Endocrine Abstracts

Introduction: Malignant pheochromocytomas present a real challenge for practitioners. This entity of tumors is rare, with complex characterization, and heterogenocity in their evolution and prognosis. Given the rarity of this tumor group, there is no consensus on the therapeutic management. The management must be in a multidisciplinary framework. Through this illustrative case, we propose a literature review of this rare entity with discussion of the different therapeutic opti...

Introduction: Fahr syndrome is a rare disease, characterized by bilateral and symmetrical intracerebral calcifications, localized in the central gray nucleus and by the classic association with hypoparathyroidism. We report a case of Fahr syndrome associated with postoperative hypoparathyroidism.Case report: A 58 year old female patient with a history of total thyroidectomy 18 years ago. She complained of chronic paresthesia, muscle cramps complicated so...

Introduction: Fasting during Ramadan is a pillar of Islam. The majority of diabetic patients at risk, practice it even if they are exempt. This practice shifts energy and hydration in the evening and reverses the sleep–wake rhythm. The aim of this work is to study the effect of fasting during the holy month on the sleep–wake clock in fasting diabetics.Patients and Methods: As part of an overall management of accompagnimant for our diabetic pa...

Introduction: Thyroid storm is an acute exacerbation of hyperthyroidism, responsible for significant mortality despite treatment.Case report: We report the observation of a 43-year-old diabetic patient with basedow’s disease with poor therapeutic adherence; admitted for convulsions and loss of consciousness. The diagnosis of acute thyroid storm on drop out of treatment was mentioned, in front of the detection of peripheral hyperthyroidism with low ...

IntroductionIn diabetes, lipid abnormalities are frequent and pronounced and are an important factor in increased cardiovascular risk, especially in type 2 diabetics, mostly in combination with other risk factors. The aim of this work is to highlight the prevalence of dyslipidemia in a considerable population of diabetics in Es-Smara.Patients and methodsAs part of a multidisciplinary medical caravan carried o...

IntroductionThe diabetic is characterized by his vulnerability to infections of the upper limb compared to the general population realizing the tropical diabetic hand. So this is a very serious problem, especially in emerging countries in tropical regions. The aim of this work is to study the clinical, therapeutic and progressive aspects of infections of the upper limb in diabetic patients.Materials and methods<p class="abstext...

Introduction: Mitochondrial diabetes represents about 1% of diabetes but still very often misunderstood. The most frequent mutation is 3243A >G of the mtDNA, which is responsible for the maternally inherited diabetes and deafness syndrome (MIDD). We report an observation of a patient with strong suspicion of mitochondrial diabetes.Case presentation: 43-year-old female patient, with diabetes for 5 years on an Insulin Therapy.Anamnesis:&hypen;&...

Hypoglycemia in non-diabetic patients is a rare event, and autoimmune hypoglycemia with the presence of positive anti-insulin antibodies is even rarer.We report the case of a 15 years old non diabetic female patient, she was referred to our hospital for recurrent hypoglycemia for 2 weeks before admission to hospital, these are severe hypoglycemia with impaired consciousness. The first step was to eliminate the general causes and factitious hypoglycemia. ...

Introduction: The month of Ramadan is characterized by abstaining from drinking and eating from sunrise to sunset. This exposes to an increased metabolic risk in diabetics. However, even if religiously diabetics could be exempt from fasting, a large number of them practice it.Materials and methods: We conducted a cross-sectional study and interviewed diabetic patients about their practices during Ramadan and about the presence or absence of complications...

Introduction: Acromegaly is a clinical syndrome caused by excessive production of growth hormone (GH). It is associated with an increase in the incidence of cancers. Through this observation, we illustrate the rare association of a somatotropic adenoma with a nasopharyngeal carcinoma.Case report: 57-year-old woman, having hypertension, followed for an undifferentiated nasopharyngeal carcinoma since 2011 under radio-chemotherapy, having recurred in Januar...