Biomedical subjects
Nadia Akhdari
Publications and source records attributed to Nadia Akhdari.
Cutaneous tuberculosis in Morocco.
OBJECTIVE: To describe the salient epidemiologic, clinical, histopathologic, and bacteriologic aspects of cutaneous tuberculosis in Morocco. METHODS: A retrospective review of all cases of cutaneous tuberculosis at our hospital from January 1981 through December 2004. RESULTS: Two-hundred and sixteen cases of cutaneous tuberculosis were identified and included. Men and women were equally affected. The mean patient age was 29 years. Major clinical types of cutaneous tuberculosis were scrofuloderma and gumma (72%), lupus vulgaris (12%), tuberculosis verrucosa cutis (7%), tuberculids (6%), orificial tuberculosis (1%), and tuberculous chancre (1%). Systemic involvement was seen in 35%. Where performed (66%), 81% of subjects had positive Mantoux skin tests. Lesion biopsy for histopathologic study was performed in 81% of patients and showed classical tuberculous findings in 57%. Mycobacterium tuberculosis was isolated in culture from 9% of patients. CONCLUSION: Cutaneous tuberculosis is still a common disease in Morocco, and scrofuloderma and gumma are the most common clinical presentations.
[Urachal sinus. Report of 3 cases].
Urachal sinus is a congenital anomaly secondary to insufficiently high obliteration of the urachus. It can present clinically at any age with purulent umbilical discharge. A combination of ultrasound and fistulography is essential to confirm the diagnosis. There is a risk of adenocarcinomatous degeneration. Treatment consists of resection of the sinus and its implantation base on the bladder. Excision of the umbilicus is not mandatory in children. The authors report a retrospective analysis of 3 cases of urachal sinus in 3 girls with a mean age of 12 years, presenting a 3-month history of purulent umbilical discharge before admission. An umbilical nodule was detected in 2 patients and an infraumbilical spindle-shaped mass was observed in the third patient. Ultrasound showed an infraumbilical echogenic mass and fistulography, performed in 2 patients, showed a blind cavity directed inferiorly, confirming.the urachal sinus. Treatment consisted of complete resection of the sinus in one patient and complete resection of the sinus and its implantation base on the bladder in the other 2 patients. An associated teratoma of the right ovary was found in one patient. The postoperative course was uneventful. Umbilicoplasty, performed in 2 patients with resection of the umbilicus, was satisfactory. No recurrence was observed with a mean follow-up of 12 months. Histological examination did not reveal any signs of malignancy. Purulent umbilical discharge may indicate the presence or urachal sinus, which can be confirmed by a combination of ultrasound and fistulography. Treatment consists of resection of the sinus and its implantation base on the bladder. The objective of this study was to define the diagnostic and therapeutic features of urachal sinus.
Erythematous lesions on the scalp. Sarcoidosis.
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Annular lichen planus involving the esophagus: a rare diagnosis.
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