Searchable abstracts of presentations at key conferences in endocrinology

ea0081ep341 | Diabetes, Obesity, Metabolism and Nutrition | ECE2022

Diabetes distress and its clinical determinants in Type 2 diabetes patients

Lassoued Najoua , Majdoub Marwa , Achwak Mehrez , Chadly Khalil , Baha Zantour , Wafa Alaya , Mohamed Habib Sfar

Introduction: Diabetes distress (DD) refers to the emotional burdens and worries, often hidden, that are part of the spectrum of the patient experience when managing a chronic and demanding disease like diabetes. The objective of this work was to determine the prevalence of DD and its clinical determinants in type 2 diabetic patients.Patients and methods: Cross-sectional study conducted on 92 type 2 diabetic patients who consulted on an outpatient basis ...

ea0081ep465 | Diabetes, Obesity, Metabolism and Nutrition | ECE2022

Are type 2 diabetic insulin-requiring elderly satisfied?

Zaouali Fatma , Lassoued Najoua , Sondos Arfa , Wafa Alaya , Mohamed Habib Sfar

Introduction: Glycemic control in elderly diabetics is a challenge. Treatment Satisfaction reflects this control.Objectives: To assess insulin treatment satisfaction and to determine the factors associated with insulin treatment satisfaction among type 2 diabetic elderly.Methods: A cross-sectional study on 86 type 2 diabetic insulin dependent elderly recruited from the outpatient endocrinology consultation during June and July 2021...

ea0090p240 | Thyroid | ECE2023

Fatal bleeding and thrombosis in a patient with autoimmune primary hypothyroidism

Elomma Mrabet Houcem , Belkhiri Malak , Fadia Boubaker , Elloumi Yesmine , Baha Zantour , Wafa Alaya , Mohamed Habib Sfar

Introduction: Thyroid diseases have been known to cause haemostatic changes, either tendency to bleeding or thrombosis. We report a case of a patient with primary hypothyroidism presenting with spontaneous bleeding and jugular thrombosis.Case report: An 85-year old patient with no medical history was admitted to the endocrinology department with primary auto-immune hypothyroidism. Hypothyroidism was suspected because of severe loss of weight and appetite...

ea0090p514 | Thyroid | ECE2023

Incident gout attack precipitated by primary hypothyroidism: a case report

Lassoued Najoua , Belkhiri Malak , Baha Zantour , Wafa Alaya , Mohamed Habib Sfar

Introduction: Thyroid hormones in fluence kidney function and thereby might alter serum urate levels, a major risk factor for gouty arthritis. Previous research documented a high prevalence of elevated levels of Uric acid in primary hypothyroid patients. We present the case of an incident gout attack in a patient with primary hypothyroidism.Case report: A 72-year-old male was hospitalized for a primary hypothyroidism complicated by a rhabdomyolysis. Labo...

ea0090ep472 | Diabetes, Obesity, Metabolism and Nutrition | ECE2023

Characteristics of type 2 diabetes in insulin-requiring elderly subjects

Zaouali Fatma , Lassoued Najoua , Baha Zantour , Wafa Alaya , Mohamed Habib Sfar

Introduction: Type 2 diabetes, which accounts for more than 90% of all diabetes in the elderly, is a major public health problem. It is associated with high morbidity and mortality, mainly due to complications such as cardiovascular events and renal failure. The objective of our study was to determine the characteristics of type 2 diabetes in insulin-requiring elderly subjects.Methods: A cross-sectional study on type 2 diabetic insulin dependent elderly ...

ea0090ep822 | Pituitary and Neuroendocrinology | ECE2023

Polyuria-polydipsia syndrome revealing primary potomania : a diagnostic challenge

Lassoued Najoua , Zaouali Fatma , Abid Arige , Abdelkafi Yassmine , Alzir Mahmoud , Baha Zantour , Mohamed Habib Sfar

Introduction: Polyuria-polydipsia syndrome (PUPDS) requires a comprehensive diagnostic approach as it can reveal serious medical conditions. We report the case of a patient consulting for PUPDS related to a primary potomania. Case presentation: A 41-year-old patient with a history of multiple psychostimulants use was admitted for acute PUPDS after emotional shock and paucisymptomatic SARS-CoV-2 infection. Diuresis was estimated at 6 liters per 24 hours. ...

ea0073aep772 | Thyroid | ECE2021

Hyperthyroidism diagnosed in a patient hospitalized for COVID-19 hypoxaemic pneumonia : Diagnostic and therapeutic challenges

Lassoued Najoua , Senda Rebai , Rihab Ajili , Jihen Chelli , Baha Zantour , Mohamed Habib Sfar

IntroductionPatients who are critically ill can have alterations of thyroid function tests, known as non-thyroidal illness syndrome (NTIS). Moroever thyrotoxicosis can result from SARS-CoV-2 directly infecting the thyroid gland, as described in other viral infections. We report a case of hyperthyroidism diagnosed in a patient hospitalized for COVID-19 severe hypoxemic pneumonia.ObservationA 78-year-old patien...

ea0081ep308 | Diabetes, Obesity, Metabolism and Nutrition | ECE2022

Depression associated factors among Tunisian diabetic patients

Belkhiri Malak , Fadia Boubaker , Khemiri Ashraf , Bouali Walid , Mrabet Houcem , Wafa Alaya , Baha Zantour , Mohamed Habib Sfar , Zarrouk Lazhar

Introduction: Diabetes mellitus and depression are two major public health problems which can coexist and influence each other. Identification of the predictive and associated factors with depression among diabetics can facilitate the task of clinicians.Objective: Evaluate the socio-demographic and clinical factors associated with depression among patients having diabetes mellitus (DM).Materials and methods: A cross sectional study...

ea0081ep528 | Diabetes, Obesity, Metabolism and Nutrition | ECE2022

Should the Fracture Risk Assessment tool be used without Bone Mineral Density in elderly patients having type 2 diabetes mellitus ?

Belkhiri Malak , Fadia Boubaker , Salem Houda Ben , Brahem Mouna , Mrabet Houcem , Wafa Alaya , Baha Zantour , Younes Mohamed , Habib Sfar Mohamed

Introduction: Osteoporosis and diabetes are two chronic diseases with increasing prevalences, particularly among elderly. Their coexistence results in socio-economic burdens. Clinical and paraclinical assessment for fracture risk among diabetic eldery patients are necessary to implement in clinical practice. Appropriate tools shoud to be determined and tested.Objective: To assess comorbidities and fracture risk in elderly patients having type 2 diabetes ...

ea0090ep1021 | Thyroid | ECE2023

A case of acute adrenal insufficiency revealing thyrotoxicosis

Fadia Boubaker , Souissi Mariem , Elomma Mrabet Houcem , Belkhiri Malek , Baha Zantour , Lassoued Najoua , Wafa Alaya , Mohamed Habib Sfar

Introduction: The coexistence of hyperthyroidism and adrenal insufficiency in the same individual is a rare clinical condition.A total of 20 cases has been reported in the literature [1]. These two conditions may have the same clinical manifestations such as weight loss, asthenia, and digestive disorders and each one may mask the other. We describe the case of a patient presenting to the emergency department with acute adrenal insufficiency in whom associated hyperthyroidism w...