Publications by authors named "El Euch Mounira"
Introduction: Sarcoidosis is a systemic granulomatosis that can be associated with large-scale physical and mental disability, affecting the health related quality-of-life (HRQoL) of patients.
Aim: To evaluate the HRQoL of tunisian patients with sarcoidosis and to identify the factors that influence it.
Methods: We conducted an analytical, cross-sectional study collecting 31 patients with sarcoidosis according to the ATS/ERS/WASOG criteria.
Background: Takayasu arteritis is a rare and chronic granulomatous vasculitis that affects the large vessels. Takayasu arteritis targets the aorta and its branches and is still of unknown etiology. It often affects female patients under 50 years of age.
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- Fulminant lupus pneumonitis is a rare but serious complication of systemic lupus erythematosus (SLE).
- A 75-year-old male patient with SLE developed pneumonia and severe respiratory failure, leading to the need for mechanical ventilation.
- Despite treatment with methylprednisolone and intravenous immunoglobulin, the patient's refractory respiratory distress did not improve.
Since the emergence of the COVID-19 pandemic at the end of 2019, a massive vaccination campaign has been undertaken rapidly and worldwide. Like other vaccines, the COVID-19 vaccine is not devoid of side effects. Typically, the adverse side effects of vaccination include transient headache, fever, and myalgia.
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- * The patient experienced symptoms like difficulty breathing and swallowing, with laryngoscopic findings of abnormal growths in the throat, which led to further testing.
- * Diagnosis was confirmed based on local prevalence and exclusion of other granulomatous diseases, and treatment with anti-tuberculosis medication and steroids led to significant improvement in his symptoms within 40 days.
Acute pancreatitis may be the first manifestation in systemic lupus erythematosus or occur during evolution. It is a rare complication, which is often associated with other visceral manifestations. Outcome is usually favorable but can be serious.
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- Sjögren's syndrome (SS) can lead to kidney issues, commonly resulting in conditions like renal tubular acidosis and nephrogenic diabetes insipidus.
- Although it's unusual, there are instances where SS presents with symptoms similar to Bartter's syndrome or Gitelman's syndrome.
- The case discussed involves a female patient diagnosed with acquired Bartter syndrome alongside primary Sjögren's syndrome.
The chordoma is a benign cartilaginous tumor whose sphenoidale localization is exceptional. This tumor has considerable difficulties of both diagnosis and treatment. We report the observation of a Tunisian adult who presented features of hypopituitarism set wrongly on account of a prolactinoma.
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- * The patient exhibited PF along with oral sores and an unusual mass detected in his heart, which prompted further investigation and revealed significant vascular complications.
- * Prompt identification of BD is crucial in young adults, especially those from areas where the disease is common, particularly when experiencing severe cardiovascular symptoms linked to intra-cardiac thrombus (ICT).
Hemophagocyticlymphohistocytosis (HLH) is a proliferation of histiocytes with importanthemophagocytosisoccurring in different organs such as the spleen and the bone marrow. HLH is now increasingly diagnosed in the context of infections, malignancies and connective tissue diseases. Although brucellosis is an endemic infection in Tunisia, its association with HLH is a very rare condition which should be considered in patients with splenomegaly and cytopenia.
View Article and Find Full Text PDFSarcoidosis is a multivisceral granulomatosis of unknown aetiology which may have various clinical and radiological manifestations. Cerebral sarcoidosis, although rare, can appears as a misleading pseudotumor. We report the case of a young Tunisian adult hospitalized for intracranial hypertension associated with pseudotumoral lesion on radiology, which was revealed to be systemic sarcoidosis.
View Article and Find Full Text PDFCeliac disease (CD) is an autoimmune disease affecting multiple organs. It often presents as gastrointestinal manifestations associated with malabsorption. However, serosa involvement uncommonly reveals this enteropathy, making the diagnosis difficult.
View Article and Find Full Text PDFBackground: Lung damage during amyopathic dermatomyositis (ADM) associated with auto antibodies anti MDA-5 is serious. We report a rare observation of a severe ADM associated to anti MDA-5 antibodies complicated with diffuse interstitial lung disease (ILD) rapidly extensive and fatal.
Observation: We report the observation of a Tunisian adult who was admitted for ADM.
BACKGROUND Type 1 autoimmune pancreatitis (AIP), also known as lymphoplasmacytic sclerosing pancreatitis (LPSP), is a rare cause of chronic pancreatitis, characterized by a fibro-inflammatory process. However, patients with AIP may have a good response to corticosteroid therapy. We describe a Tunisian patient with AIP that was confirmed to be an IgG4-related disease (IgG4-RD).
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