousse, Sousse, Tunisia
| | - Yosra Hasni
- Department of Endocrinology, Farhat Hached University Teaching Hospital, Sousse, Tunisia
| | - Sarra Dimassi
- Laboratory of Human Cytogenetics, Molecular Genetics and Biology of Human Reproduction, Farhat Hached University Teaching Hospital, Sousse, Tunisia
- Unité de Services Communs en Génétique Humaine, Faculté de Médecine de Sousse, Université de Sousse, Sousse, Tunisia
| | - Hela Ben Khelifa
- Laboratory of Human Cytogenetics, Molecular Genetics and Biology of Human Reproduction, Farhat Hached University Teaching Hospital, Sousse, Tunisia
| | - Amira Sallem
- Laboratory of Human Cytogenetics, Molecular Genetics and Biology of Human Reproduction, Farhat Hached University Teaching Hospital, Sousse, Tunisia
- Laboratory of Human Cytogenetics and Biology of Reproduction, Fattouma Bourguiba University Teaching Hospital, Monastir, Tunisia
| | - Molka Kammoun
- Laboratory of Human Cytogenetics, Molecular Genetics and Biology of Human Reproduction, Farhat Hached University Teaching Hospital, Sousse, Tunisia
| | - Hamza Hadj Abdallah
- Laboratory of Human Cytogenetics, Molecular Genetics and Biology of Human Reproduction, Farhat Hached University Teaching Hospital, Sousse, Tunisia
| | - Moez Gribaa
- Laboratory of Human Cytogenetics, Molecular Genetics and Biology of Human Reproduction, Farhat Hached University Teaching Hospital, Sousse, Tunisia
| | | | - Sami Chelly
- Private Gynecologist Sousse, Sousse, Tunisia
| | - Hédi Khairi
- Department of Gynecology and Obstetrics, Farhat Hached University Teaching Hospital, Sousse, Tunisia
| | - Mohamed Bibi
- Department of Gynecology and Obstetrics, Farhat Hached University Teaching Hospital, Sousse, Tunisia
| | - Maha Kacem
- Department of Endocrinology, Farhat Hached University Teaching Hospital, Sousse, Tunisia
| | - Ali Saad
- Laboratory of Human Cytogenetics, Molecular Genetics and Biology of Human Reproduction, Farhat Hached University Teaching Hospital, Sousse, Tunisia
- Unité de Services Communs en Génétique Humaine, Faculté de Médecine de Sousse, Université de Sousse, Sousse, Tunisia
| | - Anu Bashamboo
- Human Developmental Genetics Unit, CNRS UMR 3738, Institut Pasteur, Paris, France
| | - Kenneth McElreavey
- Human Developmental Genetics Unit, CNRS UMR 3738, Institut Pasteur, Paris, France.
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Al Ksir K, Wood DL, Hasni Y, Sahli J, Quinn M, Ghardallou M. Motivational interviewing to improve self-management in youth with type 1 diabetes: A randomized clinical trial. J Pediatr Nurs 2022; 66:e116-e121. [PMID: 35568602 DOI: 10.1016/j.pedn.2022.05.001] [Citation(s) in RCA: 1] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/23/2022] [Revised: 04/23/2022] [Accepted: 05/04/2022] [Indexed: 10/18/2022]
Abstract
PURPOSE Effective interventions are needed to help adolescents with T1D develop independent self-management skills to prevent commonly observed deterioration of disease self-management resulting in poor health outcomes. Using a prospective RCT design, we assessed the impact of a nurse-led education program based on motivational interviewing (MI) in youth with Type 1 diabetes (T1D). DESIGN AND METHODS After parental consent and youth assent, we prospectively randomized 66 adolescents 13-18 years old with T1D to either usual care (every 3 months visit with pediatric endocrinologist) or usual care supplemented by 2 in-person and 4 follow-up phone calls with a nurse educator in a pediatric endocrinology clinic of the University Hospital Farhat Hached, Sousse, Tunisia. We used MI sessions to support youth general and disease specific self-management skills. Outcomes were change, between baseline and 6 months, in TRAQ (a validated measure of youth self-management) scores and HbA1c values. RESULTS Mean TRAQ scores (based on a 5-point Likert scale) increased by 1.44 points (s.d. = 0.56) in the Intervention Group versus 0.26 points (s.d. = 0.34) in the control group (p < 0.001). The mean HbA1C value decreased in the intervention group by 0.95 units versus a decrease of 0.12 units in the control group (p = 0.047). CONCLUSION We found that a brief, nurse-led MI-based educational intervention, integrated into specialty pediatric care, resulted in a significant improvement in both self-reported self-management skills and in HbA1c values. TRIAL REGISTRATION Registered in ClinicalTrials.gov Identifier: NCT04798937.
