Browsing by Author "Elnaidany N.F."

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Assessment of Cryptosporidium parvum infection in immunocompetent and immunocompromised mice and its role in triggering intestinal dysplasia
(Elsevier B.V., 2013) Abdou A.G.; Harba N.M.; Afifi A.F.; Elnaidany N.F.; Department of Pathology; Faculty of Medicine; Menofiya University; Shebein Elkom; Egypt; Department and Parasitology; Faculty of Medicine; Menofiya University; Shebein Elkom; Egypt; Clinical Pharmacy Department; Faculty of Pharmacy; MSA University; 6th October City; Egypt
Objectives: There is an association between chronic inflammation and cancer, including colon cancer. Cryptosporidium parvum is a protozoan parasite that infects the gastrointestinal epithelial cells causing several parasitological and pathological changes. It is incriminated in the development of colorectal cancer in immunosuppressed individuals. Cyclin D1 expression is essential for cell cycle progression and its overexpression has been reported in colorectal cancer. This work aimed to study the gastrointestinal changes, including parasitological and pathological changes, induced by C. parvum infection in both immunocompetent and in chemically immunosuppressed mice, together with immunohistochemical assessment of cyclin D1 expression in infected tissues. In addition, the effectiveness of nitazoxanide (NTZ) in the treatment of cryptosporidiosis was evaluated. Methods: This study included six groups of mice: group I, infected; group II, infected and immunosuppressed; group III, infected and treated with NTZ; group IV, infected, immunosuppressed, and treated with NTZ; and groups V and VI representing non-infected controls. Mice were subjected to stool examination for oocyst counts and were later sacrificed for intestinal dissection and routine histopathological examination of pathological changes; the endogenous developmental stages of the parasite were counted and immunohistochemical staining was carried out for the determination of cyclin D1. Results: Group II showed the highest numbers of oocysts shed and endogenous developmental stages compared to the other groups. Intestinal dysplastic changes were seen only in groups I and II, where these changes were in favor of group II compared to group I. High-grade dysplasia was seen in four out of 20 mice in group II and was significantly associated with the number of endogenous developmental stages of C. parvum. NTZ was effective in the treatment of Cryptosporidium infection, with a greater effect in group III than in group IV. Conclusions: C. parvum is one of the infectious agents that may induce intestinal dysplasia, including the high-grade category, which occurs particularly in the presence of immune suppression states and elevated endogenous parasite loads. Cyclin D1 is a good and useful marker for the detection of intestinal dysplasia. The effectiveness of NTZ is dependent on the immune status of the infected host. � 2013 International Society for Infectious Diseases.
Cathepsin D expression in chronic plaque psoriasis: An immunohistochemical study
(2011) Abdou A.G.; Maraee A.H.; Shoeib M.A.E.; Elsammie A.A.A.; Elnaidany N.F.; Pathology Department; Menofiya University; Shebein Elkom; Egypt; Dermatology and Andrology Department; Faculty of Medicine; Menofiya University; Shebein Elkom; Egypt; Clinical Pharmacy Department; Faculty of Pharmacy; MSA University; October City; Egypt
Cathepsins are lysosomal cysteine proteases, which are involved in a variety of physiologic processes such as proenzyme activation, antigen presentation, tissue remodeling, bone matrix resorption, and pathologic processes such as facilitating tumor invasion and modulating the process of programmed cell death. This study aimed to evaluate the pattern of cathepsin D (CD) expression in chronic plaque psoriasis in comparison to normal skin by means of immunohistochemistry. The study included 34 patients presenting with chronic plaque psoriasis and 10 ageand sex-matched normal subjects as control group. Sixty percent of normal skin showed granular positivity for CD confined to basal layer. CD is upregulated in psoaritic lesion with 94.1% positivity making a significant difference between psoriasis and normal skin as regards the percentage and distribution of CD expression, where the latter was predominantly diffuse in psoriatic lesion. The eight cases exposed to PUVA therapy showed reduction of CD positivity to 62.5% with a predominance of mild staining and focal expression compared to pretreatment biopsies. CD may have a role in the pathogenesis of psoriasis in view of its high percentage and diffuse expression in psoriatic epidermis. CD degradative capacity may be responsible for disordered differentiation and scale formation characteristic of psoriasis. Reduction of CD expression may be one of the pathways of PUVA mechanism of action.
