Endocrine Abstracts

Summary: Pituitary apoplexy (PA) is a rare clinical situation caused by pituitary infarction with or without hemorrhage. Although it is usually spontaneous, dopaminergic agonists (DA) are known to be predisposing factors, particularly Bromocriptine, more rarely Cabergoline. We report the case of a 31 years old female patient, with no notable pathological history, consulted for headaches and menstrual irregularities. Pituitary hormone levels were normal except for hyperprolacti...

Summary: Hypothyroidism is a frequent and generally chronic pathology. Hypothyroid patients, particularly women of childbearing age, the elderly and/or cardiac patients, need to have a minimum level of knowledge of their pathology. The aim of our study was to assess the level of knowledge of a group of hypothyroid patients. The study involved 140 hypothyroid patients over a period of 06 months. The evaluation was carried out using a questionnaire, and the responses were record...

Thyroglossal tract cyst carcinoma (TTC) is a rare pathological situation, The challenge is mainly in the surgical management. We report a new case of papillary TTC in a 51 year old female patient, not suspected preoperatively and confirmed postoperatively by histological analysis of the resected specimen. The therapeutic strategy was completed by a total thyroidectomy with adjuvant treatment with radioactive iodine and hormone restraint therapy. The outcome was favorable after...

Introduction: Metabolic disorders are a relevant cause of morbidity and disability in patients with Cushing’s syndrome (CS) even after a successful treatment. The aim of our study was to assess the prevalence of metabolic syndrome in our CS patients, as central obesity, dyslipidemia, diabetes, and hypertension, and to discuss the main adverse effects of CS on metabolism and emphasize the importance of long-term monitoring and treatment of these complications.Patients and ...

Introduction: Pituitary adenomas are a rare condition in children and young people. The prolactinoma represents the most frequent of them. We report a case of an atypically evolution of aggressive macroprolactinoma in young patient.Case: It’s about a boy of 14 years old with previous history of headache from 5 years without visual disturbance. He was admitted for intracranial hypertension syndrome. In clinical examination no dysmorphic syndrome, a g...

Introduction: Clinically non-secreting pituitary adenomas are rare in children We report a case of a silent somatotropic adenoma revealed by anatomopathology.Case: A 13 year-old patient with no prior history of sudden onset intracranial hypertension syndrome. Clinical examination showed no dysmorphic Syndrome, no galactorrhea, no delay or statutory advance, Tanner P1S3. The MRI reveals a heterogeneous tumor process intra and suprasellar of 30 mm *15 mm o...

Introduction: Digital necrosis of the upper limbs is the final and often the only clinical manifestation of a of a distal arterial or microcirculatory pathology of the MS. The approach to The approach to this condition is very different, hence the particularity of our observation which highlights the severity of vascular lesions found in diabetic patients.Observation: This is a 58 year old diabetic patient on mixtard 30: 16-00-08 ui; schizophrenia; on cl...

Introduction: Oculomotor palsies in diabetes are focal mononeuropathies. It is a diabetic neurological complication, relatively rare. The oculomotor nerves affected are mainly the external oculomotor nerve (VI), the common oculomotor nerve (III), and more rarely, the pathetic nerve (IV). We report the case of a type 2 diabetic patient in whom the diagnosis of oculomotor palsy was retained.Observation: This is a 65-year-old diabetic patient, 4 years old, ...

Introduction: Hypothyroidism is a rare cause of atrioventricular block. We report the case of an 85 year old patient admitted with a 3rd degree AVB and in whom the biological work-up had objectified a hypothyroidism. Observation: 85-year-old patient, followed for thyreopathy for 20 years on LT4: 100 ug/d, Diabetic for 2 years on premixed regimen: 08-00-12 ui ;HTA for 5 years on amlodipine 5 mg/d presented to the emergency room for syncope. No signs of hy...

Type 2 diabetes mellitus is known for its morbidity and mortality all over the globe. It has been demonstrated in recent studies that abnormal levels of adipocytokines may contribute to insulin resistance and type 2 diabetes.Objectives: The aim of the present study was to assess the relation between serum leptin levels and insulin resistance syndrome in type 2 diabetic patients.Methods: Eighty persons were enrolled in this study an...