Adult Langerhans' cell histiocytosis with multisystem bone and lung involvement: About a case.

Introduction: Langerhans cell histiocytosis (LCH) is a rare systemic disease characterized by the abnormal overproduction of histiocytes that tend to infiltrate single or multiple organ systems leading to significant tissue damage. Although LCH can involve various organs including bone, skin, and lymph nodes, multisystem involvement of LCH is rare in adults.

Case Presentation: We report the case of a 31-year-old man with LCH involving his lungs and bone.

Impact of cardiorespiratory rehabilitation program on submaximal exercise capacity of Tunisian male patients with post-COVID19: A pilot study.

Post-COVID19 patients suffer from persistent respiratory, cardiovascular, neurological, and musculoskeletal health complaints such as dyspnea, chest pain/discomfort, and fatigue. In Tunisia, the potential benefits of a cardiorespiratory rehabilitation program (CRRP) after COVID19 remain unclear. The main aim of this study was to evaluate the impact of a CRRP on submaximal exercise capacity, evaluated through the 6-min walk test (6MWT) data in post-COVID19 Tunisian patients.

Prognostic value of Quality of life (QoL) assessment among Tunisian lung cancer patients.

Objectif: Etudier la valeur pronostique de l'évaluation de la qualité de vie (QDV) pour la survie chez les patients Tunisiens atteints du CDP. Méthodes: Une étude prospective de cohorte a été réalisée entre Janvier 2018 et Juin 2019. Le Performance status (PS), QoL questionnairecore30 (QLQ-C30), QoL questionnaire-Lung Cancer 13 (QLQ-LC13) et European QoL-5 dimensions-3level version questionnaire (EQ-5D-3L) ont été utilisés pour l'évaluation de la QDV.

Adherence of North-African Pulmonologists to the 2017-Global Initiative for Chronic Obstructive Lung Disease (GOLD) Pharmacological Treatment Guidelines (PTGs) of Stable Chronic Obstructive Pulmonary Disease (COPD).

Background: No previous study has investigated the adherence rate of North-African pulmonologists to the 2017-GOLD PTGs.

Aims: To investigate the adherence rate of Tunisian pulmonologists to the 2017-GOLD PTGs and to identify the barriers to their adherence.

Methods: This was a cohort study involving clinically stable COPD patients who presented to a pulmonology outpatient consultation.

Seasonality of Pulmonary Tuberculosis in Sousse (Tunisia).

Introduction: Seasonal variation of Pulmonary tuberculosis (TB) has attracted the attention in several regions of the world.

Aim: To explore the relationship between variations of mean meteorological parameters (temperature, atmospheric pressure, relative humidity and duration of sunshine) and the occurrence of cases of pulmonary TB.

Methods: This is a retrospective descriptive study of two-time series (meteorological data, case of pulmonary TB) from 1th January 2010 to 31th December 2014.

A rare cause of cough: Agenesis of the right pulmonary artery.

Unilateral pulmonary artery agenesis is a rare malformation. It can lead to several complications.The diagnosis is usually set at adolescence, however it can remain asymptomatic and late diagnosis is possible.

Lung Adenocarcinoma with Gingival Metastasis.

Unlabelled: Gingival metastasis of lung cancer is uncommon. We report the case of an 82-year-old male smoker admitted to the pulmonology department with right pleural effusion. A chest computed tomography (CT) scan showed an invasive right hilar tumour, adherent to the superior vena cava, pulmonary artery, main right bronchus, mediastinal pleura and pericardium with lymphangitic carcinomatosis of the right lung.

The Effects of Ramadan-Fasting (RF) on Inflammatory and Hematological Indices of Stable Chronic Obstructive Pulmonary Disease (COPD) Male Patients: A Pilot Study.

No previous study has evaluated the effects of RF on inflammatory and hematological indices of COPD patients. The main objective of the present pilot study was to assess the effects of RF on some inflammatory and hematological indices measured in male patients with stable COPD. Fifteen COPD patients (mean ± SD of age: 71 ± 6 years) who fasted during Ramadan 2017 volunteered for the study.

Adherence to treatment with continuous positive airway pressure in the obstructive sleep apnea syndrome.

Introduction: Continuous positive airway pressure (CPAP) is the most effective treatment for obstructive sleep apnea (OSA). Adequate compliance with the use of CPAP is cardinal to achieve cardiovascular, metabolic and neuropsychological benefits of treatment.

Aim: Assess the factors affecting compliance to the CPAP treatment and analyze the long term acceptance.

[Common variable immunodeficiency: a 7 cases reported].

Background: Common variable immunodeficiency (CVID) is an immune defect characterized by primary hypogammaglobulinemia. The most clinical manifestations are recurrent infection of respiratory tract.

Aim: We reported seven cases of DICV which showed

Methods: We reported seven cases of CVID between 1994 and 2004, included six women and one man.

[Latex allergy in a hospital environment: results of a study in Sousse (Tunisia)].

Immediate allergy to natural latex has been on the icrease for the last decade in exposed persons and particularly the health personnel. Its prevalence is variable from one study to another. To evaluate the prevalence of later allergy in our nursing staff, we carried out an inguiry in two hospitals in Sousse.

[Right atrium angiosarcoma disclosed by alveolar hemorrhage].

Unlabelled: Cardiac angiosarcoma represents a primary cardiac malignancy tumor whose early diagnosis is difficult because of its non specific clinical presentation. We present the case of a 57 years old patient with medium abundance hemoptysis. The chest X ray film and CT scan showed bilateral pulmonary infiltrate without cardiac anomaly.

[The quality of life in a Tunisian population of asthmatic patients].

Asthma is a chronic disease which disturb patient's quality of life (QL). The aim of our study is to evaluate the QL of 110 asthmatics patients aged from 18 to 70 years and the relationship between the QL and the severity of their asthma. We have used the "Chronic Respiratory Disease Questionnaire" translated in our arabic language and adapted to our tunisian environment.