Diagnostic and prognostic role of galectin 3 expression in cutaneous melanoma
(2010) Abdou A.G.; Hammam M.A.; Farargy S.E.; Farag A.G.A.; El Shafey E.N.; Farouk S.; Elnaidany N.F.; Pathology Department; Menofiya University; Shebein Elkom; Ahmed Maher Educational Hospital; Cairo; Egypt; Dermatology and Andrology Department; Menofiya University; Shebein Elkom; Ahmed Maher Educational Hospital; Cairo; Egypt; Faculty of Medicine; Menofiya University; Shebein Elkom; Ahmed Maher Educational Hospital; Cairo; Egypt; Clinical Pharmacy Department; Faculty of Pharmacy; MSA University; October City; Egypt
Many of the histopathologic criteria used to diagnose melanoma overlap with atypical but otherwise benign naevi such as dysplastic or Spitz naevi. Galectin-3 is a member of the galectin gene family and is expressed at elevated levels in a variety of neoplastic cell types. The aim of the present study was to investigate the diagnostic value of galectin-3 expression compared with homatropine methyle bromide-45(HMB-45) (one of the established and widely used immunohistochemical melanocytic markers) together with assessment of its prognostic value in melanoma lesions. This study was carried out on 21 cases of melanoma and 20 benign pigmented naevi. Galectin-3 was expressed in all the examined benign and malignant melanocytic lesions. The nucleocytoplasmic pattern of galectin-3 appeared in malignant cases only with 42.86% sensitivity, 100% specificity, and 70.73% accuracy. This pattern tended to be associated with thick melanoma (P = 0.08) and reduced survival (P = 0.22). The intensity of galectin-3 assessed by H-score was significantly of higher values in malignant lesions compared with benign lesions (P < 0.0001). The best cut-off value for discrimination between benign and malignant melanocytic lesions was 295 with 95% sensitivity, 70% specificity, and 83% accuracy. The diagnostic power of galectin-3 in distinguishing between benign and malignant melanocytic lesions relies on the pattern and the intensity of its expression. The nucleocytoplasmic pattern of galectin-3 expression carries greater probability of a malignant phenotype and a poor prognostic impact on patients' outcome. Copyright � 2010 by Lippincott Williams & Wilkins.
Epidemiology of dermatophyte infections among school children in Menoufia Governorate, Egypt
(Blackwell Publishing Ltd, 2018) Farag A.G.A.; Hammam M.A.; Ibrahem R.A.; Mahfouz R.Z.; Elnaidany N.F.; Qutubuddin M.; Tolba R.R.E.; Dermatology; Adrology and STDs Department; Faculty of Medicine; Menoufia University; Shebin El-Kom; Egypt; Department of Public Health and Community Medicine; Faculty of Medicine; Menoufia University; Shebin El-Kom; Egypt; Cleveland Clinic; Lerner College of Medicine; Case Western Reserve University; Cleveland; OH; United States; Clinical Pathology; Faculty of Medicine; Menoufia University; Shebin El-Kom; Egypt; Clinical Pharmacy; Faculty of Pharmacy; MSA University; October City; Egypt; Independent Researcher; Cleveland; OH; United States
Most superficial mycotic infections of human skin are due to dermatophytes. Children are frequently affected due to different predisposing factors, particularly overcrowding in classrooms. This study aimed to estimate the prevalence of dermatophytes infections and their related risk factors among school children in Menoufia Governorate, Egypt. Six public primary and preparatory schools were randomly selected and their pupils (n=3464) were asked to complete a predesigned questionnaire covering both personal data and suspected risk factors for superficial dermatophyte infections. The children were also examined for dermatological diseases. Any suspected lesions were biopsied for mycological examination. The prevalence of clinically suspected dermatophytes infections was 1.41%, whereas the prevalence of culture confirmed cases was 0.98%. The most common clinical type was tinea capitis with a prevalence of 1.01%. Microsporum canis was the only isolated organism from the suspicious lesions with a 69.4% positivity rate. A higher prevalence was observed among boys, low socio-economic pupils and those with a family history of dermatophyte infections. Pet contact and sharing towels and caps among pupils were significant risk factors. Dermatophyte infection is still prevalent among basic school pupils. Fortunately, it is related to preventable risk factors. We recommend regular screening and use of educational health programmes for kids to control it. 2018 Blackwell Verlag GmbH
Evaluation of the effect and mechanism of action of local phenytoin in treatment of vitiligo
(Taylor and Francis Inc., 2017) Abdou A.G.; Abdelwahed Gaber M.; Elnaidany N.F.; Elnagar A.; Pathology Department; Faculty of Medicine; Menoufia University; Shebein Elkom; Egypt; Dermatology Department; Faculty of Medicine; Menoufia University; Shebein Elkom; Egypt; Clinical Pharmacy Department; MSA October University; Cairo; Egypt
There are many theories explaining vitiligo such as genetic, autoimmune, neural, free radicals, biochemical, intrinsic defect, melanocytorrhagy, and convergent theories. Phenytoin is a widely used anticonvulsant, which is used in cutaneous medicine for treatment of ulcers and epidermolysis bullosa. The aim of this study is to assess the effectiveness of topical phenytoin gel in the treatment of vitiligo patients and explaining the underlying mechanism using immunohistochemistry for evaluation of HMB45, CD4, and CD8. Only 9 patients out of 28 experienced response to phenytoin in the form of dull, white color change and light brown color. Post-phenytoin treatment biopsies showed decreased density of inflammation, increased melanin and increased HMB45 positive cells together with an increased number of CD4 positive lymphocytes and decreased number of CD8 positive lymphocytes. These observations did not reach significant level (P > 0.05). A high percentage of CD4 positive lymphocytes was significantly associated with a long duration of vitiligo (p = 0.03) and segmental vitiligo type (p = 0.02). The current study applied phenytoin as 2% concentrated gel for 3 months, which is a relatively short duration without observed side effects throughout the period. These results indicate that topical phenytoin of low concentrations may have beneficial effects through immunomodulatory activity by affecting CD4 and CD8 counts and subsequently the ratio between them. Further studies are recommended to combine phenytoin with other antivitiligo agents as local corticosteroids or phototherapy to clarify if it could potentiate their effects. � 2017 Taylor & Francis.
