Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 5 de 5
Filter
Add more filters










Database
Publication year range
1.
Tunis Med ; 89(8-9): 709-11, 2011.
Article in English | MEDLINE | ID: mdl-21948687

ABSTRACT

AIM: To report the presence af ANCA with an unusual polyreactivity. CASE REPORT: 50 year-old woman with pulmonary fibrosis whose immunological investigations showed the presence of ANCA with an unusual polyreactivity against several neutrophil proteins (PR3,MPO, BPI, lysozyme, elastase and cathepsine G) which could be related to a polyclonal hypergammaglobulinemia occurring in this patient. CONCLUSION: The international consensus on the testing of ANCA recommends seeking major specificities like MPO and PR3 which are good markers of ANCA-associated vasculitides. The use of multiantigenic ELISA can be helpful to detect various target antigens at the same time and may thus explain some atypical fluorescent patterns observed when searching for ANCA by Indirect immunofluorescence, these results, however, must be interpreted with caution.


Subject(s)
Antibodies, Antineutrophil Cytoplasmic/blood , Antimicrobial Cationic Peptides/immunology , Blood Proteins/immunology , Cathepsin G/immunology , Enzyme-Linked Immunosorbent Assay , Female , Humans , Muramidase/immunology , Pancreatic Elastase/immunology , Peroxidase/immunology , Serine Proteases/immunology
2.
Tunis Med ; 88(2): 92-6, 2010 Feb.
Article in French | MEDLINE | ID: mdl-20415166

ABSTRACT

BACKGROUND: Obstructive sleep apnea (OSA) syndrome is frequent, and misdiagnosed. THE AIM: Of this study is to assess the prevalence of OSA syndrome in a Tunisian population of obese (body mass index > or = 30 Kg/m2) and to determine its predictive factors. METHODS: It's a transversal study. One hundred patients (63 females, 37 males) were inculded. All patients underwent nocturnal polysomnography or respiratory polygraphy. RESULTS: Sixty-five patients had an OSA syndrome: mild (24.6%), moderate (30.7%) and severe (44.6%). We compared, by a statistical analysis, the group with OSA syndrome and the group without OSA syndrome. There was a predominance of men (81% of men vs 55.5 of women had OSA). Age was higher in the group with OSA syndrome (56.8 years +/- 10 vs 48.1 +/- 12, P = 0.04). Clinical symptoms such as snoring, daytime sleepiness, nocturnal awakening and respiratory pauses were more frequent in the group with OSA syndrome. Morphological abnormalities such as retrognathy and/or short neck were significantly more frequent in the group with OSA syndrome (p = 0.05 and 0.02 respectively). Cardiopathies and diabetes were more frequent in obese with OSA syndrome. CONCLUSION: In obese persons, male gender, comorbidities and /or clinical symptoms such as snoring, daytime sleepiness, nocturnal awakening and respiratory pauses, retrognathy and/or short neck are predictive of OSA syndrome. So, we propose a nocturnal recording in obese presenting at least one of these predictive factors.


Subject(s)
Obesity/complications , Sleep Apnea, Obstructive/complications , Age Factors , Cross-Sectional Studies , Female , Humans , Male , Middle Aged , Severity of Illness Index , Sex Factors , Smoking/epidemiology
4.
Tunis Med ; 85(1): 71-3, 2007 Jan.
Article in French | MEDLINE | ID: mdl-17424716

ABSTRACT

BACKGROUND: Broncho-oesophageal fistula is rare and occurs mostly in acquired condition. AIM: Report of a new case. CASE: We report a case of a 58-years-old woman which has, since 38 years ago, a chronic cough, recurrent bronchopulmonary suppurations and hemoptysis. Clinical examination let to the diagnosis of a broncho-oesophageal fistula. Surgical treatment resulted in complete recovery. There was no evidence of any aetiology. Congenital origin of the fistula was deduced.


Subject(s)
Bronchial Fistula/congenital , Esophageal Fistula/congenital , Bronchial Fistula/complications , Bronchial Fistula/diagnosis , Bronchial Fistula/diagnostic imaging , Bronchial Fistula/surgery , Esophageal Fistula/complications , Esophageal Fistula/diagnosis , Esophageal Fistula/diagnostic imaging , Esophageal Fistula/surgery , Female , Humans , Middle Aged , Tomography, X-Ray Computed , Treatment Outcome
5.
Presse Med ; 35(9 Pt 1): 1267-9, 2006 Sep.
Article in French | MEDLINE | ID: mdl-16969317

ABSTRACT

INTRODUCTION: Hydatid cyst of the breast is rare even in areas of endemic echinococcosis. It accounts for 0.3% of all localizations and 2% of the uncommon sites. It can be isolated or associated with other localizations. CASE: We report the case of a hydatid breast cyst, associated with a pulmonary hydatid cyst, fortunately diagnosed by mammography and ultrasonography. Both cysts were removed. DISCUSSION: Hydatid breast cysts must be considered in any cystic breast mass, particularly in endemic countries.


Subject(s)
Breast Diseases/parasitology , Echinococcosis/diagnosis , Adult , Animals , Breast Diseases/surgery , Echinococcosis/surgery , Echinococcosis, Pulmonary/diagnosis , Echinococcosis, Pulmonary/surgery , Female , Humans
SELECTION OF CITATIONS
SEARCH DETAIL
...