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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Systemic lupus erythematosus in Tunisia. A Multicentric study. About 295 cases
Revue de Medecine Interne, Volume 24, No. 12, Year 2003
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Description
Purpose. - Systemic lupus erythematosus (SLE) is an autoimmune disease with a great clinical polymorphism. Wide variety of genetic, hormonal, immunological and environmental contributes to release the disease. Our objective was to describe and precise the epidemiological, clinical and immunological profile of this disease in Tunisia. Methods. - It is a retrospective study conducted by the Tunisian society of internal medicine during the period from January 1990 to December 1999. All patients fulfilled at least four of the revised American Rheumatism Association's criteria for SLE. Results. - Two hundred and ninety-five SLE have been examined (271 women, 24 men). The most frequent clinical manifestations were: articular 90%, malar rash 62%, photosensitivity 46%, seritis 32% and glomerulonephritis 56%, dominated by WHO class III and IV: 60 cases (renal biopsy was performed in 95 patients). Neurological features were observed in 14.5%. The abnormal laboratory findings were leucocytopenia 45%, lymphopenia 47%, thrombocytopenia 16% and hemolytic anemia in 6.7%. Antinuclear antibodies, anti-ds DNA and anti-Sm were at 92%, 74% and 57%, respectively. Eighty-three percent of patients were treated by steroids, and in 52 cases (18%), we added immunosuppressive drugs. Two hundred and eighteen patients were followed up with a mean follow-up duration of 51 months. Twenty-eight percent were in complete remission and in 60%, the SLE was active. In contrast, death occurred in 29 cases. Conclusion. - Our study confirmed the clinical polymorphism of SLE, the great similarity with other studies apart the world, the gravity of renal and cardiac features and the infectious complications induced by corticosteroids. © 2003 Éditions scientifiques et médicales Elsevier SAS. Tous droits réservés.
Authors & Co-Authors
Louzir, Bassem
Tunisia, Tunis
Université de Tunis el Manar, Hôpital Militaire de Tunis
Othmani, Salah
Tunisia, Tunis
Université de Tunis el Manar, Hôpital Militaire de Tunis
Ben Abdelhafidh, Nadia
Tunisia, Tunis
Université de Tunis el Manar, Hôpital Militaire de Tunis
Ayari, M.
Tunisia, Bizerte
Hôpital Régional de Bizerte
Bahri, Fethi
Tunisia, Sousse
Hopital Farhat Hached Sousse
Bahri, Mer
Tunisia, Tunis
Université de Tunis el Manar, Hôpital Militaire de Tunis
Battikh, Riadh
Tunisia, Tunis
Université de Tunis el Manar, Hôpital Militaire de Tunis
Ben Dridi, Mohamed F.
Tunisia, Tunis
Hôpital la Marsa
Béji, Maher
Tunisia, Gabes
Hôpital Militaire de Gabès
Ben-Hassine, Lamia
Tunisia, Tunis
Université de Tunis el Manar, Hôpital Charles Nicolle
Bouslama, Kamel
Tunisia, Tunis
Hôpital la Marsa
Boussema, Ezzeddine
Tunisia, Tunis
Université de Tunis el Manar, Hôpital Militaire de Tunis
Boussema, Fatma
Tunisia, Tunis
Université de Tunis el Manar, Hôpital Habib Thameur
Cheour, Ilhem
Tunisia, Tunis
Hôpital la Rabta
Chérif, Ouahida
Tunisia, Tunis
Université de Tunis el Manar, Hôpital Habib Thameur
Haddad, Ali E.
Tunisia, La Marsa
Université de Tunis el Manar, Hôpital Mongi Slim
Hammami, Sonia Ouali
Tunisia, Monastir
Chu Fattouma-bourguiba
Hamza, Mohsen O.
Tunisia, Monastir
Chu Fattouma-bourguiba
Jemni, Letaïef
Tunisia, Sousse
Hopital Farhat Hached Sousse
Kammoun, Mohamed Ridha
Tunisia, Tunis
Service de Dermatologie Tunis
Ketari-Jamoussi, Sonia
Tunisia, Manouba
Université de Tunis el Manar, Hôpital Razi
Khalfallah, Narjess
Tunisia, Tunis
Université de Tunis el Manar, Hôpital Charles Nicolle
Khalfaoui, Moncef
Tunisia
Hôpital Menzel Bourguiba
Ksontini, Iméne
Tunisia, Tunis
Hôpital Des Forces de Sécurité Intérieure de la Marsa
Laatar, Ahmed
Tunisia, La Marsa
Université de Tunis el Manar, Hôpital Mongi Slim
Mahjoub, Sylvia S.
Tunisia, La Marsa
Université de Tunis el Manar, Hôpital Mongi Slim
Mokhtar, Inçaf
Tunisia, Tunis
Service de Dermatologie Tunis
M'Rad, Skander
Tunisia, Tunis
Hôpital la Marsa
M'sadek, F.
Tunisia, Tunis
Université de Tunis el Manar, Hôpital Militaire de Tunis
Nouira, Rafiâa B.
Tunisia, Sousse
Hopital Farhat Hached Sousse
Rokbani, Lilia
Tunisia, Tunis
Université de Tunis el Manar, Hôpital Habib Thameur
Sellami, Saleheddine
Tunisia, Tunis
Hôpital la Rabta
Tougourti, Mohamed Néjib
Tunisia, Monastir
Chu Fattouma-bourguiba
Zakraoui, Leïth
Tunisia, La Marsa
Université de Tunis el Manar, Hôpital Mongi Slim
Statistics
Citations: 34
Authors: 34
Affiliations: 14
Identifiers
Doi:
10.1016/S0248-8663(03)00250-9
ISSN:
02488663
Research Areas
Genetics And Genomics
Health System And Policy
Noncommunicable Diseases
Study Design
Cohort Study
Study Locations
Tunisia
Participants Gender
Male
Female