Endocrine Abstracts

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: 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...

Introduction: The auto immune’s diseases are also involved in the heart’s failure. Grave disease(GD) is an autoimmune thyroid disease that often linked by pericarditis. We report a case of an acute pericarditis that was also presumed to be associated with GD.Case report: A 59 years old who 10 pack years smoker. admitted for chest pain and shortness breathstage 3NYHA. At the investigation there was a progessive emaciation of 12 kg within 7 mon...

IntroductionFunctional insulin therapy is an educational method that is part of a strategy to intensify type 1 diabetes in order to optimize the balance of diabetes while improving the psychological aspect of the patient. The aim of this study is to assess the impact of functional insulin therapy on the psychological aspect of type 1 diabetics.Patients and methodThis is a retrospective and analytical descript...

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="...

IntroductionIn Morocco, the Moorish bath is an important social ritual. All categories of society frequent it very regularly. The traditionnel bath can lead in the diabetic, by the means of acute decompensations, serious falls and burns, with heavy functional, social and psychological consequences. Through this observation, we report the risks associated with the Moorish bath, and we underline the value of educating diabetic patients and making them awar...