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Ashour RH, Abdelkader EA, Hamdy O, Elmetwally M, Laimon W, Abd-Elaziz MA. The Pattern of Antimicrobial Prescription at a Tertiary Health Center in Egypt: A Point Survey and Implications. Infect Drug Resist 2022; 15:6365-6378. [PMID: 36337931 PMCID: PMC9635387 DOI: 10.2147/idr.s380693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2022] [Accepted: 10/13/2022] [Indexed: 11/05/2022] Open
Abstract
Background The misuse of antimicrobials has major consequences, particularly antimicrobial resistance (AMR) and antimicrobials’ related adverse effects. So, the WHO proposed antimicrobial surveillance to improve antimicrobials use. This point prevalence survey (PPS) was conducted to illustrate the prevalence of antimicrobial use at Mansoura University hospitals (MUH), Egypt. Methods The survey process used was adapted from the European survey of antimicrobial resistance with modifications. The survey was conducted from 8 AM to 8 PM daily within 2 weeks. Results A total of 300 patients received antimicrobials and the prevalence rate of antimicrobial prescription was 79.15%. The major indications of antimicrobials were surgical prophylaxis followed by the treatment of community-acquired infection. The most commonly prescribed initial antimicrobial group was Aminopenicillin ± β-lactamase inhibitors. Although the purpose for antimicrobial administration was recorded in all cases, the stop/review history was recorded only in 19.6% and local guidelines were not available for 77.6% of antimicrobial prescriptions. The use of combined antimicrobials was common (46.6%), particularly in orthopedic and cardiothoracic surgery. Conclusion The prevalence of antimicrobial prescription at MUH was high which requires serious actions including reviewing the antimicrobial indication, implementing local prescription guidelines, initiating an antimicrobial stewardship program (ASP), and optimizing infection control measures.
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Affiliation(s)
- Rehab H Ashour
- Clinical Pharmacology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt
- Pharmacology & Toxicology Department, Faculty of Medicine at Al-Qunfudah, Umm Al-Qura University, Al-Qunfudah, Kingdom of Saudi Arabia
- Correspondence: Rehab H Ashour, Clinical Pharmacology Department, Faculty of Medicine, Mansoura University, 60 El-Gomhoria Street, Mansoura, Al-Dakahlia, 35516, Egypt, Tel +2 01005409956, Fax +20 50 2248203, Email ;
| | - Eman A Abdelkader
- Internal Medicine Department, Faculty of Medicine, Mansoura University, Specialized Medical Hospital, Mansoura, Egypt
| | - Omar Hamdy
- Surgical Oncology Department, Faculty of Medicine, Oncology Center Mansoura University “OCMU”, Mansoura, Egypt
| | - Mohamed Elmetwally
- Surgical Oncology Department, Faculty of Medicine, Oncology Center Mansoura University “OCMU”, Mansoura, Egypt
| | - Wafaa Laimon
- Pediatric Endocrinology and Diabetes Unit, Department of Pediatrics, Faculty of Medicine, Mansoura University, Mansoura University Children’s Hospital, Mansoura, Egypt
| | - Mohamed A Abd-Elaziz
- Clinical Pharmacology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt
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Dos Santos TJ, Chobot A, Laimon W, Waldron S, Piona C, Giani E, Dovc K, Macedoni M, Mameli C, Cardona-Hernandez R, Aschemeier-Fuchs B, McGill M, Delamater AM, Wood J, Calliari LE, Scaramuzza A, De Beaufort C, Lion S, Danne T, Donaghue KC. Twenty years of the International Society for Pediatric and Adolescent Diabetes Science Schools programs: Assessment of their impact on the participants' personal careers and networking development. Pediatr Diabetes 2022; 23:536-544. [PMID: 35872603 DOI: 10.1111/pedi.13374] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Indexed: 01/09/2023] Open
