Endocrine Abstracts

Introduction: Therapeutic education of diabetic patients is an integral part of management care of the disease and a permanent way to empower patients and to promote their self-care. The purpose of this study is to evaluate the knowledge of diabetic patients about their disease.Patients and methods: This prospective study has been conducted during 9 months and included 312 patients with type 2 diabetes mellitus (T2DM) diagnosed at least 3 months ago. All...

Background: Although the issue of cardiovascular complications in type 2 diabetic patients is widely discussed and recommendations for such screening are known, it is less common to do so for type 1 diabetes mellitus (T1DM). Unfortunately, the mortality rate due to vascular complications is higher among type 1 diabetic patients than in the general population.Patients and methods: Seventy-six patients with T1DM history over 20 years were included in our s...

Background: Patients with type 2 diabetes mellitus (T2DM) have a greater risk for cardiovascular morbidity and mortality than those without T2DM. This risk is even further aggravated if they also suffer from hypertension and/or dyslipidaemia. However, better cardiovascular outcome can be reached by tight control of blood glucose, serum lipids, and blood pressure (BP).Patients and methods: One hundred and nineteen patients were consecutively enrolled. Wel...

Objective: To determine the factors influencing the level of knowledge and attitudes of diabetics consulting in first and third line in the Sousse region (Tunisia).Patients and Methods: We undertook a cross-sectional study. Diabetics were included by proportional sampling in 11 basic health centers and six hospital departments and outpatient clinics of the university hospital centers of Sousse. The developed questionnaire was self-administered in Arabic....

Objective: This study aimed to translate into Arabic and validate the questionnaires "Simplified Diabetes Knowledge Scale" (SDKS), "Diabetes Attitude Scale-3" (DAS-3) and "Diabetes Health Profile-18" (DHP-18) and to study the predictive factors of the level of knowledge, attitudes and quality of life of diabetics in the health region of Sousse.Population and Methods: A methodological study of psychometric validation was carried ou...

Introduction: Antithyroid drugs (ATD) are usually the first-line treatment for Graves’ disease (GD). It represents an effective treatment with good compliance. This therapeutic modality can be the cause of adverse effects including hematological, cutaneous and hepatic complications. The aim of our study is to evaluate the efficacy of ATD as well as its tolerance in patients with GD.Methods: It is a retrospective study that included 76 patients, with...

Introduction: Primary hyperparathyroidism (PHPT) is most commonly sporadic and in rare circumstances, it can develop as part of multiple endocrine neoplasia (MEN). There are few cases described in the literature reporting an association of PHPT with myasthenia gravis and multiple autoimmune syndrome (MAS). These patients may present only with clinical signs of PHPT making it difficult to suspect the coexistence of MAS. Here, we report the case of type 3 MAS in a woman with PHP...

Introduction: Thyrotropin deficiency is a rare etiology of hypothyroidism. The diagnosis can be easily confirmed in case of low FT4 level associated with normal or low TSH value. In patients with peripheral hypothyroidism treated by levothyroxine, this biochemical profile become difficult to find. Herein, we describe the case of a patient with peripheral hypothyroidism due to radioiodine therapy in whom the diagnosis of central hypothyroidism was made.Ob...

Introduction: Neurofibromatosis type 1 (NF1) is a rare autosomal dominant disease. Patients affected by NF1 have an increased risk of developing tumors other than neurofibromas, especially of endocrine origin, that’s why this patients should be screened for endocrine lesions. In this report, we describe a patient affected by NF1 who present a thyroid nodule.Observation: A 27-year-old woman was admitted in our department for endocrinological evaluati...

Introduction: Uncontrolled hyperglycemia in diabetes is a common cause of microvascular complications, including diabetic nephropathy (DN). Despite improvements in the management of type 2 diabetes (T2DM), diabetic nephropathy is still associated with high morbidity and mortality. The objective of our study is to evaluate the predictive factors of DN in adults with T2DM in order to prevent its development.Patients and Methods: A retrospective study, incl...