Endocrine Abstracts

Introduction: Hepatic encephalopathy is a neuropsychological syndrome complicating a chronic liver disease (cirrhosis), rarely acute (fulminant hepatitis). We report the case of a patient with Graves’ disease who suddenly presented with hepatic encephalopathy. Case Report: S.B., a 48-year-old woman followed for Graves’ disease treated with antithyroid drugs and also presenting vitiligo, was admitted to our facility for a relapse of Graves’...

Introduction: The month of Ramadan is characterized by abstaining from drinking and eating from sunrise to sunset. This exposes to an increased metabolic risk in diabetics. However, even if religiously diabetics could be exempt from fasting, a large number of them practice it.Materials and methods: We conducted a cross-sectional study and interviewed diabetic patients about their practices during Ramadan and about the presence or absence of complications...

Introduction: Spontaneous thyroid hematoma is a rare entity that can be favored by anticoagulation therapy. Any neck swelling can be life-threatening by compression of the upper aerodigestive tract and adjacent vascular axes.Case report: We report the case of an 80-year-old patient with a previously existing goiter, started on vitamin K antagonists for atrial fibrillation, who presented to the emergency room for anterior neck mass that appeared 2 days be...

Introduction: Lymphocytic hypophysitis is a rare inflammatory disorder of the pituitary gland with autoimmune origin, related to a diffuse infiltration of the pituitary gland, sometimes resulting in severe hypopituitarism. It is common in young women in late pregnancy or postpartum, however, its occurrence in men is rare with only a few cases reported in the literature. We report the case of a lymphocytic hypophysitis in a young male patient who presented for a pituitary macro...

Introduction: Ramadan is the 9th month of the Muslim calendar, where people fast from the sunrise to the sunset. Despite medical recommendations, 100 million Muslims in the world with diabetes and 79% of patients with type 2 diabetes fast during Ramadan.The aim of our study is to determine the impact of fasting during Ramadan on the cognitive performances for patients with type 2 diabetes using two fast tests.Materials and methods:...

Introduction: Silent corticotropic adenoma (SCA) is defined by the absence of clinical manifestations of Cushing’s disease despite the presence of ACTH and/or its precursors in tumor cells. It is a rare entity that represents 10% of pituitary tumors. It is known for its increasing expansion. Its clinical presentation is dominated by symptoms of tumor mass effect. We report the case of a silent corticotropic adenoma revealed by headache.Case report:...

Introduction: During nephrotic syndromes, thyroid function abnormalities may be observed. Hypothyroidism due to loss of thyroid hormones or their binding proteins can be seen but remains a rare complication of nephrotic syndrome. We report the case of 22 year old patient admitted for massive proteinura with nephrotic syndrome that was complicated with hypothyroidism.Case report: We report the case of 22 year old patient who presented with generalized ede...

IntroductionSecondary diabetes mellitus is seen in 10 to 70% of cases depending on the endocrinopathy involved; it can be indicative of the disease and often associated with other metabolic disorders. We report the case of a patient with inaugural diabetic ketosis revealing hyperthyroidism.Case reportIt’s a 42-year-old patient with a history of gestational diabetes not followed 5 years ago, with diabetic...

IntroductionGraves’ disease is found in 5% of patients with myasthenia gravis. It’s a described but rare association that addresses pathophysiological, diagnostic and management challenges. We report a case of Graves’ disease revealed by an orbitopathy in a patient with coexisting mysthania gravis.Case reportA 40-year-old woman with established myasthenia gravis presented to the emergency room ...

IntroductionThe emergence of the concept of the expert patient has changed the paternalistic doctor–patient relationship. The ’knowing’ patient is an active actor, his level of knowledge acquired during therapeutic education programs (ETP), allows him a certain autonomy in the management of his pathology. We focus through a case report of ketoacidosis on the useless intervention of an ’expert’ patient to prevent it.<p class="...