Helicobacter pylori infection in patients with chronic urticaria: Correlation with pathologic findings in gastric biopsies
(2009) Abdou A.G.; Elshayeb E.I.; Farag A.G.A.; Elnaidany N.F.; Department of Pathology; Faculty of Medicine; Menofiya University; Shebein Elkom; Egypt; Department of Clinical Pharmacy; Faculty of Pharmacy; MSA University; October City; Egypt
Background: Chronic urticaria is a persistent urticaria lasting longer than 6.weeks, affecting 20% of the general population. Various infectious agents have been reported as causes of urticaria, including Helicobacter pylori, which is a common worldwide bacterial infection. Its role in inducing allergic conditions, such as chronic urticaria, has been suggested in some reports and ignored in others. Aims: To assess the prevalence of H. pylori infection in patients with chronic urticaria and to explore the possible etiopathogenetic link between them. Methods: Thirty-five patients suffering from chronic urticaria and 10 normal control individuals were subjected to upper endoscopic gastric biopsies to assess and semiquantify H. pylori infection and to address other pathologic abnormalities, using routine hematoxylin and eosin staining and Giemsa staining. Results: Forty percent of control subjects and 57% of patients were positive for H. pylori infection, but the difference did not reach statistically significant levels (P = 0.47). The severity of urticarial symptoms was greater in the H. pylori-positive than in the H. pylori- negative group (P = 0.019). Heavy bacterial colonization (P = 0.008) and intense gastric inflammation (P < 0.0001) were associated significantly with severe clinical manifestations. Eighty percent of the H. pylori -positive urticaria group experienced complete remission after receiving eradication therapy for H. pylori. Conclusions: Helicobacter pylori may have a role in the exacerbation of urticarial symptoms, even though it is not involved directly in its etiology, and its eradication may lead to symptom improvement in a considerable number of infected urticaria patients. The severity of symptoms is dependent on the density of bacterial infection and the intensity of inflammatory infiltrate in the gastric biopsy. 2009 International Society of Dermatology.
IL-8 mRNA and serum levels in vitiligo patients: A case control study
(Oxford University Press, 2017) Farag A.G.; Marae A.H.; Habib M.S.E.; Mahfouz R.Z.; Elnaidany N.F.; Youssef S.I.; El-Feky S.M.; Department of Dermatology; Andrology and STDs; Faculty of Medicine; Menoufia University; Al Minufiyah; Egypt; Department of Medical Biochemistry; Faculty of Medicine; Menoufia University; Al Minufiyah; Egypt; Department of Clinical Pathology; Menoufia University; Shebin Elkom; Egypt; Cleveland Clinic; Lerner College of Medicine (CCLCM); CWR University; Cleveland; OH; United States; Department of Clinical Pharmacy; Faculty of Pharmacy-MSA University; October City; Egypt; Department of Medical Microbiology and Immunology; October 6 University; Egypt; Department of Dermatology; Ministry of Health; Egypt
Introduction: Many theories are suggested to explain aetiology of vitiligo, such as autoimmune, genetic and biochemical. Interleukin-8 (IL-8) is a pro-inflammatory chemokine which is evaluated in the pathogenesis of some skin diseases, like psoriasis, however, in vitiligo, few studies were reported regarding this issue. Aim: The aim of the present study was to investigate serum level of IL-8 and IL-8 mRNA in patients with different types of vitiligo to validate its role in aetiopathogenesis of vitiligo. Materials and Methods: This case-control study was conducted on 39 vitiligo patients and 15 age and gender matched healthy controls. The participants were selected from Dermatology Outpatient Clinic, Menoufia University Hospitals from October, 2014 to October, 2015. They were subjected to clinical history, examination and full general examination. Detailed dermatological examination including VASI score was applied. IL-8 serum level was measured by ELISA and IL-8 mRNA was quantitated by Real Time -PCR. The statistical analysis was done using SPSS, version 20.0. Mann Whitney U test was used to compare two quantitative not normally distributed. Chi-square test (?2) was used to study association between two qualitative variables. Spearman correlation test was applied to assess correlation between two continuous quantitative variables. A p?0.05 was considered significant. Results: IL-8 serum level and mRNA concentration mean values were significantly elevated in vitiligo patients (26.25�43.28 pg/ mL and 8.48�11.92 ng/mL) than controls (0.57�0.50 pg/mL and 0.60�0.32 ng/mL) (p=0.002, for both), and they showed significant positive correlation with each other (r=0.622; p?0.001). Moreover, both of them revealed significant high values in localized vitiligo (62.20�74.39 pg/mL and 12.42�13.85 ng/mL) than generalized (18.39�29.49 pg/mL and 7.61�11.52 ng/mL) (p?0.000 and p=0.004), respectively. Conclusion: Serum IL-8 chemokine and its mRNA increased significantly in vitiligo patients indicating that it may have a dynamic role in vitiligo development and participate in its pathogenesis. � 2017, Journal of Clinical and Diagnostic Research. All rights reserved.
