Endocrine Abstracts

Background and aims: The objective of our study is to evaluate the respect of Muslim diabetics for the contraindication of fasting and the control metabolic impact of fasting during the month of Ramadan. Materials and methods: This analytical cross-sectional study was conducted during the period from Mars to June of the year 2021, within the department of endocrinology and metabolic diseases of the Military Hospital of Instruction Moham...

Introduction: We report a case of malignant hypercalcemia complicated by acute pancreatitis, in a patient whose cardiac insufficiency obliged us to use an unconventional therapeutic means: calcimimeticsCase Report: Mrs. Halima, 74 years old, had a history of arterial hypertension complicated by ischemic heart disease at the stage of heart failure. She consulted the emergency room for typical pancreatic pain, the biological workup found a lipasemia at 30 ...

Introduction: Refractory hypothyroidism is a fairly common situation in the practice of any endocrinologist, being defined by the persistence of hypothyroidism despite adequate doses of replacement therapy with Levothyroxine, generally supraphysiological. We report the case of refractory hypothyroidism under high doses of Levothyroxine.Observation: she was a 54-year-old woman, diabetic Type2, followed for 06 years for papillary carcinoma of the thyroid g...

Introduction: The revelation of primary hyperparathyroidism by acute pancreatitis is an exceptional situationCase report: We report the case of a 73 years old patient, hypertensive, having the antecedent of an ischemic cardiopathy complicated by cardiac insufficiency and atrial fibrillation, admitted to the emergency for an abdominal pain evolving since 10 days, associated with vomiting, the initial biological assessment showed lipasemia at 2543IU/l, kid...

Introduction: Brown tumor or osteitis fibrocystica is a benign bone lesion reflecting an abnormality of bone metabolism in the context of hyperparathyroidism. It can affect the entire skeleton, including the pelvis, ribs, clavicles and extremities. Involvement of the maxillary bone is very uncommon. We present a case of multiple brown tumors with an unusual maxillo-mandibular localization, revealed by a disorder of phosphocalcic metabolism and tertiary hyperparathyroidism. Thi...

Introduction: Maternal diabetes is described as a risk factor for neonatal hypocalcemia along with maternal vitamin D deficiency or maternal hyperparathyroidism. The frequency of hypocalcemia in a diabetic mother is 20 and 60%, but low in gestational diabetes (GD).Observation: A 38 year old female patient, with a pregnancy estimated of 35 weeks of gestation, was referred to our department for the management of her gestational diabetes, her cycle was very...

Introduction: Severe hypercalcemia is an uncommon but potentially life-threatening condition. Calcium plays a variety of roles and explains the impact of hypercalcemia on the functioning of different organs. We report the case of a patient with severe hypercalcemia revealed by a confusional syndrome.Observation: A 60 year old male patient, with a medical history of hypertension under treatment, presented a confusional syndrome of progressive onset which ...

Introduction: Digestive neuroendocrine tumors (DNETs) represent a heterogeneous group of tumors. This heterogeneity is manifested by the variable localization of these tumors but also by a great clinical and biological diversity. Thus, they occupy an increasingly important place in digestive oncology.NETs are very rare and represent about 1% of all digestive tumors, due to their slow evolution. The majority of them develop in the digestive tract (67.5%) ...

Introduction: Crohn’s disease is a chronic inflammatory bowel disease, most commonly affecting the terminal ileum and colon. In the other hand, Hashimoto’s thyroiditis is a chronic autoimmune inflammation of the thyroid gland. The association between the 2 diseases is rare. We report the observation of a patient with this association.Observation: A 23-year-old female patient who consulted for persistent diarrhea, rectorrhagia, abdominal pain, b...

Introduction: Primary hyperparathyroidism (PHPT) is a common endocrine disease secondary to autonomous hypersecretion of parathyroid hormone (PTH) by one or more parathyroid glands. It is a predominantly female disease and most often asymptomatic. Its positive diagnosis is purely biological. Its curative treatment is surgical.Patients & methods: This retrospective descriptive study encompasses 83 patients who were hospitalized and longitudinally moni...