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Elleuch M, Ben Bnina M, Loukil F, Hadj Kacem F, Boujelben K, Mnif M, Mnif F, Charfi N, Rekik N, Ben Salah D, Abid M. Metabolic Disorders During Prolactinomas. Metab Syndr Relat Disord 2024; 22:85-89. [PMID: 38232370 DOI: 10.1089/met.2023.0174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2024] Open
Abstract
The metabolic profile during prolactinoma may be subject to significant changes. We aimed to describe the different metabolic aspects in patients monitored for prolactinoma and to study the correlations between the size of the prolactinoma and the metabolic parameters. We conducted a retrospective, descriptive, and analytical study of 77 cases of prolactinomas collected and monitored at the endocrinology and diabetology department of the Hedi Chaker Hospital in Sfax between 2000 and 2017. Our patients were divided into three groups according to the size of their prolactinomas. Statistical correlations were sought between tumor size and clinical and biological parameters. The mean age of our patients was 38.3 ± 14.2 years. They were divided into 51 women (66.2%) and 26 men (33.7%). Pituitary tumor syndrome was the most common circumstance of discovery in our population (62.3%). The clinical examination revealed an average waist circumference of 95.71 cm. Android fat distribution was observed in 25 women (49%) and 12 men (46.1%). A statistically significant positive correlation was objectified between waist circumference and tumor size (r = 0.29 and P = 0.019). The average body mass index was 28.08 kg/m2. Obesity was noted in 56 cases (72.7%). Glucose tolerance disorders and hypertriglyceridemia were also more evident each time prolactinoma size increased in contrast to the level of high-density lipoprotein cholesterol which decreased with adenoma size. Our study highlighted the metabolic and hormonal repercussions of prolactinomas. Metabolic syndrome was more common in patients with larger prolactinoma. These results should guide the initial assessment and therapeutic management of prolactin adenomas.
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Affiliation(s)
- Mouna Elleuch
- Department of Endocrinolgy Diabetology, Hedi Chaker Hospital, University of Sfax, Sfax, Tunisia
| | - Molka Ben Bnina
- Department of Endocrinolgy Diabetology, Hedi Chaker Hospital, University of Sfax, Sfax, Tunisia
| | - Fatma Loukil
- Department of Endocrinolgy Diabetology, Hedi Chaker Hospital, University of Sfax, Sfax, Tunisia
| | - Faten Hadj Kacem
- Department of Endocrinolgy Diabetology, Hedi Chaker Hospital, University of Sfax, Sfax, Tunisia
| | - Khouloud Boujelben
- Department of Endocrinolgy Diabetology, Hedi Chaker Hospital, University of Sfax, Sfax, Tunisia
| | - Mouna Mnif
- Department of Endocrinolgy Diabetology, Hedi Chaker Hospital, University of Sfax, Sfax, Tunisia
| | - Fatma Mnif
- Department of Endocrinolgy Diabetology, Hedi Chaker Hospital, University of Sfax, Sfax, Tunisia
| | - Nadia Charfi
- Department of Endocrinolgy Diabetology, Hedi Chaker Hospital, University of Sfax, Sfax, Tunisia
| | - Nabila Rekik
- Department of Endocrinolgy Diabetology, Hedi Chaker Hospital, University of Sfax, Sfax, Tunisia
| | - Dhouha Ben Salah
- Department of Endocrinolgy Diabetology, Hedi Chaker Hospital, University of Sfax, Sfax, Tunisia
| | - Mohamed Abid
- Department of Endocrinolgy Diabetology, Hedi Chaker Hospital, University of Sfax, Sfax, Tunisia
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Hadjkacem F, Frikha H, Boujelben K, Chaari C, Mnif E, Masmoudi A, Boudawara T, Turki H, Abid M. Bullous Pemphigoid Associated With Dipeptidyl Peptidase-4 Inhibitors: A Case Report and Review of Current Evidence. Hosp Pharm 2023. [DOI: 10.1177/00185787231151861] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
Abstract
Dipeptidyl peptidase-4 inhibitors (DPP-4i), or gliptins, are a widely used glucose-lowering agents. A growing amount of evidence pointed to a possible role of DPP-4i in the induction of bullous pemphigoid (BP), which is an auto-immune skin blistering disease that mainly affects the elderly. In this article we discuss a case of DPP-4i associated BP and we provide an updated review of the current knowledge regarding this emerging entity. Use of DPP-4i, particularly vildagliptin, was found to significantly increase the risk of BP. BP180 would be in the center of the aberrant immune response. DPP-4i induced BP is thought to be associated with male gender, mucosal involvement, and milder inflammatory phenotype especially in Asian population. Generally, patients may not remit fully after DPP-4i withdrawal only and require either topical or systemic glucocorticoid courses.
