Endocrine Abstracts

BackgroundIt’s well known that smoking and diabetes are direct causes for serious health problems such as cancer, and atherosclerosis. It is suggested that smoking indirectly leads to atherosclerosis by influencing nutrient intakes as smokers tend to eat more fat and carbohydrates and less mono unsaturated fats and fiber than non-smokers. But no studies assessed the impact of tobacco on nutrition in diabetic patients.Aim<p...

IntroductionDiabetes mellitus is a serious metabolic disease, described by the World Health Organization as a global epidemic. An alarming increase in its prevalence among adults is observed in Tunisia as everywhere else in the world. Because type 2 diabetes preponderates among adults, few epidemiological studies focused on type 1 diabetes (T1D) that occurs during the adulthood. The aim of this study is to determine the prevalence of DT1 among Tunisian a...

IntroductionMasked arterial hypertension (HTAM) is a relatively recently described entity which gives patients with it the same cardiovascular risk as permanent hypertension. In this context, we report a prospective study including 53 patients in order to determine the prevalence and predictive factors of HTAM in diabetics.MethodsDescriptive prospective study of 53 patients treated in the endocrinology Diabet...

IntroductionAcute pancreatitis (AP) is the most common affection of the pancreas, it often leads to glycemic disorders. On the other hand, diabetic ketoacidosis (DKA) is associated with nonspecific increase in serum amylase levels. The aim of this study was to evaluate the clinical characteristics of acute AP concomitant with DKA.MethodsWe conducted a retrospective and descriptive analysis of clinical records...

IntroductionSolid pseudopapillary tumors (SPT) of the pancreas area rare exocrine pancreatic tumor behaving in a low-grade fashion, with limited local invasion risk and a rare metastatic evolution. They mainly affect young women. Their etiopathogenesis remains uncertain. We report the case of a 15-year-old boy, having congenital anomalies, who presented a solid and pseudopapillarytumour of the pancreas.Case report<p class="abst...

IntroductionEmpty sella syndrome (ESS) is a rare condition in which the sella turcica is partially or completely filled with cerebrospinal fluid. ESS can be classified as primary or secondary, depending on the identification of underlying etiologies. Whether empty sella has any functional implications in causing pituitary hormonal disturbances needs to be understood. The aim of our study was to assess the incidence of pituitary hormonal disturbances in p...

IntroductionPrimary ovarian failure currently represents an increasingly frequent cause for consultation in endocrinology, from 4 to 18 % of the causes of primary amenorrhea and 10 to 28 % of the causes of secondary amenorrhea.ObjectivesIn this context, we report a retrospective study of 50 patients followed between 2000 and 2020 for early menopause, in order to assess the etiologies and risk factors favourin...

Introduction Hypothyroidism (HT) is widespread in all age groups particularly within the increasing elderly population while its diagnosis is challenging owing to extremely varied and atypical symptoms. The objective of this study is to outline the clinical and biochemical features of HT and determine its main etiologies in a geriatric population. Methods We reviewed the medical charts of 53 patients aged 65 ...

IntroductionCardiothyreosis is the most dreadful complication of hyperthyroidism. In Tunisia, cardiothyreosis has rarely been analyzed. The aim of our study was to describe the clinical aspects of this disease in an adult population of southern Tunisia.MethodsRetrospective study (January 1999 to December 2018) including all cases of hyperthyroidism with cardiothyreosis followed in our department.<p class=...

BackgroundAmiodarone is a widely-used anti arrhythmic medication. Amiodarone-induced hyperthyroidism (AIH) develops in 3% of amiodarone-treated patients. AIH is classified as type 1 or type 2. Type1 AIH occurs in patients with underlying thyroid condition while Type2 AIH is a result of amiodarone causing a subacute thyroiditis. Appropriate therapy for amiodarone-induced hyperthyroidism requires a careful diagnosis that may be difficult to achieve.<p ...