Endocrine Abstracts

Introduction: Cushing’s syndrome (CS) is rare in children. The most common cause of CS in children is exogenous or iatrogenic CS. The most common cause of endogenous CS is Cushing disease (CD). Pediatric CD is almost always caused by a pituitary microadenoma. Here we present a rare case of (CD) related to pituitary macroadenoma.Clinical observation: An 11 year old boy presented with complaints of excessive appetite and progressive weight gain. He ha...

Introduction: Calcium intake is important to prevent osteoporosis in postmenopausal women. The objectives of our study were to evaluate the daily dietary calcium intake in postmenopausal Tunisian women, to compare diabetic and non-diabetic postmenopausal women in their calcium intake and finally to propose corrective interventions to promote calcium intake and minimize the complications of menopause.Subjects and methods: The study involved 73 postmenopau...

Introduction: Reactive hypoglycemia (RH) is characterized by postprandial hypoglycemic disorder aggravated by the ingestion of high glycaemic index (GI) foods.The aim of this study was to evaluate the effectiveness of dietary regimen recommended for patients with RH.Methods: This interventional prospective study included 20 patients consulted with symptoms suggesting RH, duration of monitoring was one month. Data had been ...

Introduction: Phaeochromocytoma and Cushing syndrome are two uncommon endocrine conditions. The association of these two conditions is very rare and not well elucidated. We report an association of a phaeochromocytoma with an ACTH-dependant Cushing syndrome.Case report: A 32-years-old female patient was admitted in the endocrine department for paroxysmal hypertension diagnosed in the immediate post partum period. She reported sweating and palpitation cri...

Introduction: Hyperprolactinemia is a common endocrine condition causing galactorrhoea. Breast abscess is a frequent complication of the post partum period and breast feeding but it rarely occurs out of these two situations. We report the case of a patient presenting with tumoural hyperprolactinaemia associated with a breast abscess.Case report: A 34 years-old patient presented with galactorrhoea, spaniomenorrhoea and headache for six months. She had not...

Introduction: While prolactin is most well known for its role in lactation and suppression of reproduction, its physiological functions are quite diverse. There are many etiologies of hyperprolactinemia, including physiologic as well as pathologic causes. Factitious hypoglycemia a rare case of induced hyperprolactinemiaCase report: We report a case of 17-years-old girl presented to with sever hypoglycemia mesured at 30 mg/dl. The patient had no significa...

Introduction: Ceylon cinnamon (CC) has shown its interest in insulin resistance, type2 diabetes and weight loss. In this study, we aimed to evaluate the effects of CC on anthropometric indices in patients with polycystic ovary syndrome (PCOS).Methods: We performed a prospective interventional study, including 13 patients with PCOS, diagnosed according to the Rotterdam criteria, patients having received neither diet education nor Metformin. At T0 all our ...

Recently, special attention has been paid to the relationship between doctors and the pharmaceutical industry. The aim of this work was to evaluate the attitude of Tunisian endocrinologists towards pharmaceutical promotion.Methods: It was a cross-sectional study based on an anonymous 9-item survey about the attitudes and behaviors of physicians towards the pharmaceutical promotion. The study included 120 participants.Results: One-t...

Introduction: The most common cause of diabetes insipidus is idiopathic. In some rare cases, it can be secondary to metastasis to hypothalamic–pituitary region.Case report: We report a case of 68-years-old female patient presented to our clinic with complaints of polyuria and polydipsia. She had medical history of breast adenocarcinoma 6 years ago treated with surgery, neoadjuvant radiotherapy and 8 cycles of chimiotherapy. On physical examination ...

Introduction: Turner’s syndrome (TS) affects 1/2500 female births and it is characterized by growth retardation, dysmorphic syndrome and gonadal dysgenesis. Our objective was to describe the clinical, therapeutic and evolutive features of Tunisian patients with TS.Patients and Methods: It was a retrospective study including 23 patients with TS diagnosed between 1993 and 2019.We noted clinical, therapeutic and evolutive data for each patient.<p ...