Endocrine Abstracts

Introduction: Nutritional management and adequate food intake is one of the fundamental cornerstones in the treatment of Type 1Diabetes Mellitus (Type 1 DM) to achieve optimal diabetes control, and reduced risk of micro vascular complications. Despite this emphasis on the importance of dietary education and management, the actual dietary intake of Tunisian adolescents with diabetes is not well documented.Aim: The aims were to describe the food and nutrie...

Introduction: The twenty-four hour nature of healthcare demands many nurses and midwives work in shifts. However night work shift is associated with adverse health outcomes like higher risks of obesity; and an unhealthy diet may be a contributing factor. Methods: A descriptive, cross-sectional study, carried out for one month, about midwives in delivery room in five university hospitals in Tunis. For this population there is no worker on the day but rath...

Introduction: Fanconi anemia (FA) is an autosomal recessive disease associated with chromosomal instability, it is marked by phenotypic heterogeneity. Patients with FS often exhibit growth retardation due to complex factors such as hypophosphatemia, metabolic acidosis, disturbed vitamin D metabolism. On the other hand, endocrinopathies are a common feature of FA specially such as Growth hormone deficiency (GHD). We report here two cases of Fanconi disease associated to GH defi...

Introduction: GH deficiency (GHD) represents less than 20% of short stature in children, the clinical, biological and radiological characteristics differ from one population to another.Methods: Our retrospective study describe 59 children (37 boys and 22 girls) with confirmed GHD. The average age of discovery was 95 months. About 20.3% of these children were born from a consanguineous marriage. Family history of anterior pituitary insufficiency was prese...

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: Neurofibromatosis 1 (NF1) or von Recklighausen disease is an autosomal condition caused by heterozygous mutations of the NF1 gene. Patients with NF-1 are at an approximately fourfold higher risk of developing tumors than the general population. Pheochromocytoma may occur in about 1% of these patients.Case report: A 24-year-old woman was admitted to our hospital for further examinations of a 6-cm right adrenal mass, that was incidentally dis...

Introduction: The widespread use of abdominal ultrasound, computed tomography (CT) and magnetic resonance imaging (MRI) has led to a predictable rise in the discovery of incidental adrenal lesions, some of which will be silent pheochromocytoma. Thus, about ten en percent of pheochromocytoma cases were diagnosed incidentally.Methods: We studied retrospectively the notes of 23 patients with histologically confirmed pheochromocytom. Demographic information,...

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...