Endocrine Abstracts

Background: The management of differentiated microcarcinomas of the thyroid (DMCT) is controversial, and ranges from simple active surveillance to total thyroidectomy with bilateral lymph node dissection and post operative adjuvant therapy. Our purpose was to determine prognostic factors to guide the surgery of DMCT.Methods: This was a retrospective study conducted from January 2000 to December 2017, involving 122 patients with DMCT who were treated surg...

Introduction: Thyroidectomy is a quite common procedure. Major postoperative complications of total thyroidectomy, including recurrent laryngeal nerve injur and hypocalcemia are not infrequent. The purpose of this study was to evaluate the incidence and risk factors of postoperative complications after total thyroidectomy.Methods: We retrospectively included patients who underwent total thyroidectomy over a period of 6 years. Hypocalcemia was defined as ...

Background: True thymic hyperplasia results from stressful situations such as chemotherapy. It commonly presents as an anterior mediastinal mass; cervical location is exceptional. The aim of this work is to illustrate a case of an incidental ectopic cervical thymic hyperplasia in a patient treated for Hodgkin lymphoma.Case reprt : Here we report a case of a cervical true thymic hyperplasia in a 12-year-old girl who had a Hodgkin lymphoma treated by radio...

Background and aim: Hyperthyroidism status can be complicated by polymorphic neuromuscular manifestations sometimes revealing. In the majority of cases, these disorders regress during the transition to euthyroidism. We report in this work 6 observations illustrating the neuromuscular manifestations seen in hyperthyroidism.Observations: We report two cases of chronic myopathy: a man and a woman aged 47 and 55 years respectively, hospitalized for hyperthyr...

Introduction: Sexual disorders 46 XY DSD are responsible for a range of phenotypic disorders, ranging from an ambiguous phenotype to a complete female phenotype. In this context, we report a cohort of 22 46 XY patients with a female phenotype in order to establish a phenotype-genotype correlation.Results: The average age at diagnosis was 15.5 years (E: 7 days-33 years). The reason for consultation was primary amenorrhea in 16 cases (72.7%), sexual ambigu...

Introduction: Hypothyroidism has always been considered one of the most common endocrine etiologies of obesity. That said, would screening for hypothyroidism be justified in the face of obesity? The purpose of our study was to study the thyroid profile of obese people.Patients and methods: We conducted a retrospective study which patients with obesity hospitalized in the diabetology endocrinology department, CHU Hédi Chaker of Sfax, between 01/10/20...

Introduction: Distal and symmetrical peripheral polyneuropathy is the most frequent type of diabetic neuropathy. Its painful form (PDN) is the most common cause of non-traumatic neuropathic pain and can place a heavy burden on patients’ lives. Despite the major impact that it can have on the quality of life, PDN is generally underdiagnosed because of a large interindividual variability of symptoms and in the absence of well-established diagnostic criteria.<p class="ab...

Background and Aims: Lower urinary tract (LUT) dysfunctions are highly prevalent, especially in women. Diabetes is a well-established risk factor for developing LUT symptoms. Several studies suggest that a high body mass index (BMI) may worsen the urinary discomfort in patients with type 2 diabetes (T2DM). The current survey aims to investigate the relationship between obesity and LUT dysfunctions in patients with T2DM.Patients and Method: We conducted a...

Background and Aims: Several studies have pointed a significant relationship between diabetic complications, glycemic imbalance, and the onset of lower urinary tract dysfunction (LUTD) in this population. The current survey aims to assess the clinical and biochemical characteristics related to glycemic control in patients with type 2 diabetes presenting with symptoms of LUTD.Patients and Method: We conducted a comparative cross-sectional study that inclu...

Introduction: Hyperuricemia is a common metabolic feature in patients with metabolic syndrome.Aim: The aim of our work is to study the correlation between uric acid level and the metabolic profile in hypertensive type 2 diabetic patients.Methods: This is a retrospective descriptive study of hypertensive type 2 diabetic patients followed in the endocrinology department of Hedi Chaker University Hospital of Sfax, Tunisia between 2019...