ABSTRACT
The persistent stapedial artery is a rare congenital vascular anomaly that may present as pulsatile tinnue or may appear as incidental finding. It can occur as an isolated anomaly or in association with an aberrant internal carotid artery. We report the case of a 13-year-old girl presenting with left hearing loss and a retrotympanic reddish pulsatile mass on otoscopic examination. A computed tomography scan and a MRI were performed and identified a persistent stapedial artery associated with an aberrant left internal carotid artery
ABSTRACT
Carney complex is a rare autosomal dominant disease. We report one case in a 26 year old female who presented in 1995 with Cushing's syndrome due to a 4 cm left adrenal adenoma. An adrenalectomy was performed and the tumour examination concluded that the tumour was mixed: medullary and adrenal tumor. In 1997, the patient was seen because of a pyramidal syndrome and a left boy hypoethesia secondary to a medullar melanotic schwannoma. In 2003, the Cushing's syndrome recurred because of a right adrenal tumor which was resected. At the same time, a thyroid nodule and a left ovarian cyst were discovered. A thyroid adenomectomy was performed and the tumour was found to be benign. Surgery for the ovarian cyst had not yet been performed. Few months tumour was found to be benign. Surgery for the ovarian cyst has not yet been performed. Few months later, the patient was seen because of a left breast ductal carcinoma. The association of these different tumors lead us to conclude that our patient had a Carney Complex. We discuss the clinical, genetical and evolutive specificities of this syndrome
ABSTRACT
Langerhans cell histiocytosis [HL] is due to the proliferation of phagocyte mononuclear cells. We describe the endocrine manifestations of HL in 3 cases, aged 8, 21 and 37 years. Diabetes Insipidus was the cause of consultation in these 3 cases. Ante- hypopituitarism was present in 2 patients: one had panhypopituitarism and the second [a 8 years old patient] had isolated growth hormone deficiency. Functional hyperprolactinemia was found in 2 cases. Thyroid infiltration was associated in one case