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Affiliation(s)
- Kawther Al Ksir
- College of Public Health, East Tennessee State University, Johnson City, TN, United States of America.
| | - David L Wood
- College of Public Health, East Tennessee State University, Johnson City, TN, United States of America; Quillen College of Medicine, East Tennessee State University, Johnson City, TN, United States of America
| | - Yosra Hasni
- Farhat Hached University Hospital Center, Endocrinology Department, Sousse, Tunisia
| | - Jihene Sahli
- Department of Family and Community Medicine, University of Sousse, Faculty of Medicine of Sousse, Sousse, Tunisia
| | - Megan Quinn
- College of Public Health, East Tennessee State University, Johnson City, TN, United States of America
| | - Meriam Ghardallou
- Department of Family and Community Medicine, University of Sousse, Faculty of Medicine of Sousse, Sousse, Tunisia
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Taieb A, Nacef IB, Ghariani N, Nabli N, Hasni Y, Kacem M, Chaieb M, Maaroufi A, Denguezli M, Ach K. Clinical, immunological, and genetic investigations in a rare association of type 1 diabetes with xeroderma pigmentosum. Pediatr Endocrinol Diabetes Metab 2022; 28:233-237. [PMID: 35942827 PMCID: PMC10214951 DOI: 10.5114/pedm.2022.118318] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2022] [Accepted: 04/28/2022] [Indexed: 06/07/2023]
Abstract
Xeroderma pigmentosum (XP) is a rare genodermatosis predisposing to skin cancers. Autoimmune diseases related to XP are rarely discussed in the literature. Type 1 diabetes (T1D) has been associated with other genodermatoses like Cockayne syndrome, but it has never been described in XP. In the present study, we report the rare occurrence of T1D in XP patients. Five XP patients belonging to 4 consanguineous families originating from different regions of Tunisia were investigated. Their ages ranged between 8 and 18 years. All the patients had a severe hypovitaminosis D. All the patients had positive GAD antibody levels, and 4 of them had familial history of other autoimmune diseases. The spectrum of XP was variable in all the patients, with dermatological and neurological symptoms, and the occurrence of some cancers. Various hypotheses have been proposed to explain this association, among of which we cite the role of immunomodulation and down-regulation of ATP-dependent DNA excision repair protein genes, implying that impaired DNA repair may contribute to the development of some autoimmune diseases. Vitamin D3 deficiency secondary to sun protective measures was found in all patients and thus may play a role in increasing T1D risk in these patients.
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Affiliation(s)
- Ach Taieb
- Department of Endocrinology, Farhat Hached Sousse, Tunisia
| | | | - Nadia Ghariani
- Department of Dermatology, Farhat Hached Sousse, Tunisia
| | - Nadia Nabli
- Department of Dermatology, Farhat Hached Sousse, Tunisia
| | - Yosra Hasni
- Department of Endocrinology, Farhat Hached Sousse, Tunisia
| | - Maha Kacem
- Department of Endocrinology, Farhat Hached Sousse, Tunisia
| | - Molka Chaieb
- Department of Endocrinology, Farhat Hached Sousse, Tunisia
| | - Amel Maaroufi
- Department of Endocrinology, Farhat Hached Sousse, Tunisia
| | | | - Koussay Ach
- Department of Endocrinology, Farhat Hached Sousse, Tunisia
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Halloul I, Ben Abdelkerim A, Ach M, Saad G, Maaroufi A, Kacem M, Chaieb M, Hasni Y, Ach K. Évolution des aspects cliniques et atteintes des objectifs chez les diabétiques de type 2 initiés à l’insulinothérapie. Annales d'Endocrinologie 2021. [DOI: 10.1016/j.ando.2021.08.657] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Hasni Y, Allegue S, Elfekih H, Saad G, Maaroufi A, Kacem M, Chadli M, Ach K. Impact de la période du confinement sur la prise en charge des patients diabétiques. Annales d'Endocrinologie 2021. [PMCID: PMC8462760 DOI: 10.1016/j.ando.2021.08.811] [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] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Introduction Pour éviter la propagation du virus lors de la pandémie du COVID-19, un confinement était imposé. Pendant cette période, les patients atteints de maladies chroniques, tel que le diabète, ont eu des difficultés à l’accès aux soins. L’objectif de cette étude est d’évaluer le retentissement de la période de confinement sur la prise en charge des patients diabétiques et sur leur qualité de vie. Patients et méthodes Il s’agit d’une étude descriptive transversale, réalisée au service d’endocrinologie CHU Farhat Hached de Sousse et au Centre de santé de base Bouhssina, sur 3 mois (février mars avril 2020) (après le premier confinement en Tunisie). Résultats On a interrogé 100 patients diabétiques avec une prédominance féminine (66 %). L’âge moyen était de 56,2 ± 5,6 ans. Pendant le confinement, 69 % des patients n’ont pas pu accéder aux soins, 62 % ont déjà raté un RDV, 20 % des patients n’ont pas pu accéder aux médicaments, 57 % avaient des mesures de glycémie plus élevées et 60 % des patients sentaient plus à risque à cause du diabète. Le score de la qualité de vie était au-dessus de la moyenne sur le plan mental chez 20 % et sur le plan physique chez 14 % des patients interrogés. Conclusion Le diabète est connu être associé à des formes graves de COVID-19, ce qui rend ces patients plus vulnérables. Vu la situation sanitaire un accompagnement plus rapproché parait nécessaire basé sur le développement de la télémédecine.
