检索结果-南通市图书馆

Outcome of Unclassified Inflammatory Rheumatism: Observation of 7 Cases in Dakar

Open Journal of Internal Medicine 2022年第1期12卷 22-28页

作者： awa Cheikh ndao Faye Atoumane Diagne Nafissatou fall Biram Codou Dia Diatou Gueye Dia Amadou Diop Diop Mohamed Sow Maïmouna Kane Baïdy Sy Boundia Djiba Pouye Abdoulaye Cheikh Anta Diop University Dakar Senegal Gaston Berger Saint-Louis University Dakar Senegal Department of Internal Medicine in Aristide Le Dantec Hospital Dakar Senegal

Introduction: Unclassified inflammatory rheumatism is persistent inflammatory arthralgias with or without synovitis without sufficient classification criteria for an inflammatory rheumatism or a well-defined connective disease. Their outcome is variable and has been little studied in Africa. We report the epidemiological, paraclinical and evolutionary characteristics of seven cases of indeterminate polyarthritis. Material and Method: From January 2012 to May 2021, we selected all the files of patients followed up for unclassified inflammatory rheumatism and in whom a precise diagnosis was retained during the course of the disease. The diagnosis of unclassified inflammatory rheumatism was retained after biological, immunological and radiological explorations without specificities. Our study took place in the Internal Medicine Department of Aristide Le Dantec Hospital (HALD). Results: Seven cases out of 274 consulted were collected. They consisted of seven women with an average age of 39 years at the time of the first consultation (extremes: 19 and 67 years). All seven patients presented with inflammatory polyarthralgia or non-deforming, non-erosive peripheral polyarthritis, without extra-articular manifestations. A biological inflammatory syndrome was present in all seven patients. Autoantibodies (rheumatoid factor, ANA, anti-ENA and ACPA) were negative in all patients. The first-line treatments in all seven cases were hydroxychloroquine (200 - 400 mg/day) and prednisone (5 - 10 mg/day). Methotrexate was added in 3 cases. During follow-up, 2 cases progressed to Polyarthritis Rheumatoid (PR) after 3 and 4 years. Two cases progressed to Sjögren’s syndrome after 4 and 5 years. Two patients progressed to systemic scleroderma after 5 and 8 years. One patient progressed to lupus after 5 years. Conclusion: Regular follow-up is essential in IAN. It allows the early diagnosis of IJR or a well-differentiated connective tissue disease and ensures adequate management, especially

关键词： Rheumatic Unclassified Rheumatoid Arthritis Connective Tissue Disease

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Kimura’s Disease: A Case Report and Literature Review

引用

Open Journal of Internal Medicine 2015年第2期5卷 11-14页

作者： Atoumane Faye Nafissatou Diagne Sakho awa Cheikh ndao Mbengue Fatou Samba D. Ndiaye Seynabou fall Boundia Djiba Baidy Sy Kane Souhaibou Ndongo Abdoulaye Pouye Medical Clinic 1 University Teaching Hospital Aristide Le Dantec/Cheikh Anta Diop University of Dakar Dakar Sénégal

Kimura’s disease, common pathology in the East, responsible of chronic neck swelling is rarely reported in sub-Saharan Africa. We reported a case which was observed in the internal medicine department of Aristide Le Dantec hospital in Dakar. This was a young 15-year-old, with no particular disease history, who had recurrent non-inflammatory swelling next to the left zygomatic bone associated with itching. Biology revealed an inflammatory syndrom, eosinophilia and increased serum IgE. The histological examination of the mass biopsy concluded to Kimura disease. The corticosteroid has reduced the size of the mass within a few weeks of treatment. Kimura’s disease is unknown in our regions. His painless character and chronic evolution delay the time of diagnosis. This case proves the reality of this disease, which must find a place in the diagnosis approach of cervical swelling.

