Searchable abstracts of presentations at key conferences in endocrinology

ea0037gp.03.08 | Adrenal (2) | ECE2015

Obstructive sleep apnea presenting as pseudophaeochromocytoma

Marmouch Hela , Arfa Sondes , Slim Tasnim , Boubaker Fadia , Jmal Manel , Sayadi Hanene , Khochtali Ines

Introduction: The obstructive sleep apnea syndrome (OSAS) has a well-documented association with increase cardiovascular morbidity and mortality. The patients with OSAS have a high prevalence of hypertension (HTA).Case report: A 52-year-old female with a history of poorly controlled resistant HTA was admitted to our hospital with severe HTA. She had a history of fatigue and intermittent episodes of palpitations. Laboratory evaluation was significant for ...

ea0037ep628 | Obesity and cardiovascular endocrinology | ECE2015

The relation between metabolic syndrome and cognitive decline in type 2 diabetes elderly Tunisian people

Marmouch Hela , Slim Tasnim , Boubaker Fadia , Arfa Sondes , Jmal Manel , Sayadi Hanene , Khochtali Ines

Objective: To determine the relationship between metabolic syndrome (MS) and cognitive decline in type 2 diabetes patients over 65 years age.Methods: The age of the participants were between 60 and 87 years old. According to NCEP ATP III criteria 30 had MS and 28 had not. Cognitive performance was determined with the use of standardised mini mental test and the mini mental scores (MMS) of the two groups were compared. Apart from the MS we investigated th...

ea0037ep826 | Pituitary: clinical | ECE2015

Acquired male hypogonadotropic hypogonadism in a type 2 diabetes patient revealing empty sella

Marmouch Hela , Slim Tasnim , Boubaker Fadia , Arfa Sondes , Graja Sameh , Sayadi Hanene , Jmal Manel , Khochtali Ines

Introduction: Empty sella in male patients is a very rare situation. It could be diagnosis in acquired male hypogonadotropic hypogonadism or hypopituitarism.Case report: A 55-year-old type 2 diabetes male was referred to our hospital with erectile dysfunction (ED). He has three children. His secondary sex characteristics, sexual function, and ejaculation were previously normal but for the last 3 years he had ED. His genital stage was Tanner V, and pubic ...

ea0037ep936 | Thyroid (non-cancer) | ECE2015

Transient pulmonary hypertension in patients with Graves' disease

Marmouch Hela , Boubaker Fadia , Arfa Sondes , Slim Tansim , Sayadi Hanene , Jmal Manel , Khochtali Ines

Introduction: Hyperthyroidism produce changes in cardiac contractility, blood pressure, and systemic or pulmonary vascular resistance. In almost all cases these cardiovascular changes are reversible when the underlying thyroid disorder is recognised and treated. Pulmonary hypertension (PAH) has been associated with thyroid dysfunction, but primarily with hyperthyroidism. The vast majority of patients with this form of PAH are usually older with toxic multinodular goitre. The a...

ea0037ep1200 | Clinical Cases–Pituitary/Adrenal | ECE2015

New onset Graves' disease as a cause of an adrenal crisis in an unrecognised empty sella

Marmouch Hela , Slim Tasnim , Boubaker Fadia , Arfa Sondes , Sayadi Hanene , Jmal Manel , Khochtali Ines

Introduction: A 66-year-old woman was admitted as an emergency with vomiting, hypotension and serum cortisol of 0.92 microg/dl indicative of adrenal failure. She was found to be hyperthyroid (fT4=72 pmol/l).Case report: She had hypotension (blood pressure 80/40 mm/Hg) She was fit and well till the age of 65. Endocrine assessment revealed deficiency in ACTH-cortisol, growth hormone, and gonadotropin, as well as low-normal fT4. On the...

ea0037ep1287 | Clinical Cases–Thyroid/Other | ECE2015

Propylthiouracil-induced hepatotoxicity in Graves' disease: a case report

Marmouch Hela , Arfa Sondes , Slim Tesnim , Boubaker Fadia , Sayadi Hanene , Jmal Manel , Khochtali Ines

Introduction: Propylthiouracil-induced severe hepatotoxicity is a relatively rare occurrence, with very few cases reported in the literature. The management of this complication in pregnancy can be a challenge because of the effects of the various treatment options on the foetus.Case presentation: We report a case of hyperthyroidism in a 28-year-old woman that occurred at 20 weeks gestation. This situation was due to Graves’ disease. Propylthiouraci...