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Mnif F, Boujelben K, Ben Salah D, Elleuch M, Mnif M, Charfi N, Rekik N, Hadj Kacem F, Abid M. Étude de la satisfaction des patients traités par les psychotropes ayant développé une surcharge pondérale dans un service d’endocrinologie. Annales d'Endocrinologie 2023. [DOI: 10.1016/j.ando.2022.12.408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
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Ben Salah D, Boujelben K, Elleuch M, Missaoui A, Charfi N, Mnif F, Mnif M, Rekik N, Hadj Kacem F, Abid M. Impact de la substitution glucocorticoïde sur les paramètres anthropométriques des Addisoniens. Annales d'Endocrinologie 2023. [DOI: 10.1016/j.ando.2022.12.145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
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Hadj Kacem F, Boujelben K, Feki W, Chaabouni K, Charfi N, Abid M. Pheochromocytoma of the prostate: An unusual location. Urol Case Rep 2022; 43:102108. [PMID: 35600809 PMCID: PMC9121252 DOI: 10.1016/j.eucr.2022.102108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2022] [Revised: 04/29/2022] [Accepted: 05/04/2022] [Indexed: 11/29/2022] Open
Abstract
Ectopic pheochromocytomas, also called paragangliomas, are defined as catecholamine -secreting tumors, which develop outside the adrenal medulla. Pheochromocytomas of the urinary tract represent less than 1% of all paragangliomas and are most commonly located in the bladder. Nevertheless, prostatic pheochromocytoma is an extremely rare clinical entity and only a few cases have been reported in the medical literature. Herein, we report a case of ectopic pheochromocytoma arising from the prostate, revealing with hypertensive crisis occurring immediately after ejaculation.
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Affiliation(s)
- Faten Hadj Kacem
- Endocrinology Department, Academic Hospital Hedi Chaker, Sfax, Tunisia
| | - Khouloud Boujelben
- Endocrinology Department, Academic Hospital Hedi Chaker, Sfax, Tunisia
- Corresponding author. Endocrinology Department, Academic Hospital Hedi Chaker, Route El Ain Km 0.5, 3000, Sfax, Tunisia.
| | - Wiem Feki
- Radiology Department, Academic Hospital Hedi Chaker, Sfax, Tunisia
| | - Khansa Chaabouni
- Biochemistry Department, Academic Hospital Habib Bourguiba, Sfax, Tunisia
| | - Nadia Charfi
- Endocrinology Department, Academic Hospital Hedi Chaker, Sfax, Tunisia
| | - Mohamed Abid
- Endocrinology Department, Academic Hospital Hedi Chaker, Sfax, Tunisia
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kacem FH, Salah A, Fathallah B, Boujelben K, Charfi N, Abid M. Presentation and management of pheochromocytomas and paragangliomas: about 40 cases. Afr J Urol 2021. [DOI: 10.1186/s12301-021-00265-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
Pheochromocytoma and paraganglioma are rare neuroendocrine tumors of the chromaffin tissue, which may produce catecholamines. The aim of our study was to analyze the clinical and para-clinical aspects as well as the therapeutic and evolutionary aspects of pheocromocytomas and paragangliomas based on a series of 40 cases.
Methods
Our retrospective population-based research study includes 40 patients. Then, a statistical analysis was carried out using the SPSS software (version21).
Results
Our study involves 40 patients, including 23 women (57, 5%) and 17 men (42,5%). The mean age at the time of the diagnosis was 43.8 ± 16.8 years. The circumstances of the discovery were mainly characterized by adrenal incidentaloma and hypertension. The biological diagnosis was based on the dosage of urinary metanephrines and plasma-free metanephrines in, respectively, 61.5% and 18% of cases. A computerized tomography scan and/or a magnetic resonance imaging scan could help to locate the tumor in 100% of cases. Our series includes 3 cases of bilateral pheochromocytoma, 3 cases of paragangliomas and 1 case of malignant pheochromocytoma, while a hereditary form was retained in 3 patients. In fact, thirty-two patients were operated; cure was clinically labeled in 100% and biologically in 87.5% of patients.
Conclusions
The main points for improvement that our study has revealed are; a patient follow-up after surgery, which was not always regular, and an insufficient screening for genetic diseases associated with pheochromocytomas and paragangliomas.
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Hadj Kacem F, Boujelben K, Ellouze F, Ben Salah D, Mnif M, Mnif F, Charfi N, Rekik N, Elleuch M, Abid M. Impact du déficit en magnésium sur l’apparition des complications microvasculaires. Annales d'Endocrinologie 2021. [DOI: 10.1016/j.ando.2021.08.798] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Elleuch M, Hana C, Boujelben K, Ben Salah D, Hadj Kacem F, Mnif M, Mnif F, Charfi N, Rekik N, Abid M. L’alimentation du diabétique pendant le mois de Ramadan en Tunisie. Rev Med Interne 2020. [DOI: 10.1016/j.revmed.2020.10.186] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Elleuch M, Boujelben K, Kacem FH, Ben SD, El AK, Charfi N, Rekik N, Mnif M, Abid M. Insulinoma: Diagnosis and surgical management retrospective analysis of 9 cases. ACTA ACUST UNITED AC 2019. [DOI: 10.1530/endoabs.63.p815] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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