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Ben Hamida E, Thraya S, Ayadi I, Daaloul W, Ben Hammouda S, Bouguerra B, Schlömann-Abid C, Marrakchi Z. Termination of pregnancy for fetal anomaly, in a Tunisian population: About 77 cases. Z Geburtshilfe Neonatol 2015. [DOI: 10.1055/s-0034-1375773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Ben Hamida Nouaili E, Abidi K, Chaouachi S, Marrakchi Z. Épidémiologie des infections materno-fœtales à streptocoque du groupe B. Med Mal Infect 2011; 41:123-5. [DOI: 10.1016/j.medmal.2010.09.004] [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] [Received: 12/11/2009] [Revised: 07/26/2010] [Accepted: 09/30/2010] [Indexed: 11/25/2022]
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Chaouachi S, Marrakchi O, Ben Hamida E, Abidi K, Béchir Z, Abdelmoula Jouda J, Marrakchi Z. [Usefulness of serum procalcitonin in the early diagnosis of maternal-fetal bacterial infection. A prospective study]. Arch Pediatr 2011; 18:267-71. [PMID: 21276718 DOI: 10.1016/j.arcped.2010.12.009] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2010] [Revised: 09/23/2010] [Accepted: 12/21/2010] [Indexed: 11/28/2022]
Abstract
UNLABELLED Early diagnosis avoiding unnecessary treatment of maternal-fetal bacterial infection remains one of the greatest challenges for obstetricians and pediatricians. To meet these objectives, many inflammatory mediators were used, including procalcitonin (PCT). The aim of our study was to determine the usefulness of PCT in early diagnosis and management of neonatal infection. SUBJECTS AND METHODS Over a period of 8 months, all living newborns with highly suspected maternal-fetal bacterial infection who were to receive antibiotic treatment according to our neonatal unit protocol were included in this prospective study. Serum PCT concentrations were determined at birth and after 12h of life using a specific immunoluminometric assay. Two distinct populations were defined based on clinical, biological, and bacteriological criteria: group 1: infected neonates, and group 2: noninfected neonates. STATISTICAL METHODS We compared PCT means in different groups and determined the cut-off value correlated with maternal-fetal bacterial infection by analyzing the receiver operating characteristics curve (ROC). RESULTS A total of 130 neonates were included in the study: 38 (29%) were classified in group 1 with 29 possible infections and 9 defined infections, including 5 cases of septicemia. The average PCT at birth in group 1 was significantly higher than in group 2 (3.52 ± 8.19 ng/ml vs 0.43 ± 0.73 ng/ml; P<0.001). The PCT threshold value at birth found by the ROC curve with the highest sensitivity (71.1%) and highest specificity (62%) was 0.215 ng/ml. The negative predictive value (NPV) was 83.8%, making it possible to avoid unnecessary treatment in the majority of the cases. The PCT threshold value within 12h of birth was 3.78 ng/ml, for a sensitivity of 89.5% and 1 NPV of 94.4%. CONCLUSION PCT is a valuable biological examination because it can be administered early, it is sensitive, and it has a NPV. These characteristics make PCT a biological argument that can be used in the initial decision on whether to administer antibiotics. Another study will be conducted to establish the cut-off value.
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Affiliation(s)
- S Chaouachi
- Service de néonatologie, hôpital Charles-Nicolle, boulevard 9avril1938CP, 1009 Tunis, Tunisie.
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Elbeldi A, Smaoui H, Hamouda S, Helel S, Hmaied F, Ben Mustapha I, Barsaoui S, Bousnina S, Marrakchi Z, Barbouche MR, Kechrid A. Les infections à Listeria monocytogenes à Tunis: à propos de sept cas. ACTA ACUST UNITED AC 2010; 104:58-61. [DOI: 10.1007/s13149-010-0110-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2010] [Accepted: 09/07/2010] [Indexed: 11/28/2022]
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Cherif A, Cherif F, Siala-Guagi F, M'rad R, Raghi H, Boubaker S, Chaabouni H, Marrakchi Z, Boukef-Largueche S. [Junctional congenital bullous epidermolysis, cutaneous aplasia and pyloric atresia]. Ann Dermatol Venereol 2005; 132:298-9. [PMID: 15924062 DOI: 10.1016/s0151-9638(05)79269-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Affiliation(s)
- A Cherif
- Service de Néonatologie, Hôpital Charles Nicolle, Tunis, Tunisie.
