[Diabetes and microalbuminuria: about 87 cases]

Microalbumimuria is now, considered to be the reference parameter for an early screening of diabetic renal involvement. It constitutes also a predictive marker for a cardiovascular morbidity risk. Our goal in this study was to identify the different clinical and biologic factors that may correlate .with microalbumimuria. In type 1diabetic patients, microalbumimuria was, found to be correlated with the duration of diabetes [p=0,004], the retinopathy [p< 0,001], as well as with hypertension [p=0,001]. No correlation was found with BMI, HbAlc or serum lipid levels. In type 2 diabetes, we found a correlation between microalbumimuria and BMI [p=0,008], total cholesterol [p=0, 001], HbAI C [p=0,029], serum creatinine [p=0, 04], retinopathy [p> 0, 01] and hypertension [p=0,003]. An early management of these different factors may limit the risk and the evolutivity: of diabetic nephropathy

Le cancer parathyroidien [a' propos d'un cas]

The parathyroidal carcinoma is a rare disease which represents I% of the causes of primary hyperparathyroidism. About 200 cases are registered in the literature. A 31 year old woman, presented, 5 years ago, a tumor in right thyroidical lodge and a severe emaciation without adenopathy or dysthroidism. This mass was hypoechogen and scintiscan didn't fix it. In addition to that she presented. A biological inflammatory syndrome, hypercalcinemia and a diffuse bone demineralization. She was operated on in March 92 [total thyroidectomy]. Histology and especially immunohistochemistry led us to conclude to a parathyroidal carcinoma Through our observation and literature review we try to analyze the histological,biological and clinical particularities of this neoplasia. Keys Words: Hyperparathyroidism. Parathyroidal carcinoma

Thyroidite tuberculeuse [a' propos de 3 cas]

In our country, tuberculosis, a social curse, rages on endemic mode. The thyroid localization is exceptional [0,2%] and its clinical manifestation is usually misleading. The positive diagnosis is based on presumptive elements [contagion, other localization of tuberculosis] and the certitude is based on anatomopathology and/or put BK to the fore. We report three cases of confirmed tuberculosis thyroid in endocrinology, diabetology and nutrition service during ten years. The course of illness with treatment has been marked by a rapid amendment of clinical and biological symptomatology and an entire recovery