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Halloul I, Ach T, Ben Abdelkerim A, Saad G, Fekih H, Maaroufi A, Kacem M, Chaieb M, Hasni Y, Ach K. Aspects cliniques de l’hypertension artérielle chez les patients acromégales. Annales d'Endocrinologie 2021. [DOI: 10.1016/j.ando.2021.08.329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Rachdi R, Hedfi I, Hasni Y, Jemel M, Kandara H, Gharbi R, Kammoun I. Évaluation des connaissances des patients diabétiques sur le pied diabétique. Annales d'Endocrinologie 2021. [DOI: 10.1016/j.ando.2021.08.702] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Hasni Y, Baya R, Tbessi R, Elfekih H, Maarouf A, Kacem M, Chaieb M, Ach K. Retentissement du confinement sur l’équilibre glycémique chez les personnes âgées diabétiques pendant la pandémie du coronavirus. Annales d'Endocrinologie 2021. [PMCID: PMC8462758 DOI: 10.1016/j.ando.2021.08.791] [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] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Introduction Matériels et méthodes Résultats Conclusion
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Khaldi S, Saad G, Elfekih H, Ben Abdelkrim A, Ach T, Kacem M, Chaieb M, Maaroufi A, Hasni Y, Ach K. Pituitary apoplexy of a giant prolactinoma during pregnancy. Gynecol Endocrinol 2021; 37:863-866. [PMID: 34124989 DOI: 10.1080/09513590.2021.1938527] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Abstract
AIMS AND METHODS Prolactinomas are a common cause of sexual dysfunction and infertility. We aimed, through this case report, to illustrate the difficulties of management of women with giant prolactinoma, especially in cases of desire of pregnancy. RESULTS A 30-year-old woman was referred to our department for secondary amenorrhea. Investigations showed a prolactin level of 5168 ng/mL and giant pituitary adenoma of 4 cm in diameter. Cytoreductive surgery was performed after failure to normalize prolactin levels during three years with medical treatment by cabergoline. After seven months, menstrual cycles have resumed, and after 13 months, the patient became pregnant. At 22nd week of gestation, she was admitted in our hospital for pituitary apoplexy. Medical treatment with bromocriptine was chosen. The vaginal premature delivery at 28 weeks gave birth to twins weighing 1 Kg each who died on the 7th day of life. CONCLUSION This is a relevant clinical case that illustrates the efficacy of cytoreductive surgery in case of insufficient response to dopamine agonists to restore gonadal function. The possibility of a pregnancy should be considered in these patients since it can be associated with high maternal and fetal risks.
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Affiliation(s)
- Safa Khaldi
- Endocrinology and Diabetes Department, Farhat Hached University Hospital of Sousse, Sousse, Tunisia
| | - Ghada Saad
- Endocrinology and Diabetes Department, Farhat Hached University Hospital of Sousse, Sousse, Tunisia
| | - Hamza Elfekih
- Endocrinology and Diabetes Department, Farhat Hached University Hospital of Sousse, Sousse, Tunisia
| | - Asma Ben Abdelkrim
- Endocrinology and Diabetes Department, Farhat Hached University Hospital of Sousse, Sousse, Tunisia
| | - Taieb Ach
- Endocrinology and Diabetes Department, Farhat Hached University Hospital of Sousse, Sousse, Tunisia
| | - Maha Kacem
- Endocrinology and Diabetes Department, Farhat Hached University Hospital of Sousse, Sousse, Tunisia
| | - Molka Chaieb
- Endocrinology and Diabetes Department, Farhat Hached University Hospital of Sousse, Sousse, Tunisia
| | - Amel Maaroufi
- Endocrinology and Diabetes Department, Farhat Hached University Hospital of Sousse, Sousse, Tunisia
| | - Yosra Hasni
- Endocrinology and Diabetes Department, Farhat Hached University Hospital of Sousse, Sousse, Tunisia
| | - Koussay Ach
- Endocrinology and Diabetes Department, Farhat Hached University Hospital of Sousse, Sousse, Tunisia
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Ach T, Abdelkrim AB, Hasni Y, Saad G, Kacem M, Chaieb M, Zaouali M, Maaroufi A, Ach K. Safety assessment and potential risks of the glucagon stimulation test in the diagnosis of secondary adrenal insufficiency. Curr Drug Saf 2021; 17:59-63. [PMID: 34315384 DOI: 10.2174/1574886316666210727152000] [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: 11/20/2020] [Revised: 04/29/2021] [Accepted: 05/07/2021] [Indexed: 11/22/2022]
Abstract
BACKGROUND Although it takes more time, the glucagon stimulation test (GST) is a reliable measure for assessing growth hormone (GH) and adrenocorticotropic hormone (ACTH) secretion. The GST is considered to be a safe test, however, it still has mild side effects and potential risks. OBJECTIVE The objective of this study was to analyze the side effects of the GST while testing adrenal insufficient patients. METHODS This was a prospective study in which GST was performed in eighty-one patients (44 men, 37 women, mean age: 35.83±19.62 years) with pituitary disorder. The GST consisted in an intramuscular injection of 1 mg of glucagon. Blood samples were collected at baseline, and 30, 60, 90, 120, 150, 180 and 210 min after glucagon injection for cortisol measurements. All patients were asked to report side-effects associated with this test. RESULTS The mean peak blood glucose level under GST was 9.01±2.03 mmol/L and the mean glycemic nadir was 4.34±1.75 mmol/L was found most frequently during the 30th minute (p <10-3). During the test, 35 subjects (43.2%) had side effects with a mean age of 42.89 ± 19.75 years. Frequent side effects included: nausea (29.62%), vomiting (27.16%), abdominal cramps (18.51%) and hunger (13.58%). All patients tolerated the test until the end. Adverse effects were significantly more prevalent in patients older than 50 years (p=0.012). CONCLUSIONS The GST is a reliable alternative to assess hypothalamic pituitary adrenal axis but should be cautiously used especially in the elderly although its minor side effects.
