Endocrine Abstracts

Introduction: The involvement of the thyroid gland by tuberculosis is extremely uncommon even in countries in which tuberculosis is endemic. In the majority of the reported cases, thyroid function was preserved. Herein we report a case of thyroid tuberculosis in a patient with a primary hypothyroidism.Case report: A 52-year-old woman was referred to our department for a gradually growing goiter without compressive symptoms. She presented with a productiv...

Introduction: Abnormalities in the development and migration of the thyroid gland are known to produce ectopic thyroid tissue, usually in the midline between the tongue base and the diaphragm. Hashimoto’s thyroiditis involving ectopic thyroid tissue is particularly unusual. Herein we report a case of Hashimoto’s thyroiditis developing in a midline thyroid cervical mass.Observation: A 55-year-old man was referred for hypothyroidism. His physical...

Introduction: Atrial flutter (AFL) is a rapid, regular atrial tachyarrhythmia that occurs most commonly in patients with underlying structural heart disease. Patients with tachyarrythmias as a result of thyroid storm have been typically treated with beta-blockers to decrease the heart rate and alleviate beta-receptor mediated symptoms. We report an unusual case of AFL with 1:1 atrioventricular (AV) conduction.Case report: Patient H, M 45 years old was ad...

Introduction: Secondary high blood pressure is commonly diagnosed in young patients. In recent years, hypertension is increasing as well as the other components of metabolic syndrome such as obesity. The aim of this study was to determine the etiology of hypertension in patients aged <40 years old admitted in an endocrinology department.Materials and methods: It was a retrospective study including 55 patients <40 years old hospitalized at the end...

Background: Congenital adrenal hyperplasia (CAH) is an autosomal recessive disorder characterised by impaired cortisol synthesis. In the CaHASE study, a surprisingly low number of cases were identified as attending adult endocrine clinics. It has been suggested that patients with CAH are lost to follow up around the time of transition to adult services.In our service, there is a transition clinic that has a lead paediatric and adult Consultant who attend...

Introduction: Cardiovascular complications are well known in type 2 diabetes with other factors of cardiovascular disease. Recently, with the intensive treatment of type 1 diabetes, many studies have focused on macrovascular complications in type 1 diabetes. The aim of our study was to determine the long-term cardiovascular risk factors and macrovascular complications in type 1 diabetic patients.Patients and methods: A retrospective study involving 45 pa...

Introduction: Mucormycosis is an unusual but serious fungal infection that most commonly affects people with diabetes mellitus. Treatment shoud be initiated urgently and associates antifungal treatment, surgical resection and control of risk factors. This infection is associated with high morbidity and mortality rates.Case reports: We report three cases of rhinosinusal mucormycosis occuring occurring in one female and two males. The medium age of the pat...

Introduction: Fungal necrotizing otitis externa is a serious and potentially life-threatening condition that is challenging to manage. Diabetic patients are susceptible to develop this severe infection. The diagnosis is often delayed and its frequency has increased over the last few years.Material and Methods: we reported 8 cases of fungal necrotizing external otitis in diabetic patients treated in the ENT department of Tahar Sfar Hospital in Tunisia fro...

Introduction: The management of patients with nodular goiter and thyroid neoplasms is one of the most important problems in modern thyroidology. There are several classifications based on thyroid ultrasound for selecting suspected malignant thyroid nodules. The Thyroid Imaging Reporting and Data System (TI-RADS) classification is an easy to apply for thyroid lesions, which might be helpful in clinical practice for the initial assessment of the thyroid lesion risk of malignancy...

Introduction: Necrotizing otitis externa (NOE) is an invasive infection. It may present with a variety of clinical findings. The most common symptoms are purulent otorrhea and exquisite otalgia resistant to analgesics. Diabetics are susceptible to microangiopathy that dulls pain perception thus predisposing them to severe complications of inctious disease.Materials and methods: We reported ten cases of complicated necrotizing otitis externa in diabetic p...