Abstract
OBJECTIVE The following report describes the evaluation of the ISPAD Science School for Physicians (ISSP) and for Healthcare Professionals (ISSHP) in terms of their efficiency and success. METHODS All past attendees from 2000-2019 ISSP and 2004-2019 ISSHP programs were invited to respond to an online survey to assess perceived outcomes of the programs on career development, scientific enhancement, scientific networking, and social opportunities. RESULTS One-third of the past ISSP (129/428), and approximately 43% of the past ISSHP attendees (105/245) responded to the surveys. Most of ISSP attendees reported that the programs supported their career (82%) by helping to achieve a research position (59%), being engaged with diabetes care (68%) or research (63%) or starting a research fellowship (59%). Responders indicated that ISSP was effective in increasing interest in diabetes research (87%) and enhancing the number (66%) and quality (83%) of scientific productions, and promotion of international collaborations (86%). After the ISSP, 34% of responders received research grants. From the first round of the ISSHP survey (2004-2013), responders reported have improved knowledge (60%), gained more confidence in research (69%), undertaken a research project (63%), and achieved a higher academic degree (27%). From the second round (2014-2019), participants indicated that the program was valuable/useful in workplace (94%) through understanding (89%) and conducting (68%) research and establishing communication from other participants (64%) or from faculty (42%). After the ISSHP, 17% had received awards. CONCLUSIONS From the participants' viewpoint, both programs were effective in improving engagement with diabetes research, supporting career opportunities, increasing scientific skills, and enhancing networking and research activities.
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Affiliation(s)
- Tiago Jeronimo Dos Santos
- Pediatrics Unit, Hospital Vithas Almería, Instituto Hispalense de Pediatría, Almería, Andalusía, Spain
| | - Agata Chobot
- Department of Pediatrics, Institute of Medical Sciences, University of Opole, Opole, Poland.,Department of Pediatrics, University Clinical Hospital, Opole, Poland
| | - Wafaa Laimon
- Pediatric Endocrinology and Diabetes Unit, Department of Pediatrics, Mansoura Faculty of Medicine, Mansoura University Children's Hospital, Mansoura, Egypt
| | - Sheridan Waldron
- Multispecialty Outpatients Department, St James's University Hospital, Leeds, UK.,National Children & Young People's Diabetes Network, Leeds, UK
| | - Claudia Piona
- Department of Surgery, Dentistry, Pediatrics and Gynecology, Section of Pediatric Diabetes and Metabolism, University and Azienda Ospedaliera Universitaria Integrata of Verona, Verona, Italy
| | - Elisa Giani
- Department of Biomedical Sciences, Humanitas University, Milan, Italy
| | - Klemen Dovc
- Department of Pediatric Endocrinology, Diabetes and Metabolic Diseases, Faculty of Medicine, University Children's Hospital, University of Ljubljana, Ljubljana, Slovenia
| | | | - Chiara Mameli
- Department of Pediatrics, V. Buzzi Children's Hospital, Milan, Italy.,Department of Biomedical and Clinical Science L. Sacco, Università di Milano, Milan, Italy
| | | | - Bärbel Aschemeier-Fuchs
- Diabetes Centre for Children and Adolescents, Children's and Adolescent's Hospital AUF DER - BULT, Hannover, Germany
| | - Margaret McGill
- Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.,Diabetes Service, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia
| | - Alan M Delamater
- Department of Pediatrics, University of Miami Miller School of Medicine, Miami, Florida, USA
| | - Jamie Wood
- Rainbow Babies and Children's Hospital, University Hospitals Cleveland, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA
| | | | - Andrea Scaramuzza
- Diabetes, Endocrinology and Nutrition, Paediatric Unit, ASST Cremona, Ospedale Maggiore, Cremona, Italy
| | - Carine De Beaufort
- Department of Pediatric Diabetes and Endocrinology, Clinique Pédiatrique, Centre Hospitalier, Luxembourg City, Luxembourg.,Department of Pediatric Endocrinology, UZ-VUB Free University Brussels, Brussels, Belgium
| | - Sylvia Lion
- ISPAD Corporate Affairs Advisor, Paris, France
| | - Thomas Danne
- Diabetes Center, Children's Hospital AUF DER BULT, Hannover Medical School, Hannover, Germany
| | - Kim C Donaghue
- Children's Hospital at Westmead, University of Sydney, Sydney, New South Wales, Australia
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Salem NA, Batouty NM, Tawfik AM, Sobh DM, Gadelhak B, Hendawy SR, Laimon W. Epicardial and Perihepatic Fat as Cardiometabolic Risk Predictors in Girls with Turner Syndrome: A Cardiac Magnetic Resonance Study. J Clin Res Pediatr Endocrinol 2021; 13:408-417. [PMID: 34013713 PMCID: PMC8638625 DOI: 10.4274/jcrpe.galenos.2021.2021.0030] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
OBJECTIVE Turner syndrome (TS) patients are at high risk of cardiometabolic disorders. Cardiometabolic risk factors are more commonly related to visceral rather than total body adiposity. Adipocytokines have been explored as a potential link between obesity and obesity-related cardiometabolic dysfunction. This study explored the validity of epicardial fat-thickness (EFT) and perihepatic fat-thickness (PHFT) measurement as cardiometabolic-risk predictors in TS-girls in relation to standard obesity-indices and metabolic syndrome (MetS) components. METHODS Forty-six TS girls and twenty-five controls (10-16 years) were subdivided into two age-groups (10 to less than 13 and 13-16). Participants were assessed for body mass index (BMI) Z-scores, waist circumference (WC), total-fat mass (FM) and trunk-FM by bioimpedance-technique, EFT and PHFT by cardiovascular magnetic resonance, lipid-profile, homeostasis model assessment of insulin resistance (HOMA-IR), and serum chemerin. MetS was defined according to International Diabetes Federation criteria. RESULTS Overweight/obesity and MetS were detected in 45.7% and 37% of TS-girls respectively. BMI Z-score, WC, total-FM, trunk-FM, EFT and PHFT values were significantly higher in TS-age groups compared to age-matched control groups, being more pronounced in the older group when TS-girls had been exposed to estrogen. Dyslipidemia, higher HOMA-IR, chemerin, EFT and PHFT values were observed in lean-Turner compared to BMI-Z-matched controls. EFT and PHFT were significantly correlated with chemerin and several components of MetS. EFT at a cut-off-value of 6.20 mm (area under the curve=0.814) can predict MetS in TS-girls. CONCLUSION TS-girls displayed an adverse cardiometabolic profile during late childhood and adolescence. EFT and PHFT are emerging cardiometabolic risk predictors in TS-patients. Excess EFT rather than total body adiposity may contribute to altered metabolic profile among lean-Turner patients.
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Affiliation(s)
- Nanees A. Salem
