Searchable abstracts of presentations at key conferences in endocrinology

ea0073ep25 | Calcium and Bone | ECE2021

Fahr’s syndrome secondary to hypoparathyroidism revealed by generalized pustulosis (about 2 cases)

Elkhomri Amal , Essabah Haraj Nassim , El Aziz Siham , Hali Fouzia , Chiheb Soumiya , Chadli Asmaa

IntroductionAmicrobial skin pustulosis is one of the exceptional manifestations of hypoparathyroidism. We report 2 observations of a Fahr syndrome secondary to hypoparathyroidism revealed by generalized pustulosis.Observations 124 year old woman, with no history of thyroid surgery, The patient was admitted for generalized covering more than 90% of the body surface. Biology objected to hypocalcemia at 57 mg/l,...

ea0081p443 | Reproductive and Developmental Endocrinology | ECE2022

Y-chromosome disomy and sexual ambiguity

Hasni Yosra , Zarrouk Oumayma , Tilouche Samia , Elfekih Hamza , Farid Hayfa , Maaroufi Amel , Kacem Maha , Chaieb Molka Chadli , Ach Koussay

Introduction: Chromosomal abnormality 47, XYY, despite being present in approximately 1 in 1000 newborn boys, remains less known phenotypically and more than 85% of men are never diagnosed. Males with 47, XYY syndrome are described to be phenotypically normal. They present often a developmental delay, behavioral difficulties and learning disabilities that may be associated with accelerated growth rate and taller stature in adulthood. Endocrine disorders, especially pubertal de...

ea0081p471 | Thyroid | ECE2022

Hyperpigmentation in Graves’ disease

Saafi Wiem , Elfekih Hamza , Ben Abdelkarim Asma , Allegue Sinda , Hasni Yosra , Maaroufi Amel , Kacem Maha , Chaieb Molka Chadli , Ach Koussay

Introduction: Hyperpigmentation is a clinical sign that can be associated with different endocrine disorders. It is commonly seen in Addison’s disease and has rarely been reported in Graves’ disease. The exact physio pathological mechanism of this sign is not well established in hyperthyroidism. We describe two cases of Graves’ disease accompanied by diffuse hyperpigmentation.Case report: Case 1 was a 63-year-old female ad...

ea0081p729 | Thyroid | ECE2022

Hyperthyroidism and ischemic stroke in a young adult

Hasni Yosra , Elfekih Hamza , SAAD Ghada , Saafi Wiem , Zarrouk Oumayma , Maaroufi Amel , Kacem Maha , Chadli Chaieb Molka , Ach Koussay

Introduction: Moyamoya disease is a rare angiopathy characterized by a progressive stenosis of the intracranial internal carotid arteries (ICA). First described in 1957, its pathophysiological mechanisms are still not well understood. Its association with various systemic diseases is termed moyamoya syndromeObservation: A 21-year-old female patient, with a family history of hypothyroidism, was admitted initially with stroke. The clinical examination reve...

ea0081ep25 | Adrenal and Cardiovascular Endocrinology | ECE2022

Acute adrenal crisis following COVID-19 in a patient with 11β-hydroxylase deficiency

Elfekih Hamza , Dridi Manel , Abdelkarim Asma Ben , Kahloun Siwar , Hasni Yosra , Maaroufi Amel , Kacem Maha , Chaieb Molka Chadli , Ach Koussay

Introduction: 11-Beta-hydroxylase deficiency (11β-OHD) is the second most common cause of congenital adrenal hyperplasia. It leads to the accumulation of steroids precursors prior to the enzyme defect, notably 11-deoxycorticosterone (DOC), leading therefore to low renin hypertension and hypokalemia. Hence, patients with 11β-OHD are reportedly protected from adrenal crisis. Here, we report a case of a male with 11β-OHD presenting with acute adrenal insufficiency....

ea0081ep651 | Pituitary and Neuroendocrinology | ECE2022

Unusual evolution of a non-functionning pituitary adenoma

Hasni Yosra , Arem Marwa El , Elfekih Hamza , saafi wiem , Slimane Abdelhafidh , Maaroufi Amel , Kacem Maha , Chaieb Molka Chadli , Ach Koussay

Introduction: Pituitary neuroendocrine tumors (PitNET) represent 15.5% of primary brain tumors and they can be clinically functioning or non-functioning. Although they are mostly benign, PitNET may be invasive in 30-45% of cases and aggressive in at least 15%. Here, we report the case of a patient who presented a multiple and rapid recurrence of a non-functional pituitary macroadenoma.Observation: A 42-year-old man was admitted initially for headaches, m...

ea0081ep890 | Reproductive and Developmental Endocrinology | ECE2022

Klinefelter syndrome associated with intellectual deficit, short stature and cardiac anomalies

Hasni Yosra , Farid Hayfa , Elfekih Hamza , Zarrouk Oumayma , Maaroufi Amel , Kacem Maha , Chaieb Molka Chadli , Ach Koussay

Introduction: Klinefelter syndrome is the most prevalent male chromosomal disorder, characterized by the presence of additional X chromosomes. Most males with Klinefelter syndrome have 47, XXY and normal intelligence. Intellectual disability occurs in males with Klinefelter syndrome variants, who have a higher number of X chromosomes. Here we report a rare case of a 49, XXXXY syndrome revealed by intellectual deficit and pubertal delay.Observation: An 18...

ea0081ep952 | Thyroid | ECE2022

Thyroid-associated orbitopathy exacerbation following COVID-19

Saafi Wiem , Saad Ghada , Elfekih Hamza , Allegue Sinda , Maaroufi Amel , Kacem Maha , Chaieb Molka Chadli , Hasni Yosra , Ach Koussay

Introduction: Thyroid-associated orbitopathy is an autoimmune disease of the retroocular tissues commonly associated with Graves’ disease (GD) and rarely reported in Hashimoto’s thyroiditis (HT). GD and HT are autoimmune thyroid disease which are sometimes hard to distinguish from one another and their association in one person is rarely described. Here, we report a case of an exacerbation of thyroid-associated orbitopathy in a patient with GD following a SARS-CoV-2 ...

ea0090ep627 | Endocrine-related Cancer | ECE2023

A case of synchronous association of stomach neuroendocrine tumor and pernicious anemia

Sabbagh Ghada , Elfekih Hamza , Aycha Ghachem , Saad Ghada , Houd Kenza , Taieb Ach , Ben Abdelkarim Asma , Hasni Yosra , Chadli Chaieb Molka

Introduction: Biermer’s disease is a chronic inflammatory disease due to antibodies targeting parietal cells and intrinsic factor compromising vitamin B12 absorption leading to pernicious anemia, and gastric acid secretion leading to achlorhydria. Neuroendocrine tumors are rare neoplasms that have been reported during the evolution of chronic gastritis. We here describe a case of a type 1 gastric neuroendocrine tumor discovered alongside with Biermer’s disease.<p...

ea0090ep1055 | Thyroid | ECE2023

Transient hypothyroidism post radioiodine therapy

Sabbagh Ghada , Elfekih Hamza , Aycha Ghachem , Saad Ghada , Barkallah Fatma , Taieb Ach , Hasni Yosra , Chadli Chaieb Molka

Introduction: Grave’s disease is an autoimmune disorder and is considered the most common cause of hyperthyroidism. Its treatment options include medical therapy, radioactive iodine (RAI), and surgery. RAI is commonly employed for Grave’s disease regarding its efficiency and safety. Definitive hypothyroidism is the main goal of RAI and is typically achieved within the first 3 to 6 months of therapy. Transient hypothyroidism and recurrence of hyperthyroidism after RAI...