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Affiliation(s)
- Taieb Ach
- University Hospital of Farhat Hached Sousse, Endocrinology, Tunisia
| | | | - Yosra Hasni
- University Hospital of Farhat Hached Sousse, Endocrinology, Tunisia
| | - Ghada Saad
- University Hospital of Farhat Hached Sousse, Endocrinology, Tunisia
| | - Maha Kacem
- University Hospital of Farhat Hached Sousse, Endocrinology, Tunisia
| | - Molka Chaieb
- University Hospital of Farhat Hached Sousse, Endocrinology, Tunisia
| | - Monia Zaouali
- University Hospital of Farhat Hached Sousse, Hormonal Physiology, Tunisia
| | - Amel Maaroufi
- University Hospital of Farhat Hached Sousse, Endocrinology, Tunisia
| | - Koussay Ach
- University Hospital of Farhat Hached Sousse, Endocrinology, Tunisia
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Jaballah A, Soltani I, Bahia W, Dandana A, Hasni Y, Miled A, Ferchichi S. The Relationship Between Menopause and Metabolic Syndrome: Experimental and Bioinformatics Analysis. Biochem Genet 2021; 59:1558-1581. [PMID: 33973091 DOI: 10.1007/s10528-021-10066-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2020] [Accepted: 04/06/2021] [Indexed: 11/27/2022]
Abstract
Menopausal hormonal changes have been associated with the emergence of the metabolic syndrome (MetS) and its consequences such as type 2 diabetes (T2D) and cardiovascular diseases (CVD). The common gene signature and the associated signaling pathways of MetS, T2D, CVD and menopause status have not been widely studied. We analyzed a total of 314 women aged between 35 and 75 years. The sample was divided into two groups: Group I, including women in the premenopausal period and Group II, comprising women in the post-menopausal period. The presence of MetS and its components were evaluated, as well as occurrence of T2D and CVD in both groups. We also exploited the translational bioinformatics approach to choose the common gene signatures for MetS, T2D, CVD and the menopause status. The frequency of the MetS was significantly higher in postmenopausal women than in premenopausal ones (67.1 vs. 27.2%, p < 0.001). Gene mining analysis revealed that a total of 47 genes were commonly associated with MetS, T2D, CVD and the menopausal changes. The gene enrichment analysis showed that these genes were markedly enriched in biological processes, including positive regulation of binding, positive regulation of leukocyte cell-cell adhesion, regulation of lipid localization. Furthermore, P53 signaling pathway, prolactin signaling pathway, parathyroid hormone synthesis, secretion and action were the top enriched pathways. Additionally, network analysis revealed TGFB1, SPP1, MMP2, MMP9, CCL2, IGF1, EGFR, ICAM1, TNF and IL6 as important hub genes with significant interacting partners. These hub genes identified in our study may play key role in menopausal changes and influence the risks of MetS, T2D and CVD.
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Affiliation(s)
- Abir Jaballah
- Research Unit of Clinical and Molecular Biology (UR17ES29), Department of Biochemistry, Faculty of Pharmacy, University of Monastir, 5000, Monastir, Tunisia.
| | - Ismael Soltani
- Research Unit of Clinical and Molecular Biology (UR17ES29), Department of Biochemistry, Faculty of Pharmacy, University of Monastir, 5000, Monastir, Tunisia
| | - Wael Bahia
- Research Unit of Clinical and Molecular Biology (UR17ES29), Department of Biochemistry, Faculty of Pharmacy, University of Monastir, 5000, Monastir, Tunisia
| | - Azza Dandana
- Research Unit of Clinical and Molecular Biology (UR17ES29), Department of Biochemistry, Faculty of Pharmacy, University of Monastir, 5000, Monastir, Tunisia
| | - Yosra Hasni
- Dept. Endocrinology, Farhat Hached University Hospital, Sousse, Tunisia
| | - Abdelhedi Miled
- Research Unit of Clinical and Molecular Biology (UR17ES29), Department of Biochemistry, Faculty of Pharmacy, University of Monastir, 5000, Monastir, Tunisia.,Dept. Biochemistry, Farhat Hached University Hospital, Sousse, Tunisia
| | - Salima Ferchichi
- Research Unit of Clinical and Molecular Biology (UR17ES29), Department of Biochemistry, Faculty of Pharmacy, University of Monastir, 5000, Monastir, Tunisia.,Dept. Biochemistry, Farhat Hached University Hospital, Sousse, Tunisia
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Halloul I, Abdelkerim AB, Saad G, Slim A, Hasni Y, Othman WB, Kacem M, Chaieb M, Maaroufi A, Ach K. Association of an empty sella and grave´s disease in a patient with acromegaly: a case report. Pan Afr Med J 2021; 38:394. [PMID: 34381538 PMCID: PMC8325439 DOI: 10.11604/pamj.2021.38.394.25034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2020] [Accepted: 07/19/2020] [Indexed: 11/11/2022] Open
Abstract
Acromegaly is, in most cases, caused by growth hormone secreting pituitary adenomas. Those patients often develop different pathologies of the thyroid gland, however, the occurrence of Grave´s disease is quite a rare situation. We report a case of a 64-year-old female patient who presented with signs of hyperthyroidism and imbalance of her diabetes mellitus. On physical examination, she had facial features of acromegaly. Biochemical testing confirmed the suspicion of acromegaly and Grave´s disease, with an elevated insulin-like growth factor-1 and a suppressed thyroid stimulation hormone (TSH) with positive TSH-receptor antibodies. A pituitary Magnetic Resonance Imaging (MRI) was performed, revealing a macro-adenoma and an empty sella. The patient successfully underwent a transsphenoidal surgery and obtained a remission of her hyperthyroidism under anti-thyroid drugs.