Immunohistochemical expression of ezrin in cutaneous basal and squamous cell carcinomas
(2011) Abdou A.G.; Maraee A.H.; El-Sayed E.M.M.; Elnaidany N.F.; Pathology Department; Faculty of Medicine; Menofiya University; Shebein Elkom; 32511; Egypt; Dermatology and Andrology Department; Faculty of Medicine; Menofiya University; Shebein Elkom; 32511; Egypt; Faculty of Pharmacy; MSA University; October city; 12592; Egypt
Ezrin is a member of the ezrin-radixin-moesin family of proteins, which link the actin-containing cytoskeleton to the plasma membrane. Overexpression of ezrin protein is correlated with the metastatic potential in several cancers. Little is known about the distribution of ezrin in normal epidermis and nonmelanoma skin cancer; therefore, in the current study, we examined the immunohistochemical expression of ezrin in normal skin (10 biopsies) and epithelial skin tumors (25 basal cell carcinoma [BCC] and 20 squamous cell carcinoma [SCC]). Ezrin was expressed in epidermis of all normal controls with a prominent membranous pattern compared with 93.3% positivity in malignant cases with a significant higher intensity (assessed by H score) in favor of the latter (P =.002). Cytoplasmic expression of ezrin either alone or associated with membranous expression was both seen in BCC and SCC. The median value of H score in SCC (160) cases was higher than that in BCC (60). H score values of ezrin expression in BCC was significantly higher in tumors arising in sites other than the head and neck (P =.04). In SCC, the intensity of ezrin expression tended to be associated with advanced stage (P =.08). Our study demonstrated the probable tumorigenic role of ezrin in epithelial skin tumor formation. It may enhance local invasion or metastasis of epithelial skin tumors, which necessitates further larger study to clarify. The intensity rather than the pattern of ezrin expression had a more probable impact on the tumor behavior. � 2011 Elsevier Inc. All rights reserved.
Immunohistochemical expression of leptin in non melanoma skin cancer
(Journal of Clinical and Diagnostic Research, 2016) Farag A.G.A.; Elnaidany N.F.; El-Dien M.M.S.; Department of Dermatology and Andrology; Faculty of Medicine; Menoufia University; Egypt; Department of Clinical Pharmacy; MSA October University; Egypt; Department of Pathology; Faculty of Medicine; Menoufia University; Egypt
Introduction: Obesity in adults is associated with numerous health disorders including some forms of cancer. Various epidemiological studies have found a link between excess adiposity and malignant melanoma; however, the association with non melanoma skin cancer is questionable. Leptin is a hormone produced mainly by the adipose tissue and its serum level may reflect body mass index. Leptin is reported to promote proliferation and angiogenesis and deregulate apoptosis, therefore facilitates the process of carcinogenesis. Aim: The current study tried to assess leptin localization and expression in non melanoma skin cancer to verify its possible role in pathogenesis of this cancer. Materials and Methods: This study was carried out on 13 Basal Cell Carcinoma (BCC) cases and 14 Squamous Cell Carcinoma (SCC) cases together with 19 normal skin biopsies as a control group using immunohistochemical method. Results: Leptin was expressed in 52.6% of the normal epidermis with pure cytoplasmic and both cytoplasmic and nuclear staining patterns. All cases of SCC (100%) and two cases of BCC (15.4%) showed leptin expression in tumour cells whereas nuclear expression was in favour of SCC. Stromal expression of leptin was seen in both SCC (57.1%) and BCC (38.5%) without significant differences. Percentage of leptin expression by tumour cells in SCC showed positive linear correlation with tumour size (p=0.02) and microvessel density (p=0.000). Stromal expression of leptin in SCC was associated with large tumour size (p=0.04), advanced stage (p=0.01) and tumours arising in sites other than head and neck (p=0.01). Conclusion: Leptin could have a more important role in pathogenesis of cutaneous SCC rather than BCC that may reflect the trivial role of obesity in induction of BCC. The expression of leptin by tumour and stromal cells of SCC could co-operate in its progression by promoting angiogenesis with subsequently acquiring large tumour size and then advanced stage. � 2016, Journal of Clinical and Diagnostic Research. All rights reserved.
