Searchable abstracts of presentations at key conferences in endocrinology

ea0041ep692 | Female Reproduction | ECE2016

Resistant macroprolactinoma and infertility: a difficult challenge

Cheikhrouhou Nesrine , Kammoun Ines , Khatib Maria , Fennira Emna , Salem Leila Ben , Slama Claude Ben

Introduction: Dopamine agonist resistance is rare in prolactinoma (10%). Doses of cabergoline of up to 2.0 mg/week are usually effective in controlling prolactin (PRL) secretion and reducing tumor size. Surgical treatment is rarely indicated.Case report: An 18-year-old female presented in 2002 with a 2-year history of amenorrhea and galactorrhea. Hormonal investigation showed a hyperprolactinemia (4800 mUI/l) with integrity of the other pituitary axis. T...

ea0041ep698 | Female Reproduction | ECE2016

Can weight loss reverse polycystic ovary syndrome?

Grira Wafa , Kammoun Ines , Zoubeidi Hana , Sfar Hayfa , Salem Leila Ben , Slama Claude Ben

Introduction: Weight loss is a mainstay in the treatment of polycystic ovary syndrome (PCOS). While the cause of this complex endocrine disorder remains unknown, itÂ’s approved that weight loss improves symptoms of PCOS. We report a case of a patient with PCOS. Her symptoms disappeared totally after losing 50kgCase report: In 2005, a 16-year-old girl presented for evaluation of spaniomenorrhoea and obesity. Physical examination showed a weight of 88 ...

ea0070aep704 | Pituitary and Neuroendocrinology | ECE2020

A rare etiology of hyperprolactinemia: Factitious hypoglycemia

Kalthoum Mehdi , Gharbi Radhouan , Kandara Hajer , Adel Meriem , Jemel Manel , Kammoun Ines

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...

ea0070ep224 | Diabetes, Obesity, Metabolism and Nutrition | ECE2020

Efficiency of ceylon cinnamon on anthropometric indices in polycystic ovary syndrome

Dghaies Salma , Kandara Hajer , Smida Amal , Gharbi Radhouene , Jemel Manel , Kammoun Ines

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 ...

ea0070ep278 | General Endocrinology | ECE2020

Physicians’ attitudes towards pharmaceutical promotion: Investigation in endocrinology

Kammoun Ines , Larbi Thara , Kandara Hajer , Gharbi Radhouane , Mrad Skander , Jemel Manel

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...

ea0070ep282 | Pituitary and Neuroendocrinology | ECE2020

Pituitary metastasis as a rare cause of diabetes insipidus

Kalthoum Mehdi , Kandara Hajer , Adel Meriem , Jmel Manel , Gharbi Radhouen , Kammoun Ines

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 ...

ea0070ep400 | Reproductive and Developmental Endocrinology | ECE2020

Efficiency of ceylon cinnamon on insulin resistance parameters in polycystic ovary syndrome

Jenouiz Zeineb , Kandara Hajer , Bendag Nedra , Gharbi Radhouan , Jemel Manel , Kammoun Ines

Introduction: Insulin resistance (IR) is the main pathogenic factor in polycystic ovary syndrome (PCOS) and its complications. Ceylon cinnamon (CC) is an herb with an insulin-sensitizing effect reported in diabetic patients.The aim of our study was to assess the efficiency of CC on the parameters of the IR in patients with (PCOS).Methods: We conducted a prospective interventional study, we included 13 patients with PCOS diagnosed according to the Rotterd...

ea0032p613 | Female reproduction | ECE2013

Mechanisms of menstrual disorders in type1 diabetic women

Kammoun Ines , Wassai Ikram , Kandara Hajer , Kacem Faten Haj , Turki Zinet , Ben Slama Claude

Introduction: Type 1 diabetic women have generally more menstrual disorders than healthy women.Objectives: Identify the main mechanisms responsible of menstrual disorders in type1 diabetic women.Patients and methods: We conducted a comparative transversal study including 70 patients with type 1 diabetes: Thirty-three having menstrual disorders (group M) and 37 with regular menses (control group T).We compared...

ea0073aep324 | Diabetes, Obesity, Metabolism and Nutrition | ECE2021

Diabetes, a harbinger of pancreatic tumor

Mehrzi Amal , Jemel Manel , Madhbouh Meriem , Chatti Hiba , Madhi Wiem , Kammoun Ines

IntroductionPancreatic cancer is one of the cancers of the digestive tract for which the prognosis has not been improved in terms of early diagnosis. Recent diabetes can be indicative of this pathology.ObservationA 56-year-old man with no notable pathological history who has presented for 04 months a deterioration in general condition with weight loss. On clinical examination: BMI: 17 kg/m2. In bio...

ea0073aep460 | Pituitary and Neuroendocrinology | ECE2021

Pituitary tuberculosis: A clinical challenge

Chatti Hiba Allah , Kammoun Ines , Gharbi Radhouane , Ibrahim Arbaoui , Sonia Nagi , Kandara Hajer , Jemel Manel

IntroductionCerebral tuberculomas are a rare form of tuberculosis due to the hematogenous spread of Mycobacterium Tuberculosis (MT). Pituitary localization is exceptionally uncommon with total reported cases in the literature fewer than a hundred. Symptoms and radiologic features are nonspecific, leading sometimes to misdiagnosis. We report the rare case of a patient diagnosed with a primary pituitary stalk tuberculosis.Observation...