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Affiliation(s)
- Imen Halloul
- Endocrinology and Diabetes Department, Farhat Hached University Hospital, Sousse, Tunisia
| | - Asma Ben Abdelkerim
- Endocrinology and Diabetes Department, Farhat Hached University Hospital, Sousse, Tunisia
| | - Ghada Saad
- Endocrinology and Diabetes Department, Farhat Hached University Hospital, Sousse, Tunisia
| | - Ahlem Slim
- Endocrinology and Diabetes Department, Farhat Hached University Hospital, Sousse, Tunisia
| | - Yosra Hasni
- Endocrinology and Diabetes Department, Farhat Hached University Hospital, Sousse, Tunisia
| | - Wafa Ben Othman
- Endocrinology and Diabetes Department, Farhat Hached University Hospital, Sousse, Tunisia
| | - Maha Kacem
- Endocrinology and Diabetes Department, Farhat Hached University Hospital, Sousse, Tunisia
| | - Molka Chaieb
- Endocrinology and Diabetes Department, Farhat Hached University Hospital, Sousse, Tunisia
| | - Amel Maaroufi
- Endocrinology and Diabetes Department, Farhat Hached University Hospital, Sousse, Tunisia
| | - Koussay Ach
- Endocrinology and Diabetes Department, Farhat Hached University Hospital, Sousse, Tunisia
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Elfekih H, Ben Abdelkrim A, Marzouk H, Saad G, Gasmi A, Gribaa M, Zaghouani H, Hasni Y, Maaroufi A. Prostatic tissue in 46XX congenital adrenal hyperplasia: Case report and literature review. Clin Case Rep 2021; 9:1655-1662. [PMID: 33768909 PMCID: PMC7981760 DOI: 10.1002/ccr3.3868] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [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: 06/12/2020] [Revised: 12/12/2020] [Accepted: 01/11/2021] [Indexed: 01/17/2023] Open
Abstract
The presence of prostatic tissue, in addition to uterus and adrenal tumors, is possible in 46XX patients with CAH. Lesions of these organs are usually benign. However, complications including prostate and adrenal cancer were also reported.
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Affiliation(s)
- Hamza Elfekih
- Department of Endocrinology and DiabetologyFarhat‐Hached University HospitalSousseTunisia
| | - Asma Ben Abdelkrim
- Department of Endocrinology and DiabetologyFarhat‐Hached University HospitalSousseTunisia
| | - Hajer Marzouk
- Department of Endocrinology and DiabetologyFarhat‐Hached University HospitalSousseTunisia
| | - Ghada Saad
- Department of Endocrinology and DiabetologyFarhat‐Hached University HospitalSousseTunisia
| | - Ayoub Gasmi
- Department of RadiologyFarhat‐Hached University HospitalSousseTunisia
| | - Moez Gribaa
- Department of Cytogenetic and Reproductive BiologyFarhat‐Hached University HospitalSousseTunisia
| | | | - Yosra Hasni
- Department of Endocrinology and DiabetologyFarhat‐Hached University HospitalSousseTunisia
| | - Amel Maaroufi
- Department of Endocrinology and DiabetologyFarhat‐Hached University HospitalSousseTunisia
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Mizouri R, Belhadj M, Hasni Y, Maaroufi A, Mahjoub F, Jamoussi H. Relationship between level of education and podiatry risk in diabetic patients. Tunis Med 2021; 99:277-284. [PMID: 33899199 PMCID: PMC8636960] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
CONTEXT Diabetic foot trophic disorders and their complications leading to the risk of amputation remain a major public health problem. OBJECTIVE To determine the level of podiatric risk in our diabetic patients according to the classification of the International Working Group of the Diabetic Foot (IWGDF) and study the relationship between the level of education and the level of podiatry risk.. METHODS This is a descriptive and analytical cross-sectional study including all diabetics hospitalized at the National Institute of Nutrition in Tunis for chronic diabetes imbalance, carried out over a period of two months (July - August 2019). RESULTS The mean age of the patients was 55.08 ± 14.22 years. The sex ratio was 0.67. The majority of our patients were type 2 diabetics (90.24%). During the clinical examination of the foot, plantar hyperkeratosis was the most noted manifestation (65.85%). Based on the IWGDF classification, 42.68% of patients had a grade 0 podiatric risk. Regarding the overall educational level, we noted 76.83% patients with a poor educational level and 23.17% patients with a satisfactory level of education. The overall educational level is significantly associated with the podiatric grade (p <0.05). CONCLUSIONS Therapeutic education or even podiatric education of the patient is important in the prevention of complications of the foot. Patient-centered training in foot care practice in public health facilities would reduce the rate of morbidity and mortality from complicated diabetic foot.