关键词： Cervical Lymph Nodes Kimura’s Disease Sub-Saharan Africa

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Three Cases of Plasma Cell Leukemia

引用

Open Journal of Internal Medicine 2022年第3期12卷 137-144页

作者： Mouhamed Dieng Atoumane Faye Jules Dabi Gabnon Baïdy Sy Kane Maïmouna Sow Michel Assane Ndour Seynabou fall Nafi Diagne awa Cheikh ndao Demba Diedhiou Boundia Djiba Fatou Samba Ndiaye Maïmouna Ndour Mbaye Anna Sarr awa Oumar Touré Abdoulaye Pouye Division of Internal Medicine Aristide Le Dantec Hospital Dakar Senegal Division of Internal Medicine Abass Ndao Hospital Dakar Senegal Division of Clinical Hematology Dalal Jamm Hospital Dakar Senegal Division of Biological Hematology Aristide Le Dantec Hospital Dakar Senegal

Introduction: Plasma cell leukemia (PL) is a rare lymphoproliferative disorder characterized by the monoclonal proliferation of plasma cells in the marrow and blood peripheral. It is defined by a blood plasmacytosis greater than 2 G/l or a plasma cell level greater than 20% of leukocytes. It can be primitive or secondary to multiple myeloma (MM). We reported 3 cases of PL. Observations: Case 1: A 59 years old woman with fever, anemia with 7 g/dl, hyperleukocytosis 9200/mm3, thrombopenia 86 G/l inflammatory biological syndrome with CRP at 129 mg/l, hypercalcemia at 120 mg/l, renal failure with serum creatinine at 35 mg/l, urea at 0.85 g/l and 24-hour proteinuria at 0.98 g/24h. Β2 microglobulin at 10.34 mg/l. The blood smear shows dysmorphic plasma cells at 68% and the bone marrow at 79% of dysmorphic plasma cells. The immunophenotyping of blood cells, the electrophoretic serum protein, shows PL CD38+, secondary of a MM LAMBDA. Case 2: A 65-year-old man with type 2 diabetes presented, right femoral neck, anemia, hyperleukocytosis at 22 G/l, and thrombocytopenia at 99 G/l. There was no hypercalcemia, or kidney failure. The blood smear showed 28% of plasma cells and 9% of blasts. On the myelogram, the marrow was normal richness with significant medullary plasmacytosis (31%) made up of dysmorphic plasma cells. The CT scan showed a settling of the body of D5 with heterogeneous osteocondensation. The patient was transferred to hematology where she was treated with polychemotherapy. The evolution was unfavorable following a death due to malignant hypercalcemia. Case 3: A 62-year-old woman who had a 5-year follow-up of Ig G kappa multiple myeloma was treated with Melphalan, Prednisone, and thalidomide with a therapeutic break for 2 months. She came back to the Internal Medicine department with: severe global dehydration, anemia with externalized bleeding gingivorrhagia, pain in mechanical bones of the ribs, lower limbs, and pelvis, bilateral pneumonia. The biology

关键词： Plasma Cell Leukemia Multiple Myeloma

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Haemorrhage Secondary to Cerebral Aneurysm in a Senegalese Patient with Systemic Lupus Erythematosus:A Case Report

引用

Health 2019年第12期11卷 1625-1630页

作者： Baidy Sy Kane Maimouna Sow Boundia Djiba awa Cheikh ndao Mohamed Dieng Souhaibou Ndongo Abdoulaye Pouye Department of Internal Medicine Le Dantec Teaching HospitalCheikh Anta DIOP UniversityDakarSenegal

Introduction: Hemorrhage by ruptured cerebral aneurysm is a rare and severe complication of systemic lupus erythematosus (SLE). We reported a case of this complication. Observation: A 24-year-old woman black Senegalese patient was followed in our department since for a systemic lupus with cutaneous and articular involvement and class III and V Lupus nephritis. She was readmitted for acute headache and early postprandial vomiting. The examination showed a meningeal syndrome, a subacute lupus eruption in the trunk, panniculitis and fever. The cerebral computer tomography showed spontaneous haemorrhage from saccular aneurysm. She was managed by immediate aneurysm clipping and medical treatment including bolus of methylprednisolone and immunosuppressive therapy was maintained. The outcome was favourable, but there was neurological damage such as brachial weakness. Conclusion: Hemorrhage by ruptured cerebral aneurysm is a rare and severe complication of SLE. The risk of damage is also significant. Immediate neurosurgical management and aggressive medical treatment may improve the prognosis.