Is Vitamin D a participant in narrow-band ultraviolet B-induced pigmentation in patients with vitiligo?
(Lippincott Williams and Wilkins, 2018) Farag A.G.A.; Haggag M.M.; Muharram N.M.; Mahfouz R.; Elnaidany N.F.; Abd El Ghany H.M.; Department of Dermatology; Andrology and STDs; Faculty of Medicine; Menoufia University; Shebin Elkom; 32511; Egypt; Department of Medical Biochemistry; Faculty of Medicine; Menoufia University; Shebin Elkom; Egypt; Department of Clinical Pathology; Menoufia University; Shebin Elkom; Egypt; Department of Clinical Pharmacy; Faculty of Pharmacy; MSA University; October City; Egypt; Cleveland Clinic; Lerner College of Medicine (CCLCM); CWR University; Cleveland; OH; United States
Background Because of its safety and efficacy, narrow-band ultraviolet B (NBUVB) therapy has found importance in vitiligo treatment. NBUVB may promote pigmentation in vitiligo through provoked vitamin D synthesis. However, little is known about this issue. Objective To estimate the serum levels of vitamin D in patients with vitiligo before and after NBUVB therapy and to correlate its posttreatment serum levels with repigmentation. Patients and methods Fifty patients with different degrees of vitiligo severity along with 25 age-matched, sex-matched, and skin phenotype-matched controls were enrolled in this study. Patients with vitiligo were treated with NBUVB thrice weekly for 12 weeks. Baseline serum 25-hydroxyvitamin D [25(OH)D] levels (compared with controls) by enzyme-linked immunosorbent assay and Vitiligo Area and Severity Index were estimated and then reevaluated after NBUVB sessions. Results Baseline 25(OH)D levels were significantly lower in vitiligo cases than controls. After 12 weeks of NBUVB therapy, a significant clinical improvement and increase in 25(OH)D concentrations were recorded; however, insignificant correlation between both was observed. Conclusion Low vitamin D level may play an active role in vitiligo development. Furthermore, vitamin D may participate partially in photo-induced melanogenesis. Therefore, the mechanism of NBUVB-induced pigmentation in vitiligo needs to be clarified. � 2018 Egyptian Women's Dermatologic Society.
Macrophage migration inhibitory factor as an incriminating agent in vitiligo
(Sociedade Brasileira de Dermatologia, 2018) Farag A.G.A.; Habib M.S.; Kamh M.E.; Hammam M.A.; Elnaidany N.F.; Dermatology; Andrology and STDs department; Faculty of Medicine; Menoufia UniversityEl Menoufia; Egypt; Medical Biochemistry department; Faculty of Medicine; Menoufia UniversityEl Menoufia; Egypt; Clinical Pharmacy department; Faculty of Pharmacy-MSA University; 6th October City; Egypt
Background: Vitiligo is an autoimmune skin disorder in which the loss of melanocytes is mainly attributed to defective autoimmune mechanisms and, lately, there has been more emphasis on autoinflammatory mediators. Among these is the macrophage migration inhibitory factor, which is involved in many autoimmune skin diseases. However, little is known about the contribution of this factor to vitiligo vulgaris. Objective: To determine the hypothesized role of migration inhibitory factor in vitiligo via estimation of serum migration inhibitory factor levels and migration inhibitory factor mRNA concentrations in patients with vitiligo compared with healthy controls. We also aimed to assess whether there is a relationship between the values of serum migration inhibitory factor and/ or migration inhibitory factor mRNA with disease duration, clinical type and severity in vitiligo patients. Methods: Evaluation of migration inhibitory factor serum level and migration inhibitory factor mRNA expression by ELISA and real-time PCR, respectively, were performed for 50 patients with different degrees of vitiligo severity and compared to 15 age- and gender-matched healthy volunteers as controls. Results: There was a highly significant increase in serum migration inhibitory factor and migration inhibitory factor mRNA levels in vitiligo cases when compared to controls (p<0.001). There was a significant positive correlation between both serum migration inhibitory factor and migration inhibitory factor mRNA concentrations in vitiligo patients, and each of them with duration and severity of vitiligo. In addition, patients with generalized vitiligo have significantly elevated serum migration inhibitory factor and mRNA levels than control subjects. Study limitations: Small number of investigated subjects. Conclusions: Migration inhibitory factor may have an active role in the development of vitiligo, and it may also be a useful index of disease severity. Consequently, migration inhibitory factor may be a new treatment target for vitiligo patients. � 2018 by Anais Brasileiros de Dermatologia.
