Endocrine Abstracts

Pendred syndrome, an autosomal recessive disorder, is the most common syndromal form of hearing loss and involves abnormalities of the cochlea, varying degrees of sensorineural hearing loss and diffuse thyroid enlargement/goiter. We describe a case of a delayed diagnosis of Pendred syndrome. The patient is a 30 years female who had a history of total thyroidectomy 13 years ago. And presented when aged 30 with a cervical abscess of ectopic thyroid under the submaxillary gland. ...

Introduction: Oculomotor palsies in diabetes are focal mononeuropathies. It is a diabetic neurological complication, relatively rare. The oculomotor nerves affected are mainly the external oculomotor nerve (VI), the common oculomotor nerve (III), and more rarely, the pathetic nerve (IV). We report the case of a type 2 diabetic patient in whom the diagnosis of oculomotor palsy was retained.Observation: This is a 65-year-old diabetic patient, 4 years old, ...

Introduction: Hypothyroidism is a rare cause of atrioventricular block. We report the case of an 85 year old patient admitted with a 3rd degree AVB and in whom the biological work-up had objectified a hypothyroidism. Observation: 85-year-old patient, followed for thyreopathy for 20 years on LT4: 100 ug/d, Diabetic for 2 years on premixed regimen: 08-00-12 ui ;HTA for 5 years on amlodipine 5 mg/d presented to the emergency room for syncope. No signs of hy...

Introduction: Wernicke’s encephalopathy is a rare neurological disorder initially described in alcohol-dependent and malnourished patients. It is characterised by confusion, ataxia and nystagmus. It is caused by thiamine deficiency. We report the case of a patient with hyperemesis gravidarum and hashitoxicosis complicated by Wernicke’s encephalopathy Observation: A 22 year old patient, 1G0P, without any particular pathological history, was admi...

Introduction : Jougerot –sjogreen syndrom is an auto-immune exocrinopathy secondary to the interaction between a favorable ground and environmental factors that can lead to the disease. Thyroiditis can precede sjogreen’s syndrom or follow it, just as the two diagnoses can be made at the same time.Case report : 46-year-old female patient, type 2 diabetic on oral antidiabetic 2g/d, followed for sjogreen jougerot syndrom retained in the face of oc...

Introduction: Parkinson’s disease (PD) is one of the most common neurodegenerative disorders characterized by bradykinesia, tremor, rigidity and postural instability as well as neurocognitive impairment and depression. Studies found a significant association between thyroid dysfunction and an increased risk of PD. We report the case of a patient treated for PD who had also Hashimoto’s thyroiditis, and we discuss the association of thyroid dysfunction with risk of PD....

Introduction: Hepatic encephalopathy is a neuropsychological syndrome complicating a chronic liver disease (cirrhosis), rarely acute (fulminant hepatitis). We report the case of a patient with Graves’ disease who suddenly presented with hepatic encephalopathy. Case Report: S.B., a 48-year-old woman followed for Graves’ disease treated with antithyroid drugs and also presenting vitiligo, was admitted to our facility for a relapse of Graves’...

Introduction: The month of Ramadan is characterized by abstaining from drinking and eating from sunrise to sunset. This exposes to an increased metabolic risk in diabetics. However, even if religiously diabetics could be exempt from fasting, a large number of them practice it.Materials and methods: We conducted a cross-sectional study and interviewed diabetic patients about their practices during Ramadan and about the presence or absence of complications...

Introduction: Acromegaly is a clinical syndrome caused by excessive production of growth hormone (GH). It is associated with an increase in the incidence of cancers. Through this observation, we illustrate the rare association of a somatotropic adenoma with a nasopharyngeal carcinoma.Case report: 57-year-old woman, having hypertension, followed for an undifferentiated nasopharyngeal carcinoma since 2011 under radio-chemotherapy, having recurred in Januar...

Introduction: Spontaneous thyroid hematoma is a rare entity that can be favored by anticoagulation therapy. Any neck swelling can be life-threatening by compression of the upper aerodigestive tract and adjacent vascular axes.Case report: We report the case of an 80-year-old patient with a previously existing goiter, started on vitamin K antagonists for atrial fibrillation, who presented to the emergency room for anterior neck mass that appeared 2 days be...