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Cherif A, Oueslati B, Marrakchi Z, Chaouachi S, Chaabouni M, Abassi M, Dammak M, Chaabouni H, Boukef-Largueche S. [Diastematomyelia: antenatal diagnosis with successful outcome, two cases]. J Gynecol Obstet Biol Reprod (Paris) 2003; 32:476-80. [PMID: 13130251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/05/2023]
Abstract
To discuss, through a review of the literature, clinical signification and antenatal and postnatal management of diastematomyelia. We present two cases highlighting the clinical presentation and discuss management options. The first case was diagnosed in a 32-year-old primagravida female physician. The conssanguinous couple had a history of primary hypofertility. Antenatal magnetic resonance imaging revealed the presence of a sagittal spinal spur separating two asymmetrical hemi cords. Pregnancy was not interrupted due to the lack of factors of poor prognosis. The infant was delivered at term and outcome has been favorable at 18 months follow-up. Ultrasonography performed at 22 weeks gestation provided the diagnosis in the second case. The mother was a 30-year-old primagravida anesthesist who had been addressed for suspected spina bifida. The consanguinous couple had a history of male hypoferility. The ultrasound scan revealed an echogenic spinal spur and integrity of the skin. Pregnancy was not interrupted due to the lack of factors of poor prognosis. The infant was delivered at term and outcome has been favorable at 18 months follow-up. Diastematomyelia is a rare malformation which can be diagnosed antenatally. Careful ultrasonography can distinguish diastematomyelia from myelomeningocele. Antenatal assessment is essential to identify forms with good prognosis because the neonatal outcome of isolated diastematomyelia is generally good, even if surgical repair is required.
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Affiliation(s)
- A Cherif
- Service de Néonatologie, Hôpital Charles-Nicolle, Tunis, Tunisie.
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Cherif A, Marrakchi Z, Klouz A, Chaouachi S, Belkahia C, Boukef-Larguèche S. [Pharmacologic study of monohydrated caffeine in the treatment of apnoea of premature infant]. Arch Pediatr 2003; 10:517-20. [PMID: 12915014 DOI: 10.1016/s0929-693x(03)00148-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
UNLABELLED Monohydrated caffeine was the only respiratory xanthine available in our country to treat apnea of premature infant. The aim of this study was to evaluate plasma levels of this molecule at dosages of 20 mg/kg (equal to 18 mg/kg of caffeine base) as a loading dose and 5 mg(-1) kg(-1) (equal to 4.5 mg(-1) kg(-1) of caffeine base) as a maintenance dose. PATIENTS AND METHODS The study was prospective including premature infants less than 34 weeks of gestational age born between the 1st of july 2001 and 15th december 2001 and receiving monohydrated caffeine to prevent apnea. Each premature infant has received orally a loading dose of 20 mg/kg in the first hours of life followed, 24 h after, by a maintenance dose orally once a day of 5 mg/kg until 35 weeks of post-conceptional age. Caffeinemia plasma levels were measured by high performance liquid chromatography immediately before the second dose to determine the loading residual rate and immediately before the sixth dose to determine the maintenance residual rate. RESULTS Twenty-one premature infants were included. Their medium term was 31.4 weeks (27.4-33.3 weeks), birth weight was 1684 g (1000-2800 g) and sex-ratio M/F was 1.3. Fifteen infants (71.4%) have presented apnea with an average of 4.1 episodes per infant and per day. Tolerance of the medicament was good in all cases. The medium loading residual rate was 3.26 microg/ml (1.75-7.80) and the medium maintenance residual rate was 4.26 microg/ml (2.13-7.64). CONCLUSION Prescribed at a dosage close to twice the recommendations of the literature, monohydrated caffeine does not provide efficient plasma rates. This is probably due to a difference in its oral bio-availability compared with caffeine citrate and further study with greater dosages is needed to appreciate its efficacy.