Mean platelet volume: An immanent predictor of subclinical atherosclerosis in psoriatic patients compared with interleukin-1? and interleukin-6
(Lippincott Williams and Wilkins, 2018) Farag A.G.A.; Zytoon A.A.; Habib M.S.; Elnaidany N.F.; Ibrahem R.A.L.; Salman S.; Mahfouz R.Z.; Department of Dermatology; Andrology and STDs; Faculty of Medicine; Menoufia University; Shebin El-Kom; Menoufia Governorate; 23511; Egypt; Department of Radiology; Faculty of Medicine; Egypt; Department of Medical Biochemistry; Faculty of Medicine; Egypt; Public Health and Community Medicine; Faculty of Medicine; Egypt; Department of Clinical Pathology; Menoufia University; Shebin El-Kom; Menoufia Governorate; Egypt; Department of Clinical Pharmacy; Faculty of Pharmacy; Modern Sciences and Arts University; 6th of October City; Giza Governorate; Egypt; Hematology and Oncology Research; Cleveland Clinic Lerner College of Medicine (CCLCM); Case Western University; Cleveland; OH; United States
Background Mean platelet volume (MPV), may help to determine atherosclerosis threat. Cardiovascular disease is one of the common causes of morbidity and mortality in patients having psoriasis. Objective To examine MPV as a biomarker for subclinical atherosclerosis in psoriasis patients, compared with interleukin (IL)-1?, IL-6, and carotid intima media thickness (CIMT). Patients and methods Psoriatic patients (n=70) and age-matched and sex-matched healthy controls (n=60) were enrolled. Psoriasis Area and Severity Index score was used to assess psoriasis severity. For all enrolled participants; evaluation of MPV, IL-1?, and IL-6 serum levels, and measuring of CIMT were done. Results The mean values of MPV, IL-1, IL-6, and CIMT, all were significantly elevated in psoriatic patients than controls (P<0.05 for all). They were significantly correlated with each other (P<0.001), and with severity of psoriasis. Receiver operating characteristic curve analysis showed the possible validity of MPV for detection of subclinical atherosclerosis in psoriatic patients (sensitivity=90.9%, specificity=61.5%, accuracy=80%, area under the curve=0.82, P<0.001, 95% confidence interval=0.71-92) with 8.95 fl/ml as a cutoff value. Conclusion MPV is a good sensitive test for early prediction of atherosclerosis in psoriatic patients. We recommend a follow-up large scale study on psoriasis to examine the use of antiplatelets. � 2018 Egyptian Women's Dermatologic Society.
Osteopontin expression in chronic plaque psoriasis: An association with the severity of disease
(2012) Abdou A.G.; El Farargy S.; Seleit I.; Antar A.G.; Elhefny M.; Elnaidany N.F.; Department of Pathology; Faculty of Medicine; Menofiya University; Shebein Elkom; Egypt; Department of Dermatology and Andrology; Faculty of Medicine; Menofiya University; Shebein Elkom; Egypt; Department of Clinical Pharmacy; Faculty of Pharmacy; Modern Sciences and Arts University; October City; Egypt
Objective: To explore the possible role of osteopontin (OPN) in chronic plaque psoriasis and understand the role of inflammation in psoriasis. STUDY DESIGN: We investigated 36 patients with chronic plaque psoriasis using immunohistochemical technique for evaluation of OPN immunolocalization compared to normal skin biopsies of 10 normal subjects representing the control group. Results: OPN was expressed in the epidermis of all specimens, both in the psoriasis group and the control group without any significant differences except for the tendency of psoriatic lesions to show more cytoplasmic and nuclear pattern of OPN staining (55.56%) compared to normal skin (20%). Epidermal strong and diffuse immunostaining of OPN was associated with the severity of psoriasis, and there was a correlation of the intensity of OPN expression with the density of the dermal inflammatory infiltrate. Conclusion: Our study suggests that OPN is involved in the pathophysiology of psoriasis, and a possible association with disease severity. OPN acts by different mechanisms through its expression by lesional keratinocytes, inflammatory cells, and endothelial cells. Nuclear localization of OPN may have a more significant role in the pathogenesis of psoriasis. � Science Printers and Publishers, Inc.
