Endocrine Abstracts

Introduction: Central precocious puberty (CPP) is a frequent reason for consultation in pediatrics. It is defined as the development of sexual characteristics before the age of 8 years in girls and 9 years in boys. Pediatric pituitary adenomas are rare. We report the case of a patient who presented with central precocious puberty on pituitary adenoma.Observation: This is a patient aged 7 years and 6 months, without any particular history, having consulte...

Introduction: Gayet-Wernicke encephalopathy (WE) is a rare neurological disorder, caused by thiamine (vitamin B1) deficiency. We report a case of tertiary adrenal insufficiency revealing Gayet-Wernicke encephalopathy.Case presentation: A 45-year-old women was admitted with abdominal pain, vomiting and weakness. Her medical history was significant for a long-term self-medication with corticosteroids and chronic vomiting. Clinical examination revealed a cu...

Introduction: Pheochromocytoma (PHEO) is an adrenal medulla tumor secreting catecholamines. Malignancy is defined by the presence of metastases in non-chromaffin tissue. Its optimal management requires experienced multidisciplinary teams.We report the case of a patient followed for malignant pheochromocytomaComment: 58-year-old patient operated for a pheochromocytoma in 2016, then lost sight of. The evolution was marked 6 years later by the installation ...

Introduction: Hypertriglyceridemia (HTG) is a rare but well-known cause of acute pancreatitis, which can be fatal with an overall mortality rate of 36-50% in the most severe forms.Case presentation: A 29-year-old patient was admitted to the emergency department with abdominal pain, bilious vomiting and alteration of general condition. Physical examination showed hemodynamic shock with diffuse abdominal tenderness. The Laboratory results showed a serum li...

Introduction: Trigger finger is a stenosing tenosynovitis in which constriction of the tendon sheath is associated with the presence of a nodule on the flexor tendon of the finger. This is an often unrecognised complication in the diabetic patient. We report the case of a diabetic patient with a complication of trigger finger.Observation: A 55 year old female patient, known to be diabetic for 10 years and treated with a basal-bolus insulin therapy regime...

Introduction: Adrenocortical carcinoma (AC) is a rare malignant endocrine tumor of the adrenal cortex. The psychiatric manifestations observed in AC are associated with a delayed diagnosis.Case presentation: A 27-year-old women with medical history of severe psychosis resistant to antipsychotic medications, was hospitalized in our unit for Cushing’s syndrome (CS). The physical examination revealed classical signs of CS. The Laboratory results showed...

Introduction: Parathyroid adenoma can be localized in an ectopic situation, especially at the mediastinal level. The localization at the level of the RLN chain lymph node has not been reported yet.Case presentation: A 67-year-old woman without clinical signs of hyperparathyroidism, having undergone a left isthmolobectomy for a thyroid nodule suspected of being malignant, with intraoperative discovery of lymphadenopathy of the left RLN chain lymph node. T...

Introduction: Hungry bone syndrome (HBS) is a rare complication of parathyroidectomy for primary hyperparathyroidism. We report a case of HBS after parathyroid surgery for severe primary hyperparathyroidism.Case presentation: A 46-year-old woman was admitted with generalized weakness and difficulty walking due to progressive worsening of low-back pain. Clinical examination revealed tachycardia at 110 bpm and chest deformity. Laboratory results revealed h...

Introduction: Thyroid abscess is a rare pathology, with the incidence of less than 1% of all thyroid diseases. We describe a unique case of thyroid abscess complicating post-covid-19 thyroiditis, which is the first case reported in Morocco to our knowledge.Case presentation: A 39-year-old man who had recently recovered from a mild episode of COVID-19 infection, consulted for weight loss, palpitations and neck pain. Examination of the neck revealed enlarg...

Introduction: Primary congenital hypothyroidism is the most common neonatal endocrine disorder, traditionally subdivided into thyroid dysgenesis, referring to a range of abnormalities in thyroid development, and dyshormonogenesis. We report two cases of dyshormonogenesis in a brother and sister followed for congenital hypothyroidism by inactivating mutation of the TSH receptor, illustrating the good evolution in case of an adapted treatment.Clinical case...