Endocrine Abstracts

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: Lipoatrophy is a rare cutaneous complication in diabetes that presents with localized subcutaneous fat atrophy at the insulin injection site. We report a case of a 62-year-old man type 1 diabetic with lipoatrophy lesions on the thighs.Case report: A 62-year-old male, with clinical history of basedow’s disease, He was diagnosed type 1 diabetes (T1D) when he was 19 years old, treated with premixed human insulin for the last 4 years.His w...

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: 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: Growth retardation is considered severe when the height of the child is -3 standard deviation (SD) below the average height in reference to the growth curves of children of the same sex and age. Pituitary stalk interruption syndrome (PSIS) is one of the most common conditions in children with short stature.Case report: We report the case of a 12-years old boy with no clinical history of perinatal injury or traumatic birth, who was admitted ...

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: The cystic nodule is an unusual presentation of papillary thyroid carcinoma (PTC), seen in less than 10% of cases. Ultrasound discovery of a thyroid cyst represents less than 5% risk of malignancy. We report the case of a patient followed for papillary thyroid carcinoma in its cystic form.Observation: A 42-year-old patient with no specific history. The patient underwent a right isthmolobectomy for a thyroid nodule. Anatomopathological exami...

Introduction: Liver dysfunction during hyperthyroidism may be secondary to thyrotoxicosis, to an associated liver pathology, or to the medical treatment of hyperthyroidism posing a problem of etiological diagnosis. In this context, we report a demonstrative observation.Case presentation: We report the observation of a 23-year-old female patient, followed for Basedow disease under carbimazole since 1 year, not controlled under medical treatment. During he...