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Elfekih H, Abdelkrim AB, Marzouk H, Saad G, Gribaa M, Hasni Y, Maaroufi A. Congenital adrenal hyperplasia due to 11-Beta-hydroxylase deficiency in a Tunisian family. Pan Afr Med J 2020; 36:226. [PMID: 33708317 PMCID: PMC7908330 DOI: 10.11604/pamj.2020.36.226.24270] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2020] [Accepted: 07/03/2020] [Indexed: 12/03/2022] Open
Abstract
Congenital adrenal hyperplasia refers to a group of rare genetic disorders affecting the adrenal glands. 21-hydroxylase deficiency is the most prevalent and the most studied cause while the remaining enzymatic defects are less common, accounting for less than 10% of cases. We herein described the clinical, biological and molecular characteristics and outcome of patients of the same family diagnosed with 11-Beta-hydroxylase deficiency. The disorder was revealed by peripheral precocious puberty between the age of 2-3 years in males and by the virilization of the external genitalia in females. Genetics finding a homozygous p.Gly379Val mutation in the CYP11B1 gene. All patients received hydrocortisone supplementation therapy and mineralocorticoid-receptor antagonist. The females underwent a surgical correction of the ambiguous genitalia at the neonatal age. Long term follow-up revealed metabolic syndrome, obesity and hypertension in the first two patients, an impaired final height in the two females and hypokalemia in three patients.
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Affiliation(s)
- Hamza Elfekih
- Department of Endocrinology-Diabetology, Farhat-Hached University Hospital, Sousse, Tunisia
| | - Asma Ben Abdelkrim
- Department of Endocrinology-Diabetology, Farhat-Hached University Hospital, Sousse, Tunisia
| | - Hajer Marzouk
- Department of Endocrinology-Diabetology, Farhat-Hached University Hospital, Sousse, Tunisia
| | - Ghada Saad
- Department of Endocrinology-Diabetology, Farhat-Hached University Hospital, Sousse, Tunisia
| | - Moez Gribaa
- Department of Cytogenetic and Reproductive Biology, Farhat-Hached University Hospital, Sousse, Tunisia
| | - Yosra Hasni
- Department of Endocrinology-Diabetology, Farhat-Hached University Hospital, Sousse, Tunisia
| | - Amel Maaroufi
- Department of Endocrinology-Diabetology, Farhat-Hached University Hospital, Sousse, Tunisia
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Slimani W, Jelloul A, Al-Rikabi A, Sallem A, Hasni Y, Chachia S, Ernez A, Chaieb A, Bibi M, Liehr T, Saad A, Mougou-Zerelli S. Small supernumerary marker chromosomes (sSMC) and male infertility: characterization of five new cases, review of the literature, and perspectives. J Assist Reprod Genet 2020; 37:1729-1736. [PMID: 32399795 PMCID: PMC7376793 DOI: 10.1007/s10815-020-01811-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [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: 01/11/2020] [Accepted: 05/06/2020] [Indexed: 11/29/2022] Open
Abstract
PURPOSE To characterize small supernumerary marker chromosomes (sSMC) in infertile males RESEARCH QUESTION: Are molecular cytogenetic methods still relevant for the identification and characterization of sSMC in the era of next-generation sequencing? METHODS In this paper, we report five males with oligoasthenozoospermia or azoospermia with a history of recurrent pregnancy loss in partnership in four cases. R-banding karyotyping and fluorescence in situ hybridization (FISH) analysis were performed and showed sSMC in all five cases. Microdissection and reverse-FISH were performed in one case. RESULTS One sSMC, each, was derived from chromosome 15 and an X-chromosome; two sSMC were derivatives of chromosome 22. The fifth sSMC was a ring chromosome 4 complemented by a deletion of the same region 4p14 to 4p16.1 in one of the normal chromosomes 4. All markers were mosaics except one of sSMC(22). CONCLUSION Through this study, we emphasize the necessity of a proper combination of high-throughput techniques with conventional cytogenetic and FISH methods. This could provide a personalized diagnostic and accurate results for the patients suffering from infertility or RPL. We also highlight FISH analyses, which are essential tools for detecting sSMC in infertile patients. In fact, despite its entire composition of heterochromatin, sSMC can have effects on spermatogenesis by producing mechanical perturbations during meiosis and increasing meiotic nondisjunction rate. This would contribute to understand the exact chromosomal mechanism disrupting the natural and the assisted reproduction leading to offer a personalized support.
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Affiliation(s)
- Wafa Slimani
- Department of Cytogenetics and Reproductive Biology, Farhat Hached University Hospital, Sousse, Tunisia
- Higher Institute of Biotechnology of Monastir, University of Monastir, Monastir, Tunisia
- Unité de Services Communs en Génétique Humaine, Université de Sousse, Faculté de Médecine de Sousse, Sousse, Tunisia
| | - Afef Jelloul
- Department of Cytogenetics and Reproductive Biology, Farhat Hached University Hospital, Sousse, Tunisia
| | | | - Amira Sallem
- Department of Cytogenetics and Reproductive Biology, Farhat Hached University Hospital, Sousse, Tunisia
| | - Yosra Hasni
- Department of Endocrinology-Diabetology, Farhat Hached University Hospital, Sousse, Tunisia
| | - Salma Chachia
- Department of Obstetrics and Gynecology, Farhat Hached University Hospital, Sousse, Tunisia
| | | | - Anouar Chaieb
- Department of Obstetrics and Gynecology, Farhat Hached University Hospital, Sousse, Tunisia
| | - Mohamed Bibi
- Department of Obstetrics and Gynecology, Farhat Hached University Hospital, Sousse, Tunisia
| | | | - Ali Saad
- Department of Cytogenetics and Reproductive Biology, Farhat Hached University Hospital, Sousse, Tunisia
- Unité de Services Communs en Génétique Humaine, Université de Sousse, Faculté de Médecine de Sousse, Sousse, Tunisia
| | - Soumaya Mougou-Zerelli
- Department of Cytogenetics and Reproductive Biology, Farhat Hached University Hospital, Sousse, Tunisia.
