Endocrine Abstracts

Introduction: Cushing’s syndrome denotes pathologic hypercortisolism as a result of excessive adrenocorticotropic hormone (ACTH) production or autonomous adrenal production of cortisol according to the ACTH levels. However, 30% of the patients with CS have ACTH levels in the ‘grey zone’ (5–20 pg/ml), thereby posing a challenge in establishing the aetiological diagnosis.Case presentation: A 20-year-old woman presented to our depart...

Introduction: Pheochromocytoma is a functional catecholamine producing tumor that originates from adrenal chromaffin cells and is an extremely rare cause of ectopic Cushing syndrome. We report clinical case of adrenal incidentaloma with the evidence of both pheochromocytoma and sub-clinical Cushing’s syndrome.Observation: A fifty-two year-old female patient was referred to our institution because of an incidentally discovered right adrenal mass. Al...

Introduction: Testosterone levels are frequently low in men with type two diabetes mellitus, and sexual symptoms are a prominent presenting feature for these men.Objectives: The aim of this study was to determine the frequency of hypogonadism and related risk factors among Tunisian patients with type two diabetes mellitus and erectile dysfunction.Methods: This cross–sectional study included a total of one hundred and thirty c...

IntroductionThe association between parathyroid and thyroid diseases is not uncommon; however concurrent presence of parathyroid adenoma and thyroid cancer is rare (1). As a natural consequence, preoperative imaging studies for diagnosis and localization of parathyroid adenomas may result with the detection of thyroid incidentalomas and most of these thyroid nodules should be evaluated by fine-needle aspiration biopsy before parathyroid surgery (1). We h...

Introduction: Hypoparathyroidism (HypoPT) is a rare endocrine disease characterized by abnormally low concentrations of PTH resulting in hypocalcemia. Etiologies are various and are dominated by postoperative HypoPT. HypoPT needs a lifelong treatment and follow-up in order to maintain appropriate calcium levels and prevent chronic complications.Patients and Methods: A retrospective descriptive study was conducted at the endocrinology department in Fattou...

Introduction : Primary adrenal lymphomas (PAL) are extremely rare and constitute 0.5% of all adrenal tumors. The number of cases described is approximately 70 cases [1] and It is bilaterally manifested in approximately 70% of cases [2]. The diagnosis is made on histological features, as there is no specific symptoms. Treatement is based on chemotherapy and prognosis is usually poor. We report two cases of bilateral PAL.Cases: First case: A 63-year-old wo...

IntroductionBilateral adrenal incidentalomas represent about 15% of adrenal incidentalomas. Their investigation and management are less discussed and more challenging than unilateral incidentalome. A special attention is required because they are more likely to be pathologic. When associated with a synchronous extra-adrenal tumor, the first diagnosis is adrenal metastasis, but this is not always true. Here we present a rare association of pheochromocytom...

IntroductionSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a novel coronavirus that caused a global pandemic in 2020. The virus has infected more than 100 million people worldwide and the pandemic is still spreading. It can affect practically all organs. Data on the impact of SARSCoV-2 on the thyroid gland are very scarce. Two patients with Graves’ disease (GD) and COVID-19 have been recently published(1). We present a case GD occur...