Publications by authors named "Ghanam Ayad"

Background: Varicella is a very common childhood infectious disease. It is generally benign, but it can lead to fatal complications. Our study aimed to describe the clinical and therapeutic profile of varicella based on consultations in the pediatric emergency department, to determine the incidence of hospitalized varicella cases in the pediatric department for complementary management, and to specify the incidence of varicella complications in hospitalized patients.

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  • - Ataxia-telangiectasia (A-T) is a rare inherited disease caused by a mutation in a gene on chromosome 11 that affects cell cycle regulation and protection.
  • - Major symptoms include unsteady movement (cerebellar ataxia), dilated blood vessels on the skin and eyes (telangiectasia), and a weakened immune system leading to frequent infections.
  • - Diagnosis is often delayed because symptoms appear later in life, and individuals with A-T are especially vulnerable to radiation exposure, increasing their risk of cancer.
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  • * The case involves a seven-year-old with recent T1D diagnosed one month prior, who presented with severe chest pain and an elevated troponin level, suggesting a heart problem.
  • * Treatment with acetylsalicylic acid, clopidogrel, and heparin led to a positive response and recovery for the patient, emphasizing the need for careful monitoring of T1D-related cardiovascular risks.
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The relationship between warts and hyper-immunoglobulin E (IgE) syndrome lies in the fact that patients with this syndrome may have recurrent or persistent skin warts because of their immune dysfunction. Therefore, it is important to consider this possibility when evaluating a patient with skin warts, especially if they are associated with other symptoms such as recurrent infections or pulmonary issues. Warts can thus be an important clinical sign indicating the presence of this syndrome.

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Shingles in children is rare, especially the ophthalmic form. The occurrence of shingles in children is exceptional but often benign, requiring only symptomatic treatment. Antivirals are exceptionally used for complicated forms, which are mainly seen in immunocompromised individuals or in ophthalmic locations that can lead to severe ocular complications.

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Total anomalous pulmonary venous return (TAPVR) represents a group of anomalies consisting of a lack of connection between the pulmonary veins and the left atrium. All oxygenated pulmonary venous return flows directly or indirectly into the right atrium. Survival is only possible with a right-to-left atrial shunt.

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Rhabdomyosarcoma is a malignant tumor in children that might mimic a benign tumor, such as infantile hemangioma, particularly when detected early. Although rhabdomyosarcoma rarely occurs in the hand, its prognosis is generally poor, and successful treatment relies on a complete and radical surgical excision. We present a case of rhabdomyosarcoma located in the palm of an infant's hand, initially presenting clinical and radiological features suggestive of a vascular tumor.

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Benign intracranial hypertension (BIH) in children is recognized as elevated intracranial pressure without hydrocephalus or intracranial mass. It manifests differently in adults, with no apparent predilection for sex or weight. Headache, papilledema, and possibly sixth nerve palsy with visual field defects are the typical symptoms of this syndrome.

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We report the case of a 5-year-old boy diagnosed with congenital adrenal hyperplasia due to 11-hydroxylase deficiency, revealed by disorders of sex development (DSD) and acute pulmonary edema due to severe hypertension. We considered the diagnosis based on biological and radiological examinations. The sociocultural background and the delayed diagnosis had a significant impact on the therapeutic decisions.

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Introduction: Triple-A syndrome (Triple-A) is an autosomal recessive disorder characterized by alacrimia, achalasia, and adrenal insufficiency. Several variants on the gene have been described, and some variants are clustered in particular geographical areas, such as the c.1331+1G>A variant which is very frequent in North Africa.

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  • The research focuses on chromosomal abnormalities as key contributors to birth defects and miscarriages, specifically examining cases in Eastern Morocco for the first time.
  • Out of 195 patients studied, 16.4% were found to have chromosomal abnormalities, with common issues being Turner syndrome and Down syndrome, along with structural changes like translocations.
  • A unique case of a de novo partial trisomy 13q with a 1-Mb deletion was identified in an 11-day-old girl, highlighting the variability in phenotypes associated with such chromosomal changes.
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Introduction: In multisystem inflammatory syndrome (MIS-C), children typically present high-grade fever, gastrointestinal symptoms, Kawasaki-like symptoms, and even a toxic shock-like syndrome days to weeks after recovering from SARS-CoV-2 infection. It is important to raise awareness of this condition in order to have early diagnosis and immediate treatment of patients. We have, herein, reported 44 cases of MIS-C with various risk factors and symptoms.