- Unité de Services Communs en Génétique Humaine, Université de Sousse, Faculté de Médecine de Sousse, Sousse, Tunisia.
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Kacem I, Maoua M, Hasni Y, Kalboussi H, Hafsia M, Souguir S, Ouerdani S, Maaroufi A, El Maalel O, Mrizak N. Évaluation du risque de syndrome métabolique chez les travailleurs postés en Tunisie. East Mediterr Health J 2019; 25:677-685. [DOI: 10.26719/emhj.19.040] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/16/2018] [Accepted: 06/05/2018] [Indexed: 11/09/2022]
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Slim I, Hasni Y. Ramadan fasting and Diabetes: 10 pitfalls to avoid. Tunis Med 2019; 97:1066-1072. [PMID: 31691933] [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: 06/10/2023]
Abstract
Fasting during the month of Ramadan is one of the essential beliefs amongst Muslims. For the person with diabetes mellitus (DM), however, fasting presents a major challenge. Indeed, Fasting Ramadan may predispose patients with DM to several risks such as hypoglycemia, hyperglycemia and dehydration. Physicians should be ready to prepare their patients to this period in order to avoid risks. This paper provides physicians with 10 pitfalls to avoid when educating patients with DM who decided to fast Ramadan.
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Taieb A, Hasni Y, Abdelkarim AB, Maaroufi A, Kacem M, Chaieb M, Ach K. [Posttraumatic type 1 diabetes in an army soldier]. Pan Afr Med J 2019; 31:122. [PMID: 31037182 PMCID: PMC6462372 DOI: 10.11604/pamj.2018.31.122.13162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2017] [Accepted: 07/18/2018] [Indexed: 11/20/2022] Open
Abstract
L'influence du stress comme facteur précipitant l'apparition du diabète de type 1 est un sujet largement étudié dans la littérature. La relation entre les traumatismes physiques et psychologiques et le diabète ont été un sujet rarement étudié en milieu militaire. Le diabète post-traumatique reste toujours un sujet controversé. Nous rapportons le cas d'un soldat tunisien, sans antécédents personnels ou familiaux d’auto-immunité, qui a été diagnostiqué pour un diabète de type 1 au décours d’une agression physique lors de conflits sociaux entre les forces de l’ordre et les citoyens.
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Affiliation(s)
- Ach Taieb
- Service d'Endocrinologie-Diabétologie, CHU Farhat Hached, Sousse, Tunisie
| | - Yosra Hasni
- Service d'Endocrinologie-Diabétologie, CHU Farhat Hached, Sousse, Tunisie
| | | | - Amel Maaroufi
- Service d'Endocrinologie-Diabétologie, CHU Farhat Hached, Sousse, Tunisie
| | - Maha Kacem
- Service d'Endocrinologie-Diabétologie, CHU Farhat Hached, Sousse, Tunisie
| | - Molka Chaieb
- Service d'Endocrinologie-Diabétologie, CHU Farhat Hached, Sousse, Tunisie
| | - Koussay Ach
- Service d'Endocrinologie-Diabétologie, CHU Farhat Hached, Sousse, Tunisie
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Hasni Y, Bachrouch S, Mahjoub M, Maaroufi A, Rouatbi S, Ben Saad H. Biochemical Data and Metabolic Profiles of Male Exclusive Narghile Smokers (ENSs) Compared With Apparently Healthy Nonsmokers (AHNSs). Am J Mens Health 2019; 13:1557988319825754. [PMID: 30819065 PMCID: PMC6440044 DOI: 10.1177/1557988319825754] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2018] [Revised: 12/19/2018] [Accepted: 12/21/2018] [Indexed: 01/01/2023] Open
Abstract
Studies evaluating the metabolic profiles of ENSs are scarce and presented controversial conclusions. This study aimed to compare the metabolic profiles of ENSs' and AHNSs' groups. Males aged 25-45 years and free from a known history of metabolic and/or cardiovascular diseases were included. According to the smoking status, two groups of ENSs and AHNSs were identified. Body mass index (BMI, kg/m2), waist circumference (WC, cm), systolic and diastolic blood pressures (SBP, DBP, mmHg), fasting blood data in mmol/L (blood glycemia [FBG], triglycerides [TG], total cholesterol [TC], high- and low- density lipoprotein cholesterol [HDL-C, LDL-C]) and obesity status were evaluated. The metabolic syndrome (MetS) was defined according to the 2006 International Diabetes Federation (IDF) recommendations. Data were expressed as mean ± standard deviation ( SD) or percentages. Compared to the AHNSs' group ( n = 29), the ENSs' one ( n = 29) had (a) higher values of BMI (26.5 ± 2.3 vs. 28.2 ± 3.6), WC (95 ± 7 vs. 100 ± 10), and TG (1.22 ± 0.40 vs. 1.87 ± 0.85); and (b) included a lower percentage of males having low HDL-C (82.7% vs. 62.0%), and higher percentages of males having obesity (6.9% vs. 37.9%) or hypertriglyceridemia (10.7% vs. 51.7%). Both the ENSs' and AHNSs' groups: (a) had similar values of FBG (5.38 ± 0.58 vs. 5.60 ± 0.37), TC (4.87 ± 1.16 vs. 4.36 ± 0.74), HDL-C (0.92 ± 0.30 vs. 0.82 ± 0.21), LDL-C (3.09 ± 0.98 vs. 2.92 ± 0.77), SBP (117 ± 9 vs. 115 ± 8), and DBP (76 ± 6 vs. 73 ± 7); and (b) included similar percentages of males having normal weight (17.2% vs. 31.0%); overweight (44.8% vs. 62.1%); android obesity (79.3% vs. 59.6%), hypertension (10.3% vs. 10.3%), hyperglycemia (37.9% vs. 48.2%), and MetS (51.7% vs. 34.5%). There is a need to monitor narghile use among male metabolic patients since it alters some components of the MetS.