- Mansoura University Faculty of Medicine, Department of Pediatrics, Unit of Pediatric Endocrinology and Diabetes, Dakahlia, Egypt,* Address for Correspondence: Mansoura University Faculty of Medicine, Department of Pediatrics, Unit of Pediatric Endocrinology and Diabetes, Dakahlia, Egypt Phone: +201007553665 E-mail:
| | - Nihal M. Batouty
- Mansoura University Faculty of Medicine, Department of Diagnostic and Interventional Radiology, Dakahlia, Egypt
| | - Ahmed M. Tawfik
- Mansoura University Faculty of Medicine, Department of Diagnostic and Interventional Radiology, Dakahlia, Egypt
| | - Donia M. Sobh
- Mansoura University Faculty of Medicine, Department of Diagnostic and Interventional Radiology, Dakahlia, Egypt
| | - Basma Gadelhak
- Mansoura University Faculty of Medicine, Department of Diagnostic and Interventional Radiology, Dakahlia, Egypt
| | - Shimaa R. Hendawy
- Mansoura University Faculty of Medicine, Department of Clinical Pathology, Dakahlia, Egypt
| | - Wafaa Laimon
- Mansoura University Faculty of Medicine, Department of Pediatrics, Unit of Pediatric Endocrinology and Diabetes, Dakahlia, Egypt
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Laimon W, El-Ziny M, El-Hawary A, Elsharkawy A, Salem NAB, Aboelenin HM, Awad MH, Flanagan SE, De Franco E. Genetic and clinical heterogeneity of permanent neonatal diabetes mellitus: a single tertiary centre experience. Acta Diabetol 2021; 58:1689-1700. [PMID: 34426871 DOI: 10.1007/s00592-021-01788-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/28/2021] [Accepted: 08/13/2021] [Indexed: 11/25/2022]
Abstract
AIMS Neonatal diabetes mellitus (NDM) is a rare disease where diabetes presents during the first six months of life. There are two types of this disorder: permanent neonatal diabetes (PNDM) and transient neonatal diabetes mellitus (TNDM). PNDM occurs due to mutations in genes involved in either beta-cell survival, insulin regulation, and secretion. This study aims to define the genetic aetiology and clinical phenotypes of PNDM in a large Egyptian cohort from a single centre. METHODS Patients with PNDM who were diagnosed, treated, or referred for follow-up between January 2002 and January 2021 were identified and clinically phenotyped. All patients were tested for mutations in EIF2AK3, KCNJ11, ABCC8, INS, FOXP3, GATA4, GATA6, GCK, GLIS3, HNF1B, IER3IP1, PDX1, PTF1A, NEUROD1, NEUROG3, NKX2-2, RFX6, SLC2A2, SLC19A2, STAT3, WFS1, ZFP57 using targeted next-generation sequencing (NGS) panel. INSR gene mutation was tested in one patient who showed clinical features of insulin resistance. RESULTS Twenty-nine patients from twenty-six families were diagnosed with PNDM. Pathogenic variants were identified in 17/29 patients (59%). EIF2AK3, INS, and KATP channel mutations were the commonest causes with frequency of 17%, 17%, and 14%, respectively. Patients with ABBC8 and KCNJ11 mutations were successfully shifted to sulfonylureas (SU). Paired data of glycosylated haemoglobin before and after SU transfer showed improved glycaemic control; 9.6% versus 7.1%, P = 0.041. CONCLUSIONS PNDM is a heterogenous disease with variable genotypes and clinical phenotypes among Egyptian patients. EIF2AK3, INS, ABCC8, and KCNJ11 mutations were the commonest causes of PNDM in the study cohort. All patients with KATP channel mutations were effectively treated with glyburide, reflecting the fact that genetic testing for patients with NDM is not only important for diagnosis but also for treatment plan and prognosis.
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Affiliation(s)
- Wafaa Laimon
- Pediatric Endocrinology and Diabetes Unit, Department of Pediatrics, Mansoura Faculty of Medicine, Mansoura University, Mansoura University Children's Hospital, Gomhoria Street, Mansoura, Dakhlia, 35516, Egypt.
