Endocrine Abstracts

Introduction: Acromegaly is a rare hormonal condition that results from an excess amount of growth hormone (GH) in the body. A variety of complications have been reported in patients with acromegaly including cardiovascular diseases, diabetes mellitus or respiratory disorders. In addition, Acromegaly is associated with gastrointestinal complications. The aim of this study was to evaluate gastrointestinal complications and their impact on the quality of life among patients suff...

Introduction: Thyroid diseases have been known to cause haemostatic changes, either tendency to bleeding or thrombosis. We report a case of a patient with primary hypothyroidism presenting with spontaneous bleeding and jugular thrombosis.Case report: An 85-year old patient with no medical history was admitted to the endocrinology department with primary auto-immune hypothyroidism. Hypothyroidism was suspected because of severe loss of weight and appetite...

Introduction: Thyroid hormones in fluence kidney function and thereby might alter serum urate levels, a major risk factor for gouty arthritis. Previous research documented a high prevalence of elevated levels of Uric acid in primary hypothyroid patients. We present the case of an incident gout attack in a patient with primary hypothyroidism.Case report: A 72-year-old male was hospitalized for a primary hypothyroidism complicated by a rhabdomyolysis. Labo...

Introduction: Allowing to have a good glycemic control, presenting no contraindications and contributing to the optimization of the general and nutritional state, insulin remains a treatment of choice for the diabetic elderly. Proper injection technique is key to achieving and maintaining goal-level diabetes control. The objective of our study was to assess insulin injection techniques in elderly subjects with type 2 diabetes.Methods: A cross-sectional s...

Introduction: Management of diabetes in older adults is complicated by the many comorbidities that may interfere with the use of certain oral antidiabetic agents, and the associated geriatric syndromes, psychiatric disorders, and high risk of dependence in this age group. The objective of our study was to determine the factors associated with poor diabetes control in insulin-requiring elderly subjects.Methods: A cross-sectional study on type 2 diabetic i...

Introduction: Type 2 diabetes, which accounts for more than 90% of all diabetes in the elderly, is a major public health problem. It is associated with high morbidity and mortality, mainly due to complications such as cardiovascular events and renal failure. The objective of our study was to determine the characteristics of type 2 diabetes in insulin-requiring elderly subjects.Methods: A cross-sectional study on type 2 diabetic insulin dependent elderly ...

Introduction: Polyuria-polydipsia syndrome (PUPDS) requires a comprehensive diagnostic approach as it can reveal serious medical conditions. We report the case of a patient consulting for PUPDS related to a primary potomania. Case presentation: A 41-year-old patient with a history of multiple psychostimulants use was admitted for acute PUPDS after emotional shock and paucisymptomatic SARS-CoV-2 infection. Diuresis was estimated at 6 liters per 24 hours. ...

IntroductionCardiovascular disease is the leading cause of death ahead of infectious diseases and cancers. The frequency of morbidity and mortality associated with cardiovascular diseases increases in the elderly and their management becomes more difficult. Hence an early and adequate management of cardiovascular risk factors is needed. The objective of this work was to determine the cardiovascular risk factors in elderly diabetics and to assess the qual...

IntroductionThe metabolic syndrome (MS) presents a major public health problem, especially in elderly diabetics. The objective of this study is to assess the frequency and characteristics of MS in elderly diabetics.Patients and methodsRetrospective study of 94 diabetic subjects over the age of 65 years who were hospitalized in the endocrinology department of Mahdia or followed at the outpatient clinic between...

IntroductionDiabetes mellitus (DM) is one of the risk factors associated with severe illness in Coronavirus disease 2019 (COVID-19) leading to increased hospital admissions and mortality. COVID-19 can precipitate hyperglycemic emergencies like diabetic ketoacidosis (DKA) in patients with DM. We report 2 cases of diabetic ketoacidosis (DKA) secondary to COVID-19 with an atypical clinical picture mainly made up of neurological disorders without respiratory...