关键词： Systemic Lupus Erythematosus Central Nervous System Lupus Subarachnoid Hemorrhage Africa South of the Sahara

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Physico-chemical properties of 3-methoxy-2-nitrobenzoates of some rare earth elements(Ⅲ)

引用

Journal of Rare Earths 2012年第3期30卷 262-268页

作者： Wiesawa Ferenc Beata Cristóvao Jan Sarzyński Halina Guchowska Faculty of Chemistry Maria Curie-Skodowska University Institute of Physics Maria Curie-Skodowska University

The complexes of 3-methoxy-2-nitrobenzoates of Pr（Ⅲ）, Nd（Ⅲ）, Sm（Ⅲ）, Eu（Ⅲ）, Gd（Ⅲ）, Tb（Ⅲ）, Er（Ⅲ） and Tm（Ⅲ） with the formula： Ln（C8H6NO5）3·2H2O, where Ln=lanthanides（Ⅲ）, were synthesized and characterized by elemental analysis, Forier transform irtrared （FTIR） spectroscopy, magnetic and thermogravimetric studies and also by X-ray diffraction （XRD） measurements. The complexes had col- ours typical for Ln（Ⅲ） ions. The carboxylate groups bound as bidentate chelating. On heating to 1173 K in air they decomposed in the same way, at first, dehydrated in one step to anhydrous salts, and then decomposed to the oxides of respective metals with intermediate formation of the oxycarbonates. The enthalpy values of the dehydration process changed from 133.72 to 44.50 kJ/mol. Their solubility in water at 293 K was of the order of 10-4 mol/dm3. The magnetic moments of analysed complexes were determined by Gouy＇s method in the range of 76-303 K.

关键词： 3-methoxy-2-nitrobenzoates thermal stability magnetic properties rare earths

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

The COVID-19 Pandemic in Senegal: Experience of an Internal Medicine Department as an Epidemic Treatment Center

引用

Open Journal of Internal Medicine 2022年第1期12卷 13-21页

作者： Atoumane Faye awa Cheikh ndao Nafissatou Diagne Mouhamed Dieng Maimouna Sow Baidy Sy Kane Boundia Djiba Abdoulaye Pouye Internal Medicine Department University Hospital Center Le Dantec Dakar Senegal

Introduction: The COVID-19 pandemic has turned the global health system upside down. Senegal recorded its first case on 2 March 2020. As part of its control strategy, the internal medicine department was set up as an epidemic treatment center (ETC). We report on our experience in the management of patients hospitalized in the said center. Material and Methods: Retrospective and descriptive study with analytical aim carried out at the ETC of the CHU Le Dantec of Dakar during the period from 29 April to 30 October 2020 (1st wave) then from 30 December 2020 to 30 April 2021 (2nd wave). All hospitalized patients who tested positive for RT-PCR were included. Epidemiological, clinical, paraclinical and evolutionary data were collected from a pre-established survey form and analysed using the software. Results: Five hundred and seventy files were collected: 379 patients (66%) in the 1st wave and 191 patients (34%) in the 2nd wave. There were 312 men and 258 women, i.e. a sex ratio of 1.22. The median age was 56 years [1.5 - 100 years]. Two thirds of the patients (66%) were over 50 years of age and 223 patients (39.1%) were over 65 years of age. Community transmission was reported in 72% of cases. The average length of hospital stay was 10 days [1 - 32]. Clinically, the mild form predominated (50.9%);the severe and critical forms were 32.6%. Comorbidity was noted in 68% of patients. The different comorbidities were: hypertension (36.1%), diabetes (28.2%), advanced CKD (9.8%). The case fatality rate was 17.2% with a mean age of 70 years. Conclusion: COVID-19 is responsible for respiratory but also systemic manifestations. This 3rd pandemic particularly affects vulnerable people with a significant morbidity and mortality, thus requiring the implementation of standardized CTE with multidisciplinary teams in the control strategies.

关键词： Pandemic COVID-19 Comorbidities Lethality

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Breeding Site Characteristics of Mosquito in Ouagadougou, Burkina Faso

引用

Advances in Entomology（昆虫学） 2024年第3期 210页

作者： Justine Kabore Komandan Mano Moustapha Nikiema Salam Sankara Boureima Gustave Kabre awa Gneme

来源：博看期刊评论

在线全文

博看期刊

学校读者我要写书评

暂无评论

Prevalence and Association of Criteria of Metabolic Syndrome in a Cohort of Diabetes Type 2 in Saint-Louis

引用

Open Journal of Internal Medicine 2019年第3期9卷 45-51页

作者： Dia Diatou Gueye Dia Amadou Diop Diagne Nafissatou M. Ngouamba Blaise ndao awa Cheikh Pouye Abdoulaye UFR of Health Sciences Gaston Berger University Saint Louis USA Regional Hospital Center of Saint-Louis Saint Louis USA Cheikh Anta Diop University Dakar Senegal