| | - Magdy El-Ziny
- Pediatric Endocrinology and Diabetes Unit, Department of Pediatrics, Mansoura Faculty of Medicine, Mansoura University, Mansoura University Children's Hospital, Gomhoria Street, Mansoura, Dakhlia, 35516, Egypt
| | - Amany El-Hawary
- Pediatric Endocrinology and Diabetes Unit, Department of Pediatrics, Mansoura Faculty of Medicine, Mansoura University, Mansoura University Children's Hospital, Gomhoria Street, Mansoura, Dakhlia, 35516, Egypt
| | - Ashraf Elsharkawy
- Pediatric Endocrinology and Diabetes Unit, Department of Pediatrics, Mansoura Faculty of Medicine, Mansoura University, Mansoura University Children's Hospital, Gomhoria Street, Mansoura, Dakhlia, 35516, Egypt
| | - Nanees Abdel-Badie Salem
- Pediatric Endocrinology and Diabetes Unit, Department of Pediatrics, Mansoura Faculty of Medicine, Mansoura University, Mansoura University Children's Hospital, Gomhoria Street, Mansoura, Dakhlia, 35516, Egypt
| | - Hadil Mohamed Aboelenin
- Pediatric Endocrinology and Diabetes Unit, Department of Pediatrics, Mansoura Faculty of Medicine, Mansoura University, Mansoura University Children's Hospital, Gomhoria Street, Mansoura, Dakhlia, 35516, Egypt
| | - Mohammad Hosny Awad
- Pediatric Endocrinology and Diabetes Unit, Department of Pediatrics, Mansoura Faculty of Medicine, Mansoura University, Mansoura University Children's Hospital, Gomhoria Street, Mansoura, Dakhlia, 35516, Egypt
| | - Sarah E Flanagan
- Institute of Biomedical and Clinical Science, University of Exeter, Exeter, UK
| | - Elisa De Franco
- Institute of Biomedical and Clinical Science, University of Exeter, Exeter, UK
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5
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Laimon W, Aboelenin HM, El Tantawi NT. Clinical characteristics, outcome, and predictors of neurological sequelae of persistent congenital hyperinsulinism: A single tertiary center experience. Pediatr Diabetes 2021; 22:388-399. [PMID: 33528087 DOI: 10.1111/pedi.13186] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [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: 08/04/2020] [Revised: 11/09/2020] [Accepted: 12/29/2020] [Indexed: 11/29/2022] Open
Abstract
AIM Congenital hyperinsulinism (CHI) is a heterogeneous disease with variable genetic etiology, histopathology, and clinical phenotype. This study aims to describe the clinical characteristics of persistent CHI and evaluate long-term neurological outcome and its risk factors in a cohort of Egyptian children. METHODS Clinical, genetic, and biochemical data of 42 patients with CHI were collected. Patients were invited for neurological assessment, electroencephalogram, and magnetic resonance imaging of the brain. RESULTS ABCC8 mutation was found in (61%) of cases who underwent genetic testing (17/28). Five cases with homozygous biparental ABCC8 mutation responded to combined diazoxide and octreotide without needing surgery. Seven out of twenty-one patients who had pancreatectomy (33%) developed diabetes after a median period of 4.8 (range:1-10) years following surgery. Fifty-five percent of our patients had neurodevelopmental impairment at follow-up. Logistic regression analysis has shown that delayed referral to tertiary centre for more than 8 days, delayed diagnosis of CHI for more than 14 days and hospital admission for more than 30 days, are significant predictors of unfavorable neurological sequelae in CHI; (OR = 12.7 [2.56], p = 0.001), (OR = 12.7 [2.9-56], p = 0.001), and (OR = 3.8 [0.14.5], p = 0.043), respectively. CONCLUSIONS ABCC8 mutation was the commonest genetic mutation underlying CHI in this study group. CHI cases with biparental homozygous ABCC8 mutation may show response to combined octreotide and diazoxide therapy. More than half of our patients had neurodevelopmental impairment at follow-up. Delayed referral to expert centre, delayed diagnosis and longer hospital stay are significant predictors of neurological disability in CHI cases.
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Affiliation(s)
- Wafaa Laimon
- Pediatric Endocrinology and Diabetes Unit, Department of Pediatrics, Mansoura Faculty of Medicine, Mansoura University, Mansoura University Children's Hospital, Mansoura, Egypt
| | - Hadil Mohamed Aboelenin
- Pediatric Endocrinology and Diabetes Unit, Department of Pediatrics, Mansoura Faculty of Medicine, Mansoura University, Mansoura University Children's Hospital, Mansoura, Egypt
| | - Noha T El Tantawi
- Pediatric Neurology Unit, Department of Pediatrics, Mansoura Faculty of Medicine, Mansoura University, Mansoura University Children's Hospital, Mansoura, Egypt
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Abstract
OBJECTIVE Sound breastfeeding (BF) knowledge among health professionals is vital for proper institutional support of BF mothers. This study aims to measure both BF knowledge and self-efficacy (SE) of pediatric nurses in supporting BF and to determine their associated factors. STUDY DESIGN A cross-sectional study was conducted in Mansoura University Children's Hospital and Mansoura New General Hospital during the period from January to March 2017. A total of 186 nurses completed a predesigned self-administered questionnaire developed by the investigators to measure BF knowledge and SE in BF counseling. RESULTS The overall total means of BF knowledge and SE scores were 26.8 (6.4) and 3.8 (0.6), respectively. Linear regression showed that having bachelor education, working in neonatal department, having a child (aged 2-5 years) were significant independent predictors of BF knowledge score (R 2 = 0.448, p ≤ 0.001), while BF knowledge score is the only significant independent predictor of SE in BF counseling (R 2= 0.36, p ≤ 0.001). CONCLUSION Higher pregraduation education, working in neonatal department, having children aged 2 to 5 years are independent predictors of BF knowledge. Improving BF knowledge may improve nurses' SE in supporting BF.