The role of antifungal therapy in the prevention of recurrent allergic fungal rhinosinusitis after functional endoscopic sinus surgery: A randomized, controlled study
(2011) Khalil Y.; Tharwat A.; Abdou A.G.; Essa E.; Essawy A.H.; Elnakib O.; Elnaidany N.F.; Department of Otolaryngology; Menofiya University Faculty of Medicine; Shebein Elkom; Egypt; Department of Pathology; Menofiya University Faculty of Medicine; Shebein Elkom; Egypt; Department of Clinical Pathology; Menofiya University Faculty of Medicine; Shebein Elkom; Egypt; Department of Clinical Pharmacy; Faculty of Pharmacy; Modern Sciences and Arts University; October City; Egypt
Allergic fungal rhinosinusitis (AFRS) is the most common form of fungal sinus disease. Its recurrence rate is high despite numerous strategies to prevent it. We conducted a study to assess the effect of systemic and topical antifungal agents-both separately and in combination-in preventing recurrence of AFRS following functional endoscopic sinus surgery (FESS). Our initial study population was made up of 50 adults who were diagnosed with AFRS by clinical, radiologic, histopathologic, and laboratory workup and who subsequently underwent FESS. Postoperatively, these patients were randomized into 5 different treatment groups matched for sex, age, and socioeconomic status. Four of the groups received a different antifungal regimen in addition to convenient medical treatment (CMT), while a fifth group served as a control. The antifungal regimens included oral itraconazole (group A), fluconazole nasal spray (group B), combined oral itraconazole and nasal fluconazole (group C), and irrigation with a fluconazole solution through the nasal fossa (group D); the group of 10 controls (group E) received CMT only. A total of 41 patients were available for follow-up (9 mo maximum). Recurrence rates in the 5 groups were 66.7, 10.0, 14.3, 28.6, and 75.0%, respectively. Based on our findings, we conclude that treatment with topical fluconazole as either a nasal spray or an irrigation solution can significantly reduce the rate of recurrence of AFRS after FESS. � 2011, Vendome Group, LLC.
The role of IL-28, IFN-?, and TNF-? in predicting response to pegylated interferon/ribavirin in chronic HCV patients
(Blackwell Munksgaard, 2015) Abdou A.G.; Asaad N.Y.; Ehsan N.; Eltahmody M.; El-Sabaawy M.M.; Elkholy S.; Elnaidany N.F.; Department of Pathology; Faculty of Medicine; Menofiya University; Shebein Elkom; Egypt; Department of Pathology; Liver Institute; Menofiya University; Shebein Elkom; Egypt; Hepatology Department; Liver Institute; Menofiya University; Shebein Elkom; Egypt; Clinical Pharmacy Department; MSA October University; Shebein Elkom; Egypt
The primary goal of HCV therapy is to achieve a sustained virological response (SVR). Many host and viral factors influence the treatment response. Cytokines play an important role in the defense against viral infections, where successful treatment of hepatitis C depends on a complex balance between pro- and anti-inflammatory responses. In the present study, we investigated the relationship between the presence and percentage of some cytokines (IL-28, IFN-?, and TNF-?) regarding different clinicopathological parameters including response to therapy in chronic HCV patients using immunohistochemical technique. This study was carried out on 64 chronic HCV patients (34 responders and 30 non-responders). Of cases, 54% showed IL-28 expression, which was associated with low AST (p�=�0.002) and low HAI score (p�=�0.006). Of cases, 67 and 45% showed IFN-? and TNF-? expression, respectively, where the median percentage of TNF-? expression was higher in grade II spotty necrosis compared to grade I. Some inflammatory cytokines expressed by intrahepatic inflammatory cells in chronic HCV patients promote inflammation and injury (pro-inflammatory) such as TNF-?. Other cytokines aid in resolving inflammation and injury (anti-inflammatory) such as IL-28. The balance between these cytokines will determine the degree of inflammatory state. None of the investigated cytokines proved its clear cut role in affecting response to therapy, however, their levels varied between responders and non-responders for further investigations to clarify. � 2014 APMIS. Published by John Wiley & Sons Ltd.
Second to fourth digit ratio in female patients with acne vulgaris: Could it be a predictor of androgen receptor status?
(Wolters Kluwer Medknow Publications, 2019) Farag A.G.A.; Shoiab M.A.; Samaka R.; Abdou A.G.; Elnaidany N.F.; Mansour A.O.M.; Department of Dermatology; Andrology and STDs; Faculty of Medicine; Menoufia University; Shibin El-Kom; Al Minufya; Egypt; Department of Pathology; Faculty of Medicine; Menoufia University; Al Minufya; Egypt; Department of Clinical Pharmacy; Faculty of Pharmacy; MSA University; October City; Egypt
Background: Second to fourth digit (2D:4D) ratio is the ratio of index to ring fingers length. It reflects prenatal androgen exposure and sensitivity. Androgens are important in the pathogenesis of acne vulgaris, This ratio may therefore be of significance in determining the expression of androgen receptors. Aim: To investigate the relationship between second to fourth digit ratio and androgen receptor expression in female patients with acne vulgaris and to assess its association with clinical aspects of acne vulgaris. Methods: Females patients (n = 352) with different degrees of acne vulgaris severity and 168 age-matched females were enrolled. Right, left and total second to fourth digit ratios were calculated. Biopsies from all participants were processed for androgen receptor expression by immunohistochemical method. Results: Right, left and total second to fourth digit ratios were significantly lower in acne vulgaris patients than controls (P < 0.001 for all), and each of them had a significant negative correlation with duration of acne vulgaris (P < 0.001; P = 0.013; P < 0.001, respectively). Androgen receptors were detected in epidermal keratinocytes, hair follicles, sebaceous glands and fibroblasts. Right second to fourth digit ratio showed a negative correlation with androgen receptor H score of keratinocytes (r = -0.28;P = 0.02), hair follicles (r = -0.22; P = 0.05) and fibroblasts (r= -0.37;P = 0.001), while left second to fourth digit ratio demonstrated negative correlation with androgen receptor H score of sebocytes (r = -0.397; P < 0.000) only. Limitations: Lack of follow-up and absence of male participants were the main limitations of this study. Conclusion: A masculine second to fourth digit ratio in female patients could anticipate acne vulgaris development, its duration and severity. Moreover, this ratio is associated with an upregulation of cutaneous androgen receptors. Taken together, second to fourth digit ratio could help in designing plans for treatment of acne vulgaris. � 2019 Medknow Publications. All rights reserved.
