Endocrine Abstracts

Introduction: Charcot foot is a painless progressive osteoarthropathy of one or more joints due to an underlying neurological lesion, leading to deformities of the foot by the non-infectious destruction of bones and joints.The interest of this observation is to show on the one hand the role that the education of diabetics plays in the early diagnosis of Charcot foot and on the other hand the need for a multidisciplinary team in the care of the foot of Ch...

Introduction: Growth retardation in sickle cell children is common and multifactorial. Recent evidence suggests damage to the somatotropic axis. We report the case of a patient followed for homozygous sickle cell anemia and in whom we discover an associated GH deficiency.Observation: It is a 13 year old child followed for homozygous sickle cell anemia, splenectomized for 2 years, not polytransfused. We were sent to the hematology department before a dela...

Background: Pituitary gland metastasis is rarely the initial presentation of metastatic cancer. Most cases of pituitary gland metastasis are asymptomatic with diabetes insipidus being the most common symptomatic presentation. It can rarely present with symptoms of hormone underproduction such as anterior pituitary deficiency. Although pituitary gland metastasis is rare, it is underestimated, as it is commonly misdiagnosed with pituitary gland adenoma due to the lack of clear r...

Introduction: Eating disorders (ED) are more prevalent among obese individuals with type 2 diabetes than in the general population. The co-occurrence of diabetes and ED can impair metabolic control, resulting in earlier and more severe degenerative complications, as well as increased morbidity and mortality. This study aims to assess the prevalence of eating disorders in obese patients with type 2 diabetes.Method: A cross-sectional descriptive study was ...

Introduction: Exogenous insulin antibodies syndrome (EIAS) is a clinical syndrome associated with insulin antibodies induced by exogenous insulin in diabetic patients. It represents a rare cause of hyperinsulinemic hypoglycemia and glycemic instability. The management of EIAS remains a challenge. Case presentation: We present the case of a 12-year-old female with type 1 diabetes for 6 years treated with insulin analogues (Glrargen and Aspart). She experi...

Introduction: The diagnosis of Cushing’s syndrome is frequently invoked by the presence of clincal signs of hypercatabolism. It actually may be associated with a variety of dermatological manifestations which can be atypical. Here, we report the case of a patient having vulvar warts co-occuring with Cushing’s syndrome.Observation: We present the case of a 31-year-old patient presenting with typical signs of Cushing’s syndrome: Facial eryth...

Introduction: Graves’ disease (GD), the most common cause of hyperthyroidism, is an organ-specific autoimmune disease. Initial treatment of GD is based on antithyroid drugs (ATDs). However, few cases of resistance to ATDs have been described in the literature. Here, we report a GD patient who suffered from resistance to ATDs requiring an early definitive therapy.Case presentation: A 30-year-old female patient was referred to our institution for mana...

Introduction: COVID-19 is a novel pandemic affecting globally. It has led to an unprecedented global health crisis assessing health system’s preparedness to deal with health disasters. The aim of our study was to evaluate the impact of COVID-19 on the follow up care of diabetic patients.Methods: We conducted a retrospective study in 100 insulin-requiring diabetic patients. Data regarding treatment availability, weigh, glycemic control and follow up ...

Introduction: In Tunisia, the prescription of insulin analogs is increasingly « automatic » by practicians, convinced by this treatment superiority over human insulin in diabetes management. The aim of our study is to determine whether the analogs prescription modalities and advantages are known by the patients, and to assess the factors associated with this knowledge.Patient and Methods: We conducted a retrospective study including 65 diabetic...

Introduction: Neurofibromatosis type 2 (NF2) is an autosomal dominant genetic disorder that cause a growth of noncancerous tumors in the nervous system, it associates cranial schwannomas, meningiomas, and skin and ophthalmologic lesions. It is a rare condition and its association with an intrasellar arachnoidocele has not been reported yet. We report the case of a patient who presents a NF2 associated with hypopituitarism related to an intrasellar arachnoidocele.<p class="...