Coexistence cirrhose biliaire primitive et sclérodermie systémique : étude avec capillaroscopie et immunologie

Objectif : Déterminer la prévalence de la Sclérose systémique (SSc) chez les patients atteints de cirrhose biliaire primitive (CBP) et décrire les caractéristiques cliniques, pronostiques, immunologiques et capillaroscopiques chez les patients avec et sans SSc. Méthode : Étude descriptive de 100 patients avec CBP naïfs de SSc référés par les gastroentérologues. Un examen physique ainsi qu’un prélèvement sanguin et une capillaroscopie ont été réalisés. Résultats : Parmi les 22 patients diagnostiqués avec SSc, 13 n’avaient pas d’atteinte cutanée. Trente-neuf patients présentaient un phénomène de Raynaud. Dix-neuf étaient anticentromères (ACAs) positifs dont 18 avaient une SSc. Le groupe de CBP avec SSc avait un score Mayo meilleur et une atteinte histologique moins sévère. Une capillaroscopie anormale était retrouvée chez 29/100 patients. Les patients sans ACAs avaient une hypertension portale légèrement plus fréquente 14/81 (17,28%, p= 0,876) et une atteinte histologique hépatique plus sévère (89,5%, p=0,125). Le score Mayo était globalement meilleur dans le groupe des ACAs positifs. La sensibilité et la spécificité du test immunologique sont 95,45% et 93,59% respectivement. La capillaroscopie a une sensibilité de 78% et une spécificité de 94% pour le diagnostic de la SSc dans la population de CBP.   Conclusion : La SSc est fréquente dans la CBP, d’où l’intérêt de rechercher systématiquement les signes cliniques subtiles de la SSc, notamment le phénomène de Raynaud, et de demander une sérologie spécifique et une capillaroscopie pour identifier une SSc débutante.Objective : To determine the prevalence of systemic scleroderma (SSc) in patients with primary biliary cirrhosis (PBC) and to describe the clinical, prognostic, immunologic and nailfold capillaropscopy characteristics in patients with and without SSc. Study design : In this descriptive cohort study, 100 patients with PBC who were unknown for any connective tissue disease, in particular for SSc, were referred by their gastroenterologist. Physical examination with collection of serum samples and nailfold capillaroscopy examination were performed. Results : Twenty-two patients had been diagnosed with SSc of which 13 had no cutaneous manifestations of scleroderma. Thirty-Nine patients had Raynaud’s phenomenon. Of the 19 patients with anticentromères antibodies (ACAs), 18 had SSc. Patients with PBC and SSc had a better Mayo score and less severe liver damage. Twenty-nine patients had abnormal nailfold capillaroscopy. More frequent portal hypertension 14/81 (17,28%, p= 0,876) and severe liver tissue damage (89.5%, p=0.125) seen in patients with positive ACAs. Mayo score was better in patients with positives ACAs. The sensitivity and specificity of the immunologic tests were 95,45% and 93,59% respectively. The sensitivity of nailfold capillaroscopy was 78% and specificity was 94% for the diagnosis of SSc in patients with PBC.   Conclusion : SSc is more prevalent in PBC. This study highlights the importance of screening for subtle clinical signs of SSc in patients with PBC, in particular Raynaud’s phenomenon, hence requiring immunologic tests and nailfold capillaroscopy to diagnose scleroderma at earlier stages

OZONE PHOTOCHEMICAL POLLUTION OVER THE NORTH OF ALGERIA: CARTOGRAPHY AND MODELLING

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Simple and accurate quantification of BTEX in ambient air by SPME and GC–MS

Benzene, toluene, ethylbenzene and xylenes (BTEX) comprise one of the most ubiquitous and hazardous groups of ambient air pollutants of concern. Application of standard analytical methods for quantification of BTEX is limited by the complexity of sampling and sample preparation equipment, and budget requirements. Methods based on SPME represent simpler alternative, but still require complex calibration procedures. The objective of this research was to develop a simpler, low-budget, and accurate method for quantification of BTEX in ambient air based on SPME and GC–MS. Standard 20-mL headspace vials were used for field air sampling and calibration. To avoid challenges with obtaining and working with ‘zero’ air, slope factors of external standard calibration were determined using standard addition and inherently polluted lab air. For polydimethylsiloxane (PDMS) fiber, differences between the slope factors of calibration plots obtained using lab and outdoor air were below 14%. PDMS fiber provided higher precision during calibration while the use of Carboxen/PDMS fiber resulted in lower detection limits for benzene and toluene. To provide sufficient accuracy, the use of 20 mL vials requires triplicate sampling and analysis. The method was successfully applied for analysis of 108 ambient air samples from Almaty, Kazakhstan. Average concentrations of benzene, toluene, ethylbenzene and o-xylene were 53, 57, 11 and 14 µg m−3, respectively. The developed method can be modified for further quantification of a wider range of volatile organic compounds in air. In addition, the new method is amenable to automation

Ambient levels of volatile organic compounds in the vicinity of petrochemical industrial area of Yokohama, Japan

Urban ambient air concentrations of 39 aromatic (including benzene, toluene, and xylenes) and aliphatic volatile organic compounds (VOCs) were measured in Yokohama city, Japan. Yokohama city was selected as a case study to assess the amount of VOC released from Industrial area to characterize the ambient air quality with respect to VOC as well as to know the impact of petrochemical storage facilities on local air quality. For this purpose, ambient air samples were collected (from June 2007 to November 2008) at six selected locations which are designated as industrial, residential, or commercial areas. To find out the diurnal variations of VOC, hourly nighttime sampling was carried out for three nights at one of the industrial locations (Shiohama). Samples were analyzed using gas chromatographic system (GC-FID). Results show strong variation between day and nighttime concentrations and among the seasons. Aliphatic fractions were most abundant, suggesting petrochemical storage facilities as the major source of atmospheric hydrocarbons. High concentrations of benzene, toluene, ethyl benzene, and xylene (BTEX) were observed at industrial locations. BTEX showed strong diurnal variation which is attributed to change in meteorology. During our campaign, low ambient VOC concentrations were observed at the residential site