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Affiliation(s)
- A Cherif
- Service de gynécologie obstétrique B, unité de néonatologie, hôpital Charles-Nicolle, Tunis, Tunisie.
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Essaïs O, Bouguerra R, Hamzaoui J, Marrakchi Z, Hadjri S, Chamakhi S, Zidi B, Ben Slama C. Efficacy and safety of bromocriptine in the treatment of macroprolactinomas. Ann Endocrinol (Paris) 2002; 63:524-31. [PMID: 12527854] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/28/2023]
Abstract
To assess the effectiveness of bromocriptine (BRC) as primary therapy in reducing the size of PRL-secreting macroadenomas with extra-sellar extension, we conducted a multicenter study in 29 patients without prior radiotherapy. Clinical presentation, response to medical treatment and long term follow-up of 29 patients with macroprolactinoma (pituitary mass more than 10 mm in diameter) were analysed. There were 19 women for 10 men. Mean age was 33 years. An hypogonadism was present in 94% of women vs 57% for men. Headaches and or visual abnormalities were present in 68% of women vs 90% of men. The mean basal serum prolactin level before treatment was 1 501 ng/ml: 202 ng/ml for women (range: 70-478 ng/ml) and 3 870 ng/ml for men (range: 100-20 476 ng/ml) and was correlated to tumoral size. 25 patients were treated with BRC as primary therapy with a mean dose of 9,7 mg/day (13 mg/day in men and 8 mg/day in women). BRC no malized serum PRL levels in all men and in 17/19 women over a mean period of 6 months, ranging from 3 to 72 months in both sexes. Tumor size was reduced by more than 50% in 18/29 patients (62%) with secondary empty sella in 5 patients and by less than 50% in 11 patients. Visual field improved in most of the patients in whom it was initially abnormal. Reduction in size was quite fast in most of patients but slower in some of them. The cumulative radiological response to BRC increased with time. Therefore, it appears that prolonged medical therapy is effective and safe in macroprolactinomas.
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Affiliation(s)
- O Essaïs
- Department of Endocrinology, Hôpital Militaire de Tunis, Montfleury-Tunis, Tunisie
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Abstract
Inflammation plays a major role in the pathogenesis of bronchopulmonary dysplasia of preterm infants. Having a strong anti-inflammatory effect, corticosteroids have been proposed in the management of this disease. Antenatal steroids protect the newborn against its development. Postnatal systemic administration of steroids reduces the duration of mechanical ventilation and oxygen therapy, but is associated with short term and long term adverse effects. Early administration of dexamethasone (before 7 days of life) reduces the incidence and the severity of chronic lung disease at 28 days of life and 36 weeks of post-conceptional age. Inhaled steroids are associated with less adverse effects than dexamethasone administration, but they are also less effective.
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Affiliation(s)
- A Chérif
- Service de Gynécologie Obstétrique B, unité de néonatologie, hôpital Charles Nicolle, boulevard 9 Avril, 1006 Tunis, Tunisie.
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Siala SG, Masmoudi A, Ben Hassine L, Marrakchi Z, Chabchoub A, Rziga H, Khrouf N. [Tracheal atresia. A case report]. Tunis Med 2001; 79:393-7. [PMID: 11771438] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/23/2023]
Abstract
The tracheal agenesis is a rare malformation of the respiratory tract. It must be suspected in any new born with respiratory distress, absence of crying, and difficulty or impossibility of intubation. Since the initial case report by Payne in 1900, 87 cases have been reported in the literature. The authors report one case of tracheal agenesis out of 2500 autopsy realised in the laboratory.