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Affiliation(s)
- Nesrine Saad Farrag
- Division of Public Health, Department of Community Medicine, Faculty of Medicine, Mansoura University, Mansoura, Egypt
| | - Sherehan Adel Abdelsalam
- Division of Public Health, Department of Community Medicine, Faculty of Medicine, Mansoura University, Mansoura, Egypt
| | - Wafaa Laimon
- Department of Pediatrics, Faculty of Medicine, Mansoura University, Mansoura, Egypt
| | - Abdel-Hady El-Gilany
- Division of Public Health, Department of Community Medicine, Faculty of Medicine, Mansoura University, Mansoura, Egypt
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Hammad A, Yahia S, Laimon W, Hamed SM, Shouma A, Shalaby NM, Abdel-Hady D, Ghanem R, El-Farahaty RM, El-Bassiony SR, Hammad EM. Angiotensin-converting enzyme insertion/deletion gene polymorphism in Egyptian children with systemic lupus erythematosus: a possible relation to proliferative nephritis. Lupus 2016; 26:762-767. [PMID: 27956582 DOI: 10.1177/0961203316682096] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Introduction Angiotensin-converting enzyme (ACE) is crucial in the pathogenesis of systemic lupus erythematosus through angiotensin II which regulates vascular tone and endothelial functions. Objectives To study the frequency of ACE insertion/deletion (I/D) gene polymorphism in Egyptian children with systemic lupus erythematosus and its possible relation to the renal pathology in cases with lupus nephritis. Subjects and methods The frequency of ACE gene insertion/deletion polymorphism genotypes was determined in 78 Egyptian children with systemic lupus erythematosus and compared to a matched group of 140 healthy controls using polymerase chain reaction. Results The DD genotype of the ACE gene was higher in systemic lupus erythematosus patients when compared to controls ( P<0.0001; odds ratio (OR) 2.4; 95% confidence interval (CI) 1.7-3.3) and the D allele was more frequent than the I allele in systemic lupus erythematosus patients in comparison to controls ( P < 0.0001; OR = 2.2; 95% CI = (1.6-3.1). In the lupus nephritis group, the DD genotype was significantly higher in those with proliferative lupus nephritis when compared to those with non-proliferative lupus nephritis ( P = 0.02; OR = 1.45; 95% CI = 1.4-1.6). Also, patients with proliferative lupus nephritis showed a higher frequency of the D allele ( P < 0.001; OR = 1.98; 95% CI = 1.3-2.9). Conclusion The D allele and DD genotype of the ACE gene appear to be a risk factor for the susceptibility of systemic lupus erythematosus and occurrence of proliferative nephritis in Egyptian children.
