Hajj (Pilgrimage) is one of the five pillars of Islam. During Hajj, the person's life routine changes, weather, diet and habits are different; therefore diabetes that depends on a stable routine would predictably be significantly affected. The aim of this study is to highlight the epidemiology, clinical data of diabetic Moroccan Pilgrims. We performed a prospective study conducted over a period of 50 days from the 07 august 2017 until 11 September 2017, based on questionnaire. The total number of patients was 80 (40 men and 40 women), all of them belong to type 2 diabetes mellitus. The mean of age was 62.85 y (+/-8,9 SD). The mean of duration of diabetes was 9.37ans (+/-7.3 SD) .The mean of Random Plasma Glucose was 1.58 g/l (SD+/-0.4). In our study, 11.3% of patients had diabetic nephropathy, 13.8% had diabetic neuropathy and 1.3% had heart disease. We admitted 4 patients (5%) for DKA. Poor diabetes control in pilgrims with diabetes predisposes to morbidity and increases risk of acute complications. Patients with diabetes insist on performing Hajj, thereby creating a medical challenge for themselves and their health care providers.
Context : Acromegaly is a chronic disease characterized by sustained elevation of circulating growth hormone and insulin-like growth factor-I (IGF-I).Epidemiological studies reported higher incidence of neoplasms in acromegalic patients especially colorectal and thyroid neoplasms. We report the case of a rare association of acromegaly to a testicular seminoma that deserves to be discussed. Case description: A 49-year-old male, who was treated for testicular seminoma, during the follow-up, acromegaly, was suspected because of typical acromegalic features, diagnosis was confirmed by elevated IGF-1 andpresence of pituitary adenoma showed by MRI. Conclusion: acromegalic patients are at an increased risk of developing neoplasms. Therefore, the clinician must have the reflex to think to look for features of acromegaly in patients with cancer as the case of our patient.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.