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Affiliation(s)
- S G Siala
- Centre de maternité et de néonatologie, La Rabta, Tunis
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Gaigi SS, Masmoudi A, Mahjoub S, Jabnoun S, Ouni S, Channoufi MB, Oueslati H, Chabchoub A, Marrakchi Z, Sfar E, Lebbi I, Rezigua H, Zouari F, Chelli H, Khrouf N. [Fetal pathology study of 88 cases of letal spina bifida]. Tunis Med 2000; 78:727-30. [PMID: 11155378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/18/2023]
Abstract
Lethal spina bifida continue to be frequent in Tunisia; we report 88 cases of letal spina bifida: 1.05 per thousand births. This pathology was more frequent with women. The up letal spina bifida situated is predominant with female and the dow spina bifida situated is frequent with male. We have noted an association with anencephalia (46 cases) and hydrocephaly (21 cases). Prevention is based on obstetric health care and hygiene dietetic advices to avoid alimentary deficit.
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Affiliation(s)
- S S Gaigi
- Centre de Maternité et de Néonatologie La Rabta, Tunis
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Chabchoub A, Siala-Gaigi S, Marrakchi Z, Jebnoun S, Ayachi R, Khrouf N. The Antley-Bixler syndrome. A new case without radiohumeral synostosis. Genet Couns 1998; 9:113-8. [PMID: 9664207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
The author report a new case of the syndrome described by Antley and Bixler. It concerns a female new-born who presents a craniosynostosis with brachycephaly, midface hypoplasia, unilateral choanal atresia, multiple joint contractures and arachnodactyly. There was no bowing of the femora and only the radius and the ulna were bowed. The absence of radiohumeral synostosis reported in all observations of the literature represents the main particularity of this observation.
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Affiliation(s)
- A Chabchoub
- Service of Neonatology, Maternity and Neonatology Center of Tunis, Tunisia
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Chabchoub A, Siala-Gaigi S, Marrakchi Z, Cherif A, Ouarda R, Sfar E, Chelli H, Reziga H, Khrouf N. [Posterior nuchal cystic hygroma. Review of 6 cases]. Tunis Med 1996; 74:439-43. [PMID: 9506105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Affiliation(s)
- A Chabchoub
- Centre de Maternité et de Néonatologie de la Rabta, Tunis
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Siala-Gaigi S, Chabchoub A, Marrakchi Z, Lebbi I, Masmoudi S, Ouarda R, Sfar E, Chelli H, Khrouf N. [Mckusick Kaufman syndrome. Report of a case with hydrocolpos and polydactyly]. Tunis Med 1996; 74:357-60. [PMID: 9506089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
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Bouguerra R, Ben Slama C, Marrakchi Z, Ezzaouia G, Chamakhi S, Doghri T, Gaigi S. [Coeliac disease associated with Bartter's syndrome. Report of a case]. Tunis Med 1996; 74:361-4. [PMID: 9506090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
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Marrakchi Z, Chaker E, Marrakchi O, Khrouf N. [Fetal toxoplasmosis: diagnosis and treatment]. Tunis Med 1996; 74:331-5. [PMID: 9506084] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Affiliation(s)
- Z Marrakchi
- Centre de Maternité et de Néonatologie, La Rabta, Tunis
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Marrakchi Z, Siala Gaigi S, Chabchoub A, Khrouf N. [Jarcho-Levin syndrome: report of 6 cases]. Tunis Med 1996; 74:305-8. [PMID: 9506080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Affiliation(s)
- Z Marrakchi
- Centre de Maternité et de Néonatologie de la Rabta, Tunis
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Siala Gaigi S, Ouarda R, Marrakchi Z, Hassine LB, Aubdoul R, Chabchoub R, Rziga H, Chelly H, Khrouf N. [Renal hypoplasia: 10 cases]. Tunis Med 1996; 74:93-6. [PMID: 9507304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Affiliation(s)
- S Siala Gaigi
- Centre de maternité et de néonatalogie, La Rabta, Tunis
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Siala Gaigi S, Bdoul R, Ouarda R, Marrakchi Z, Hendaoui M, Chabchoub R, Falfoul A, Reziga H, Chelli H, Khrouf N. [Renal agenesis. Apropos of 9 cases]. Tunis Med 1995; 73:547-550. [PMID: 9506136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
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Chabchoub A, M'kadmi T, Marrakchi Z, Khiari D, Kaabachi N, Ayachi R, Mebazzaa R, Khrouf N. [Argininosuccinic aciduria. Apropos of the 1st Tunisian case in a newborn]. Tunis Med 1995; 73:411-4. [PMID: 9506166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Affiliation(s)
