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T J Youmbissi

Publications and source records attributed to T J Youmbissi.

17 recordsLinked to original sources
PubMed2002

Atypical presentation of Churg-Strauss syndrome: another "forme fruste" of the disease?

Vasculitis is a clinicopathologic process characterized by inflammation and damage to blood vessels. A broad and heterogenous group of syndromes may result from this process, because any type, size, and location of blood vessel may be involved. The cause of these conditions remains unclear, but an autoimmune inflammatory process, characterized by involvement of both neutrophils and endothelial cells, seems to play an important role. In 1951, Churg and Strauss described a clinical syndrome of severe asthma, hypereosinophilia with eosinophilic infiltrates, eosinophilic vasculitis, and granulomata in various organs. Asthma may precede this vasculitis by many years. We report a case of anti-neutrophil cytoplasmic antibody-positive, pauci-immune, crescentic, necrotizing glomerulonephritis with peripheral and interstitial eosinophilia but without asthma. This is very unusual in Churg-Strauss syndrome.

Adult↗
PubMed1999

[Extramembranous glomerulonephritis: clinicopathologic finding in a group of 45 Cameroonians].

Forty five Cameroonian patients in West Africa who were diagnosed as having membranous glomerulonephritis (MGN) were studied and followed up over a five year period. The mean age of these patients was 32.3 years with a female to male ratio of 5/4. Proteinuria (93.3%) and nephrotic syndrome (89%) were the two most important clinical manifestations at the time of diagnosis. Seventeen cases (37.8%) of the MGN were considered idiopathic while 62.2% were associated with known aetiological factors. Histologically, the majority of patients were at stage I (35.55%) or stage II (37.8%) of the World Health Organisation (WHO) classification. Except of the patients in stage I, most patients in stage II and all those in stages III and IV, showed associated important, tubular interstitial and vascular lesions. Immunofluorescence studies showed deposits to be mainly IgG (80%) and C3 (71.1%) while electron microscopy showed varied dense deposits in all cases. Seventeen patients with idiopathic MGN and 10 MGN patients whose only associates aetiological factor was a positive hepatis B antigen were followed up over 5 years. During this period, eight patients (29.6%) had a complete clinical remission, eleven patients (40.7%) improved their renal function and decreased their 24 hour proteinuria, while eight (29.6%) patients deteriorated into end stage renal failure and had to be commenced on dialysis; three of them died during this procedure.

Adult↗
PubMed1991

[The level of plasma renin and plasma aldosterone activity in normotensive women and in pregnancy-induced arterial hypertension in a group of women from Cameroon].

Plasma renin and aldosterone activity levels were measured in a group of women from the Cameroons at various stages of pregnancy with results that were similar to the classical results already reported elsewhere. In another group of Cameroons women at term presenting with hypertension of pregnancy, the plasma renin and aldosterone activity values were the same as those found in normotensive, non-pregnant controls. However, these values were higher than those recorded in similar studies performed in Black African women.

Adult↗
PubMed1990

Plasma renin activity studies in a group of African neonates and children.

Plasma Renin Activity (PRA) was determined in a group of 50 Cameroonian newborns and 50 Cameroonian children aged 1-15 years under resting conditions in order to establish baseline values, and also to investigate the relationship between PRA distribution, and blood pressure levels, age, or body weight. Mean PRA values were 0.98 +/- 0.78 ng/ml/h at birth and 1.17 +/- 0.92 ng/ml/h in older children. These values did not correlate with birth weight, age, or blood pressure levels. These results are lower than figures reported in comparable groups of American white and black children, and also in European or Asian children.

Adolescent↗
PubMed1990

[Renal puncture biopsy in nephrotic syndrome in Cameroonian children, adolescent and adults: histopathologic profile according to age].

Eighty-six renal biopsies were under-taken in the Nephrology Service of the Yaounde Central Hospital (Cameroon, Central Africa) during a 4 year period (1st January 1986 to 31st of December 1989). Fifty of them (58%) were done in case of nephrotic syndrome associated or not with hypertension, renal failure. Only 42 of these 50 biopsies were valid and concerned 9 patients aged 8 to 15 years, 22 aged 16 to 30 years and 11 above 30 years. On the whole, 3 main lesions were noted: minimal changes (16 cases: 38.4%), membranous glomerulonephritis (13 cases: 31.2%) and proliferative glomerulonephritis (10 cases: 24%). From the analysis of lesions observed in each age group, it was found that the histopathologic profile of renal biopsies during nephrotic syndrome is practically identical in cameroonian children, young and adults with a relative predominance of minimal change and various glomerular lesions regardless of the age group.

Adolescent↗
PubMed1989

Blood pressure profiles of a group of African children in the first year of life.

Systolic blood pressure was measured at birth, every week till 6 months, then every month till 12 months in normal Cameroonian neonates in the two Yaounde teaching hospitals. Systolic arterial pressure in awake babies rose from a mean of 65.1 +/- 1.30 mmHg at birth to 80.59 +/- 2.16 mmHg at 6 weeks; 94.39 mmHg at 12 months. The majority of this rise (7 mmHg) took place during the first 2 weeks of life. Systolic blood pressure increased by an average 2.5 mmHg weekly in the first 6 weeks, 0.5 mmHg weekly from 6 weeks to 6 months, and 0.6 mmHg monthly from 6 to 12 months. Relationships between systolic blood pressure and various parameters, and systolic blood pressures trends are analysed. Systolic blood pressure was not influenced by birth weight, sex of children, or tribe of parents. There was a weak correlation between systolic blood pressure and body weight between 6 weeks and 6 months. Systolic blood pressure measurements taken at different ages were not correlated.

Black People↗
PubMedDate not supplied

Serological and epidemiological studies of hepatitis B and human immunodeficiency virus in a dialysis unit of Africa.

Hepatitis B infection is endemic in the tropics. Human immunodeficiency virus infection might also be endemic in parts of Africa. Blood transfusion is a major risk factor in the transmission of either virus. Patients with end stage chronic renal failure undergoing dialysis receive multiple blood transfusions. Three of twelve haemodialysed patients in a renal unit were found to carry the hepatitis B surface antigen. No patient on continuous ambulatory peritoneal dialysis, no patient with a Kidney transplant bore that antigen. Five out of twelve haemodialysed patients and only one out of seven patients on continuous ambulatory peritoneal dialysis were positive for the hepatitis B surface antibody. No transplanted patient bore this antibody. This status remained unchanged for a year. Only one patient who initially was H.I.V. negative converted to positivity a year after.

Cameroon↗
PubMedDate not supplied

Resistant hypertension in Yaounde.

Sixty six consecutive patients with resistant hypertension were studied over a period of 12 months. During that same period 565 patients were seen in all for hypertension given an average prevalence of 11.7% of resistant hypertension. Men were more frequently affected, however mean systolic and diastolic blood pressure levels were higher in women. Past history of poor compliance, overweight, renal impairment and cardiac abnormalities were important predictors of poor response to therapy. Resistance to therapy was not related to the class or the type of medication taken. Side effects were more numerous in the resistant group. Biochemically, apart from abnormal renal function tests, the other baseline tests were similar in both groups of resistant and non resistant hypertensives.

Adult↗