Endocrine Abstracts

Introduction: Disorders of sex development represent a rare group of congenital disorders causing discord between the phenotypical and genotypical sex. We present the case of two female patients in whom we discovered a sex development disorder when they consulted for amenorrhea.Case report: Two sisters of 21 and 25 years old had an endocrinological consult for primary amenorrhea. They were conceived from a consanguineous marriage and had no particular me...

Introduction: Primary hyperparathyroidism is a common disease. It is generally caused by a solitary parathyroid adenoma. Adenomas weighing more than 3.5 g are classified as giant. These giant parathyroid adenomas constitute a rare clinical entity.Patients and Methods: We report two cases of giant parathyroid adenoma observed in our department of otorhinolaryngology and cervicofacial surgery.Results: Case 1: A 54-ye...

Introduction: Secondary and tertiary hyperparathyroidism (HPT) usually result from parathyroid gland hyperplasia that produces excess parathyroid hormone (PTH). Collectively, secondary and tertiary HPT comprise a minority of the patients diagnosed with HPT. Due to the relative rarity of these conditions and common underlying disease pathology, they are frequently discussed and researched together. While the disease processes are related, secondary and tertiary HPT are two dist...

Introduction: Parathyroid cysts are a rare clinical and histological entity, with less than 300 cases reported in the literature. They constitute 0.5% of all parathyroid pathologies and 1% of all cystic lesions in the cervical region. Parathyroid cysts can give rise to a varied symptomatology by the local or hormonal repercussions.Case: We report the case of a 65-year-old patient with no pathological history who presented for bone pain with functional im...

Purpose: Mucormycosis is a rare and potentially fatal invasive fungal infection which usually occurs in diabetic and other immunocompromised patients. This infection is associated with high morbidity and mortality rates. Prompt diagnosis and rapid aggressive surgical debridement and antimycotic therapy are essential for the patient’s survival. The purpose of this study was to expose the clinical feature, and to discuss the specificities management of mucormycosis in the s...

Introduction: Cervicofacial cellulitis represents one of the most worrying infectious emergencies in ENT despite their frequency which has clearly decreased since the advent of antibiotics. From a simple infection, most often dental or in the ENT sphere, it produces an infiltration of the cellulo-adipose tissue of the face and neck with extensive necrosis of the cervical and even mediastinal aponeurotic spaces especially in diabetic patients. The management must be rapid and e...

Introduction: Ramsay Hunt syndrome or Herpes Zoster Oticus is characterized by reactivation of latent varicella zoster virus in the geniculate ganglion and subsequent spread to cranial nerve. The diagnosis is mainly clinical. The facial paralysis seen in Ramsay Hunt syndrome is often more severe with the increased rate of late neural denervation and the decrease chance of complete recovery especially in diabetic patients. The aim of this study is to focus on the association be...

Introduction: A nasal septal abscess (NSA) is defined as a collection of pus between the cartilage or bony septum and its mucoperichondrium or mucoperiostium. NSA caused by uncontrolled diabetes mellitus are rare. The aim of this study is to focus on the association between diabetes mellitus and NSA.Materials and methods: We report two rare cases of NSA in patients with type 2 diabetes mellitus collected in ENT department of Farhat Hached Hospital of Sou...

Purpose: Retropharyngeal abscesses are rare in adults. They most commonly occur in immunocompromised patients as well as older one with systemic diseases like diabetes mellitus. The aim of this study is toidentify the clinical presentation of retropharyngeal abscesses and therapeutic challenges in diabetic patient.Case report: It is about a 50-year-old man, diabetic (DNID) who consulted us for intense cervicalgia, odynophagia and mixed high dysphagia ass...

Introduction: Neuroendocrine tumors of head and neck region are rare and heterogeneous. it can arise in all the different organs of this region, including the nasal cavity, paranasal sinuses, larynx, thyroid, can be divided into two broad groups: those with epithelial differentiation, and neurally derived tumours, including paragangliomas and olfactory neuroblastomas. Their morphological and clinical features mainly depend on the degree of differentiation and on the site of or...