- A Chabchoub
- Service de Néonatalogie, Centre de Maternité et de Néonatalogie de Tunis
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Marrakchi Z, Belhassen E, Jerbi G, Abed A, Ben Rejeb S, Khrouf N. [Evaluation in neonates of infectious risk during premature rupture of membranes. (Prospective study of 100 cases)]. Tunis Med 1994; 72:559-566. [PMID: 7778230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Affiliation(s)
- Z Marrakchi
- Service de Néonatologie (CMNRT), Centre de Maternité et de Néonatologie de La Rabta Tunis
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Mnif K, Chabchoub A, Marrakchi Z, Ayachi R, Khrouf N. [Wolman disease]. Arch Pediatr 1994; 1:663-6. [PMID: 7987466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
BACKGROUND Wolman disease is a severe disease associated with hepatosplenomegaly and adrenal calcifications; it is nearly always fatal in the first year of life. CASE REPORT A boy was born to consanguineous parents. His weight was 3,500 g, height 53 cm. Hepatomegaly was observed at the age of 26 days; he also had vomiting and watery stools with failure to thrive. Diagnosis of Wolman disease was suspected due to family history. Two sisters had died at the age of 3 months without precise diagnosis; both had abdominal distension, hepatosplenomegaly, anemia and inanition; CT scan showed calcifications of adrenal glands in one of them that had been attributed to adrenal hemorrhage. Investigations in our patient showed no adrenal calcification, hepatomegaly without splenomegaly, anemia (Hb: 8 g/100 ml). Liver biopsy showed enlarged and vacuolated parenchymal and Kupffer cells but the marrow did not contain foam cells. Acid lipase deficiency was demonstrated in cultured skin fibroblasts, permitting prenatal diagnosis in a further sib. CONCLUSION This case of Wolman disease was the first seen in Tunisia; it was inherited as an autosomal recessive disorder; this patient, as two of his sisters, died during the first 6 months of life.
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Affiliation(s)
- K Mnif
- Service de néonatologie, centre de maternité et de néonatologie de la Rabta, Tunis, Tunisie
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Carel JC, Marrakchi Z, Roger M, Morel Y, Chaussain JL. [Late diagnoses of 21-hydroxylase deficiencies in children (after the age of 3 years]. Ann Pediatr (Paris) 1993; 40:410-20. [PMID: 8239392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
To evaluate the heterogeneity of 21-hydroxylase deficiency with delayed symptoms, clinical and laboratory findings at presentation in 29 patients whose first symptoms occurred after three years of age were analyzed retrospectively. In 12 patients, these data were confronted with the results of molecular CYP21B gene analysis. Age at onset was 7 years on average and was comparable in boys and girls. Premature puberty was the most common presenting symptom [n = 24], whereas hirsutism, clitoral enlargement, and menstruation disorders were less frequent. Six cases were diagnosed as the result of routine studies of family members of index patients. The bone age over statural age ratio was greater than 1 in 19 of the 27 patients. Baseline 17-OH-progesterone levels were elevated in 22 of the 27 patients; magnitude of the elevation varied widely. Levels of 17-OH-progesterone after stimulation with immediate-action tetracosactide were closely correlated with baseline values and established the diagnosis in doubtful cases. Four patients had post-stimulation 17-OH-progesterone levels under 10 ng/ml, suggesting that were heterozygous for the disease. An important finding was that the magnitude of the devation in 17-OH-progesterone was not clearly correlated with clinical findings at presentation (age at onset, growth rate, advance in bone age). Molecular CYP21B gene analysis performed in 12 patients disclosed a homozygous 281 Val Leu mutation in 6 cases. This is the most commonly reported mutation in delayed onset forms. Two patients were heterozygous for the 281 Val Leu mutation and had an allele associated with severe disease, suggesting that the least severely affected chromosome governed clinical presentation of the disease. One boy had an allele associated with neonatal onset on both chromosomes; molecular analysis indicated a risk of antenatal masculinization of female fetuses in this family. This study showed that delayed onset 21-hydroxylase deficiency is a heterogeneous entity and that molecular analysis is essential to genetic counseling.