Tramadol (opioid) abuse is associated with a dose- and time-dependent poor sperm quality and hyperprolactinaemia in young men
(Blackwell Publishing Ltd, 2018) Farag A.G.A.; Basha M.A.; Amin S.A.; Elnaidany N.F.; Elhelbawy N.G.; Mostafa M.M.T.; Khodier S.A.; Ibrahem R.A.; Mahfouz R.Z.; Dermatology; Andrology and STDs; Menoufia University; Shebin El Kom; Egypt; Forensic Medicine & Clinical Toxicology; Menoufia University; Shebin El Kom; Egypt; Faculty of Pharmacy; Clinical Pharmacy; MSA University; 6 October City; Egypt; Faculty of Medicine; Medical Biochemistry; Menoufia University; Shebin El Kom; Egypt; Faculty of Medicine; Clinical Pathology; Menoufia University; Shebin El Kom; Egypt; Faculty of Medicine; Public Health and Community Medicine; Menoufia University; Shebin El Kom; Egypt; Cleveland Clinic Lerner College of Medicine; Case Western Reserve University; Cleveland; OH; United States
Tramadol, one of the most commonly abused drugs in Middle East, impacts spermatogenesis and disturbs reproductive hormones in animal studies. We aimed to investigate tramadol impact on sperm quality and on levels of testosterone, prolactin and gonadotropins, in tramadol abusers (n=30) to age-matched control (n=30). Abusers had significantly low percentages of sperm motility, normal forms and vitality compared with control (95% CI ?40.7 to ?19.3, ?13.5 to ?9.3 and ?31.9 to ?9.7 respectively). Hypoandrogenism (95% CI ?4.5 to ?2.8), hyperprolactinaemia (CI (95%) 4.9 to 9.4) and hypergonadotropinaemia (95% CI 2.9 to 7.2 for FSH and 2.0 to 7.8 for LH) were observed in tramadol abusers vs controls. Smokers (26 of 30), concurrently abusing other drugs (11 of 30) and asymptomatic leucocytospermic (15 of 30) patients subgroups significantly abused tramadol beyond 3years (p=.02, <.001, =.03 respectively) and in excess >450mg/day (p=.02, =.01, =.005 respectively). Progressive motility (a+b%) was significantly low in young men <25years old (p=.03) subgroup. Tramadol abuse is associated with poor sperm quality, hyperprolactinaemia and hypergonadotropic hypogonadism. We recommend semen analysis for tramadol long-intakes, question sperm donors and follow-up studies to prevent and reverse tramadol-induced testicular damage. � 2018 Blackwell Verlag GmbH
Up-regulation of Notch-1 in psoriasis: An immunohistochemical study
(2012) Abdou A.G.; Maraee A.H.; Sharaf A.; Elnaidany N.F.; Pathology Department; Faculty of Medicine; Menofiya University; Shebein Elkom; Egypt; Dermatology and Andrology Department; Faculty of Medicine; Menofiya University; Shebein Elkom; Egypt; Faculty of Pharmacy; MSA University; October City; Egypt
The Notch pathway plays a key role in differentiation, proliferation, and influencing cell fate decision in multiple organisms and tissues including the epidermis and its appendages. The role of Notch-1 in psoriasis has not been widely evaluated; therefore, the current study aimed to evaluate its role in etiopathogenesis of this common skin disease. The current study used immunohistochemical technique to evaluate Notch-1 expression in 35 lesional biopsies of patients having chronic plaque psoriasis in comparison with normal skin biopsies, representing the control group. Notch-1 was expressed in the epidermis of both normal and psoriatic skins; however, the intensity was in favor of psoriatic lesion, and the nuclear form of Notch-1 was more frequently and diffusely seen in psoriasis. Exacerbation of psoriasis as assessed by the Psoriasis Area and Severity Index score was significantly associated with intense (P =.005) and nuclear form of Notch-1 expression (P =.0001). The nuclear form of Notch-1 was also correlated with female sex (P =.043). From this study, up-regulation and not down-regulation of Notch-1 may have a role in pathogenesis of psoriasis. The nuclear form is responsible for the exacerbation of symptoms, and it is the one that may disappear by the effect of psoralen and ultraviolet A radiation (PUVA) therapy. � 2012 Elsevier Inc.