Endocrine Abstracts

Background: Thyroid nodules found in patients with Graves’ disease have a higher likelihood of being malignant. Management of these association is controversial.Objectives: To discuss clinical and therapeutic features of this association.Materials and methods: We report three cases of thyroid cancer occurring in Graves’ disease, treated surgically at our department.Results: There were three patients...

Objective: Our aim is to describe the epidemiological, clinical and paraclinical features of intrathyroidal parathyroid cysts (PCs). Materiel and Methods : We report 2 cases of intrathyroidal PC treated in our ENT department. Results : We report 2 cases of non-functioning intrathyroidal PCs: 2 women (22 and 45 years old). They were referred to our department for anterior neck mass lasting for an average of 13 months. They had no co...

Background and Aim: Multiple studies support that chronic glycemic imbalance has deleterious effects on microcirculation. It is the central physiopathological factor in the development of chronic kidney disease (CKD) and several ophthalmologic complications in patients with type 2 diabetes mellitus (T2DM). This study aims to assess the peculiarities of eye complications in patients with diabetes and CKD.Methods: We conducted a descriptive study including...

Introduction: Diabetic neuropathy is the most common cause of neuropathy worldwide and is known to affect approximately half of all diabetic patients. It significantly impairs the quality of life of patients.Aim of the study: To establish the predictive factors of distal symmetric polyneuropathy (DSPN) in diabetic patients.Methods: This is a descriptive cross-sectional study including 116 patients. The diagnosis of PNDS was establi...

Objective: Identify the risk factors of hypoparathyroidism (hypoPT) after Total thyroidectomy (TT).Patients and Methods: Our study is a randomised clinical trial. It enrolled patients who underwent total thyroidectomy at the department of ENT surgery at Habib Bourguiba Hospital in Sfax between November 2020 and august 2021. We studied age, gender, type of surgery, duration of surgery, vitamin D level, magnesium level, histopathological exam, inadvertent ...

Aim: The purposes of our study are to study the effect of systematic calcium and vitamin D supplementation on parathyroid glands function after total thyroidectomy.Patients and Methods: We conducted a prospective cohort study, including patients undergoing total thyroidectomy. Patients were randomly divided into two groups: group 1: with prophylactic supplementation (24 patients) and group 2: without prophylactic supplementation (23 patients). For each p...

Background: The management of differentiated microcarcinomas of the thyroid (DMCT) is controversial, and ranges from simple active surveillance to total thyroidectomy with bilateral lymph node dissection and post operative adjuvant therapy. Our purpose was to determine prognostic factors to guide the surgery of DMCT.Methods: This was a retrospective study conducted from January 2000 to December 2017, involving 122 patients with DMCT who were treated surg...

Background: True thymic hyperplasia results from stressful situations such as chemotherapy. It commonly presents as an anterior mediastinal mass; cervical location is exceptional. The aim of this work is to illustrate a case of an incidental ectopic cervical thymic hyperplasia in a patient treated for Hodgkin lymphoma.Case reprt : Here we report a case of a cervical true thymic hyperplasia in a 12-year-old girl who had a Hodgkin lymphoma treated by radio...

Introduction: Congenital adrenal hyperplasia (CAH) in its classical form is an early-onset and challenging-to-treat condition with long-term evolution associated with significant morbidity, typically involving metabolism, bone, and gonadal aspects. Through this specific case study, we illustrate one of the rare complications of CAH in adulthood.Case Report: A 24-year-old patient, born of consanguineous parents, has been monitored since birth for classica...

Introduction: Pheochromocytoma represents only 5% of adrenal incidentalomas. It is malignant in only 10% of cases. We report a case of pheochrompcytoma with suspucion of double cortico-meullary component or an ectopic secretion of CRH in the context of neurofibromatosis type1Observation: A26year old woman with a history of unilateral renal lithiasis, colic and breast neoplasia, with no notable personal history, consulted for right lumbar pain. An abdomin...