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Affiliation(s)
- J C Carel
- Service d'Endorcrinologie Pédiatrique, Hôpital Saint Vincent de Paul, Paris
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Marrakchi Z, Bousetta K, Siala Gaigi S, Zouari S, Jemili S, Khrouf N. [Evaluation of the sensitivity of routine obstetrical echography in the prenatal diagnosis of major fetal anomalies]. Tunis Med 1993; 71:315-320. [PMID: 8249204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Affiliation(s)
- Z Marrakchi
- Centre de Maternité et de Néonatologie La Rabta, Tunis
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25
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Marrakchi Z, Siala Gaigi S, Chabchoub AR, Ayachi R, Khrouf N. [Epidemiological aspects of congenital malformations of the central nervous system]. Tunis Med 1991; 69:627-32. [PMID: 1808772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Affiliation(s)
- Z Marrakchi
- Centre de maternité et de néonatalogie la Rabta, Tunis
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Marrakchi Z, Chakroun D, Maatouk F, Largueche-Boukef S. [Caries prophylaxis by fluoride, is it necessary in Tunisia?]. Tunis Med 1991; 69:319-23. [PMID: 1750140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Affiliation(s)
- Z Marrakchi
- Service de Pédiatrie Néonatale-Hopital Militaire, Tunis
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Magny JF, Marrakchi Z, Dworzak P, Rougeot C, Dehan M, Gabilan JC. [Pre-eclampsia: a cause of fetal heart failure?]. Arch Fr Pediatr 1990; 47:283-5. [PMID: 2363617] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
The authors report the case of a newborn whose mother presented with pre-eclampsia. Intrauterine growth retardation, peripheral edema, ascitis and pleural effusion were present at birth. The authors suggest that placental vascular abnormalities could be responsible for fetal heart failure and edema syndrome.
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Affiliation(s)
- J F Magny
- Service de Pédiatrie et Réanimation-Néonatales, Hôpital Antoine-Béclère, Clamart
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28
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Chaouachi B, Cherif M, Ben Salah S, Marrakchi Z, Khrouf N, Saïed H. [Omphalocele: diagnostic and therapeutic aspects. Apropos of 150 cases]. Tunis Med 1989; 67:85-9. [PMID: 2763372] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
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29
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Ben Miled S, Khrouf N, Jaafar F, Marrakchi Z, Khrouf M. [The newborn infant of the diabetic mother. Study of 264 cases]. Ann Pediatr (Paris) 1988; 35:181-7. [PMID: 3377408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
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30
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Chaouachi B, Marrakchi Z, Aloulou T, Ben Salah S, Ben Miled S, Gharbi HA, Saïed H, Khrouf N. [Iconographic rubric. Traumatic pharyngeal pseudo-diverticulum]. Arch Fr Pediatr 1987; 44:883-4. [PMID: 3128240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Affiliation(s)
- B Chaouachi
- Service de Pédiatrie, Hôpital d'Enfants de Tunis, Tunisie
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Chaouachi B, Marrakchi Z, Ben Salah S, Chérif M, Lakhoua R, Ben Ayed F, Gharbi HA, Saïed H. [Diagnostic and therapeutic aspects of nephroblastomas in children. Apropos of 99 cases]. Tunis Med 1987; 65:591-6. [PMID: 2849820] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
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32
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Marrakchi Z, Khrouf N, Zghal D, Ben Miled S. [Neonatal respiratory distress]. Tunis Med 1984; 62:25-30. [PMID: 6528371] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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