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Affiliation(s)
- A Hammad
- 1 Pediatric Nephrology Unit, Department of Pediatrics, Faculty of Medicine, Mansoura University, Egypt
| | - S Yahia
- 2 Pediatric Genetics Unit, Department of Pediatrics, Faculty of Medicine, Mansoura University, Egypt
| | - W Laimon
- 3 Pediatric Endocrinology Unit, Department of Pediatrics, Faculty of Medicine, Mansoura University, Egypt
| | - S M Hamed
- 4 Urology and Nephrology Center, Mansoura University, Egypt
| | - A Shouma
- 5 Department of Pediatrics, Faculty of Medicine, Mansoura University, Egypt
| | - N M Shalaby
- 3 Pediatric Endocrinology Unit, Department of Pediatrics, Faculty of Medicine, Mansoura University, Egypt
| | - D Abdel-Hady
- 2 Pediatric Genetics Unit, Department of Pediatrics, Faculty of Medicine, Mansoura University, Egypt
| | - R Ghanem
- 6 Faculty of Dental and Oral Medicine, Delta University for Science and Technology, Gamasa, Egypt
| | - R M El-Farahaty
- 7 Department of Clinical Pathology, Faculty of Medicine, Mansoura University, Egypt
| | - S R El-Bassiony
- 8 Department of Rheumatology and Rehabilitation, Faculty of Medicine, Mansoura University, Egypt
| | - E M Hammad
- 8 Department of Rheumatology and Rehabilitation, Faculty of Medicine, Mansoura University, Egypt
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Elmougy A, Sarhan A, Hammad A, El-Refaey A, Zedan M, Eid R, Laimon W, Elrahman AA, Elhussieni F, El-Sherbeny E, Bakr A. Erratum to: Lupus nephritis in Egyptian children: a 16-year experience. J Nephrol 2015; 28:131. [DOI: 10.1007/s40620-014-0170-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Bakr A, Laimon W, El-Ziny MA, Hammad A, El-Hawary AK, Elsharkawy AA, El-Refaey AM, Salem NA, El-Mougy A, Zedan MM, Aboelenin HM, Eid R, Sarhan A. The emergence of systemic lupus erythematosus in hypothyroid patients: two case reports and mini review. Lupus 2014; 23:825-8. [DOI: 10.1177/0961203314525866] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2013] [Accepted: 02/04/2014] [Indexed: 11/16/2022]
Abstract
Systemic lupus erythematosus (SLE) is a multi-systemic autoimmune disease that involves almost all the organs in the human body and is characterized by auto antibodies formation. Autoimmune thyroid diseases (AITD) are organ-specific diseases that are associated with a production of a variety of antibodies such as antinuclear antibodies, anti-double-stranded DNA, anti-Ro antibodies, anti-cardiolipin antibodies, and others. The diagnosis of AITD in patients with SLE is well known, but the reverse is rarely reported. We present two cases of adolescent girls in whom SLE evolved one year after being diagnosed with hypothyroidism.
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Affiliation(s)
- A Bakr
- Faculty of Medicine, Mansoura University Children Hospital, Mansoura, Egypt
| | - W Laimon
- Faculty of Medicine, Mansoura University Children Hospital, Mansoura, Egypt
| | - MA El-Ziny
- Faculty of Medicine, Mansoura University Children Hospital, Mansoura, Egypt
| | - A Hammad
- Faculty of Medicine, Mansoura University Children Hospital, Mansoura, Egypt
| | - AK El-Hawary
- Faculty of Medicine, Mansoura University Children Hospital, Mansoura, Egypt
| | - AA Elsharkawy
- Faculty of Medicine, Mansoura University Children Hospital, Mansoura, Egypt
| | - AM El-Refaey
- Faculty of Medicine, Mansoura University Children Hospital, Mansoura, Egypt
| | - NA Salem
- Faculty of Medicine, Mansoura University Children Hospital, Mansoura, Egypt
| | - A El-Mougy
- Faculty of Medicine, Mansoura University Children Hospital, Mansoura, Egypt
| | - MM Zedan
- Faculty of Medicine, Mansoura University Children Hospital, Mansoura, Egypt
| | - HM Aboelenin
- Faculty of Medicine, Mansoura University Children Hospital, Mansoura, Egypt
| | - R Eid
- Faculty of Medicine, Mansoura University Children Hospital, Mansoura, Egypt
| | - A Sarhan
- Faculty of Medicine, Mansoura University Children Hospital, Mansoura, Egypt
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