Searchable abstracts of presentations at key conferences in endocrinology

ea0081ep382 | Diabetes, Obesity, Metabolism and Nutrition | ECE2022

Medication Adherence in Patients with Type 2 Diabetes

Rihab Ajili , Amani Salah , Najoua Lassoued , Fadia Boubaker , Baha Zantour , Wafa Alaya , Habib Sfar

Introduction: Medication Adherence (MA) is the extent to which patients follow medical instructions. Poor MA is frequently encountered in the majority of chronic diseases, including diabetes. The aim of our study was to evaluate MA in patients with poorly controlled type 2 diabetes mellitus (T2DM).Patients and methods: We conducted a cross-sectional study over a period of 2 months, including patients with poorly controlled T2DM, followed at the endocrino...

ea0081ep653 | Pituitary and Neuroendocrinology | ECE2022

The impact of Sheehan Syndrome on bone mineral density

Salah Ameni , Maaroufi Amel , Ajili Rihab , Saad Ghada , Hasni Yosra , Ach Koussay

Introduction: Sheehan syndrome (SS), or postpartum pituitary necrosis, is a complete or dissociated adeno-pituitary insufficiency due to hypovolemia secondary to excessive blood loss during or after delivery. Although few studies have investigated osteoporosis in isolated hormone deficiencies, the relationship between SS and osteoporosis has not been investigated in large series of SS. In this study, we aimed to evaluate bone mineral density (BMD) in patients with SS.<p cl...

ea0081ep723 | Pituitary and Neuroendocrinology | ECE2022

Digestive complications of acromegaly : about 40 cases

Rihab Ajili , Ameni Salah , Yosra Hasni , Baha Zantour , Habib Sfar , Koussay Ach

Introduction: Acromegaly is a rare hormonal condition that results from an excess amount of growth hormone (GH) in the body. A variety of complications have been reported in patients with acromegaly including cardiovascular diseases, diabetes mellitus or respiratory disorders. In addition, Acromegaly is associated with gastrointestinal complications. The aim of this study was to evaluate gastrointestinal complications and their impact on the quality of life among patients suff...

ea0081ep725 | Pituitary and Neuroendocrinology | ECE2022

Decreased quality of life in adult patients with sheehan syndrome

Salah Ameni , Maaroufi Amel , Ajili Rihab , Saad Ghada , Hasni Yosra , Ach Koussay

Introduction: Sheehan Syndrome (SS) is the oldest known cause of non-tumor acquired anterior pituitary insufficiency in women. The incidence of SS would probably have decreased in recent decades in developed countries thanks to the development of obstetric care. However, it still remains a public health problem in developing countries. In addition, it constitutes a chronic disabling pathology and is strongly linked to an alteration of the quality of life. In this study we aime...

ea0081ep822 | Pituitary and Neuroendocrinology | ECE2022

Sheehan Syndrome effects on cardiovascular risk

Salah Ameni , Maaroufi Amel , Ajili Rihab , Benabdelkarim Asma , Njah Maha Kacem , Hasni Yosra , Ach Koussay

Introduction: Sheehan syndrome has been for a long time the most frequent cause of hypopituitarism among women in developing countries, including Tunisia. Apart from hormonal deficits caused by SS, young women with SS are exposed to an increased risk of cardiovascular mortality. In this study, we aimed to evaluate the cardiovascular risk in patients with SS. Patients and methods This is a descriptive cross-sectional study. It was carried out in the Endocrinology department of ...

ea0070aep234 | Bone and Calcium | ECE2020

Brown tumor with multiple localizations in primary hyperparathyroidism: About a case

Rihab Ajili , Sondos Arfa , Fedia Boubaker , Olfa Berrich , Alaya Wafa , Baha Zantour , Mohamed H Sfar

Introduction: A brown tumor is a rare osteolytic non-neoplastic lesion, due to an anomaly of bone metabolism, occuring in primary, secondary or tertiary hyperparathyroidism.This is a case about a brown tumor with multiple localizations seen in primary hyperparathyroidism.Observation: A 42 year old patient,with a history of Behçet disease diagnosed at the age of 38, is hospitalized in our department for the management of a fort...

ea0070ep15 | Adrenal and Cardiovascular Endocrinology | ECE2020

High blood pressure due to pheochromocytoma: 8 cases

Rihab Ajili , Baha Zantour , Sondos Arfa , Fedia Boubaker , Olfa Berrich , Wafa Alaya , Mohamed H Sfar

Introduction: Pheochromocytomas are rare neuroendocrine tumors arising from chromaffincells of the adrenal gland or extra-adrenal paragangliomas. These tumors cause a hypersecretion of catecholamines, resulting in high blood pressure (HBP) and eventual cardiovascular complications. The point of this study is to go through the different clinical aspects of high blood pressure related to pheochromocytomas.Methods: This is a retrospective study about 8 pati...

ea0070ep183 | Diabetes, Obesity, Metabolism and Nutrition | ECE2020

Polycysticovary syndrome (PCOS) and type 1 diabetes : A report of two cases

Rihab Ajili , Fadia Boubaker , Ameni Salah , Olfa Berrich , Wafa Alaya , Baha Zantour , Mohamed H Sfar

Introduction: PCOS is the most common endocrinopathy in adolescents and young women. Insulin–resistance and hyperinsulinism are its primary mechanisms, which explains the frequency of its association with type 2 diabetes. But not many studies have been interested in the association between PCOS and type 1 diabetes.Patients and Methods: Two type 1 diabetes patients have been included in this study, aged respectively 17 and 16. The first patient had ...

ea0056p144 | Female Reproduction | ECE2018

Female fertility in congenital adrenal hyperplasia

Gargouri Imen , Mnif Fatma , Ajili Rihab , Hadjkacem Faten , Sessi Salwa , Kammoun Mahdi , Mnif Mouna , Abid Mohamed

Introduction: Congenital adrenal hyperplasia (CAH) is a genetic disease with autosomal recessive inheritance. The deficit in 21-hydroxylase (21-OH) is by far the most common enzyme deficiency CAH, since it represents 95% of the cases. Fertility in wome is found to be reduced due to hormonal, mechanical and psychological factors.Patients and methods: It is about a descriptive and prospective study conducted in 15 patients collected in the endocrinology de...

ea0073aep373 | Diabetes, Obesity, Metabolism and Nutrition | ECE2021

Diabetic ketoacidosis precipitated by COVID-19 in patient without respiratory symptoms: 2 case reports

Lassoued Najoua , Rihab Ajili , Senda Rebai , Jihen Chelli , Baha Zantour , Habib Sfar Mohamed

IntroductionDiabetes mellitus (DM) is one of the risk factors associated with severe illness in Coronavirus disease 2019 (COVID-19) leading to increased hospital admissions and mortality. COVID-19 can precipitate hyperglycemic emergencies like diabetic ketoacidosis (DKA) in patients with DM. We report 2 cases of diabetic ketoacidosis (DKA) secondary to COVID-19 with an atypical clinical picture mainly made up of neurological disorders without respiratory...