Introduction: The metabolic syndrome is characterized by an aggregate of metabolic disorders whose coexistence in the same individual can correspond on the one hand to a common pathophysiological mechanism and on the other hand to expose the subject to an increased risk of cardiovascular diseases. The prevalence of the metabolic syndrome is increasing rapidly in both developed and developing countries, but has been poorly described in sub-Saharan Africa. Most of them reported the components of the metabolic syndrome only in isolation. Methods: This cross-sectional study carried out on a cohort of 76 patients followed at the Sait-louis regional hospital used the definition criteria of the International Diabetes Federation. Results: The average age of our patients is 56.92 with extremes ranging from 32 to 80 years old. The sex ratio is 0.49. The average duration of diabetes progression is 68 months. The prevalence of the metabolic syndrome in this population is 67.1%. Abdominal obesity and high blood pressure are the most commonly found criteria. Abdominal obesity was the most associated component of MS in both sexes followed by high blood pressure. We found relatively weak data for dyslipidemia, especially hypertriglyceridemia. HypoHD is dyslipidemia more found in our cohort: in 45% of women and 21% of men. Conclusion: The management of the metabolic syndrome therefore requires fighting against all the factors that compose it, the first of which is the accumulation of visceral fat. Lifestyle modification is the first priority for these patients facing a society where the reduction of physical activity and the enrichment of the fat diet are becoming more and more important.

关键词： Diabetes Dyslipidemia Abdominal Obesity Saint-Louis (Senegal)

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Myasthenia Associated with Other Autoimmune Diseases: A Series of Cases

引用

Open Journal of Internal Medicine 2020年第1期10卷 44-50页

作者： Boundia Djiba Nafissatou Diagne Mohamed Dieng Baidy Sy Kane Atoumane Faye awa Cheikh ndao Maimouna Sow Abdoulaye Pouye Department of Internal Medicine Aristide Ledantec Hospital Dakar Senegal

We report four observations of myasthenia gravis associated with other autoimmune diseases. Myasthenia gravis can be associated with all autoimmune diseases with a predominance of dysthyroidism. Among the autoimmune diseases associated with myasthenia gravis in our series, there were associations with hyperthyroidism, sjogren syndrome, Biermer’s disease. You would have to know how to look for another autoimmune disease in front of all myasthenia gravis by looking for the slightest sign of appeal that could point you towards another pathology.

关键词： Myathenia Gravis Autoimmun Disease Association

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Setting up a Customized Electronic Health Record System Fit for Internal Medicine in Dakar, Senegal

引用

E-Health Telecommunication Systems and Networks 2019年第4期8卷 35-42页

作者： Baidy S. Y. Kane Mamour Gueye Mohamed Dieng Atoumane Faye awa Cheikh ndao Nafissatou Diagne Abdoulaye Pouye Department of Internal Medicine Gynecologic and Obstetric Clinic Dakar Senegal Gynecologic and Obstetric Clinic Aristide Le Dantec Teaching Hospital Dakar Senegal

Objective: Describe the design and implementation of an electronic medical record—E-INTMED—customized for Internal Medicine in Dakar, Senegal. Methodology: This study was carried out in a public teaching hospital in Dakar Senegal. It entailed collaboration between physicians specialized in various fields in Internal Medicine and Computer Scientists to carry out the compilation of data and their electronic transcription to produce a prototype which met users’ needs. Results: E-INTMED software is structured around several hierarchical tables allowing users to register and store all relevant patients’ information. E-INTMED structures patient’s data to provide a clear overview of their medical history and users’ activity performance. E-INTMED makes medical users’ life so much easier. Users can generate and send letters and prescriptions quickly and efficiently using the customized templates which they can modify or create new ones. In addition to these capabilities, all of the features expected in an Internal Medicine EHR are handled by E-INTMED, such as lab orders and results, mechanisms for continuity of care, embedding and access to images and documents, and so much more. E-INTMED provides medical students with a number of educational, practical and administrative advantages. Conclusion: Computerization of medical records has become a necessity today. Crossing the line to Electronic medical records could help to improve medical practice and medical training.

关键词： Internal Medicine Electronic Medical Record Dakar

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：