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Biomedical subjects

N Makni

Publications and source records attributed to N Makni.

3 recordsLinked to original sources

[Is it necessary to treat incisal protrusion in Tunisian children?].

It is thought that incisor protrusion could be ethnic-related because Tunisians, as Africans, might reflect the genetic influence of the incisal protrusion of their darker skinned neighbors. We first compiled local standards by determining the normal incisor positions of children of the Sfax region with balanced facial patterns. We selected 95 teenagers from 5 different high schools in Sfax (average age: 16 years 9 months), all having a normal dentition and a balanced facial pattern. This first study showed that upper and lower incisors were protruded 3 mm beyond American standards. Second, we studied incisor stability after four-first bicuspid extraction treatment. We selected 26 patients all having Class I molar relationships and upper and lower incisor protrusion. We compared x-ray incisor measurements of 3 radiographs: before treatment, after treatment and 2 or 3 years post-treatment. This study shows that incisor relapse ranges between 20 and 30%.

Adolescent↗

[Multiple keratoacanthoma centrifugum marginatum].

INTRODUCTION: Keratoacanthoma centrifugum marginatum is a rare variety of commonly isolated keratoacanthoma. The size of the lesions and prolonged evolution often raise therapeutic problems. CASE REPORT: A 63-year-old man presented with multiple keratoacanthoma centrifugum marginatum evolving for 6 months and predominating on the lower limbs. Because of the multiplicity and size of the lesions, the patient was treated at acitretine at the dose of 1 mg/kg/day for five months, leading to the regression of all the lesions. DISCUSSION: Keratoacanthoma centrifugum marginatum has rarely been reported in the literature. Our observation remains exceptional in the multiplicity and size of the lesions. The efficacy of retinoids, previously reported in the treatment of solitary giant keratoacanthoma, multiple keratoacanthoma and keratoacanthoma centrifugum marginatum, was demonstrated even in this handicapping form of keratoacanthoma.

Humans↗

[Clinico-epidemiologic forms of cutaneous leishmaniasis in Tunisia].

From an analysis of 1,546 cases of cutaneous leishmaniasis collected throughout Tunisia three clinico-epidemiological forms could be determined. These forms are due to three different species of Leishmania and are observed in different geographical areas. Sporadic cutaneous leishmaniasis (SCL), 63 cases. This form is found in Northern Tunisia, in known foci of Kala-azar. 96% of the patients have a single, small, ulcerated and crusty lesion on the face surrounded by an important zone of infiltration. Amastigotes are less than 4 microns in diameter, and it is very difficult to maintain the parasites in cultures. This form is probably due to Leishmania infantum, as has been demonstrated in Algeria in a similar form evolving in the same biotope as the Tunisian form. The vector and reservoirs of SCL are unknown. Zoonotic cutaneous leishmaniasis (ZCL), 1,412 cases. The disease is epidemic in Central and Southern Tunisia. The lesions are multiple; they affect the limbs more frequently than the face and heal in less than 8 months. They are polymorphous, usually large and superinfected. There is a seasonal occurrence of the outbreaks (summer and autumn). Amastigotes are large (4 to 6.5 microns in diameter) and the parasites easily grow in cultures. This form is caused by Leishmania major, and its vector is Phlebotomus papatasi. Three species of rodents harbour the parasite. Anthroponotic cutaneous leishmaniasis (ACL), 71 cases. This form is endemic in South-Eastern Tunisia. 70% of the patients present with single lesions, one half of which affect the face. Dry and proliferating lesions are the most frequent.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