Endocrine Abstracts

Introduction: Diabetic foot trophic disorders and their complications leading to the risk of amputation remain a major public health problem. The objective of our work was to determine the level of podiatric risk in our diabetic patients according to the classification of the International Working Group of the Diabetic Foot (IWGDF) in order to reduce the rate of amputation and study their level of education and correlate it to podiatric risk.Methods: Thi...

Introduction: The vascular risk in type 1 diabetics appears to be secondary to the premature development of atherosclerosis.The objective of this study was to determine the characteristics of the lipid profile of a type 1 diabetic population as well as the different factors that can influence these changes.Methodology: It was a descriptive cross-sectional study including 30 type 1 diabetic patients, followed at the National Institu...

Background: Familial chylomicronemia is a rare disorder of lipoprotein metabolism characterized by severe fasting hypertriglyceridemia. We present here a case of severe familial chylomicronemia with multiple complications.Case presentation: A 35-year-old Tunisian woman was suffering from chylomicronemia (Fredrickson type I hyperlipoproteinemia) since the age of 10 years old. Her dyslipidemia was caused by a lipoprotein lipase deficiency. Since her childh...

Introduction: Elderly diabetics are often fragile patients at high cardiovascular risk. The medical, human and socio-economic impact of diabetes is heavy in the elderly. Symptoms in this particular population are often insidious and atypical, which can delay diagnosis and the establishment of effective treatment. Indeed, management is not always easy because it must take into account multiple parameters. The objective of our study was to study the observance and particularitie...

Introduction: Diabetes mellitus is a disease that is progressing at an alarming rate in the world. In the elderly, the symptoms are often insidious and atypical, which can delay the diagnosis and the establishment of effective treatment. Indeed, management is not always easy because it must take into account multiple parameters. The objective of our study was to study the clinico-biological and etiological profile of diabetes discovered after the age of 65 years.<p class="...

Background: Patients undergoing bariatric surgery have a higher prevalence of non alcoholic liver fatty disease (NAFLD) than the general population; however, its assessment and the accurate staging of fibrosis are often complicated because noninvasive tests are not very accurate in patients with morbid obesity, and liver biopsy cannot be performed as a routine exam. Aim: The aim of this study was to determine the prevalence of non alcoholic fatty liver d...

Background: Studies of morbid obese patients undergoing bariatric surgery (BS) have revealed that obesity is related with an increased prevalence of endoscopic and histologic gastritis. Performing esophagogastroduodenoscopy (EGD) prior to BS allows the detection and treatment of Helicobacter pylori (H.pylori) infection which is considered to be limiting access to bariatric surgery.Aim: The aim of this study was to determine the prevalence of gastric lesi...

Introduction: Urinary tract infection is worrying in diabetic patients especially unbalanced. Contracting a multidrug-resistant bacterium is even more alarming since it narrows the therapeutic means in a patient whose immune system is already weakened by the diabetes. The objective of this study is to describe the clinical and metabolic characteristics of a population of diabetic patients with urinary tract infection.Methods: This is a retrospective stud...

Introduction: Diarrhea is an undesirable effect that affects almost one third of patients on metformin.When it appears late, it becomes difficult to attach it to metformin, especially in polymedicated patients or with complicated diabetes. The purpose of this study was to describe the clinical and biological characteristics of a population with chronic metformin-induced diarrhea and to characterize this diarrhea.Methods: This is a prospective study inclu...

Introduction: PCOS is common in Tunisia. It is characterized by the high frequency of clinical and metabolic abnormalities associated with cardiovascular risk. The aim of our work was to describe the clinico-metabolic profile of a Tunisian women population with polycystic ovary syndrome.Methods: This is a prospective study conducted on 53 Tunisian patients with PCOS, referred by their gynecologist to the Obesity Unit of A departement of the National Inst...