Searchable abstracts of presentations at key conferences in endocrinology

ea0070ep319 | Pituitary and Neuroendocrinology | ECE2020

Endocrine pathology hidden by IUD

Ichiche Malika , Laura Iconaru

Introduction: Amenorrhea is a condition resulting from dysfunction of the hypothalamus, pituitary, ovaries, uterus, or vagina. Hyperprolactinemia is a relatively common endocrine disorder that produces amenorrhea by suppressing hypothalamic GnRH secretion. We describe a patient who had a Levonorgestrel intrauterine device (UID) since 5 years and who presented with amenorrhea in association with a macroprolactinoma.Case report: A 45 year- old -woman prese...

ea0070aep436 | Diabetes, Obesity, Metabolism and Nutrition | ECE2020

Autoimmune polyglandular syndrome type ii presenting as an endocrine emergency

Ichiche Malika , Laura Iconaru , Rafik Karmali

Introduction: Autoimmune polyglandular syndrome (APS) is a group of polyendocrinopathies characterizedby multiple glands insufficiencies associated with other autoimmune diseases resulting from immune mediated destruction. We describe a patient with type 2 APS presenting first with diabetes type 1 followed later by adrenal insufficiency and Hashimoto disease.Case report: A 23-year-old male, known with diabetes type 1, presented with a very low blood pres...

ea0056p1125 | Thyroid cancer | ECE2018

An unusual association of three endocrine diseases: pheochromocytoma, hyperparathyroidism and papillary thyroid carcinoma

Iconaru Laura , Baleanu Felicia , Karmali Rafik

Introduction: Pheochromocytoma, papillary thyroid carcinoma and primary hyperparathyroidism have been reported rarely together. Whether the association is coincidental or results from an underlying unique genetic process is difficult to ascertain.Case description: We report a case of a 59-year-old woman without a family history who had a personal history of multinodular goiter known for the ten last years and pheochromocytoma diagnosed and operated in 20...

ea0049ep939 | Pituitary - Clinical | ECE2017

A case of IgG4-related hypophysitis with long-term cyclic evolution

Laura Iconaru , Felicia Baleanu , Raoul Muteganya , Rafik Karmali

Introduction: IgG4-related disease is a newly recognized entity associated with autoimmune conditions involving almost every organ system, characterized by elevated serum IgG4 as well as mass like tissue infiltration by IgG4-positive plasma cells. Pituitary gland can be involved and can presented as hypophysitis.Case description: We report a case of a 56-year-old man, who has been suffering for the nine last years of episodes of fatigue and headaches wit...

ea0035p235 | Clinical case reports Pituitary/Adrenal | ECE2014

A history of 30 years severe uncontrolled hypertension: Conn's syndrome

Baleanu Felicia , Iconaru Laura , Bourmorck Carole , Karmali Rafik

A 65-year-old Moroccan man was regularly followed in the outpatient clinic for type 2 diabetes since 2010 and was well controlled with an oral treatment. His past medical history included severe hypertension since 1985. Despite four antihypertensive agents, his blood pressure was not controlled (BP: 220/120 mmHg). A suspicion of renal artery stenosis was excluded by an invasive procedure.He presented an impaired renal function (GFR: 50 ml/min) and his se...

ea0035p236 | Clinical case reports Pituitary/Adrenal | ECE2014

Unusual cause of hypoglycemia in a type 2 diabetic patient: panhypopituitarism

Baleanu Felicia , Iconaru Laura , Bourmorck Carole , Rafik Karmali

We report on a 50-year-old patient of Moroccan origin, with insulin treated type 2 diabetes known for several years. He presented with a 6 months history of hypoglycemia, hypotension, associated with loss of libido and erectile dysfunction, anorexia, general deterioration and weakness. He had lost 20 kg over a 6-month period. The insulin doses were diminished from 70 to 42 U/day and the antihypertensive treatment was stopped due to repeated episodes of hypotension.<p class...

ea0035p242 | Clinical case reports Pituitary/Adrenal | ECE2014

Congenital panhipopituitarism and ectopic posterior pituitary

Laura Iconaru , Felicia Baleanu , Carole Bourmorck , Rafik Karmali

Introduction: Congenital hypopituitarism may be the result of complications linked with delivery or may sometimes result of insufficient development of the gland in the context of specific genetic abnormalities (PROK2 and PROKR2, LHX4, HESX1, OTX2, GLI2 and SOX3). Interruption or lack of pituitary stalk represents a frequent feature of congenital hypopituitarism.Case description: We present a patient 39-year-old with congenital panhypopituitarism, mental...

ea0070aep80 | Adrenal and Cardiovascular Endocrinology | ECE2020

Less common form of adult secondary hypertension

Laura Iconaru , Baleanu F , Georgiana Taujan , Malika Ichiche , Rafik Karmali

Introduction: Patients with clinical clues suggesting the possible presence of secondary hypertension should undergo a more extensive evaluation, because in this case some of these disorders can be cured, leading to partial or complete normalization of the blood pressure.Case description: We report a case of a 43-year-old man, who suffered for years of hypertension despite concurrent use of adequate doses of three antihypertensive agents from different c...

ea0070ep72 | Bone and Calcium | ECE2020

Hypophosphatemia: Collateral damage in parenteral iron administration

Cristina Taujan Georgiana , Baleanu Felicia , Karmali Rafik , Iconaru Laura

Introduction: Iron-induced hypophosphatemia is a well-known adverse effect in patients receiving parenteral iron supplementation. Initially thought to be transient and mild, it seems that in certain cases, especially in patients who require repeated intravenous iron administrations, it can lead to spectacular symptomatology and serious complications.Case report: A female patient, aged 61 was referred for intense muscle and bone pain, severe impaired mobi...

ea0073ep15 | Adrenal and Cardiovascular Endocrinology | ECE2021

Hiding in plain sight – a case of adrenal Cushing

Rosu Mihaela , Baleanu Felicia , Taujean Georgiana , Iconaru Laura

Bariatric surgery is increasingly deployed world-wide in patients with significant weight excess in order to mitigate the deleterious effects of associated metabolic and cardiovascular comorbidities. Pre-operative evaluation systematically investigates for possible causes of secondary obesity due to endocrine pathologies. In our hospital a standard blood test panel comprising the anterior hypophysis, the adrenal and the thyroid is requested as well as an endocrinological evalu...