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Salmonella meningitis is a rare but severe form of bacterial meningitis. It is most frequently diagnosed in infants under one year of age, especially those under the age of three months, from emerging and underdeveloped countries and with a tropical climate. Salmonella meningitis has been associated with a high mortality rate, as well as a high risk of relapse and significant neurological complications such as cerebral palsy, visual and hearing impairments, and mental retardation.

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  • - Kawasaki disease (KD) is a type of vasculitis primarily affecting medium-sized blood vessels, particularly the coronary arteries, and its cause remains unknown.
  • - A case study of a nearly 3-year-old girl highlights her symptoms, including a febrile rash, conjunctivitis, cheilitis, and a strawberry tongue, along with a notable platelet count drop (thrombocytopenia).
  • - After treatment with intravenous immunoglobulins and aspirin, the patient showed significant improvement and full recovery of her platelet levels.
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Moebius syndrome (MS) is rare. It is defined by congenital bilateral paralysis of the sixth and seventh cranial nerves, resulting in an absence of mimicry and strabismus responsible for major relational disorders. Other cranial nerves can also be affected (third, fourth, fifth, ninth, tenth, and twelfth cranial pairs).

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  • - Acute lymphoblastic leukemia (ALL) is the most common cancer in children, making up 25-30% of all childhood cancers.
  • - While treatment has improved thanks to chemotherapy, some patients still face serious side effects, particularly from L-Asparaginase, a key drug in treating ALL.
  • - There has been a notable rise in cases of acute pancreatitis in children with ALL after receiving L-Asparaginase, illustrating the need for awareness of its potential risks.
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Griscelli syndrome (GS) is a rare genetic disorder that encompasses three different subtypes (GS type 1 (GS1), GS type 2 (GS2), and GS type 3 (GS3)), in which isolated neurological manifestations without immune system implications are typically seen in GS1, while neurological involvements in GS2 should be attributed to the macrophage and lymphocyte invasion of the central nervous system (CNS), under associated hemophagocytic lymphohistiocytosis (HLH). The presence of the clinical, biological, and hematologic features of HLH help explain the neurological defects that GS2 patients unusually present. In our case report, however, we attempt to highlight an uncommon presentation of GS2 involving a hemiparesis, along which we did not have any clinical or biological features of HLH.

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Malignant rhabdoid tumor of the kidney (MRTK) is a rare aggressive malignant rhabdoid tumor that mainly affects children. At the onset of the disease, the usual clinical manifestations are gross hematuria, abdominal pain, and abdominal distension. The prognosis remains poor.

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Bean syndrome (BS) or blue rubber bleb nevus syndrome is a rare clinical entity characterized by venous malformations mainly in the skin and digestive tract, whose hemorrhagic complications can be life threatening. We report a case of Bean syndrome in a 3-year-old child of nonconsanguineous parents, in whom the diagnosis of miliary hemangiomatosis was initially made in view of a huge mass on the left thigh, taking the knee, and then the progressive appearance of a skin disorder with bluish swellings of variable sizes spread over the whole body. The patient was put on beta-blockers but without improvement.

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Background: β-thalassemia syndromes are the most common hereditary blood disorders in the world and are recognized as a major health problem in Morocco. They are characterized by the reduction or the absence of β-globin chain synthesis. The severity of the disease depends on the nature of the variants affecting the β-globin gene (HBB), and each ethnic group has its own mutation spectrum.

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  • * No previous cases have been reported of cannonball pulmonary appearances leading to a Hodgkin's lymphoma diagnosis, highlighting the uniqueness of this situation.
  • * This case report discusses a 14-year-old girl with difficulty breathing who was found to have cannonball pulmonary nodes on her chest x-ray, ultimately diagnosed with Hodgkin's lymphoma after an axillary lymph node biopsy.
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Kawasaki disease (KD) is a vasculitis mostly seen in children aged less than 5 years. It can involve different organs and tissues. Its diagnosis is based on the clinical criteria of the American Heart Association (AHA).

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