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Affiliation(s)
- Yosra Hasni
- Department of Endocrinology, University Hospital Farhat Hached, Sousse, Tunisia
| | - Sabrine Bachrouch
- Department of Endocrinology, University Hospital Farhat Hached, Sousse, Tunisia
| | - Mohamed Mahjoub
- Department of Hospital Hygiene, University Hospital Farhat Hached, Sousse, Tunisia
| | - Amel Maaroufi
- Department of Endocrinology, University Hospital Farhat Hached, Sousse, Tunisia
| | - Sonia Rouatbi
- Laboratory of Physiology and Functional Explorations, Farhat Hached Hospital, Sousse, Tunisia
- Heart Failure (LR12SP09) Research Laboratory, University Hospital Farhat Hached, Sousse, Tunisia
| | - Helmi Ben Saad
- Laboratory of Physiology and Functional Explorations, Farhat Hached Hospital, Sousse, Tunisia
- Heart Failure (LR12SP09) Research Laboratory, University Hospital Farhat Hached, Sousse, Tunisia
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Taieb A, Cheikh AB, Hasni Y, Maaroufi A, Kacem M, Chaieb M, Ach K. [Study of acute inaugural ketosis-prone diabetes in a Hospital in Central-Eastern Tunisian]. Pan Afr Med J 2018; 31:134. [PMID: 31037194 PMCID: PMC6462364 DOI: 10.11604/pamj.2018.31.134.12207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2017] [Accepted: 07/18/2018] [Indexed: 11/11/2022] Open
Abstract
Ketosis-prone diabetes is an acute complication of diabetes resulting from ketone accumulation in the blood. Despite the high rate of ketosis-prone diabetes described, there is very little information on the epidemiology of this inaugural complication of diabetes in Tunisia. This study aims to determine the epidemiological and clinical features and the laboratory tests parameters of inaugural ketoses in a Hospital in Tunisian. We conducted a retrospective, cross-sectional exhaustive study of patients admitted with inaugural ketosis over the period January 2010 - August 2016. The study population was divided into 2 groups according to the presence or not of anti-pancreatic autoimmunity: the DAI group consisted of all patients with autoimmunity, the DNAI group consisted of all patients without autoimmunity. Our study included 391 patients, with a sex ratio of 226 men/125 women, the average age was 34 ± 14.33 years. There was a male predominance (68%) in the general population. The age of disease onset was significantly lower in the DAI group. A factor that contributed to ketosis onset was found in 77.7% of the overall study population, it was significantly more frequent in the DAI group than in the DNAI group. The most common factor was viral infections. Thyroid antibodies were significantly higher in the DAI group. Ketosis is a common factor leading to inaugural decompensation of diabetes in Tunisia. Young adult male is the most affected group of population reported in the literature, with the absence of autimmunity, and a clinical profile of type 2 diabetes.
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Affiliation(s)
- Ach Taieb
- Service d’Endocrinologie et Diabétologie CHU Farhat Hached, Sousse, Tunisie,Corresponding author: Ach Taieb, Service d’Endocrinologie et Diabétologie CHU Farhat Hached, Sousse, Tunisie
| | - Asma Ben Cheikh
- Service d’Hygiène Hospitalière CHU Farhat Hached, Sousse, Tunisie
| | - Yosra Hasni
- Service d’Endocrinologie et Diabétologie CHU Farhat Hached, Sousse, Tunisie
| | - Amel Maaroufi
- Service d’Endocrinologie et Diabétologie CHU Farhat Hached, Sousse, Tunisie
| | - Maha Kacem
- Service d’Endocrinologie et Diabétologie CHU Farhat Hached, Sousse, Tunisie
| | - Molka Chaieb
- Service d’Endocrinologie et Diabétologie CHU Farhat Hached, Sousse, Tunisie
| | - Koussay Ach
- Service d’Endocrinologie et Diabétologie CHU Farhat Hached, Sousse, Tunisie
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Nabli N, Fetoui Ghariani N, Boussofara L, Hasni Y, Gammoudi R, Saidi W, Mokni S, Aounallah A, Belajouza C, Denguezli M, Ghariani N, Nouira R. Retards staturo-pondéral et pubertaire secondaires au syndrome de Buckley : à propos d’un cas. Annales d'Endocrinologie 2018. [DOI: 10.1016/j.ando.2018.06.689] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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