Searchable abstracts of presentations at key conferences in endocrinology

ea0099ep417 | Adrenal and Cardiovascular Endocrinology | ECE2024

Plasma cortisol measurement: ordering practices

Chaher Rabah Mohamed , Marrakchi Rim , Zouari Dhouha , Boudaya Mariem , Jamoussi Kamel , Abid Mohamed , Turki Mouna

Introduction: Cortisol level measurement is required in the diagnosis and management of adrenal, pituitary and hypothalamic pathologies.Aim: The aim of this study was to evaluate clinician’s practice in ordering cortisol test.Methods: A retrospective study concerning 63 cortisol requests data collected by the laboratory computer system (Health Lab) between January 2024 and February 2024. Only requests of 0800 hours plasma cort...

ea0099ep755 | Adrenal and Cardiovascular Endocrinology | ECE2024

Allgrove syndrome: a case report

Mezghani Ines , Rim Marrakchi , Faten Hadjkacem , Mariem Boudaya , Kamel Jammoussi , Nabila Rekik , Mohamed Abid , Mouna Turki

Introduction: Allgrove syndrome or Triple A (3A) syndrome is a rare autosomal recessive disease characterized by alacrima, esophageal achalasia and adrenocorticotropic hormone-resistant adrenal insufficiency.Observation: A 3-year-old and 9 months patient, from a consanguineous marriage, consulted for melanoderma, with family history: sisters with an heterozygous mutation of the AAAS gene, two paternal cousins, 5 years and 22 years, followed for autism an...

ea0099ep1076 | Diabetes, Obesity, Metabolism and Nutrition | ECE2024

Accuracy of urine dipstick tests for assessment of glucosuria

Gargouri Omar , Marrakchi Rim , Mezghani Ines , Mariem Boudaya , Jammoussi Kamel , Turki Mouna

Introduction: Early diagnosis is therefore important for patients with asymptomatic diabetes mellitus. The aim of this study is to validate the use of Urine Dipstick in the screening of glycosuria (Gu).Material and methods: Our study involved 30 fresh urine specimens. Urinalysis was performed by dipstick (SPINREAT®). Gu was measured by the hexokinase method (DxC800® Beckman Coulter). The gold standard to diagnose Gu was co...

ea0099ep585 | Thyroid | ECE2024

Are thyroid function test ordering practices appropriated?

Zouari Dhouha , Marrakchi Rim , Chaher Rabah Mohamed , Boudaya Mariem , Jamoussi Kamel , Abid Mohamed , Turki Mouna

Introduction: Inappropriate laboratory test utilization can result in unnecessary patient testing and increased healthcare costs. Thyroid-stimulating hormone (TSH) is recommended as the first-line test for investigating and monitoring thyroid dysfunction. We evaluate Thyroid function tests (TFTs) ordering in our hospital practice.Methods: A retrospective descriptive study included 400 TFTs requests. TFTs of interest were: TSH and FT4. These tests request...

ea0090ep297 | Diabetes, Obesity, Metabolism and Nutrition | ECE2023

Prevalence of symptoms and precipitating factors of Diabetic Ketoacidosis in diabetic patients

Mezghani Ines , Marrakchi Rim , Ksentini Mohamed , Boudaya Mariem , Jammoussi Kamel , Turki Mouna , Kacem Faten Hadj , Abid Mohamed

Background/Aim: Since diabetes is the most common endocrine disorder and the diabetic ketoacidosis (DKA) is considered as a medical emergency, our aim was to determinate the frequency of symptoms and precipitating factors of DKA in type 1 and type 2 diabetesMethods: This is a retrospective cross-sectional descriptive study concerning all patients hospitalized in the Endocrinology Department for DKA between August 2021 to December 2022. We compared the di...

ea0090ep301 | Diabetes, Obesity, Metabolism and Nutrition | ECE2023

Potential risk factors of hypokalemia in patients with diabetic ketoacidosis

Mezghani Ines , Rim Marrakchi , Omar Gargouri , Mariem Boudaya , Kamel Jammoussi , Mouna Turki , Faten Hadj Kacem , Mohamed Abid

Background/Aim: Diabetic ketoacidosis (DKA) is a life-threatening acute complication of diabetes. Our aim was to study the clinical features of DKA and precipitating factors responsible for DKA in diabetic patients.Methods: This is a retrospective cross-sectional descriptive study concerning all patients hospitalized in the Endocrinology Department for DKA between August 2021 and December 2021. Initial kalemia levels (k +) on presentation were determinat...

ea0090ep369 | Diabetes, Obesity, Metabolism and Nutrition | ECE2023

Prevalence and determinants of hypophosphatemia during the treatment of diabetic ketoacidosis

Gargouri Omar , Marrakchi Rim , Chbili Sana , Boudaya Mariem , Jamoussi Kamel , Turki Mouna , Haj Kacem Akid Faten , Abid Mohamed

Introduction: Diabetic ketoacidosis (DKA) is an extreme metabolic state caused by insulin deficiency. Hypophosphatemia in DKA often occurs during hospitalization. The aim of this study was to determine the prevalence and determinants of hypophosphatemia during the treatment of diabetic ketoacidosis.Methods: This is a retrospective cross-sectional descriptive study concerning all patients hospitalized in the Endocrinology Department for DKA between Octobe...

ea0090ep411 | Diabetes, Obesity, Metabolism and Nutrition | ECE2023

Glycosylated haemoglobin levels in new and known diabetes patients with hyperglycaemic ketoacidosis

Charfi Safouane , Marrakchi Rim , Mohamed Ksentini , Boudaya Mariem , Jamoussi Kamel , Turki Mouna , Haj Kacem Akid Faten , Abid Mohamed

Background/Aims: Ketosis in patients with known Type 2 diabetes mellitus is overlooked due to atypical symptoms. Type 2 diabetes (DT2) is characterized by a longer period of asymptomatic hyperglycaemia than Type 1 diabetes(DT1). The objective of this study was to compare glycosylated haemoglobin (HbA1c) levels in ketoacidosis (DKA) occurring in known and newly diagnosed diabetes.Methods: This is a retrospective cross-sectional descriptive study concernin...

ea0090ep505 | Diabetes, Obesity, Metabolism and Nutrition | ECE2023

Prevalence of hypokalemia in patients with diabetic ketoacidosis

Ayadi Mohsen , Marrakchi Rim , Chbili Sana , Boudaya Mariem , Jamoussi Kamel , Turki Mouna , Haj Kacem Akid Faten , Abid Mohamed

Background/aims: Although patients with diabetic ketoacidosis (DKA) are expected to have total body potassium depletion, measured levels may be normal or elevated due to extracellular shifts of potassiumsecondary to acidosis. We aimed to examine the prevalence of hypokalemia in patients with DKA at presentation and during the treatment.Methods: This is a retrospective cross-sectional descriptive study concerning all patients hospitalized in the Endocrino...

ea0090ep575 | Diabetes, Obesity, Metabolism and Nutrition | ECE2023

Lipemia interferences in clinical biochemistry parameters: a case report

Mezghani Ines , Marrakchi Rim , Hadj Kacem Faten , Boudaya Mariem , Gassara Mariem , Feki Kaouthar , Jammoussi Kamel , Abid Mohamed , Turki Mouna

Introduction: Lipemic specimens could be a source of significant analytical errors. The aim of this study was to examine the effect of lipid removal using ultra-centrifugation of lipemic samples, on some routine biochemistry parameters.Observation: A 53-year-old man hospitalized in endocrinology department for treatment of severe hypertriglyceridemia (21.3 mmol/l). All the patient’s routine biochemical parameters were held on AU 680®...