Endocrine Abstracts

Introduction: Thyroid pathology is common in women of reproductive age. Evaluation of thyroid function is classically recommended in cases of recurrent abortion. The presence of dysthyroidism or antithyroid antibodies increases the risk of abortion. We report two observations of hypofertility related to thyroid pathology and discuss the therapeutic course.Case 1: A 33 year old woman was referred for etiological investigation of recurrent abortion. She pr...

Introduction: The causes of gonadotropic insufficiency are many and varied. Pituitary lymphomas are a rare and difficult-to-diagnose cause.Case report: We report the case of a 30-year-old female patient who was admitted to the internal medicine department for an altered general condition with febrile headache. She reported secondary amenorrhea evolving for three months. The pregnancy test was negative. On physical examination, the patient was cachectic a...

Objective: To describe the experience of patients with differentiated thyroid carcinoma (DTC) since their diagnosis.Patients and Methods: Cross-sectional study including 25 patients with DTC who integrated the therapeutic education program (TPE) on DTC at the Nuclear Medicine Center, Sfax, Tunisia. Each participant recounted his or her experience during collective meetings (narrative approach). Results: Our group was composed of 19...

Objective: to evaluate the fear of recurrence of differentiated thyroid cancer (DTC) in patients in complete remission. Patients and Methods: Cross-sectional study of 41 patients in complete remission after treatment of DTC, followed up at the Nuclear Medicine Centre of Sfax, Tunisia. The evaluation was based on the administration of a shortened version of the Fear of Cancer Recurrence Inventory (FCRI-SF) to all patients (maximum score 36 points)<p c...

Objective: To evaluate the quality of sleep in patients in remission of differentiated thyroid cancer (DTC) Patients and Methods: Comparative case-control study conducted at the Nuclear Medicine Center of Sfax, Tunisia including 99 individuals divided into 2 subgroups G1 (n=39) patients in remission from DTC G2 (n=60) healthy control subjects Sleep quality was assessed according to the 7 components of the Pittsburgh Sleep Quality Index ...

Objective: To assess the educational needs of patients with differentiated thyroid carcinoma (DTC) undergoing ablative irradiation therapy (RAI131)Patients and Methods: Cross-sectional study including 25 patients operated for TDC who integrated the therapeutic education program (TPE) on DTC at the Nuclear Medicine Center, Sfax, Tunisia. An assessment questionnaire was filled by the patients before the RAI session131Results: Our gro...

Objective: To determine the prevalence and factors associated with sleep disorders in patients with differentiated thyroid cancer (DTC)Patients and Methods: Analytical cross-sectional study of 39 patients followed for DTC at the Nuclear Medicine Center of Sfax, Tunisia. Sleep disorders were evaluated according to the 7 components of the Pittsburgh Sleep Quality Index (PSQI). Results: The average age of the patients at the time of t...

Introduction: Primary adrenal lymphoma (PAL) is a very rare entity. Less than 200 cases have been reported. Its evolution is unfavourable even under treatment. We report a case of PAL with a falsely reassuring course unmasked by 18F-FDG PET-CT.Observation: This is a 48-year-old female patient hospitalized with altered general condition, weight loss, fever and cytopenias. The initial thoraco-abdomino-pelvic CT scan revealed two large bilateral adrenal tum...

Introduction: Cortisone-induced osteoporosis (CO) is the most frequent complication of corticosteroid therapy. It is the first cause of secondary osteoporosis. The aim of this study is to clarify the characteristics of CO.Patients and Methods: We report a retrospective study of 39 cases of CO among 128 cases of osteoporosis during a 15-year period. The diagnosis of CO was based on a bone densitometry (BMD) of more than -1.5 standard deviations.<p cla...

Introduction: Osteoporosis is a generalized skeletal disease that combines a decrease in bone density with changes in bone microarchitecture. The bone is abnormally fragile and therefore the risk of fracture is high. We report the case of osteoporosis in a young woman secondary to type 1 diabetes mellitus (T1DM).Case Report: Patient A.M, 26 years old, with a history of polyglandular autoimmune syndrome type 3 since the age of 12, associating T1DM and Has...