Searchable abstracts of presentations at key conferences in endocrinology

ea0090ep117 | Adrenal and Cardiovascular Endocrinology | ECE2023

17 Alpha Hydroxylase Deficiency in congenital adrenal hyperplasia revealed by a ruptured cerebral aneurysm

Sara Chtioui , Rafi Sana , Tabib Ghizlane El Mghari , El Ansari Nawal

Background: A 17 alpha-hydroxylase deficiency (17OHD) is a rare form of congenital adrenal hyperplasia (CAH). Congenital adrenal hyperplasia (CAH) is a group of disorders resulting from defect of one of enzymes necessary for biosynthesis of cortisol.Case Report: A 33-year-old female suffered from 17OHD. She presented with primary amenorrhea, lack of secondary sexual characteristics, and hypertension complicated by ruptured cerebral aneurysm. Laboratory t...

ea0090ep123 | Adrenal and Cardiovascular Endocrinology | ECE2023

Congenital adrenal hyperplasia due to 21-hydroxylase deficiency

Sara Chtioui , Midhat Ilham , Rafi Sana , Tabib Ghizlane El Mghari , Nawal El Ansari

Introduction: Congenital Adrenal Hyperplasia (CAH) are any of several autosomal recessive diseases resulting from mutations of genes for enzymes mediating the biochemical steps of production of mineralocorticoids, glucocorticoids or sex steroids from cholesterol by the adrenal glands (steroidogenesis).Case Report: We describe a case report of a 20 year-old female with congenital adrenal hyperplasia (CAH). The 20-year-old female patient was born with geni...

ea0090ep403 | Diabetes, Obesity, Metabolism and Nutrition | ECE2023

The association between vitamin D3 deficiency and acute kidney injury in COVID-19 patients

Kazemijahromi Mitra , Arabi Mohsen , Samimagham Hamidreza , Moradkhani Azadeh , Mayvan Fatemeh Khajavi , Binaei Sara , Asl Ali Salimi

Introduction: Vitamin D deficiency is a common clinical finding in the general population and hospitalized patients, including patients in the intensive care unit(ICU). Acute kidney injury (AKI) occurs in more than 50% in ICU admitted patients.Objectives: Due to the fact that there are few studies about AKI in COVID-19 patients, we investigated the relationship between vitamin D3 deficiency and the occurrence of AKI in COVID-19 patients.<p class="abs...

ea0090ep480 | Diabetes, Obesity, Metabolism and Nutrition | ECE2023

Clinical aspect and diagnosis of osteomyelitis in diabetic foot

Ragbi Sara , Amal Mjabber , Haraj Nassim Essabah , Aziz Siham El , Chadli Asma

Introduction: Diabetic foot osteomyelitis is a frequent complication of a preexisting infected foot wound. It is mostly the consequence of a soft tissue infection that spreads into the bone thus increasing the risk of amputation and the burden of foot care. The aim of this work is to describe the clinical and therapeutic aspect of diabetic foot osteomyelitis in our department.Patients and Methods: ItÂ’s a retrospective and descriptive study conducted...

ea0090ep656 | Endocrine-related Cancer | ECE2023

Primary sinonasal neuroendocrine carcinoma invading the orbit

Sara Chtioui , Ismail Zahra , Rafi Sana , Tabib Ghizlane El Mghari , El Ansari Nawal

Introduction: Sinonasal neuroendocrine carcinoma SNECs are a rare group of neoplasms that account for only 5% of all sinonasal malignancies. SNECs are categorized by their differentiation grade into well-, moderately- and poorly differentiated.Case report: We describe a classical case of SNEC with secondary orbital involvement in a 34-year-old male patient presented of the occurrence of a right epistaxis. First of all, the patient is smoking. The beginni...

ea0090ep703 | Pituitary and Neuroendocrinology | ECE2023

Silent pituitary macroadenomas – clinical behavior and prognosis

Manique Ines , Amaral Sara , Palha Ana , Cortez Luisa , Cerqueira Luis , Sagarribay Amets , Silva-Nunes Jose

Introduction: A third of pituitary adenomas are non-functioning. Classification depends on adenohypophyseal hormones expression and transcription factors.Aim: Characterize silent pituitary macroadenomas cases regarding their clinical data, treatment, histopathology and prognosis.Methods: We revised clinical process of patients followed in CHULC. Cases with non-access to clinical follow-up registries or exams were excluded.<p cl...

ea0090ep786 | Pituitary and Neuroendocrinology | ECE2023

De-escalation treatment with pasireotide for aggressive acromegaly: A long-term experience

Menotti Sara , Giampietro Antonella , Chiloiro Sabrina , Pontecorvi Alfredo , De Marinis Laura , Bianchi Antonio

Introduction: Pasireotide long acting release (LAR) is approved for second line treatment of acromegaly. We present 3 patients with aggressive acromegaly treated with a personalized de-escalation approach.Case 1: A 61-year-old female affected by acromegaly reisistant on first-line SSAs. In 2015 therapy was switched to pasireotide LAR 60 mg every 28 days. After two years, the IGF-I level touched the lower age range and therapy was downscaled to pasireotid...

ea0090ep810 | Pituitary and Neuroendocrinology | ECE2023

Challenges in treatment of carotid paraganglioma : About a case report

Sara Chtioui , Meryam Alhyane , Rafi Sana , Mghari Ghizlane El , Ansari Nawal El

Introduction: Carotid body tumor is a hypervascular tumor with multiple feeding arteries and unique orientation at the carotid bifurcation. Although resection is a radical therapy for this tumor, complete resection is challenging.Case report: A 33-year-old female patient consulted with a neck swelling that had persisted for 3 years. On physical examination, a movable and pulsating hard mass was found on the left side of her neck. Computed tomography, mag...

ea0090ep828 | Pituitary and Neuroendocrinology | ECE2023

Panhypopituitarism of unknown aetiology in a young adult – a case report

Souteiro Pedro , Santos Sara , Oliveira Joana , Inacio Isabel , P Santos Ana , Torres Isabel

Introduction: Hypopituitarism is a rare diagnosis that is mainly due to primary pituitary neoplasms and their treatment. There are rarer causes such as hemorrhage/ischemia, traumatic brain injury, infections and infiltrative lesions. Clinical case: We herein present an 18-year-old male patient diagnosed with acute promyelocytic leukemia at the age of 14, with no evidence of central nervous system invasion in several lumbar punctures during his follow-up....

ea0090ep847 | Pituitary and Neuroendocrinology | ECE2023

Outcome of Bilateral Adrenalectomy in Cushing’s Syndrome

Sara Chtioui , Oussama Jaddi , Rafi Sana , Mghari Tabib Ghizlane El , El Ansari Nawal

Introduction: Cushing disease is the most common cause of endogenous hypercortisolism. Pituitary surgery is the first-line treatment and bilateral adrenalectomy is the option of last resort due to its severe consequences.Observation: This is a 24-year-old patient followed for cushing disease revealed by a severe cushing syndrome, a urinary cortisol at 20 times normal and negative dexamethasone suppression test with a pituitary microadenoma on MRI. He was...